JPINFV

Since we're playing the "patients self admin based on prescription" game, why not give EMT-Bs access to PO narcotics as well.

Hmm... maybe I should put mine at California's monument to Dolly Parton,

Yea... it kept putting me in Texas even though I'm from the land of fruits and nuts, not steers and...

First they came for the air traffic controllers, but I did not speak up for I am not an air traffic controller. Now they come for the paramedics and who is left to speak up? If it was "push button and talk," then I could understand, but given that the transmission would have happened regardless, then why not?

So you want to give EMT-Bs access to, say, nitro?

First off, I don't see the term "involuntary consent" used in that section of code at all. In the end, the question comes down largely to semantics of what we call this type of "consent," and not whether the medical and legal establishments have been granted the power to put someone into protective custody. Second off, "pinked" doesn't sound harsh. Ever hear of the term "5150" that's so popular in some pop culture circles?

I think it really depends on why you have a fly car. If you have a limited number of advanced providers (e.g. Wake Forrest's APPs) who are doing additional jobs in addition to being a response paramedic, then it makes sense. After all, for example, fire inspectors in a lot of places drive around a car, not a fire engine. However, I'd personally prefer that the standard paramedics are on the ambulance because it takes away a reason for paramedics to abandon care to the basic. After all, if you're still going to have to go to the hospital, the patient might actually get the pain medication or antiemetics that they need.

The most common form of those in California is called a 5150 hold and in Massachusetts it's called a Section 12. To the best of my knowledge, psychiatric holds is a form of implied consent. An important note, though, is that a psychiatric hold does not give carte blanche to do anything and everything and even some forms of psychiatric treatment (e.g. ECT and psychiatric surgery) can require consent to be performed.

So, um, how long would you like that scene to have taken? Sure, there's plenty to hate, but there comes a point where things just have to speed up or all you'll see is 2-3 calls. Heck, even Trauma: Life in the ER and Paramedics on TLC/Discovery Health edit parts out to speed things up.

Other popular searches are generally 'girl in tub,' 'party of lemons,' and 'cup and 2 girl'

I'm so happy that none of my classmates wear crap like that. Heck, I probably have the most wackerish non-club shirt at school, and the only reason I have that one is because a shirt saying "I'm not a doctor, but I'll take a look at it anyways" has a certain bit of irony for a med student.

Well, to be fair, I just realized that a loophole would be to document time zones since 2am _ST is the same as 3am _DT. Of course how many people actually document time zones on a daily basis? I don't.

Unpossible. There was no 2am this morning.

Could be 2 calls for leaving DST. After all, you could be treating two different patients through the 2am hour.

Something smells stale in here.

It's completely situational dependent. If I have time, I'll share everything to the best of my knowledge. Remember, the loved ones may very well be making end of life decisions. Additionally, it's a good way to judge just how much the family, especially if kids are present, know about what's going on. Example: When I was in 3rd grade, my mother had 2 strokes and ended up on a ventilator in the ICU for a month and it was really touch and go for a while (my father was seriously considering withdrawing life support for a time). Now generally, 8-9 year olds aren't allowed in the ICU for generally understandable reasons, however my father was able to talk the nursing staff into letting me in (that man can talk his way into Fort Knox). When we were getting ready to leave I was waiting just outside the door the the room for my dad to finish up and the nurse started to ask me what each of the machines did to judge how much I could understand. Being a faithful watcher of Rescue 911 (yea, go ahead... laugh ), I could describe what basically each thing was doing. Because of that, that RN went to bat the next day when that charge nurse wasn't going to let me in with my Dad.

There are plenty of things that could have probably been done. Why not use a backboard in a similar fashion if you have rope available? Heck. Maybe if even one of the ambulance crews decided to leave their ambulance and hump equipment in they could have done a lot of good treating in place. There's a lot of what ifs for that incident.

Yep, bone cracking (high velocity-low amplitude (HVLA) in osteopathic manipulation) has been known to cause dissecting aneurysms, however when the procedure is done correctly the complication rates are extremely low.

Well, to be fair, most physicians are either in practice groups (contract or otherwise) or pure private practice. Additionally, even with dwindling membership, the professional associations are pretty strong. After all, when your a partner, who are you going to organize against?

Thank God medicine doesn't rely on unions.

...because unions are some sort of panacea. Right... So, Mr. Young, what has the IAFF done to ensure that Boston Firefighters aren't drunk of high when working again? Last time I checked they've done everything possible to keep allowing drunks and crack heads to stay in fire houses, even after 2 fire fighters died. IAFF did so much good to protect the jobs of Kansas City, MAST employees, correct? Oh, wait, they sold them out. Here's a story about the teachers unions fighting to improve a failing school... Opps, sorry. Teacher pay comes before performance. http://www.projo.com/news/content/central_falls_trustees_vote_02-24-10_EOHI83C_v59.3c21342.html As far as right to work, shouldn't I have a choice to join a union or not? Why should I be forced to contribute to a political entity that I disagree with and fights for the lowest common denominator.