brentoli

Well I am sorry you feel like you do not need dispatch. We will just put a phone in every truck and give the public those numbers. You have to answer in 3 rings. Even when on a call. And you must be nice to every person that calls no matter how stupid they are. And I hope you have a big phonebook because you will be asked for many phone numbers. No you can not tell them to hang up and dial 411. Try it for a week. I'm sorry your dispatch sucks. You don't have to generalize it and say all dispatch sucks. I work for one of the most professional dispatch centers in Indiana. We dispatch for 9 EMS/FD's 1 Ambulance service 2 specialty teams, and 10 Law Enforcement agencies. We are the central 911 for the county. We know how to get the job done. Not to mention most of the workers here have LE or EMS experience either first hand or through a spouse. I can't think of anyone else I would rather have dispatching me when I am on duty with the ambulance.

Racist. Discriminator. Un-Equalizer. Denier of rights. Communist. Its an addiction that the can't control! It grips their body and won't let go! How can you deny basic civil liberties! THE GOOD LORD MADE TOBACCO AND SAID I CAN SMOKE IT! Ok this is ALL tongue in cheek. I can't belive how many medical professionals I see smoking, when they see first hand all the things that will be happening to them in 20 years. Sigh. Someday. [align=center:83f851fbd2]EDIT TO BE ON TOPIC:[/align:83f851fbd2] Our department requires basicly the same physical a CDL requires, and I think a diabetic is automaticly DQ'ed from a CDL. Honestly, I don't have a problem with the diabetic. I work with quite a few in dispatch. However don't forget, there are other places an EMT-B/P can work. Blood centers, ER, clinics. So don't get too frustrated

So who is that baisc gonna call when you are both pinned down by gunfire?

Sitting through my EMD course was interesting. You can hear quite a few tapes, where the dispatcher is STUPID. And then you can hear the comments in the room and pick which dispatchers in there will be on those tapes in a few years. My favorite was the one telling the woman to stand her asthmatic child up infront of the freezer. Or the dispatcher who wouldn't send an ambulance to a woman who said she was sick and people were passed out. Yeah CO poisoning, 4 people dead. Dispatch will save your ass better then any EMT-B will. If they are competent. I like to think I am. Hopefully the guys and girls in the field think so too. If your dispatch sucks, I hope you carry a cell phone on duty. I hope you have good service too.

Our protocols, Powerphone, do not give authorization for any medicine other than an EPIpen. That is the only thing that should be instructed over the phone. I can't take a BP to advise on nitro. I can't do a nuero exam to advise on ASA. But if you tell me he is blue and looks like a blow fish that is an indication I can use for epi on the phone.

Is there any policy where you have to change your number every certian period of time? That can be very beneficial in situations like this. If every month you are changing your PIN it makes the whole situation more secure.

I am sure volume does have a play in this. You have how many calls a shift? We have 2 calls a day, and are the 2nd busiest township in the county. Heh. I think there is just a little too much CYA on the law enforcement side going on here. And alot of it comes from the troopers, and the older officers who dont want to deal with whats going on.

Maybe it is the n00b in me, but define those two abbreviations?

That does make more sense, but here we are required to make parental contact whenever a minor is involved. If the parent says go, then we have to go. If we can't get ahold of the parent, we have to keep trying or fall back on PD assuming it is a minor situation. Of course we still go by implied consent for major problems.

I don't see what you are getting at Anthony? If a 17 year old's mom tells me to transport their child, I have to do it barring orders from MD or law enforcement. It doesn't matter the situation. I can try and talk them out of it all I want to, but in the end I have to have orders from someone on high to refuse the transport. Aside from that, in your analogy there is true visible injury to her. I don't see how that has relevance to the discussion.

Well, in this county. It seems like any accident involving minors PD calls EMS for refusals. I don't know the reasoning behind it. I think they are covering their butt's so they don't tell mommy that little suzy isn't hurt and she needs to be picked up, with mommy going straight to the ER... Calling the Sheriff... Lawsuits... Blah blah blah blah. Then we get out there and have to make parental contact, or transport. Which really sucks with you have a 17 year old, who isn't hurt, you know they aren't hurt, and have to take them to the hospital against their wishes due to the drama queen soccer mom. I mean come on now... 2 veh fender bender that doesn't hit hard enough to trade paint? And yes I explained it to mom. [sup:a0f752b650]SIDENOTE: This is a different accident[/sup:a0f752b650] Back to the matter at hand, I had the brother call the father with the trooper standing there and translate. We took the release with the troop as a witness and went on our way.

Wow... those scrubs/BDU's really hide that hot body!

Would this be Dr. AK and Dr. Dustdevil .... or Dr. Dust and Dr. AK?

Sorry. Signature of Release. Make it -10. I should know better.

Dispatched to the interstate on a car through a fence. No airbag. Cosmetic damage to the passenger car. State Police on scene requesting an ambulance due to a minor involved. Driver was 21 year old asian. Passenger was 15 year old asian. Older speaks decent english, younger is still broken english. No obvious injuries to either occupant and they both deny treatment. Vitals are all within normal limits. Talk to the older brother and he states the parents don't speak english and live in another state. How do you obtain an SOR for the juv?

I'm still trying to figure out what Age Sex and Location training has to do with saving lives?

You can only get to the key with your PIN number. It is impossible to get the master key out with out breaking it. That leaves a track for auditing because they can see who has accessed the key every time. It actually seems much more secure. They are in a vault, and it is possible to track every person in and out of the vault.

Training comes from your classes. If you want to be educated, then you have to seek that on your own. That is the truth with any EMT. And from what I hear on the boards, many medic schools as well. There is nothing saying you as an EMT B can not educate yourself. Learn the reasons for doing what you do and applying it within your scope. There is nothing in the world keeping you from attending medic school. If you want to do it bad enough you would find a way. The EMT-B is like air conditioning. They are nice to have, but not required. It seems like everything gets O2 anymore. Hip pain? O2! Lacerated finger? O2! It would be nice to see more studies on high flow O2 and see whats going on.

Can I keep that? I also work as a dispatcher. I think we need that plaque on the wall here. I guess I didn't mean to make myself sound perfect. More along the lines of "I can eff up bad enough on my own I don't need help doing it." It wouldn't be so bad if he wasn't one of the top call takers and has had a years experience. It just gets frustrating. Hence the rant

He has been here a year, but he is FF/Driver only. His heart is in the right place, he is just a couple of steps behind the shuffle.

I prefer the "silver area" it is a bit more shiny. Some areas basics can give aspirin with out ALS arrival. How do you suppose this is any different. We are not allowed to do it here, however, if a B is giving aspirin they are going by the chief complaints and symptoms. There is no 12 lead, or even 3 lead to guide them in the indication. No this isn't a basic uplifting post, settle down there Dust I don't know the physiology behind cardiac care... yet. What I have seen the last couple of years working and hanging out here, this is the type of situation that can put a spin on what kind of medic you are. Do you trust your skills and observations enough to go with the presentation of the patient, or do you need to fall back on the recipe card to make your way through it. When someone fights you about why a Basic should be allowed to do medic level things and how a B is just as good as a P, send them to a question like this. It really has me thinking AND intrigued to learn more about the physiology behind it. Anyone got an extra 3k I can borrow? Dust? Rid?

If you are my driver please consider the following: 1) I do not want to look stupid on the radio, thats why I always know the address out the door, if you ask me the address and I tell you, don't question me on how sure I am. Pagers have the repeat function for a reason. 2) It hasn't rained in two weeks. A Ford Escort is driving across this field. We can too. I don't like fire monkeys pointing and laughing at me because we look like Grandma on the interstate. 3) Just because my pt is in a tractor cab, I don't need a backboard to get him down. CHEST PAIN. 4) I shouldn't have to say get the cot more then once. Twice if it is noisy. 5) If I am trying to talk on the portable and it is dead, go talk on the mobile FOR ME. 6) No I really don't need a back board. 7) The scenic tour only applies when the college is in session and there are girls on the lawns. 8) Please do not pull out the pt's IV because you are pulling the cot out in such a hurry. 9) You do not have to pull up so close to the truck in front they can't get their cot in because the garage door shut behind us. Green Up button does wonders. 10) Just because you don't see the blood doesn't mean its not there. /Rant

You are right.... I recind my previous comment. I propose a moment of silence at 2222 EDT today's date.

Does Knox-Box make anything for this purpose? Or modified for this purpose? I was thinking maybe a master key box in the cab, and then a lock box in the back. I don't know if any of their lock box's would be big enough for that purpose or not. EDIT: Answered my own question: [web:8aa9acc0a6]http://www.knoxbox.com/store/pubdoclib/MKT-KBBROC-0084-A.pdf[/web:8aa9acc0a6] Wouldn't this fall into the 2 key protocol also? #1 Key code to remove the master key #2 Master key to the vault No key on the belt or anywhere else to worry about?

I think he skirted the actual question with some sort of rebuttal. No the actual rational behind that specific comment. The only think I can think he meant would have been 6lpm via NC or 15lpm via NRB. But still, anything more then whats needed to keep the bag inflated is wasting O2.