Arizonaffcep

The Chapel in Sedona Arizona is beautiful. Not that big, but if you're in the area, go there after driving down Schnebly Hill Road.

My wife said it best "what a dumb bitch."

As far as I know (I've been doing a LOT of research as far as "rules" and "statutes" because we just started our own EMS academy) there is NO such ruling in Arizona. I believe, while it is a common thought, that it is more a "customer service" and an "I want all the money I can get" from private ambulance services in Arizona. If anyone can show me where, I'll change my mind. The only problem I see in refusing to transport a patient is the detrimental (or potentially detrimental) effect on a company's reputation for customer service. Here are the links for Statutes: http://www.azdhs.gov/bems/ems_statutes.pdf Rules: http://www.azsos.gov/public_services/Title_09/9-25.pdf

You could always claim you were French... :shock:

God bless Ermey!

It's all them damned corn fed folk!

I've been in the business about 10 yrs in the Tucson area, and I know of no "law of the land" that states that. It is, however MOST companies' policy to "you call, we haul," which is ultimately crap. Here's a link to AzDHS' list of "rules": http://www.azsos.gov/public_services/Title_09/9-25.pdf And another one for the state statutes: http://www.azdhs.gov/bems/ems_statutes.pdf These are the state polices and "rules" that govern what we do in AZ.

Wow! You should watch it...good movie.

Lord I hope you're kidding! But...just in case, he's the drill instructor from "Full Metal Jacket."

I was looking for more topics that would, with research, provide greater understanding of current issues, hopefully getting a more indepth understanding of pharmacology and or patho-phys in the process.

Ok...so I'm trying to come up with topics for research/debate papers for my next medic class, which starts in Jan. The papers will be done as a group project (one team for, one against). Anyone got any ideas for good topics? Other than certification vs. licensure? Any thoughts would be helpful....thx!

What u are describing is the the class A hazmat suit. The class B is similar, but the SCBA is worn exterior to the suit, with the "hoodie" portion of the head covering coming over the top of the mask of the SCBA, similar to the hood on a sweat shirt.

Lido vs Amio...simple for me...we don't carry amio, so that kinda narrows it down . I tend to dose Lido at 1mg/kg bolus with a drip of .5mg/kg (easier math). Correct me if I'm wrong, but his myoglobin and CK are elevated. Couple this with increased K, BUN, & Creat., I am seeing rhabdo on the not-to-distant horizon. So, fluid wise, start no less than 2 large bore iv's, one with NS for blood (although some recent studies show LR undoctored does NOT cause clotting with donor whole blood[sup:188a857b60]1[/sup:188a857b60]), and 1 LR, running at the "20ml/kg bolus," which in reality would run wide open for no less than 3 liter. I'd even consider an albuterol tx to help shift the K and see if that changes his rhythm before lido. Get him to a trauma center, even better if it also has a burn unit. [sup:188a857b60]1[/sup:188a857b60]http://findarticles.com/p/articles/mi_m3225/is_n2_v58/ai_21038661

I guess I'm a little curious about decompressing a pneumo. No one has ever died from a pneumothorax, a TENSION pneumo, yes, but not a pneumo[sup:cb7fdb1f98]1[/sup:cb7fdb1f98]. By the time it gets symptomatic, it's a tension (dyspnea, decreased LS, anxiety, JVD, etc. etc.) This, coupled with the application of trauma (since spontaneous pneumos are not that common by comparison), should indicate with a high degree of accuracy if it's a left or right tension. As for percussing them, I was always taught that it was the density difference between a pneumothorax vs a hemothorax is where that comes in handy. [sup:cb7fdb1f98]1[/sup:cb7fdb1f98] Peter Rhee, MD, http://www.umcarizona.org/body.cfm?id=27&a...ail&ref=799

In the immortal words of Gunnery Sergeant Hartman: "Who said that? Who the f*ck said that? Who's the slimy little communist shit, twinkle-toed c*cks*cker down here who just signed his own death warrant?" :twisted:

It's not just a relay thing, although this is important. But, if you know what is going on with your patient, you can better prepare to head off potential calamity during transport.

I dare say that's the biggest risk of pushing narcan too fast.

I would think no less than 6 months 3rd person w/ a 5+yr medic.

Pompous ass.

Where the hell did I put my scratch and sniff Paxil sticker?

***looking around*** You ain't got minions here Bubba. There should NEVER be a "lost citizen" who "walks in" at any hour of the day. Ever. The station for security purposes should always be locked.

I love lamb! :twisted:

1. That's the theme of this thread...can u refuse them. He wasn't altered. I agree (although I don't like to admit it) with you on that he (in hind site) should have been transported. If you believe he was altered, what are your department/hospital/personal guidelines that you go by? For me: A&Ox4, able to state they understand what is going on, and the possible consequences, and can carry on a coherent conversation for several minutes. 2. True. But was acting clinically sober. That means no obvious signs of intoxication. Steady, normal (for the Pt) gait, no slurred speech, no "fruity odor" on their breath, and a normal FSBS. If you go into the ED these days, more and more will you see on intoxicated people that the DR's DO NOT run BALs. This is for a myriad of reasons, but it is so they can say when they are "clinically sober" that they can be discharged. Also, Pt denied ETOH use. 3. I don't have a babysitting agency I work with. Thus...I don't assign babysitting jobs... 4. True. Can't do it without a tox screen though...and it goes back to "he was acting clinically sober." 5. First, -5 points for suggesting I'm dumb enough to let an unemancipated minor refuse. Second rather irrelevant because the Pt I am talking about was in his 30's.

I guess what I'm getting at is, at this point, the urn and remains are just that...remains. An inanimate object. Roughly the same as a vase of flowers (it just USED to be different). Where is the need to create a rule/protocol/whatever to transport an inanimate object? Live things (humans other than the PT) are a different story. Dead people...different story (although you really shouldn't be transporting a dead person anyway...). Cremated person...just an object that people keep a sentimental value to.

Why?