JPINFV

EMTs:

I think it should also be noted here that apoptosis (which can be helped by cooling, see stuff about cooling in cardiac arrest) is completely different than necrosis.

That's how it normally is. Go to hospital ->flow tech assigns room (if not already done) -->report/signature/etc -->make gurney and clear.

cough Presbyterian Intercommunity Hospital. I hated that place when I had to transport there. BLS units are essentially triaged as if the patient came into the hospital on foot. The only difference was that BLS patients stayed on the gurney till a room opened up. At least at Whittier (another hospital near by) you got the first bed that opened up (it might be an hour, but you still went before anyone in the lobby under most circumstances), and they had free food for basics and medics.

Thanks. I know in the US MD schools [there's also Osteopathic (DO) which is slightly less competitive, but United States DO education and scope is comparable to allopathic (MD) education) have around 30k applicants for 15k spots. The school where I'm currently doing my masters program had over 6 thousand completed applicants, interviewed around 800, accepted 400, and had a first year class this year of 175 students.

Just wondering, how competitive is it to get into an MBBS program?

Hell, I think my first handbook still has the treatment for hypothermia being strip down to your skivies and join the patient in the sleeping bag. I wonder why they changed that one.

The only problem is that you know that someone is going to come out with a porno named "Snakes of a Fairy."

Only because our sixteen year olds are teh smert. S-M-E-R-T smert. America's hat need not apply.

Damn, so easy a 16 year old high school student can do it.

No, but that's not exactly a new or unusual joke either. I did enjoy reading the Chasing Amy version on IMDB though.

Sarcastic answer: [spoil:21d63c630c]The first two and the last person (fictional character) don't exist. Therefore it would be the RN[/spoil:21d63c630c] Serious answer: [spoil:21d63c630c]If they're all off duty, as in the first example, then the answer is still who ever shows up on the ambulance since none of them have an unrestricted license to practice medicine[/spoil:21d63c630c]

You know, I've always felt that if you have to resort to something like that to get a patient to go to the hospital then they should be exempt from any costs of care if they are found to be competent and refuse care at the hospital.

If they're all off duty then the highest level provider is who ever is on the ambulance once it arrives.

Strange, that's not stopping LA or Orange County, CA from having their medics get a 12 lead for the machine evaluation. /agree that 12 lead for BLS is just useless though

whitepages.com turned up over 300 people with the last name of Gomer. Care to try again?

Well, I think that there's a strong argument that members of the emergency department and specific other specialties [a trauma team, for example, but any other team if the system can divert specifically to them, like cath lab teams] are quite clearly in EMS. Since people like using semantics, there's no "T" for "transport" but there is an "S" for "system." Once patients leave the emergency room [or other immediate care area like the OR or cath lab], then they leave the EMS system because the emergency is over.

That's not nearly as bad as you Eastern'ers. Since you're from New York, when was a 4 lane road considered a "super highway?" Hell, we've got normal roads with more lanes then that. You want to know what's super? This: The El Toro Y. 26 lanes of paved goodness serving over 300,000 cars daily. [web:186834f015]http://maps.google.com/maps/mm?ie=UTF8&hl=en&t=k&om=0&ll=33.644117,-117.73329&spn=0.011897,0.020084&z=16[/web:186834f015] Let's not start on the fact that every little time it gets a little nippy out side the teachers freak out and call a snow day. Hell, in Southern California, we're lucky to get school off if ASH is raining from the sky like it was Sodom and Gomorrah just before God opened his can of whoop ass against them. So take your "Sex and the City" and shove it, it had NOTHING on Arrested Development.

You're assuming that the nursing home is calling 911 when they should, that private ambulance companies can respond code 3 unless requested by the fire department, that private ambulance companies have paramedics here, or a combination of either of those. Personally, I see major problems with 2 of those, and somewhat of a problem with the third [non-911 ambulances shouldn't respond code 3 unless requested for an emergency hospital to hospital transfer].

Yea, ok. I guess when the fracking nursing home thinks that an altered diabetic with BGL of 30 is non-emergent, it really is non-emergent. Oh, that call isn't an anomaly either. I can think of more than 1 nursing home where I had more emergent transports coming out of than non-emergent.

You can keep posting that over and over again, but I think this thread has moved well past the idea that there's a simple demarcation between 911 being pure emergent transport and interfacility being pure dialysis and discharge.

Yes, and that doctor isn't a part of EMS. Nor is my room mate who is currently doing his fellowship (research based, though), in interventional (I think) cardiology (I know he's doing card's though. Yes, he is an MD). He isn't a member of EMS either.

I'm just wondering since I've seen a few companies accreditated through them, but I've never really had any information [never really wondered till now anyways]. The website has some information, but also contains the normal fluff needed to sell a service, so: For the people who have experience with CAAS: Have you noticed any differences between CAAS accrediated services and non-accrediated services that could be, in part, due to CAAS accrediation? Would CAAS accrediation be a factor in choosing between ambulance companies to work for? Do you believe that accrediation, especially since it is currently voluntary, helps build better companies, or does it seem to be more of a merit badge for companies that would essentially already meet CAAS standards. For everyone: Since ambulance companies are already, for better or worse, regulated by the individual states, are programs like CAAS important? Should a program like CAAS be a requirment for federal funding (including, but not limited to, Medicare) similar to what JACHO is for hospitals?

Spenac, in case you missed the last 9 or so pages, the thread has evolved past the original poster's question. In fact, you even posted, earlier in this thread. Technically, since that didn't answer the OP's question, as seen in other parts of this thread, including a few posts that you have responded to, wouldn't that be off topic also? As to the substance of this thread, on the level of the individual it's largely sematics. I honestly can't believe that some companies run ambulances and never transport to the emergency room [ignoring the TC that they may end up coming across] once in a while. Looking at this from a system wide view [education, politics, funding, etc] there should be a distinction made, but that has been beat to death and is for another thread.

^ Interesting to see a familar face posting. Private message me if you can't figure out who I am.