JPINFV

Um, that was exactly my point. There was definitely a hint of sarcasm in that post as well as being a devils advocate. Hence quoting the insanely small hour requirement of NHTSA/NREMT.

Short term harm [surgery, amputation, starting IVs, restraining psych/drug patients, plenty of other painful procedures] have always been accepted in order to obtain a long term benefit.

But without "HAM" how would I know that I'm supposed to ask about a patient's history, allergies, and medications? :?

http://news.yahoo.com/s/ap/20080226/ap_on_re_us/flight_death Airline is claiming everything worked and that they followed procedure [re: initially refusing oxygen administration]. The doc, a pediatrician was assisted by 2 EMTs [level not given in the article] and, according to the doctor, the woman's "pulse was too weak for the AED to work." The woman was a diabetic.

Law number 13: The delivery of medical care is to do as much nothing as possible.

Now, I'll be the first to claim that the story is full of holes [the patient drooled on the EMT? Where exactly was the EMT, on the ground?], but it doesn't exactly help. Nor do the people posting unflattering actions in the Fark.com thread for this article.

http://www.nypost.com/seven/02252008/news/..._suit_99239.htm With bonus points of people talking about their "experience" [complete with medics missing veins on purpose for "revenge"] with combative patients on Fark. http://forums.fark.com/cgi/fark/comments.pl?IDLink=3425147

Less than $100 is ok, more than $100 is contact a supervisor, but what if it's $100?

I thought that crushing motorcyclists was a simple form of job security.

Ahh, so THAT'S where my company found the employees that restock our ambulances over night.

That warm squishy feeling doesn't pay my student loans. Edit: To be clear, I don't expect a tip for doing my job [personally, I'm against the entire "tip waiters 15-20% for doing their job correctly because they suck at negotiation also]. I don't entirely look a gift horse in the mouth either though.

The refreshers are too structured more than too short. It seemed that they tried to cram the entire course into 24 hours of class time. I think that the time would be better used updating the material than trying to recover what providers should already know.

Actually, your missing the point. A medic would have mistakenly pronounced her dead and she would have been 'revived' by the coroner. ER docs and nurses just don't know how to save a life by declaring a death. :twisted:

I use the 3 refusal rule. I refuse it three times then reluctantly take a tip. I've never had tip on an emergency call, but have had a few on discharges. I do believe that there is a point where refusing a tip becomes obnoxious.

http://www.breitbart.com/article.php?id=D8...;show_article=1

Yes. That speed is the maximum speed that is safe given the conditions. In essence, it's the same limit that would be applied under the "due regard" clause of most emergency vehicle exemption laws.

I tend to do my narratives chronologically combining assessment, treatment, ongoing assessment into one combined piece. Generally, I try to avoid repeating what is already on the run sheet (age, LOC, meds, hx, secondary exam, etc all have their own place in other parts of the run sheet), but will clarify/expand where need be (changes in LOC, for example). If I'm on a RN and/or RT CCT call or end up calling paramedics, I'll reference their run sheets as appropriate.

Well, it could be because of idiot medics that are screwing up or because basics think that there's a set order for assessment and treatment and that any variation on their personal order (or the order they've been told) is bad. The truth is somewhere between those extremes. The popliteal artery behind the knee? Is there another popliteal that's in front of the knee?

Is Cafe HON have the same type of following [obviously not the same type of food] as In-N-Out has? [Note to In-N-Out, open up a meat plant in MA and open up some restaurants out here too. Pretty please!?!]

The opinion that fire and EMS should be separate comes more from the numerous fire fighters who want nothing to do with EMS [which, I have no problem with people not wanting to work in EMS], but feel that they have to in order to either get hired with a fire department or get promoted. Similarly, I imagine that if being a fire fighter was considered a promotion in an EMS agency, and, in essence, all paramedics were required to be fire fighters to get hired [regardless of if the medic wants to be a fire fighter], that fire suppression would be worse than it currently is.

Fair enough.

incognitogirl, I do have a simple question that will determine much in this discussion. Do you believe that 110 hours of training with 2 hours of anatomy and physiology and 1 hour of pharmacology is enough time to make, what is in essence (i.e. highest medical provider providing care to a patient without direct oversight), an independent medical provider? note: Numbers taken from the EMT-B standard curricula per NHTSA. http://www.nhtsa.dot.gov/people/injury/ems/pub/emtbnsc.pdf Appendix E

Shaffer also has a 911 contract in Orange County, but OC does not have any private medics. It does look like Care is hiring medics though [information night on their main page says it's for EMT-B/1s and EMT-Ps], but no openings are listed on their job page.

^ You forgot about holding the wall for 3 hours. (I will always hate PIH for that. At least Whittier fed the EMS crews and had a decent cafeteria)