Help
LAWSUIT UPDATE
Find My Content
Find classifieds
Display name history
Jun 12 2010 10:50 AM
Not Telling
Posts I've Made
-
In Topic: Do you still use "needled" drip sets prehospital?
01 February 2010 - 12:34 PM
Our needless system includes these orange "needles" that are plastic and rounded for drawing up drugs, we also have 2 port J-Loops for adenosine (drug proximal port, flush distal port). Before the J-loops never saw 6 of adenosine do anything always had to got to 12, I have seen 3 convert (2 did require the 12 dose but after about 15 min) with 6 since the switch.
My two cents is if you can get a good needless system and all the things that go with them (like the silly draw needles) it is much safer. We also removed ampules for our 1:1,000 epi and went with 10mL multi-dose vials. -
In Topic: TRAUMA - Episode 5
28 October 2009 - 05:02 PM
Richard B the EMT, on 27 October 2009 - 02:46 PM, said:20) OK, referring to MY protocols: The pilot, acting as an EMT in the ground ambulance, starts an IV, an ALS protocol? I yield that some jurisdictions, perhaps a BLS person CAN start an IV, legally.
State I am in (Georgia) Entry Level to work on an Ambulance in most regions is EMT-I and we do start IVs (I/85). Also after some quick research California's EMS laws allow for EMT-I (Basic) to start IVs with additional Training and EMT-II (EMT-Intermediate) can start IVs in their scope of practice. I don't know if SF FD Uses EMT-II or Authorizes EMT-I to do IVs. But just because where you live someone can or can't do something does not mean it is the same everywhere -
In Topic: EMT- I Medix school
16 October 2009 - 10:46 PM
meg, on 16 October 2009 - 09:16 AM, said:I am about to start school next week with Medix here in atlanta GA and I was wondering if anyone has been there or has any recomendations for me.
Talked with a EMT who had some of their 3rd riders and did not have good things to say, you might be better trying to get into one of the technical schools in the area (Georgia Northwestern Technical College or Chattahoochee Technical College), they tend to be over priced and don't give you the same quality as the technical colleges. I also know one person who had their class cut off midway thru b/c they could not keep instructors a few years back. I took my Registry Practicals at their campus and the facility looked nice. Right now I know most of the Tech colleges are getting to the point of having waiting list for EMT. If you have the money and want something quick you found the right place just be ready to teach yourself. If you have any questions drop me a note. -
In Topic: TRAUMA - Episode 2, 5 Oct 09
05 October 2009 - 08:55 PM
Going to watch to see how not to act on the job. -
In Topic: During transport, who is in charge if L&S should be used. Also can you refuse treatment/transport?
09 September 2009 - 06:28 PM
ghurty, on 08 September 2009 - 09:40 PM, said:I am embarrassed to say this, but this is one of the problems with volly squads, that there is no real rules and guidelines.
The other night my (volly)BLS squad (in New Jersey) got into a heated debate of who is in charge during the patient transport. In particular - lights and sirens.
I am of the belief that the EMT treating is in charge, and that if he/she based on the patients status, tells the driver (usually not even an EMT), NOT to go with lights and sirens. Then the driver can NOT use them. And if the driver does, they are opening themselves up to sever liability issues. The problem is, that a lot of drivers love going with lights and sirens.
Other members claim, that the driver is in charge, and it is his decision whether to use lights or sirens. That "if we are transporting then it must be an emergency".
This led to a different discussion whether or not a EMS squad dispatched to a call can refuse treatment/transport if they feel that it is not a "real emergency".
I am of the belief that refusing transport would be considered abandonment, (thus being the reason why we need RMA's). They claimed that even though you arrive on scene and do a quick assessment, it is not considered abandonment until you actually start treating the patient.
So basically, the two questions are:
1) Who is in charge in regards to using lights and sirens during a transport.
2) Can you refuse treatment/transport of a patient if you feel it is not an emergecny.
Remember, we are dealing with BLS here.
It could be that I am wrong regarding both of these. I would love to hear what anyone has to say about this. Also if anyone has links to any legal documents, etc... We are dealing with New Jersey here, but any input would be appreciated.
Thanks
1- The attending Medic/EMT is in charge of the call, My paramedic partner and I (I'm an EMT-I) swap every other call who is in the back unless the patient needs ALS care beyond that of an EMT-I, when I am in the back on the call I decide how we transport, when he is in the back he decides. The only time it does not work that way is if the driver feels it is unsafe (due to weather, road condition, etc.) to drive emergency.
2-If they call you haul (unless they refuse to go), you do not have the "right" to refuse to transport anyone who wants to go (except maybe someone in police custody depending on your state and/or service policy)
non-EMT drivers often have problems understanding that the medical needs are the reason for what we do. I have seen non-EMT drivers who want to run L&S to go get lunch b/c it is "cool"
My personal view is if your on the truck you should at least be an EMT-Basic. I think the idea of an emergency driver does not make since and you should invest the time in becoming an EMT if you want to work or even volunteer in EMS.
Comments
RomeViking09 has no profile comments yet. Why not say hello?