p3medic

I don't work in LA, but every piece of footage i've ever watched of them on calls shows them doing everything on scene, engine company starts lines, drops tube, packages pt....eventually an ambulance shows up, and when they are done playing, they send the pt off.....thats another of those every medic on every corner type of system...works real well i see.....

One of our MD assoc med directors, who is also a toxicologist would beg to differ....different strokes for different folks I guess....I don't know about were you are, but here there is 1 hospital with a hyperbaric chamber, so if i'm sending a dozen pts to the hospital, it would make sense to send those with the highest co levels and sx's, or special populations such as pregnant women and children, or those with cad to the appropriate facility. Its certainly not the be all end all of co detection, but its non invasive, pretty acurate from what we have seen and is a good tool to have, IMHO

Its a good tool for triage decisions when multiple pts need tx....some pts will benefit from hyperbaric o2 therapy, and having a co level in the field helps with those decisions....obviously all symptomatic pts will be tx with o2, but some may need more...

Its a nice piece of equipment, we carry them on our ALS trucks and supervisors vehicles, bright light, like flashing strobes or even bright sunlight can throw them off however.....

Could be lack of trust from your medical director, or perhaps he feels your system doesn't have a call volume and skill utilization level to warrant it....just a guess....

I would have tossed it....I find drugs on a regular basis, and to be honest, the cops cant be bothered with writing up a report for a small amt of marijuana....and like you said, this kid has much more important things to worry about than a possible misdemeanor possesion charge...IMHO

770....not too bad, thought it was gonna be worse..

The "evidence" is questionable, and certainly doesn't apply to every system. It seems obvious that systems need to establish their own airway registries, collect and analyze the data, and come up with the facts for themselves...

you mean 2-pam, not c-pam....and for what its worth, we run two medics, two basics, tiered system, works well for us...

we carry it here, have for several years now, we use it in AMI and rate control for AF.....5mg q 5 min to a max of 15mg....

your partner sounds like a jackass, i'd refrain from trying to "learn"anything from him....there is NO reason to drive like that, for ANY call, and certainly not this one...IMO...

I have an older Bates, I love it, but I haven't compared it to the Mosby....I don't think you would be dissapointed with the Bates, in my opinion....

Ok so you don't think it is changing how many of the major swat teams out there do you think do not have some kind of medic? I know for a fact that the Dallas team has a physician on the team. (quote Bulldogmedic) I almost wet myself! He's a fat bastard who looks like he'd be a patient if he had to run up a couple flights of stairs....and for what its worth, he sits outside in an armored vehicle.....

Hooha only sounds gay when its being thrown around by a bunch of REMFs in the chowhall after you've been out humping for the past few weeks.....just my opinion

I don't think he works in Boston.....

whats his blood sugar? the tick bite and geographical local makes me want to rule out lyme disease, although a neoplasm would be worse.....

back in my younger days, we used to get drunk in the barracks and start 14g angio's on each other, just for fun....pretty stupid, yes....we used to get creative with access, like the line i put in a guys calf, hurt like a bastard, or so he complained...

I'm with kev, a little analgesia and re-allign to the best of your ability, then splint it.....

we use the letter R just fine, its ahhhhh.....see? The big dig....what a friggin nightmare that is....as for the hot chicks, there are 100,000 college girls running around the city 9 months of the year, but alas, you and I are almost old enough to be there fathers..... Devall Patrick says he's gonna make everything better, but I won't hold my breath....

All the more reason to have an in house program....someday perhaps you'll come and show us how its done...or are you gonna be a cop, firefighter or nurse again?

I see your point, and agree, I have no wish to start comparing who's system is better, yada, yada, yada....I just wanted to explain the process here, it doesn't mean its the best way, its just our way....In my opinion, taking medics from the BLS ranks, putting them through our internal program, and then subject them to a long field internship helps keep the level of care high consistantly. Arrogance in certainly not a helpful trait, nor do I believe our system to be suffering from it, just wanted to add my .02 regarding the process here.

In this system every EMT, and most medics stock and use their own jump kits, so when working BLS, my kit still goes with me....

No, it doesn't suck, the medic job in Boston is worth the wait, otherwise they'd go elsewhere....not all medics are created equal, same with any other profession....The level of education that is required to work in the BEMS system is far beyond what the average medic brings to the table....the education done in house, with a huge MD involvement far surpasses what the "average" medic gets...Don't get me wrong, I'm not saying that a medic from elsewhere couldn't do great here, but I am saying that the internal ALS process here produces a better field provider than most systems...in my biased opinion of course. As for the subject at hand, I work BLS at ALS OT rate all the time, easy money...I've also performed ALS interventions while staffing a BLS truck, no one seemed to mind....

I work in a tiered, 3rd service system, we send an ALS and BLS unit to every ALS call, as a rule....if the pt turns out to warrant ALS workup, they go ALS, if not, we send them BLS and clear, making ourselves avail for the next case....we cover a single city, with relatively short transport times, small number of ALS trucks compared to BLS, and our ALS stays busy enough doing sick pts, without transporting every 911 call....just how it works here....Our BLS are comfortable tx and transporting a wide variety of patients, it is very rare that a BLS crew here would have issue with doing the transport, and if they did, I certainly would either take the patient, or more likely explain why the patient didn't need an ALS truck....fwi....

back in my day, we didn't need no new fangled water squirtin trucks, we lined up with buckets, and threw water on the fire....300,000 dollars for a truck with a hose....this is financial mismangement i tells ya!!!!......and what about them law occifers? whats wrong with wranglin up a pose? If I had my way we'd do things the old fashioned way.....kind of like the taliban....