Back in the day...

[DFIB]

I remember hearing a grizzled old medic say that one form of extrication was taking one tow truck on one end of a car and another on the other and just yanking. C-spine be damned back then.

I saw that done a couple of months ago.

[Just Plain Ruff]

I saw that done a couple of months ago.

but was there a patient inside? And was he dead or alive?

My bet he was dead.

[spenac]

The only good prehospital intervention for shock is diesel.

Doc you sure outdated diesel therapy doesn't work. Makes it hard to work and often leads to additional trauma patients.

[Happiness]

Started 1996. Many of the same things as above but I didn't even have an AED until 5 yrs into my career.

[ERDoc]

Doc you sure outdated diesel therapy doesn't work. Makes it hard to work and often leads to additional trauma patients.

Well, they aren't going to get to the hospital without it.

[spenac]

Well, they aren't going to get to the hospital without it.

If you mean drive safely to ER I agree. If you are saying driving like a bat at of hell I disagree. The few seconds to couple of minutes saved in city services will make no difference. In frontier areas like mine the 5-10 minutes saved probably won't make a difference if they are that bad. But if while driving fast, blowing intersection the ambulance crashes you have lots more patients and the one you were giving a diesel bolus to still dies.

[ERDoc]

If you mean drive safely to ER I agree. If you are saying driving like a bat at of hell I disagree. The few seconds to couple of minutes saved in city services will make no difference. In frontier areas like mine the 5-10 minutes saved probably won't make a difference if they are that bad. But if while driving fast, blowing intersection the ambulance crashes you have lots more patients and the one you were giving a diesel bolus to still dies.

But this is EMS, drive fast or go home. You are right though, a diesel bolus could be a bad thing, especially when used to ignite the pt.

[spenac]

But this is EMS, drive fast or go home. You are right though, a diesel bolus could be a bad thing, especially when used to ignite the pt.

Hard to explain how the minor trauma became a major burn.

[chbare]

Started in 1996. MAST/PASG was a well recognised intervention, the EOA/EGTA's were not uncommon, trauma patients received aggressive fluid resuscitation, supraglottic airways were frowned upon, the AED had not proliferated, Carbon-dioxide monitoring was not frequently used or even talked about, bretylium was still around, one of the first paramedic programmes in my state was conducted around 1998-1999 and consisted of just over 800 hours of total training.

[ERDoc]

Hard to explain how the minor trauma became a major burn.

If you didn't document it, it didn't happen.