Arizonaffcep

I've seen 2 for-sure cases for TK's...one came in coding from GSW to the lower leg...the other a guy who got into a fight with a plate glass window (NOOOOO ETOH on that one... :roll: ). The FD didn't use a TK on the GSW...and he bled out...as soon as we infused 6 units and at least as many L's...he painted the opposite wall red (no joke...over 10 feet way!). So...there is a use, but I agree with Dust...not terribly often (and both instances I was working at the trauma center).

Best of luck! Hope it works!

Ok...so let me get this straight...she (the mom) went to get an abortion (to some, to murder her unborn child-stated for comparision, does not indicate a side of the abortion debate on my part), and then suffered "emotional distress" when the facility took the child and put her in a biohazard bag (ok...way poor form on their part...aside from the whole patient abandonment thing...)? And, as a side note...how dumb can you be (or not in-tune with your body) to NOT notice you are pregnant until someone tells you at 23wks? Especially at 18...you'd think the "gee I wonder why I haven't had my period in a little over 5 months?" MIGHT be a clue...the slightly bigger belly...N/V (if present), swollen, painful breasts...etc. Seriously...Mom's mom should have aborted HER...

Since when does "we came, we saw we kicked ass!" not count as good documentation?

10 How old were you when you saw your first live (?) dead body?

You been steelin' my stash? :shock:

Failed Dr. Seuss books: The Grinches 10 Inches One Fish, Two Fish, Dead Bitch, Blue Bitch Fox in Detox My Pocket Rocket Needs a Socket Who Shat in the Hat? Horton Hires a Ho The Cat Went Splat Bi-Curious George Herbert the Pervert Likes Sherbert Aunts in my Pants Hop on Pop and Other Incestuous Games Crying kids leads to SIDS Munchausen By Proxy for Sox and Loxy Spam I am

Beauty IS in the eye of the beer holder...

No, but there is a wallet biopsy

It's definitely not the best...but I do have fun in it, for many reasons. Also...I'm now flight...so we play by SLIGHTLY different rules . Assuming I stay in AZ for the rest of my career, it is in my goals to attempt to change it. When I'm KING OF THE WORLD!

Absolutely right. PIC-Pilot in Command. And, actually we fly medic/RN/pilot teams. As it should happen. I was in reference to the thought process of one person saying "no" while not having a legit reason to say "no," ie they came in hung over, when they shouldn't have been at work in the first place (aside from the responsibility to actually behave professionally and NOT partied the night before) etc. I must admit, I have seen this action before...not with flight, but ground ambos. For the pilot...objectivity is paramount. That's why when we are put on standby...we are told only generalities, ie "You are on standby for an MVC at XYZ." Or something similar where no Pt info is given until launched.

Didn't see one given...

Ya...the 3 to go, 1 for no. At my service, the only time you would get "questioned" for saying no...is if it becomes a "habit" and the other 2 don't see any reason not to go (for each "no-go"). And by "habit," I do mean it occurs frequently.

I've always been partial to complex multi-system patients...either trauma or medical. Or both. Not too many people get into the in-depth physiology of trauma, vs. "plug and go" out here...it's very complex and interesting.

:dontknow: :scratch: Here I was thinking the vehicle that maneuvers like a pregnant whale and weighs, oh 10 times+ what a type II ambo does would be harder...

Wow...that sucks. What part of the country don't I want to work?

I'd say you could/should put some of the more desired ones...ACLS, PALS, PEPP, ITSL, AMLS, etc., but not any of the lesser ones. Don't make it the emphasis of the resume.

Sad but true.

Which one did you think he was talking about? Ok...J/K, sorry Crotch! Too easy!

PC should be reserved for specific issues/circumstances. Kids...not one of them.

I'll do ya better...we just got a fairly large shipment of Versed in today... Just saying we got it...not advocating is use or nothing :twisted:

I have not weighted in on that-the "no need to hurry." The problem is...definitive care is food. None on the ambo (the Pt is NOT getting my lunch/dinner!!!!). My personal preference is to stabilize and see if they want to be transported. The only exception on that...if I can't get the D50 onboard (post glucagon) for lack of IV/IO, etc. So...in theory, should never happen. I just think it's horrible customer service to push D50 in the back of a moving ambo, the Pt "wakes up," says "I don't want to go to the hospital," so you are stuck pulling over and letting them pull out without ensuring they eat anything...which could border on abandonment.

Welcome to the City!

I would think that's more fraud than negligence...

IMHO, that policy is dick. If the D50 works and you watch them eat something...and they still want to refuse, fine. At that point, you are trapping them into paying for an unnecessary transport. A**hole thing to do.