what would you do in this situation as a EMT-B

[ReD]

i think youre really lucky that one of the relatives didnt freak out and WANT the guy worked.

[rcmedic]

are there really services out there who don't have any type of medical control. Maybe I've been spoiled all my ems life.

Yup. In our county, EMTs/BLS rigs are not allowed to contact medical control.

[paramedicmike]

Yup. In our county, EMTs/BLS rigs are not allowed to contact medical control.

Not allowed? Come on! Really? Not allowed?

Define "not allowed". Where does it say it? How is it said? In what context is it given?

-be safe

[CBEMT]

Not allowed? We're REQUIRED, more often than not!

[JPINFV]

Not allowed? Come on! Really? Not allowed?

Define "not allowed". Where does it say it? How is it said? In what context is it given?

-be safe

While I can not speak for his location, but there is no online medical control locally to me for BLS. It's not so much a "not allowed" as 'there is no mechanism to do so BESIDES calling for paramedics.' Since the hospital is in a lot of cases closes then the paramedics anyways [since 911 is always an ALS response], there is no way to make base contact prior to making the transport/call ALS decision.

[CBEMT]

So there's no radio channel, no PHONE NUMBER you can call to talk to somebody?

Whatever method the medics use to contact MC, you should have the same option. Anything less is so beyond rediculous as to approach criminal negligence by whatever government hack dreamed up this abortion.

[JPINFV]

So there's no radio channel, no PHONE NUMBER you can call to talk to somebody?

Whatever method the medics use to contact MC, you should have the same option. Anything less is so beyond rediculous as to approach criminal negligence by whatever government hack dreamed up this abortion.

None, but really, what is there to ask for at the BLS level? Not knowing local procedures is not a reason to pass things up to medical control. If the patient is critical enough to warrent a base hospital consult then BLS should be doing 1 of 2 things, calling for medics or transporting.

[sledogg1]

DNR not signed :twisted: :twisted: a pet peave...................here we ask the closest family member yes/no and accept it. Take in age/med hx/ situation/causes...........do the v/s,monitor and med control call it BLS. ALS here can pronounce. U gig the rt thing CYA, last thing you need is local paramedics let pt died on the front daily rag.

Good job

Sled

[CBEMT]

None, but really, what is there to ask for at the BLS level? Not knowing local procedures is not a reason to pass things up to medical control. If the patient is critical enough to warrent a base hospital consult then BLS should be doing 1 of 2 things, calling for medics or transporting.

There are a myriad of circumstances under which a BLS unit is required to speak with a medical control physician while enroute to the ER. Granted nobody ever does it and no one's ever prosecuted for it, but the language is there (most just provide pre-arrival notification to the triage nurse).

Also, BLS is required to contact MC prior to assisting a patient with their own nitro, providing Albuterol, or giving Epi 1:1000 to a patient over 50 or with a cardiac history. Other circumstances include AMS, poisoning, etc.

[JPINFV]

^

That is, of course, dependent on local protocols. As far as ER notification, that is done through the company's dispatch center in my county. As long as EMS is goverened differently in each area/state/company, terms such as "never" or "always" to describe situations in other areas than the one you work in is a bit dangerous because each area is so different.