JPINFV

How exactly could they prevent you from going to medic school? Furthermore, how does one practice at an "ALS" level as an EMT-B?

Really? You mean suspects who resist arrest often claim that they've been a victim of excess force? Say it ain't so!

Have you ever seen a Polish dog carrier? [spoil:56be25b47d][/spoil:56be25b47d]

This thread is bringing up banner ads that makes me uncomfortable. That is all.

Lie on a PCR? Hell, no. I'd rather have to explain an omission than explain a lie. If it didn't happen, it didn't get documentation. No, I'm not going to sit here and do a secondary on every single dialysis patient. Hence the "N/A" box checked. No, I'm not going to document two sets of V/S at the same time because the transport was 0.4 miles and we're required to have two sets. 2 sets of V/S on a transport that takes 3 minutes is impossible, and no I'm not going to delay letting my poor patient get back to her room because you want me to squeeze her arm twice. That said, I don't believe that approximating times is necessarily falsification if you don't/can't keep tract.

^ Well, to be fair, he's not dead yet. Apparently his last words before going into a coma was something about 'not wanting to go on the cart.' Monty Python reference.

I'm willing to bet that the jury will know more about the current literature by the time the trial is done than most medical professionals.

http://www.sfgate.com/cgi-bin/article.cgi?...=002&sc=964 Something to think about for all of the Ricky Rescues out there. It should be an interesting case since the prosecution is going to have to prove that the good Samaritan's actions caused the paralysis. On one hand the current accepted medical standard is C-Spine precautions. On the other hand, there's no real evidence to support the current medical standard.

...because there's no place for shades of gray in EMS. /sarcasm

I was told that I could listen to the radio at a reasonable volume from nine to eleven, I told Bill that if Sandra is going to listen to her headphones while she's filing then I should be able to listen to the radio while I'm collating so I don't see why I should have to turn down the radio because I enjoy listening at a reasonable volume from nine to eleven.

Just curious, when was the last time you observed any of those procedures being done on a patient you brought in that was in cardiac arrest when you made patient contact? Protocols change.

Has anyone ever questioned this practice to your county EMS committee/ county EMS agency or has it just been accepted as a fact of life? If it's not a best practice, then why are you guys doing it? Alternatively, what makes your treatment regime so limited that the hospital has more to offer a patient in cardiac arrest than the paramedics (please list specifics)?

Did you know that 65% of all statistics are made up on the spot?

I think I just raised my WQ (Wacker Quotient) a bit by autoclaving my trauma sheers.

45 minutes, 5 minutes, it's all the same when looking at the effect of poor quality CPR (essentially no CPR) on a patient. What extra care does the hospital provide that a paramedic can't when looking at a cardiac arrest? Just curious, does anyone have that link that was posted a few years ago that showed an echocardiogram on a patient undergoing CPR? I think there's a big difference between hearing that it takes 11 or so compressions to start circulating blood and actually seeing it.

Are you honestly suggesting that your patient has a prayer in the world of a good outcome after stopping CPR (poor and constantly interrupted chest compressions are worthless) for the 5-15 minutes it takes to get to the hospital?

My cell phone actually gets very little use, even when I am working (ignoring calls dealing with official business). Besides, why does it matter if someone is using a cell phone between calls provided they aren't driving?

Are you seriously trying to claim that someone that is 200 lb can't perform the job adequately? There's too much that goes into a person's shape than just their weight. Ground EMS doesn't have the same concerns for vehicle balance and weight limits that aeromed has.

You're excused, the lazy boy is over there -----> ...but seriously, how many of your coworkers would cheer if they were told that they could drop their medic cert tomorrow and never have to run another medical call in their life without losing a dime of pay?

But but but without a flow chart or number ordered list how is any treatment supposed to be accomplished? :twisted: 8)

Of course you could have other EMS professionals (your company does have multiple units and supervisors in fly cars, right?) assisting you. The idea that it's fire fighters or nothing is a false dichotomy.

A lot of people here have been asking that question for a while now. The conclusion that we come to is that we don't actually need fire medics. Paramedicine and fire suppression are two completely different disciplines. You're from California (the 5150 gives it away). If all you know is fire based prehospital "care" then you probably wouldn't understand. Paramedics can run a cardiac arrest just like a physician in the emergency room and bring the same treatments to the patient. The problem is that compressions while transporting is worthless. Remember, the first 11-12 compressions are just building up pressure to start circulation. This is why it's now 30/2 and not 15/2. It also doesn't take much to lose that pressure. You hit a bump and stop compressions? Cool, now the patient doesn't have any circulation till you hit ~11 compressions again. Take a hard turn? Cool, now your patient doesn't have any circulation till you hit ~11 compressions again. You essentially now have 10 minutes of no effective CPR. You are transporting a dead body. The problem is that fire medics are more interested in getting back to the lazy boy than providing good medical care.

Who's "spin?"

^ Does the difference matter if your scheme doesn't differentiate between the two?