Chief1C

Guess I'm not familiar with any Commonwealth Laws or Codes, that in affect, would allow an ambulance to refuse transport.

If Pennsylvania does have a protocol that states we can deny transport, then I'm unfamiliar with it. I have no problem telling people, we're not a taxi, we'll take you the nearest hospital.. Not your doctor, shopping, to another community, to a hospital farther away for an appointment, etc.. But I wouldn't tell them we won't take you anywhere. I'll take an ill or injured person where they need to go, hospital wise. [hr:aaf93ab475] [hr:aaf93ab475]

According to the ACLU, Cracker is as much a racial slur; as the "N" word. Also, for those so interested: http://en.wikipedia.org/wiki/White_cracker

Commercial Car Chassis. Ambulance & Hearse in one - Combination Car; Ambulance - Commercial Car; Hearse - Funeral Coach. Also, some early ambulances weren't commercial cars at all; they were panel vans, station wagons, large commercial vans or had a "bread" or "Milk Truck" look. Like New York City, for instance, many were large vans, with more room than a hearse very early on. Not all commercial cars were small either, some were very roomy. The stories I've heard from old school EMS folks, indicate that some of those cadillac ambulances were very large. I gained most of this knowledge from James O. Page books, videos; and riding with a F.O.G. on hundreds of calls. An interest in the roots of EMS, per se., and you could present a very in depth look at the beginning.

Echo Child

You should have said... "Is that your wife?.. You're Married....? You haven't told her about us?" :twisted:

Hell no, maybe if they get stopped for careless driving, it will save their life.

That doesn't work. "I don't recall the specific details". I used that line, however, because an officer screwed up the investigation, I almost went to jail. Take notes, if you foresee a court case. Had a call, we staged out. Patient decided to come to us. Got out, asked what was wrong, he ran off. Grabbed a massive rock, lifted it over his head and started to walk back. We got back in the ambo, got on the PA; 'You have a rock, we have a heavy truck, you do the math'. He put it down and knelt down in the road, we got out, asked if he wanted help; yes or no; if not, we'd leave (not really, but we'd let the cops take him). He wanted help. Grabbed my partner, and took off running, and pulled on his arm with such force he went off his feet and landed face first. Shoulder, chest and facial injuries. Got him, left. Cops questioned my partner, after he'd been given 4mg of MS. Asked me what I saw, explained; but that I didn't see what took place that caused the injury. Cop fecked up. Mixed my statement up with my partner; then said we'd be fine in court; we didn't need to see his notes. Partner said in court that he didn't recall, because he was given pain meds. That was okay. I gave my statement to the court. The cop was sitting in the back mouthing "what the f**k". The suspect was found guilty of failure to appear and criminal mischief; but was innocent of assault charges. The cop slammed me into the wall, and took me down a peg or two. I demanded to see his notes, while he was fixing to have me arrested for "filing a false report". I read his notes.. Nope, this is wrong; where are the statements that I wrote and signed? So, I was escorted out sans cuffs; and someone brought that file to the court house. Cop screwed up. No apologies to me though, because it was my fault, cops are never wrong.

...for some odd reason, Echo knows more about EMS than the average teenager. Just knowing what EMS stands for is a plus. However, the ability to carry on a conversation, patient care related (yes that does happen on occasion in chat) and have him chime in; w/ out having any training whatsoever, deserves an attaboy. Now if we could just get him to stop dictating city wide dispatches, he'd be like a clone of a youthful Dustdevil.

If you're unconscious.. We need to know: full name address age DOB SSN Emergency Contact Names/Number/Relation Medications Allergies History of Surgeries, conditions, major illnesses; eg. cardiac, respiratory, CVA, Cancer Living Will/DNR should be kept with this info too; if we don't know about it, we can't follow your wishes. We distribute the Vial of Life to all of our "subscribers". Not all of the lines showed up in "Print Preview". Print This http://i125.photobucket.com/albums/p79/cmk1883/Vial1.jpg Then print this on the back of it. http://i125.photobucket.com/albums/p79/cmk1883/vial2.jpg

They have an ER just for mental illness?

Chuck's bones don't break.. But if they did, he'd have a device cast to his arm, to allow him to at least type with his index fingers. Then again, knowing how it's all Hollywood, Chuck Norris would just hire someone to type for him, because he isn't that smart. :twisted:

OP. Tip. Avoid knee-jerk reaction posts, such as this. My sarcastic quips aren't just for chat, I use them everywhere. I would have said; Well, if he/she catches fire, you'll be the first person I call; until then, please try to keep calm, collect yourself, and stand aside.

We know you're not that lucky... Mystalker Link.

In my opinion, it has gotten worse. I was taught by people who were 'old school' EMS folks. In fact, I was the only person of youth, per se; in the service. After a few years, the older crews started to leave. Younger EMT's, fresh out of the class came in; and I see this all over the state. Nothing wrong with young EMT's and Medics; but some definitely have lowered our standards. We had a level of professionalism that was equal to what it had been fifty years before. The crew was clean, wore a coverall uniform, spoke to the patient in a calm, respectful manner; helped the elderly walk, said sir, ma'am; showed true compassion and caring. I think that's what separates many services, the level of quality you get from each person, and the crew as a whole. If someone can apply their skills and education, coupled with respect for what we stand for, that's a good crew member. These qualities are what separate EMS services, more than a pay check.

If you questioned them about their injuries, you need to document that; and to cover your ass, you should get a refusal signed.

According to the "guidelines" in an LODD pamphlet from the NFPA; if one dies no more than 24 hours after responding to an incident; from an illness or injury that may have resulted from actions on said emergency; it's a Line of Duty Death. Now if they wreck a car on the way to buy milk, after returning home; no that's not the same. But if it's from an injury received during the incident; or a death that is medical in nature with in 24 hours. Or.. If you are hospitalized as a result of an injury or illness during and as a result of the incident; and die a week later in the ICU, etc.. That would also be an LODD; because it's a death that resulted from the incident. One of our former members, living in New York; was a Vol fire chief; and he died of a heart attack at home; with in something like 10 hours of a large scale structural fire. That was treated as a Line of Duty Death.

Yes.. The PA DOH, Bureau of EMS, Online Learning Management System. It has both BLS and ALS con ed, through slide shows, videos and reading material. Also keeps track of all of your information and courses. http://www.dsf.health.state.pa.us/health/c...237296&PM=1 Hundreds of courses, .5, 1, 3 and 4 credit courses. When you get your 24 credits, and fill in the new date of your CPR card; they automatically send you a new card. You may need to contact your regional EMS office to get an ID and password, However; the ID should be your EMT, FR, or Medic number. "PA000000"

The incident in question, mouth to mouth was the only way we could ventilate. The child was born pulseless and apenic, and premature. Too small to get a seal with a neonate mask. The child was resuscitated on scene, and to my knowledge is doing well. We had everything required, and everything on board as suggested by the lists from that EMS for Children organization. Still, it would be nice to have one set of smaller equipment, just in case. Really, I just posted this to find out if smaller equipment existed. As far as cost, I'm really not concerned about that.

I have been "charged" with looking into better equipment, newer technology. I'm looking for a Bag Valve that is smaller than your standard, Infant size, BVM. If you were to order a Neonate BVM now, chances are it would be an Infant bag w/ a Neonate mask. Also.. A mask, that is smaller than an Ambu Neonate. I've had two different Neonate masks, one Ambu and one probably Life Support Products; and they weren't even the same size. Ambu was smaller, and IMO, the LSP mask was an Infant mask w/ the wrong package. IMO anyway. I have catalogs of all of the big name companies; I haven't found anything yet. I'd appreciate some thoughts tossed in.

Bleeding from anywhere one shouldn't bleed from?

I've done that.. It's good. Original frosty though, not the new flavors.

Cannonball Run.

If the posted limit is 80. Fine. The condition is already life threatening, why should the ride be life threatening too?

What was the posted speed limit on US 78? 55, 65 or 70? I mean, if he was going 84.. That's a problem.