Need ALS feedback

[snapdragon]

Not just in older male pts. Any elderly patient that has disorientation, "Just not feeling right" or some other vague complaint could be having a MI.

[mediccjh]

Geez, where do I start?

First off, from what you are saying and based on your assessment Jan, it sounds like LMS (Lazy Medic Syndrome). Both patients sounded like they needed the full ALS work-up (IV, EKG, 12-Lead, Blood sugars).

Don't know how you talked to the medic after the jobs, all I can hope is that it was diplomatic. Last thing you want, if you want to progress your career, is to be known as it know-it-all EMT, even if you truly are not.

Late jobs and extended work hours are no excuse for shoddy patient care and LMS.