Arctickat

No, I've never been there, only to visit with my in-laws at ....Big Beaver. I never went across the line, but my wife tells me of the many trips she and her friends made to the bar in Flaxville during her teenage years.

Hmm, all my cuff sizes are blue. The Large Adult one measures 1 inch wider and 2 longer than the Regular though. Ever tried the Thigh? In my mind, the most difficult are the morbidly obese people who have a huge circumference arm at the top of the cuff that narrows to mere inches at the elbow. Then gets larger on the lower arm again. Kinda like trying to get a BP on the top half of an hourglass.

I'm having a little trouble with the timeline here...the other service was 30 min away and you were 15. How was it they managed to beat you to the scene? Was there a dispatch delay? Why was the other boss so pissed with your boss? Did he lose money or something? Seriously, it pisses me off that patient care is taking a backseat to money and ego.

The System. I just can not fathom a system that has multiple ambulance services serving the same geographical area. This ambulance can do dialysis runs but can't do 911 calls, or it can do transfers to this hospital, but not to that hospital. If I were to call 911 I would be seriously pissed off to watch an ambulance drive past my house on its way to pick up the dialysis patient down the block because it can't do emergency responses. Our EMS system involves one EMS service providing care to a particular geographical area. These EMS services respond to all the calls within their assigned boundaries regardless of....well, anything. Unless all of our ambulances are out of the area and another has to respond we do everything.

While I appreciate your desire to partake in the conversation and add to intelligent debate, I must point out that if you are going to attempt to support your position you need to provide your facts in context, both linguistically and geographically. While google researching my post I stumbled across this little tidbit... http://www.abouthumanrights.co.uk/equal-rights-right-be-treated-equally.html When you cut and paste that section of paragraph into your post you should have: Copied the entire paragraph so that the context remained. Cited your reference Verified that it was a comment applicable to your situation. You are in the United States; this website is from the United Kingdom. UK law has not been applicable in Kentucky for almost 250 years.

Welcome to the City. Feel free to join in on a topic which interests you, or create one of your own.

My understanding of the scenario is that there is not a court order in place for this patient. He is being transported for a consult, he has not yet been committed.

I'm going with Sepsis. 12 Lead ECG CPAP 2 18ga IVs Pressure is too low to piss around with fluids at this point, I'll go straight to Dopamine at 5 mcg/kg/min and titrate to an BP systolic between 90 and 100....(I'd prefer NorEpi but it's not on car yet) Claforan infusion 2g over 5 min.

Have you read this in the Act? I would be surprised if you had because the United States does not have a Human Rights Act. Human Rights in the United States are covered under several different federal and state laws, including the Constiitution and amendments, treaties, and other laws. I haven't read all the laws, but the ones I have read are quite specific regarding discrimination. Race, Gender, Religion, Sexual Orientation, Disability, and so on...but I haven't read anywhere that discrimination includes chosen profession.

If the patient has been legally committed by whatever law applies in that state, then he has no option but to be transported. If he has not been legally committed, then I would be on the phone to his physician first, my medical control second. Since he's only going for a psych consult and not for a medically vital and critical illness or injury, I'm fine with letting him sit there for a couple of days longer while his doctors sort out the legal mumbo jumbo. When we go back and get him I will calmly explain to him that it is in his best interests to go with us. I've dealt with a few psych patients in the past who were almost always able to come around to my way of thinking. If he comes willingly He will get treated courteously and will not get sedated. He will be strapped to the cot, the doors will be locked, (ours can't open from the inside unless they're unlocked) and I'd remain vigilant for any signs of escape. If he doesn't agree to come with us I'd check with medical control for sedation....we have specific situations in which we can use sedation on psych patients. If he doesn't fall under that criteria then I'd have to call. Edit; Sedation is an absolute last resort. There are a few other tactics I've used that have worked before. When being polite and courteous doesn't work, being forceful and demanding tends to bully others into submission. Most have just given up when they realise they have no options.

Cool, let me know when to start shooting. My in-laws are about 6 miles North of Whitetail.

I will never understand how becoming a Fire Truck Driver could ever be considered a promotion. I'm happy to be an Ambulance Driver to the day I die....hopefully I won't be driving when that happens though.

Welcome to the forums. Feel free to join into any discussions which interest you, or start one of your own. Are you anywhere near the Flaxville area? If you are I could probably shoot a Canada Goose from my in-law's farm and it'll land in your yard.

Can that really happen? I mean I've heard stories about it but I still haven't seen it. ;-) Sent from my infernal electronic leash using my phat phingers.

My LP12s have been pretty reliable at speeds below 60kph and no sharp turns. If I'm lucky and have a smooth stretch of road It can be reliable when travelling at 120+ as well. I find that the most often cause of wacky readings is a poorly applied cuff or the wrong size.

if your new company is worth working for, you'll be put with a training officer who will observe and critique your work. Expect to be doing the majority of the patient care. It'll pretty much be just like being back on practicum. Make sure you research the policies and procedures as well as the protocols. If they don't put you with a TO then go back to that private service.

I don't know that anyone here is actually trying to defend his actions. More that we're debating if the punishment fits the crime.

1980??!! Yer just a young pup. No worries though. We old grizzled vets will try to take it easy on ya. The closest I've come to the Bering sea is to watch it on TV. You look to have had a very interesting Career. I look forward to reading more about your experiences on the forums.

I, for one, understand this, but we're not really discussing differences in protocol, but the repercussions of exceeding Scope or not following protocols.