brentoli

What would we do with uniforms? I like the scrub idea that has been presented here before. Also like the BDU pants / Polo shirt idea too.

Theres places you get paid extra to dispatch if you are an EMT? Come on man, hook me up!

Two hundred and fifty more pounds to $5 million baby!

Thanks, ruin my night too.

But its not, this is a discussion on how to operate our hypothetical ambulance service. Feel free to share your ideas on that.

Works for me. Part of this discussion is deciding what we DON'T want as well as what we want.

So would you propose SCBA, Level 1 suits, and CBRNE kits on all ambulances, since we could be responding to a possible terrorist attack? What about hazmat? The next county over has a 3rd service EMS, they have their own HazMat decon team. What if any specialties would we want our people to have?

I don't want to get too far off track, but why would special event coverage be an ALS assignment? Usualy it is requested by event organizers anyway. It isn't something "needed" we don't sit at the mall all day waiting for grandma to fall down running her laps. It just makes the organizers feel better about their event. Any true emergency you would summon for a transport unit, which I think we agree would be ALS. So how would be out of the scope for these PRN basics to man a first aid station. Charge the oranizers enough to recoup the payroll costs, or just do it as a public service either one?

On the topic of dispatch, would we want to be part of a consolidated dispatch system? Anytown wide? Would we want our own? What would be the requirements. Would our dispatch do EMD? Powerphone? APCO? Our own developed system? What about trucks? What would our rolling stock be? What features would they have to have? Would they even have red and blue lights? Or just amber ones for when we are parked on the side of the road and no siren? How would the administration work? What would front line supervisors be responsible for? If we wanted any hope of getting grant money and associated, we would have to have a NIMS compliant staff. Would we have a refuse to transport protocol?

Somebody set up us the bomb!!!!! [sub:c5c597700b]What was this thread about again?[/sub:c5c597700b]

One of these days you will see fire trucks posted at the local krispy kream parking lot. Dispatch will predict more fires in that area.

So would this idea work in an all ALS system with out BLS response? EMTcity Ambulance starts a new paramedic class January every year limited to the amount of turnover expected with in the service over the next two years? You take our class, pay us to get you your license by our standards, maybe team up with a technical college to provide an AAS. But we won't promise you a job? How about having PRN EMT-B's that are available for last minute fill in assignments and or special event coverage (concerts. fairs, festivals, things suited to the EMT-B scope of knowledge)?

So I have been thinking about this for a while. We have some of the most intelligent paramedics in the world here. Doctors that are very involved and enthused by EMS. On top that that some Basics who are intelligent enough to be groomed and bred to be exactly what is needed in a medic. Some people here have years on the ambulance, some people have years in administration. So lets think about this for a moment, lets say EMTcity moved in to Anytown, USA and decided to buy/start an ambulance service. How would it be ran? This isn't a argument about basics or medics, equipment or procedures. This is a discussion as to how we could make the best EMS service in America. Would it be strictly 911? Would we have a division devoted to inter-facility transfers? What about protocols, medical direction? Would we even allow an EMT-B to work in the service? What about in house training? Paramedicne Academy of Anytown, USA? [sub:a7c282735b] (Sidenote, why has the spell checker still not learned EMT?)[/sub:a7c282735b]

I am just a basic, and I was wanting to see what some other reactions to this would be. When the medic heard her prior history, he picked up all of his bags out of the ambulance, said "With her prior history I don't want to do this." And slammed the ambulance door on his way out. Interestingly enough, she had pain medication started at the hospital before we even left. I didn't know if that would be a common reaction among ALS providers, or if this guy is just nuts.

BLS dispatched to injured in fall, 50 year old female fell from standing height and possibly dislocated shoulder. ALS is requested for pain management, she is saying it rates 9/10. Paitent is packaged and immoblizied in a position of comfort and pain is a 6/10. States her only history is Fibromyalgia and she takes one vailim in the morning when she wakes up. Takes a pain killer (I can't remember what this was a couple of months ago) as needed, but hasn't refilled perscription in 2 weeks. Loaded into ambulance with still no ALS arrival. Approximate 15 mile trip over rough county roads. Paitent is able to talk through the pain and all vital signs are good. Pain goes to 8/10 during the trip. ALS arrives, inquires on vitals and current pain. Paitent states 5/10 due to the truck being stoped. Inquires on prior history and informed of Fibromyalgia. Would you or would you not provide pain management pre-hospital to this paitent?

Saw that going in the wrong direction... The hottest girls come from Canada. Little known secret. I don't get that one, maybe I am thinking about it too hard?

So I was sitting in my cubicle today, and I realized, ever since I started working, every single day of my life has been worse than the day before it. So that means that every single day that you see me, that's on the worst day of my life.

Bah. Starting an arguement just for the sake of arguing? If you have read any of his posts in the past you would know he is in the country of NYC.

I should try and work it into a dispatch tonight. Fourth-with the correct pronunciation? And is it synonymous with expedite?

People still say that word?

I still find it hard to believe that that many BLS services have Glucagon in their protocols. I still haven't seen good reason following the LCD theory to allow it on a BLS truck however. But why do some providers now feel that Oral Glucose is a bad thing? What can it hurt used under protocols and not delaying care? (Don't take in to the account the dumbass shoving it down unconscious grandmas throat.)

That sounds awesome, and there would be no other honor to meet the great dust... but there is a large "event" I have to attend that weekend!

I've seen apples compared to a lot of weird things lately....