JPINFV

"Parked along" (per news report) is very different than "stopped in the middle of the road." Cars park along roads, both major and minor, for all sorts of reasons. I'm pretty sure that the difference between "along" and "in" are things that the reporter would be able to distinguish between. People hit parked cars all the time, generally because they're doing something stupid or ignorant (e.g. my sister's first car accident fell into the second category).

See, I'm torn over some of these things. There shouldn't be a federal government share for major cities (because cities with over 400k people need a grant?). These should primarily be local issues instead of the federal government taxing people and then being "kind enough" to send some back. But, as long as the federal government insists on gaming the system, we should be doing as much as possible to increase the size of our pie.

That's very true and a lot of hospitals designate physicians as being the only staff members to be called "doctors."

Yes, it's normal. Stressful situations tend to decrease a person's ability to recall information during an event (treatment options, assessment points, etc), whereas it increases their memory of the event ("flash bulb effect"). As situations, like MVAs, become more familiar to a provider, the incidents of freezing should decrease. Until that happens (albeit there will always be situations that send even the most seasoned provider for a loop), the provider should be paired up with an experienced partner. It doesn't necessarily have to be an FTO, but someone who will be able to take charge of a scene if need be.

Well, to be fair, they were doctors before physicians adopted the term "doctor."

Ok, jumping on the iPod might be a little too premature, but it's kind of hard to absolve a driver who hit something that wasn't moving on the side of the road.

Better?

IF properly implemented and IF properly supervised, this would be a good thing. To use an example from a medical school, the school I'm currently getting my masters degree at has their med students in the hospital talking to patients the first semester of their first year. The problem, though, is that I can also see something like this back firing big time. Yes. Yes, EMS should be separate from fire suppression. Th most fire suppression training EMS should have is how to use a fire extinguisher. The basics of extrication should be taught. Yes, it is mechanical, but it is still very pertinent to prehospital care. If a system wants to take over extrication completely, then they can always train up more themselves.

Well, people call Dr. Phil "doctor," but he doesn't have a MD or DO.

Sure, if the parked car some how jumped into the middle of the street. The passenger is at fault for letting the driver fiddle with his iPod in the first place. Besides that, and looking at the extent of the damage, I think that there is relatively little that the passenger could have done.

According to a poster on another forum that "knows the driver," the driver was playing with an iPod.

Cross posted from a different forum. [web:6b5095b8cd]http://cmsimg.thejournalnews.com/apps/pbcsi.dll/bilde?Site=BH&Date=20080414&Category=NEWS03&ArtNo=804140383&Ref=AR&MaxW=318&Border=0[/web:6b5095b8cd]

No. pre-allo/osteo forums on studentdoctor.net are worse than that. There are enough blatant trolls in there that there's a small country full of bridges without trolls.

http://en.wikipedia.org/wiki/Doctor_of_Osteopathic_Medicine

Paging Dr. Bledsoe. Probably not much more than from MDs. In the US, DO=MD+Osteopathic manipulation (OMM). There are some philosophical differences between the governing boards, but I don't think that there's much of a difference here between MD and DO physicians as is sometimes talked about. This is why in the US, and spreading into developed countries, MDs and DOs have equal practice rights (even if it means specifying between osteopaths and osteopathic physicians). I'm not 100% sure if any OMM is relevant to field work though.

I think you're reading a bit too far into it. From what I got from reading it was uniformed employees were operations and training departments whereas civilian was support services (billing, maintenance, etc). Personally, I see no real need for a distinction. You can have all of the response crews you want, but they aren't going anyplace with out the support crews that makes sure their equipment is working properly. It would be like the military telling their logistics people that they aren't in the real military since, under traditional doctrine (front lines vs rear area distinction), they're not supposed to be fighting).

Naw, it's a fire based system in California. She's just the messenger this time.

To be fair, I wasn't being 100% serious when I mentioned calc. Stats or epidemiology, on the other hand, I was serious about.

POA is irrelevant to this situation as it stands. If she is A/Ox4 and understands the risk, then she can go and tell the POA:HC to take a hike. POA only comes into play when the patient defers to them (e.g. billing) or when the patient is not able to make his or her own decisions. People are confusing POAs with conservatorships. If she had a conservatorship, then she would not be able to make her own decisions, period. Consult? Sure. Final say? No. [hr:1dd4f63b89] I've had a staff member at a SNF pick a patient up and man handle him to my gurney once. Let's just say that that facility ended up getting a visit from county inspectors. [hr:1dd4f63b89] That's the conundrum that I'm seeing. She might very well be capable of doing so, but by refusing she is putting the crew in a bind.

Ok, question time for the kidnap folks. Can a person who refuses to answer any questions, period, be deemed rational or irrational? Does such an assessment need to be made to determine if a person can sign out AMA, and if not, which side do you sway to?

Define paragod.

Disagreeing!=bashing?

http://www.jems.com/news_and_articles/news...e_OpsStudy.html Another one bites the dust. As if there wasn't enough reasons to not live in DC.

Yea, but the doctor and family can go pound sand as long as she is capable of making her own decisions. Nothing, so far in this thread, has really given anything more than a hint that she might be incapable of doing so (thus justifying a psych hold for 'grave disability'), and refusing services outright is not one of them. At the same time, the patient being uncooperative doesn't indicate that she is able to make her own decisions (which would justify her signing out AMA).