Just Plain Ruff

any specific issues or problems that you had with the providers who responded to your emergency? What treatments were offered but refused by you, and was a refusal form signed? Would you recommend our service to others? Were all treatments and procedures explained to you with risks and benefits included? (may be a tall order to get them to open up about this one) How was your travel experience? Too fast, too rough, How long was the trip?

and what about the coding patients, can you work a code in that confined space?

I'm glad you came back and I echo what Island said. I've never been in the military but I have many soldiers who are friends of mine and several of them have not come home. Several others have come back with what I believe the same issues as You. And some of those who have come back with those issues have gone on to commit suicide. Again, like Island, take this personally - get some help for your own personally identified issues. There are many good quality groups out there that can help you. With reeducation, personal issues and PTSD if you have it. If you are willing to give a general location that you are in, I'm sure that we can help you find a group near you. We really are not a group of assholes.

No don't drop me in a hot zone, I don't wanna go there. Of course most medics couldn't do trauma the same in a hot zone as a military medic because we are NOT trained to do the job as a military medic just the same as a military medic is not trained to do the job of a civilian medic. I don't see that a military medic would be at all comfortable taking care of a critical CHF patient with an MI goin on and the CHF Patient crashing down the tubes. Could that military medic handle that patient? Prolly not. Our hot zones are similar just in different parts of the world. Hoping you are done ranting and ready to do some listening and realize that we never slammed your service or the fact that you didn't do valuable work at what you were trained to do, just that you weren't trained to the level that is required to be on the streets in the states.

I'm going to leave the military information to the experts which we have several here, thanks Mike, Island and Triemal and I'm going to focus on another aspect. Ghost, I'm really trying to wrap myself around the defensiveness of your posts these past couple of days. I'm not sure where it's coming from other than the possibility that you think we are attacking you personally but this really makes me question whether you are really suited for management in EMS. If you are becoming so quickly defensive and offended with what we are saying here, how will you react when you are faced with criticsim from the people you manage? I do not know you from Adam or Steve or whoever but I would take a step back and look at how you have responded to these threads and then think about it if these were real life management issues. Might be an eye opener. Some mentorship with a successful manager in EMS or business might be a great thing for you. Do you think you would be willing to do that?

I think with the appropriate amount of additional training, it could be good. But what is the appropriate amount of additional training. That should be the question. I don't know what goes into a medic training into the military so that would be my only question is how much more training should they have?

I think this is a very good idea. Why wouldn't this be a good thing. By the way thanks for your service.

There are hundreds of videos out there on You Tube that you can get for free try this search to begin your quest https://www.youtube.com/results?search_query=exercises+for+EMS

and don't forget projectile vomiting of pea soup and thus requiring a exorcism needing the services of Max Von Sydow.

This game is getting silly.

True Mike, A leader leads by example and empowers the people he leads. A manager manages his people. It's possible to do both but you can't truly do both exceptionally well. I have a manager who manages very well but she is NO leader. My team leader leads our team by example and helps me want to be a better analyst. See the difference?

I'm not sure if that's directed at me or not. I will assume it was and then you can correct as directed Were you disjointed by my suggestions as to books to read to be a better manager? or my suggestions that your disjointed thought process would make you look less of a leader? I hope you didn't take that personally, it was truly not a personal attack.

yes I did. not prostate, Ovarian. Been a rough week. boys have a penis, girls have a vagina, must remember this.

I disagree with your premise, I never said same outcome, I said same level of care and treatment. Outcome between the two is often drastically different if a crew who has never worked a code works one compared to the same level crew that has worked 20 right? Many transfer crews don't see critical patients, but they all have the foundational base to take care of patients until they get them to definitive care. That's my premise. You are asking the question of who should give better treatment to this apneic patient. A AEMT and EMT Crew run by a 911 service or a AEMT and and EMT crew run by a transfer service. They better give the same level of treatment which is what they were trained to do. Your arguments have been very difficult to follow and honestly if you are considering a management level position at your company, please don't take this the wrong way, but you might, I would think about some college level management courses because if what we are reading here has come off as disjointed thinking from you then your crews are going to recognize it as well and when and if you ever are a manager the level of respect you will have with your staff will not be very high. Not busting your balls (to quote Dwayne) but just bringing it to your attention. Take a look at Mike's response as well. The college level courses will also allow you to develop your shortcomings into strengths. That's a win right? I've already said that the only person or persons you should be worrying about are those in your immediate realm of control ergo, yourself, your crew, those you might supervise and those who supervise you. Keep track of your six and always strive to learn something from every situation, that's what makes a good manager. I would strongly suggest investing in a good E-book reader and get the Kindle Unlimited subscription for 9.99 a month - first month free and take a look at the Business and money category and start reading some of the titles that interest you if you are wanting a management job. There's a good selection of books that will be of value to you and others here as well.

but isn't this technically a vehicle accident? he was operating a moving vehicle? (devils advocate). Describe Moderate speed? how fast is moderate? 10 MPH? 20 MPH? 30?

Well that would be your first clue she was a protocol monkey. Just bide your time working with her and then move on. I'll bet this isn't the only time she blindly follows protocol. But in her defense, it is protocol so she really didn't do anything wrong. Now let me turn this around, had you have not boarded and collared this guy and if it was in protocols, would you be in violation and subject to discipline? Do you have the fortitude to go against protocol and buck the establishment? I'm pretty sure this medic on the call was not willing to do that. So by your admitted judgement would you have broken protocol and not boarded the patient, thus invited a review of your call and possible disciplinary action?? Are you ready to face that music? Think of me as your Medical director - tell me why with evidence backing up the why, WHY you did not board and collar this patient who sustained a bicycle crash when protocols state he should have been fully immobilized? Your job depends on your defense and whether you convince me.

Yeah, she told my parents that with her pain that she was experiencing she had a entirely new understanding of patients in pain. I went to her with my mother because my dad was unable to make one of the appointments and she told me that she wishes that she knew then what she knows now about the bodies response to pain. She was a talker. The doctors my parents go to now, are no where near the providers or adequate pain relief that this doctor was to my parents. They provide adequate pain relief but my mothers pain was very very well controlled by her previous doctor.

Is there a difference in the response and treatment between the same type of crew. Both crews are AEMT and emt. They both have the same stuff. The treatment is the same. I don't understand the difference. The treatment should be the same be they 911 crew, a transport crew or a crew that does standby's, the treatment should be the same until the patient it delivered to definitive care at the hospital. Why are you focused on who does it better rather than how can YOU do it better. That's what YOU should be focusing on not on who does it better. And what is with your last sentence of your most recent post "With not sith***" What does that mean.

Well it's the crew leaders call so let the protocol monkey go with it. Did you discuss his decision after the call?

Great news Richard, great news.

Funny story - my parents had a physician who was quite liberal with the pain meds. My mother has back pain and she was given quite a liberal pain medication regimen. Her specialty was pain management with an internal medicine background The doctor actually was investigated by the DEA for over prescribing and nearly sanctioned I believe. She was pretty outspoken so I can only imagine what she told the DEA. Fast forward about a year and same doctor was diagnosed with prostate and bowel cancer. You can imagine that she was in some sort of pain. She kept practicing but with the patients that I guess were her favorites, she kept very limited office hours. When her time here was coming short, she had one last office visit with each of her patients and made arrangements for follow up care if they had not done that already. In the case of my parents, she also made sure that their medicine regimen would not be altered or interrupted for a very long time. My father asked her if she was worried about the DEA coming after her and she said what are they going to do I'm dying. The amount of narcotics she wrote them was pretty incredible. She did not fear the DEA, she feared more that her patients were in pain. She passed away soon after my parents last appointment.