brentoli

Consumer Driven Health Care (11/01/2005)

I thought that through before I posted it belive it or not. I'll let you guys with a little more years school me here, but this was my reasoning: If you end up getting in a liabilty situation that ends up going to a trial (I know its unlikely in the plea bargin days) the panel of 12 under educated people in the situation at hand would look more favorably on the framed certficate rather than just saying "I took 3 years of judo." Also with the certificate many outside training companys will offer their services for trial if you are going by what they taught. That was my rational about putting an outside 2 day plus course above martial arts.

For purposes of this poll, choose the higest level only, and consider Professional 8+ higher than self learned martial arts. There has been talk of incidents lately where providers are being attacked and defending themselves, some turn out better than others. What type of training have you had in self-defense? What type of training do you think EMS providers SHOULD have? What would you look for in a self defense course? Discuss.

My guess would be with a large jolt/shock of some sort. http://en.wikipedia.org/wiki/Pentaerythritol_tetranitrate

We had a med-helo accident in 2005 a few blocks from my house. That was also a run that was turned down. The service afterward now asks on if any other services have turned down the flight. One of the many changes they made. None the less, peace to the crew families.

Fox News - Terrorists Could Use Explosives in Breast Implants to Crash Planes, Experts Warn

Has anyone here ran into this in the field? Does anyone have protocols developed or attended specific training on it?

United States of America - Home to the McMansion

B.S. I don't care about your protocols. You and I both know in this situation its un-ethical, un-professional, and beyond the scope of compassion to give up on a person, and talk your dispatcher into ending the call ("This isn't a f'in taxi cab"). How can a dispatcher make a decision this guy doesn't need an ambulance anymore? They cant! You know that, I know that. Why didn't they know that? Thats where I was going. Did the doctor take responsiblity for the patient from the crews, or did he leave it with them? In response to Dust's post, the reason I am asking, I may have missed it but I haven't seen this doc hung out to dry either?

Did the DOCTOR sign off on the crews report? Just curious?

Darn shame we don't have any democrat offices around here. Would make for some interesting runs.

Maybe she would turn a blind eye and thought you meant Paterson.

She's doing great Ruff, a tiny booger for 5 months though. I tend to agree with you on your statements too. I am not sure if I am getting more conservative as I grow up, or if everyone around me is getting more liberal.

Why do some services issue body armor? Isn't that an implication that the areas/job is unsafe? Why is there efforts to increase the ease of use of provider restraint in the box? Doesn't that imply the job is unsafe? Why do we wear gloves, masks, glasses? Doesn't that imply the job is unsafe? There is an inherent risk in everything. I've trudged through a 1/4 mile of 1 - 2 foot drifts to check a pt out after the ambulance was stuck. If you can't physically do that, you need to check out your fitness for the job. If you don't want to do it, because you don't want wet socks, I hear McDonalds is always hiring.

Its also safe to say Dwayne, that there are Hospital Based "charity programs" which will forgive portions of you bill when you show hardship. Also some states (Indiana is one but they are ending the program due to the new "reforms") offer programs to help get insurance for children and state ran COBRA plans for high risk. This is part of the reason I understand many states are suing under the 10th Amendment.(Wiki on 10th Amendment for the non-Americans) We are not hanging our population out on the cross when they get injured or ill. We are just trying promote individual responsibility. I really like the line I bolded from Dewayne. America stands on the basis of freedom. It's not true freedom when its only allowed when convenient. Freedom: the power to exercise choice and make decisions without constraint from within or without; autonomy; self-determination. I would love to have the mind trust of Washington, Jefferson, Franklin, Adams, and the rest here today, to look at the nation, and see what their true reaction is.

I wasn't trying to take the thread on a tangent. Really I was just trying to get Kiwi to think out his examples more. Its my opinion that those examples are something EMS should handle. We don't have the follow up resources, but it is our job to document them and begin the course. As I stated, EMS is the only social service some people will ever see. Many people that NEED the intervention in their lives will never get it. I was reading an article tonight about a woman who had 2 children die in a drowning last year. There were 4 documented calls to child protective services where they investigated, found problems, and never intervened. There are hundreds of those every year in the states, and thousands not documented. We are medical workers first. We arrive to treat the emergency. Treating ther person is what pulls you away from the pack. Attention to detail, understanding the person and the cause, and working to resolve the issues are all traits of a professional. This may become worthy of its own thread, because we are getting pretty far off base from the original questions.

Thats pretty close. Why should I be required to hold health insurance? Why should I be penalized if I choose not to? From the Explainer on Slate. Life, Liberty, and the Pursuit of Happiness. We have laws on the books already that emergency care can not be denied to someone in need. Why, do I need to finance a liver transplant for someone who has drank all of their life and their longest full time job was line cook at the truck stop for 4 months? I have been working my ASS off for 2 years now trying to get in a position to buy a house. You know what? I make too much for ANY assistance from the federal government, but I make too little for a decent enough credit report to get approved with out a substansial down payment. How is that fair? America is giving the big middle finger to the working class. Are you rich? Well here are enough tax deductions/credits/write offs/shelters that the taxes will only be a pin prick to your bank account. Are you poor? Well here are all the hand outs you need. Keep having kids, and apply for one job a month and youll be A-OK. Do you make $40-80K a year? Well by all means step right up and finance those who aren't succesful enought to get a job, get a basic education (even though the gov't would pay for that as well) and become productive members of this nation. Thats why Americans are pissed off. Life, Liberty, and the Pursuit of Happiness Life is a given for the most part by laws on the books now. My liberty is slowly being eroded by these supposed "reforms." Pursuit of Happiness? Maybe in Texas.

So, should EMS not have any role in social services? When you have an elderly who breaks a bone on a throw rug on the wood floor, are you just going to ignore that situation? When you are in a house on a public service call, and hear a smoke detector with the low battery chirp, are you ignoring that too? EMS is the closest to social services many people see, that are in need of it. While that is off the topic at hand, at the same time I think your examples are a little off and not relevant.

Any comments on that Bushy? How is that the comm's fault?

What if she blames it on PMS. Then what? Thats a disability under the new healthcare reform act. Dontchaknow.

Quoted for truth.

A statement like that doesn't fall under any state codes/laws regarding EMS?

I understand requiring auto insurance for driving. You are putting other people at risk, and should carry liability for your actions. From what I understand though doesn't this bill require health insurance for living? With sanctions if you don't carry it? This stuff never helps the people that need it, it only helps the free loaders. So not the "American-Way" of 1776.

OUCH! Richard (I assume) negatived me even! Ohhh I struck a nerve! In all fairness, his book is a good read, if you haven't.

I assume you are taking an EMT-B course? Not trying to start anything here, but for what you are looking for, you will be much better served going to advanced levels, if you are looking for a better EMS understanding. The EMT-B course is pretty close to the Boy Scout Handbook. (You might pick one of those up and take with you, seriously. Really good resource.) Anyway, glad to have you aboard. I think maternity is one area where many EMS providers lack. Hopefully you can shed some light on some topics here as you learn as well.