craig

forgive me for asking

buy when did getting a medical degree entitle a person to takes gods place?

i agree that the prognosis may not have been good for this patient, and they may have passed away after extubation, but surly they have to be given that chance?

i seem to remember that doctors in Australia agree to the Hippocratic oath, don't they do this any more in the US?

if there was no will or DNR requests from the patient or family, what right has the doctor at a regional hosp[ital have to discontinue treatment with out doing ALL diagnostic tests (the CT scan)? even if it is a a further hospital.

if that happened here in Australia, there would be a commission inquiry and the doctor would be asked to explain his actions and the consequences could be dire for the doctor that made the decision.

just don't seem right to me, and as the attending ambo i would be pissed off as well

stay safe

No such thing as volo officers here in NSW

there is a St John here but they can not transport or respond in emergency, they can attend sporting events, carnivals fairs and shows.

the EMS service is govt run and are the only one under legislation to attend emergency calls, we also do transports and inter-hospital retrieval / transports.

the service is slightly large, the second largest in the world.

we have over 750 ambulances not including the special response units, administration vehicles, motor bikes, snow area vehicles (hagglunds, skidoos etc) and the air wing (9 helicopters and 6 fixed wing)

of this there are around 450 ambulances on road each day, and this doesn't include the specialist vehicles etc.

the service has 3000 ambulance officers all employed, however we also have first responders that are in small rural communities, where the service sup[plies the vehicle, training and gear and uniforms to members of the community to respond in until the ambulance arrives, these first responders do not transport in anyway.

stay safe

in our service you have no choice

to join you must have a valid medium truck licence to be even considered

(and that is before you do any of your training)

if you don't have this licence ....no position

and all officers have to drive ( we normally take it day about)

i drive today you drive tomorrow type of thing.

stay safe

NO!!!!!

you didnt need to say it or write it now we are all dammed

thanks here's the call it's started!!!!!!

sorry to miss led you

we can give it in increments to a max dose of 5ml nebulized

or im/sc in doses relating to the pt weight to a max dose of 3.6 mls

thats the trouble with trying to post while at work time is of the essence

stay safe

basic or the qualified officer in my service can use both atrovent and adrenaline

the trainee on their first day here cab use atrovent (and has to with regards to protocol)

the dose pf the atrovent is 500mcg via neb and can be repeated once

this is in co junction with salbutamol

the adrenaline is a IM injection of 1:1000 up to 5 mls

stay safe

stand back and let her carry out the diagnosis and the treatment on some cases, if you stand back and tell her to do it she will gain the confidence to keep doing these things, remember that you are there to assist if she has any trouble or is unsure.

don't forget that we were all once new to this job, and we were small wide eyed and scared on our first calls

help her out, show that she has an input to the treatment your patients receive

stay safe

sorry to mislead you the health insurance does get charged for the transport, not the patient

bear in mind that our service has 750 ambulances and have about 450 of them on road each day.

this does not include patient transport units, rapid responders or helos

stay safe

and the 2500 dollars is never reached anyway

this includes helicopter transport as well

so you could be transported 1000km and not be charged anywhere near the max charge

stay safe

our service charges about 160 dollars 'flag fall for the first 16km and then so much per km after to a max of about 2500 dollars

there is no charge for a non transport, pensioner o those covered by health insurance

also there is no charge for the different types of jobs we do and no charge for the equipment or drugs used

stay safe

we still have them here in NSW Australia

the service has amended the protocols so that they are not used for shocked patients but are still used for lower limb and pelvic fractures.

down here we wondered why they did this as they were a BLS device for shock in trauma patients. you have to understand that we have flying times of 45 minutes to an hour just for the hello to get to the scene (and longer in some cases) and it could be greater than an hour or two to get the patient to a trauma center rather than a local small country hospital

stay safe all :shock: