brentoli

Derek, honestly, how long have you been reading these forums? I am not trying to bash you bud, but seriously, if you have looked through these at any length you would have known what kind of response would have been coming. Are you an EMT? What are your plans for the future? Do you have any goals to continue in the medical field?

Hey, I had complete seriousness and it went to waste. A dictionary isn't that expensive.

Is this a scenario, or are you trying to brow beat everyone into agreeing with you? What do the protocols say. That is what matters. If "B" is the only trauma center, and your protocols say go to hospital "B" that is where we are going. This patient can not be guaranteed to not have an altered mental status. Did you know him before the accident? Your liability rests on the protocols, not on your heart.

What do my protocols say about hospital choice?

My 91 year old father received 3 units of blood in his last hospital stay. It prolonged his life one week. Long enough to have his last thanksgiving dinner with my brother and his family. Is it worth it? You save blood by cancelling elective surgeries. Not by keeping it from people that need it.

Let me make sure I understand this right. Subject has a closed femur fracture. Took 30 min for the subject to make it from the woods to the ambulance in the back of a truck accompanied by fire rescue. He is complaining of pain but does not want to go to the hospital via ambulance? At this point he doesn't have a choice. Looking at several factors. You obviously didn't get to inspect the scene to see what type of injuries would have been sustained. Also head injuries can obviously alter the mental status and the fracture would distract from an adequate neuro exam. I would be enroute to the trauma center, and meet up with ALS. Who can now chime in.

+20 for no other reason than to cause a fight

90 watt 4 head X-Pak Kit w/ FREE SWITCH $ 270.99 $ 270.99 Brookings Digital Programmable Switch Panel $ 139.99 $ 139.99 Whelen Dual Ultra LED Talon -- Colors : Red/Red Options : None $ 229.99 $ 229.99 Predator II Ultra LED Grill/Deck Light -- Colors : Red $ 149.99 $ 299.98 911EP Ultra LED Stars -- Colors : Red $ 55.99 $ 111.98 Nova Undercover Hide-a-LED -- Colors : Red $ 89.99 $ 179.98 Able 2 Undercover Siren $ 119.99 $ 119.99 Able 2 Slimline Speaker $ 139.99 $ 139.99 Whelen Headlight flasher $ 47.99 $ 47.99 -------------------------------------------------------------------------------- $ 1540.88 Fifteen hundred forty dollars and eighty-eight cents. Plus shipping. I put the Nova Undercover Hide-a-LED in because they just look cool. You can subtract $179 if you don't want them. Most paramedic programs I have looked into cost approximately $3000. At Ivy Tech State College in Indiana Fifteen hundred dollars will get you a semester of classes. Eighteen, driving a small sporty car, did you ask your insurance agent how much extra the lights will cost you? Also, Merriam-Webster's Collegiate Dictionary, 11th Edition (Hardcover) by Merriam-Webster (Author) [hr:21c9475121] [s:21c9475121]List Price: $23.95[/s:21c9475121] Price: $16.29 & eligible for FREE Super Saver Shipping on orders over $25. Details You Save: $7.66 (32%)

Dispatchers are HORRIBLE I HATE THEM ALL *remove tongue from cheek*

Why do we have lights and sirens on ambulances again?

Whacker in training 20 - 25 With 23 Percent My age was my biggest single precentage, with 3% Everything else was a mix of 1's and 2's.

No, in fact I think more basics need to be here. I wish more basics were here. It is not a basic trashing site, it is a site to enrich the profession, basics included. If someone is taking offense to this, GOOD, maybe it will inspire them to become better at their job, in their education, and career. Thank you for bringing up a very valid point ladyemt.

Dust, I have concceded the fight. There is no justification for basic's when the medics are available. Regarding the above statement, EMT-B's do not provide a level people would not get, services need to do what is best for the community and not just keep themselves afloat. I am a basic, I work with a BLS service. If tomorrow I got called and told they were selling out to make a regional ALS service, I would start looking into medic school more seriously. I wouldn't mope and whine about how "Medics need EMT's to save their ass." or how "unfair" it would be. As a community we need to stand up and take charge! EMT's belong in pt care. Just not primary care. Realize what you can do and what your skills are. Why are medic's in flycar's and not EMT's? The first links in cardiac arrest survival are Early CPR and Early Defib. Two things EMT's *SHOULD* be very good at. Thats why EMT-B should be in the hands of people that will be on the scene first. Cop's beat us to unresponsives all the time, because they are already out roving around. Dust, we are not letting you win, it was a one sided arguement already. I basic has a role in EMS, just not on the ambulance.

OK, what would be the ideal scope for the "new EMT-B" Obviously you would want [*]Expanded A&P [*]Enhanced Skill Sets [*]Proven critical thinking skills What would we do with them to make them more then just a well trained by-stander? What about a "super-medic?" Someone who has education somewhere in the realms of a Nurse Practitioner. Base them out of the local ERs, when a code, stroke, or some sort of "mega-call" comes in they can respond to compliment and supplement the paramedics on the scene. Can someone tell me, I belive I saw an article in JEMS about physicians responding in the UK once?

See new thread

I still stand by my previous statement, no one can REQUIRE you to have lights in your POV. They better be providing you insurance against accidents and liability. And leasing your vehicle from you? Inspecting it? Giving you a set of requirements and comprehensive policy? Putting them on, on your own, that is different. I have a blue courtesy light in my vehicle. I also use sense with what I use it for. If the ambulance won't go hot, neither will I. If traffic is heavy, it stays off, there are enough people that live closer to station then I do. If someone won't move over, I don't pass them like a jack ass. Too many people get their jolly's from lights and sirens. It scares me. I don't see a problem with POV response as long as it is responsible. Thats the problem though. Too many people fly like a bat out of hell with no regard. Our dept has insurance on us that covers a POV accident, with out it I would probably not respond hot or very rarely.

YOU ARE 11% WHACKER!!! NOT AN OUNCE OF WHACKER IN YOU. A LITTLE WHACKING IS FUN, TRY IT SOMETIME!!! BUY A BLUE LIGHT, OR PUT AN EMT STICKER ON YOUR CAR. YOU NEED MORE WHACKING IN YOUR LIFE.

My question to you Vs, if you don't know what it is like to work with an American BLS partner how can you judge them? You havent experienced it yourself. I know basics can be replaced by medics easliy and they are a resource better used for first response and not primary care. However, I don't see where you can say a EMT that learns the needs of his medic partner is inferior and can not be trusted?

Late night post - I need to proofread better. First 3 pumps after the ETT was placed and the combi-tube was removed. The medic never could secure his airway and get good lung sounds the whole trip in approximately 15 min after ALS arrival.

This place can be akin to an UFC fight at times

Mark this date in history... Not only did Dust agree with me, but I made him think at that. Only took >160 posts to do it Lub ya buddy!

I'm Bi. Feel free to quote that out of context. I vote on the candidate. There are candidates from both parties I have lent my support, and mark of the pen to. If I were to run for office, more than likely I would be on the democratic ticket. I support their fiscal ideas. How ever I don't agree with their stance on gun control, but I doubt you will ever see me on a level of government where that matters.

That is just egging it on Dust. Good Job

I have used a combi-tube but have not used a OPA in the field. There for I can't really judge it based on experience, I do know though, the one combi-tube I placed, the medic's first action was to cut the bladders and try to intubate, which failed all the way to the hospital. I belive it was a DRT paitent anyway and it didn't have an effect on the outcome, however, the medic did not even check the tube placement or even did anything else. His first action in the door was to remove the combitube. Our placement was good, bi-lateral breath sounds and nothing in the abdomen. The first 3 pumps on the bag filled up the belly. What are some ALS thoughts on this?

How did I not see that coming? Really?