JakeEMTP

That was my question also. I too use the CHART method to formulate my narratives. However, I have never heard of the "E" for exceptions. Hopefully Ames will clarify it for us.

If you're required by law to have it, we do you need to purchase it? The service you work for should be providing bunker gear. Never mind, I neglected to note the Jersey thing. My bad .

Hey Dwayne. I was remiss in posting earlier in Alyssa's guestbook which is inexcuseable. I have done so now and will check in from time to time. Tell her were thinking about her. I'm glad to her she's doing much better.

Thanks Vivi! I really need the reminder of how old I am. I can remember getting up to change the channel ( I realise this is foreign to most of you ) at 20:00 every Wednesday night so my Dad could watch it. I of course, had to get ready for bed being a school night. :roll: Atrox Charmer, good Luck in Hawaii. I hope it works out for you.

And yet another shining example of why forcing hosemonkeys to become medics is a bad idea.. http://kob.com/article/stories/S434826.shtml?cat=517

I was discussing this very topic with one of the RT's last night. I was informed that due to our minimal transport times, 1/2 hr at the most, the risk of knocking out the hypoxic drive was minimal. They also stated that if I felt that the pt. would benefit from some O2 administration, go ahead and give it. This is where a thorough assessment of your/my patient is paramount. Some folks do not require their face blown off with 15 lpm because that is what's in the protocol. If my patient has improvement with 8, 10, 12 than that's what they will receive. Treat the patient, not the monitor or the little finger sticky thingy. :wink:

I understand what you're say CB. I knew we simply had our wires crossed. It is unfortunate that there is that kind of abuse of the system but it is the nature of the beast. My initial comment about us having more runs from the nursing homes comes down to this. Our Medical Director does not want EMT-Basics with their limited education deciding whether or not a patient needs ALS. It is his Medical License and he's extremely more comfortable having medics take patients to the ED, therefore our runs increased from the SNF's. I apoligise if I came off a bit snippy. That was never my intention.

Exactly. However I will try one more time. WE DON'T HAVE BLS EMS HERE. All our emergency ambulances have paramedics on them. I was trying to point that out. I'm sorry it sucks where you work. I don't recall ever having to take anyone to the ED for a foley replacement. If they need it replaced and the nursing staff can't do it, which is a rare occurrence, I will.

CBEMT. I'm in NC as it says under my avatar. Not that that should make a difference. It's not the dialysis runs we are transporting. Any patient that the staff at the nursing home feels is sick enough to require a evaluation at the ED, our medical director feels, and rightfully so, the BLS transport crews are not educated enough to determine whether or not the patient needs ALS . Therefore he wants ALS on every patient that is being transported to the ED. There is one reason BLS transport is here and it is to run transport services. The only time we see them at the hospital is when a patient is being discharged. All EMS is ALS only. We don't have or want BLS EMS ( oxymoron anyone? Buelher?). Our citizens deserve and receive better than that.

Dust, don't confuse Durham County and the City of Durham with the sovereign County of Wake and Raleigh. Raleigh only wishes they had Duke instead of NC State.

Seriously, why post at all then. Thank you for playing.

Dude, I work in North Carolina and have no problem providing for my family. I think you need to take a second look. From what I've read here at EMT City, NC is far ahead of quite a few States in regards to education ( read Degree Paramedic Programmes) and Scope. Very few " Mother may I " systems here. Of course, if you were in Podunk NC, I can see your point. Ever here of Wake County EMS?

Dude, you're still not getting it. I/we would like a medic partner, not someone who can do some extra skills. Someone who could take their turn at the complete patient care from beginning to end. Not start the IV and jump in the driver's seat. It only takes a few seconds to start an IV. Not much help there. What is the point of reading an EKG if you can't treat it?. Thanks for your help but if I have to read the EKG anyway since I have to treat it, again, that's no help either. Do yourself a favour and go to medic school. Enroll in a Degree programme and come join the rest of us in 2 years. Then you will begin to understand what were talking about. I'm sure you'll be a fine medic someday.

Shame on you Brentoli for promoting wackerism on this site! I almost wet myself laughing! Especially at the first guy who's gonna tell all his firefighin buddies about it! :roll:

There isn't Ruff. IT made me scratch my head too. :wink: I guess I shouldn't have quoted your post. My Bad. I was agreeing with you.

:scratch:

I understand all that as I am a medic in the USA. The point I was trying to make, which I obviously failed miserably at, why wasn't the scene secured? PD apparently was nowhere to be found. If the 2 man crew was 10 min away, surely PD was closer, and in actuality, I prefer PD to secure my scenes. This was Glasgow. A major City not some podunk 500 pop. town where the nearest cop is 3 towns over. Nobody loves me more than me. I won't put my life in danger foolishly. I don't think I would have entered this scene with a 2-man crew. That being said, what would be the point of a QRV then?

Maybe if the FL fire departments responded to, I don't know, say fires and extraction calls, and EMS responded to umm, lets say medical calls, you wouldn't have to deal with this: http://www.naplesdailynews.com/news/2008/a...cticing-emt-pa/ I'm hoping this is just an isolated incident, but who knows. Maybe people have been doing this for sometime. I mean, all it took for this particular hosemonkey to get his paygrade raised was a phone call to his Chief saying " I passed ". I say, background and licensure checks for all fire/medics! :wink:

Can anyone from the UK shed some light on this subject? http://www.ems1.com/ems-products/incident-...o-dying-patient I can't believe this is allowed to happen. I wonder if the medic had left their fly-car, what would be the repercussions? Would the Union have saved her job as they are supposed to do? Where was the local constabulary to secure the scene? Surely the public outcry would be enough to save the medic. I don't know if I could have sat in the car and watched someone bleed out. It kind of defeats the purpose of a QRV as stated in the article.

I'll take the medic partner thank you. Hopefully they won't be truly moronic as Paramedic classes ( note classes, not school) usually weeds them out. If it doesn't, it sucks. Even if they are moronic, they bring more to the table that is beneficial to me then any knowledgeable basic.

Congratulations Dwayne!!! I never had any doubts you would pass. Yeah, it's kind of an empty feeling to be completely done with clinical's and classes and homework and studying ad nauseam. On second thought, maybe it isn't . Once again, congrats from one old nOOb to another.

Yes it is the same study. But lets be honest. The survival rate of any cardiac arrest is dismal. Quite frankly, dead is dead. It is very seldom that we as providers actually bring people back who have arrested. Does it happen? Of course it does. The numbers in the study are so close that they inconsequential. Where the study does show the need for ALS was in the living. Respiratory and cardiac patients do better with ALS interventions. Sorry for the highjack. I thought perhaps mistakenly, this was relevant to the thread.

I am. In fact, our medical director requires it for our 6 month Con-ed to complete the course on-line or risk having our privileges suspended until we have. ( For the record, I have done mine). I find them to be a great tool. I haven't had the misfortune to use one yet, but I can see the advantages of it. If anyone wonders WTF we are talking about, here is a link. http://www.emspic.org/?q=node/19

I can't believe I missed this. Was the pun intentional? If it was, good show old man!

Ah, but the OPALS study to this point has been based mainly on trauma and I agree that there isn't that much difference. If you read into the study a little further though, you will see that the fourth part of the study involving cardiac isn't yet completed, and they are saying there is some benefit to ALS providers. Also, when patients are in respiratory distress the study states there is a benefit to advanced providers. reference: http://www.ctv.ca/servlet/ArticleNews/stor...0421?hub=Health