reaper

As ERDoc stated. Someone in a true crisis will need fluids, along with pain control. When they reach the ED, they may end up getting a transfusion.

I have seen many medics blow off Pt's in a crisis. This is a very painful thing to go through. These Pt's take so many narcotics, over a long range of time, that they build resistance to some pain meds. They may take some powerful pain meds on a daily basis, so in crisis, they need some thing better for the pain.

If you work in an area with a lot of these Pt's, then I would suggest reading up on the process of the disease. It will help to enlighten some.

FL has DNR's and Living wills. Here is a link to check into them, http://www.doh.state.fl.us/demo/trauma/dnro.html

Our prayers are with her.

Pen in the shirt pocket and two longnecks in each cargo pocket!

There already are companies that build boxes from the ground up, from your specs. You just have to pay more for it!

MI with right side involvement, gets different treatment. I may hold ntg till I can get a bolus in, or I may hold off on it all together.

It depends on what I find in my assessment!

Most systems are becoming more progressive, when it comes to STEMI's. In our system, If we have a STEMI in the field, we bypass the ED and go straight to the cath lab. So yes, they do save time and possibly lives.

Yes, a 12 lead can change my treatment of a chest pain pt. Depending on where the infarct is coming from, determines my treatment.

Wanting to give up 12 leads would be taking a step back. I for one will not give mine up. I interviewed with a service, that was great. Nice people, great pay. I turned it down for the simple fact that they did not have 12 lead capability!

Did someone hang out an EMT City sign at the local poser and wannabe union? Where are we getting these dumbasses lately?

Or is Dustdevil laughing his ass off at this epic joke that he's playing on us?

'zilla

That very thought crossed my mind too!

=D> Great post! sums it all up.

Why put yourself through that hell though? Pride?

Exactly. You may be setting yourself up for a fall you don't want! What if something serious happens on a call and the higher ups decide to lay the blame on you, just to get rid of you?

What if they report it to the state as negligence and one of the state guys is buddies with the supervisor? Are you prepared to lose the cert that you worked so hard to get?

They can blackball you in that area or state, then you will have to move to find work. Why not start looking around for a better service. Work part time for them. If they are a decent place, then leave this one and go full time with the new service. That would be the way I would deal with it.

Just don't let pride get you in to deep. Let them win, who cares, but them? :wink:

Sorry, my brains to full to come up with crap like that! :shock: :twisted:

Just tell the old hag NO!!!!, and the transport her if she refuses to go that's on her man.

You made absolutely no sense in that post? I hope this is not the attitude you have with pt's. If it is, get out now, before someone throws you out.

Yeah, but at least you can make up to 100k a year with little OT.

See let me explain this little boy. Real Paramedics preform this job, because they care about the Pt's. They are not out looking to get rich and look cool for the hot chics! :roll:

i did and i wasnt beeing smart -- i was sincere --- in every call you have to ask yourself if i had to go to court because this pt died, can i defend my position --- it doesnt matter what the call situation is. The prosecuters will call other EMS and medical professionals to testify as to whether or not what you did was right or wrong, and whether or not others in the same situation would do the same thing.

I have a feeling this person was sued for being an incompetent medic! All their post keep referring to be able to defend your actions in court.

I guess I must be doing something right. I have never been sued or hauled to court, in nearly 20 years. So yes, I am confident in my ability to refuse a pt. I feel this way because I know how to do a proper assessment and use my education to make a qualified decision!

Maybe you need to go back and get a proper education. Then you will feel confident in working in a real EMS system and not be a protocol monkey!

I agree Wendy,

Ever pt is different and you cannot use a blanket protocol on them. This is a on scene judgment decision.

The pt may have had half a drink and got an upset stomach, so they started throwing up.

I do a full evaluation on every pt, then make my decision on whether I let them refuse or not. Just because someone had a drink, does not make their signature useless. If that is the case you might want to transport all Pt's, because half of this country could have ETOH in their system at any time! :roll:

still waiting on proper justification for this practice ---- to make it simple, you are in court defending your right to watch r-rated movies at work, please explain to the judge how this is "professional" and belongs in the workplace ?

Easy, ask how it is unprofessional?

I would leave it running! If I am watching it with others, then I would not be ashamed of it. (those movies, I watch alone)

Then I would tell HR that the person chose to stay and watch something that they supposedly thought was offensive. If they thought it was offensive, they would have walked out of the room right away. Then there would be no problems. The rights of one, does not negate the rights of many.

If I was watching it alone and someone came in and asked nicely to change it, as they did not like that kind of movie. Then I would have no problem changing it. But, when their are multiple people watching a movie, I will not turn it off because one does not like it.

As stated, there is nothing wrong with ADULTS watching an R rated movie.

If you don't like it personally, then leave. No one is forcing it on you. You don't watch it at home, because you change the channel. Then leave the room if it is on!

If the dept allows those channels, then they allow them to watch them. If you don't like it, then push to have the channels removed. Just don't expect to be greeted back in the stations. All your posts here have been bitching about others, why not try and improve the situation, without forcing your morals on others?

I see nothing wrong with HBO, yes cinimax does show some bad shows at night.

You mention R rated movies. If they are being watched at night, then there is no problem. Family should not be at the station late at night, as you said, it is a work place. After 2200 all family should be gone. All are adults there and have the right to watch a R rated movie. If it bothers you only, then don't watch it. You have the right to leave the room. If it bothers more then you, then it should be brought up to the higher ups.

This has nothing to do with a public work place or being a professional. After 2200 no public should be at the station, so it has no affect on them. There is nothing unprofessional about watching a R rated movie.

From your posts, I gather you are very religious. Nothing wrong with that, as long as you don't push your values on other people. If you don't like it personally, then don't watch it. Go to the bunk room and read, or find something watch on another TV. Why is it right for you to stop 3-4 others from doing what they want, because you don't like it?

Once in a while...just hope they don't take anyone else out! :roll:

There is a clause in the protocols that says ultimately, it's up to the medic who is providing care. I have seen it go either way. I can see the point on both sides of the argument. Then again, I've also had the patient who has just done some meth, A&O x4, talking coherently and carrying on a good conversation. I got him to refuse...and he promptly ran across the street and got tagged by a car in the process. My wrist got slapped because I let him refuse. It's the unpredictability of the drugs and patient that carry the concern, and the rather rapid "shift" they can have between rational and irrational.

I could refuse a jogger that twisted their ankle. They could leave, cross a street and get tagged by a car. Same scenario! How is that my fault?

Did you do a blood test on that pt? How do you know he just did meth? If the pt is competent and A&Ox4, they have the right to refuse!

So you would much rather put more stress and pressure on the lil old lady, that is having an MI?

If it will help keep her calm, then grab them on the way out. I don't think he will complain much! :shock:

So, in AZ do you have to take every pt that takes Benadryl to the hospital? It is a mind altering drug and they can not possibly make a rational medical decision while taking it!

It would help teach them some of the business aspects of the EMS industry. I have talked to EMT's that did not realize that it cost on average of $500k a year, to place, staff and support one ambulance. I think it is good to show the students a different side of EMS.

So does "Another one bites the dust"! It may be more appropriate!! :shock:

=; BSI, Scene safe :bootyshake: