speedygodzilla

If you like Wii Fit, you should get EA Interactive for Wii. It's more adult exercise, yet still interesting and fun.

Other than reporting your finding to the doctor, how would this change your treatment. I still see it as a must with CVA pts and many others, but if you are suspecting a CVA you can't treat an with ASA or Nitro as that would worsen a bleed. It could make you question your CVA field diagnosis and possibly change your whole treatment. But if I am thinking at all it could be a CVA, I'm not gonna give ASA or Nitro. A majority of CVA's are clots, however since we can't tell 100% I'd rather stick with supportive care. Nate EMT-B EMT-P Student

People really have to work at it to get 3 posts? WOW :roll: I go into chat room sometimes, it can be stupid at times but usually is fun to chat with others that are in the same line of work other than my coworkers.

Not quite sure as I am an EMT-B just starting medic school. It is my under standing that we can't rule out ischemic chest pain in the field, only rule in. So until the hospital runs their test than it is still possibly ischemic cx pain. Right?

I sure hope your right. The "diagnose" of Acid Reflux is what concerns me. Even if the pt stated that is all he thought it was you never let you CP pt think that is your primary thought. Sounds like the paramedic told him vital normal ekg normal, its probably just acid reflux. We can not rule an MI out only rule in. Being that it is always a possible MI till the hospital runs their test and say otherwise. As for 911 abuse I don't see where that goes with this story, other than a paramedic ticketing him for his acid reflux. That is why I can see a great down fall to the idea of 911 abuse enforcement, but I also would like to see enforcement in many of the actually cases of abuse. I wonder did he refuse care, or did they refuse transport? Please keep us updated.

I see your point, and also see potential for abuse in refusing pt transport. I have transported very stupid things to the hospital and seen even stupider things check in at the ER. This is definitely a chance for a teachable moment. If this guy who breaks his toe is refused by us and gets an infection and low and behold dieing from this infection due to delayed care while he tries to find a ride. No money for a ride, no family or friends, no transportation besides his broken toe. Or the pt decides oh I'm okay they didn't want to take me to the hospital I don't need to be seen than. When he dies this could become you problem. This will probably never happen, and I totally agree with you as to this not being an emergency, it just seems like a possible legal mess. At least make sure that documentation can be made that they are going to see a doctor by private vehicle/other means. EMS is not all just emergencies as we all know. Remember that you are not a complete taxi and that we do treat people that really do need us and also appreciated it at times.

How do they legally define that line of what should and shouldn't go by ambulance? Is it possibly that a pt could look and through a good assessment look okay but they really are not be? Are there silent killers out there? How do you draw that line? The way I see it is it is better to lean on the side of caution and transport. Their definition of an emergency is different than ours. The emergency is in the pt perception.

I would like to hear the people that voted no explain their opinion on this. I voted yes because it is not right in my opinion to tell a pt you don't need to go with us while they still think they do and have them sign a refusal. A pt with any kind of legal intelligence will not sign it, and you will look pretty untrustworthy at least in my eyes. In my service, they call we come, they want to be transported they are transported. It would be a rare call and under strict eval if deviation is made from this standard. I like the sound of your form firemedic. In my service every refusal gets line 3 (which is a page lol :!: ) . This becomes an issue when you have several people with no complaint at an MVC they all must have vitals, and a full assessment, along with full PCR. Lots of unnecessary paperwork, I like the idea of no complaint no vitals no assessment sign here. If even you have a scratch or tell me of any pain I am obligated to resort to a full refusal in my opinion. However the refusal policy at my service is not up for opinion and is how it is.

Like I believe you are stating above in a sense I see this as a possible big legal mess. If I am ever involved in a program like this you better believe there will be some form of paperwork, CYOA. The chances off this coming back and biting you know where is going to be rare but when it does it will hurt. When I go into someone's house to check on them, they are a pt, 2 things have to happen, they have to either refuse services (of course assuming that they can), or accept services which including being handed off to the hospital therefore keeping me from legal abandonment. I'm am not getting into the whole thing of accepting only on scene tx and all but I think you should get the point. Injury prevention programs are great as well as education of the 911 system. I don't believe this will be effective on an individual level in the way it is being presented here. However I can see a benefit to the program, it just seems that the risk out weight the benefit.

I would have to go with option 1. Who is gonna make me get their weight? Oh there is your bed, or wheelchair, MOVE OVER, good bye.

I don't like the sound of this.

While I believe that we should be able to cite people for obvious abuse I see a possible down fall. When you lecture/educate or cite a pt you may scare them into not calling us when they do in fact need the help. Remember the emergency is define by the pt differently than it is to us. I believe that education should be given first and documented as such and reviewed by the appropriate higher ups before we can take the next step and cite, or charge for us coming out and performing primary assessment, vitals, and taking a ambulance off the streets (not that is chargeable), etc. I am not bothered too much by the abusers of the system that are not repetitive. It is the repeat offenders that get me. When you can hand the pt the refusal sheet and they know that those little 8 lines are for their initials and where to sign with out you saying a word shows you how much they know and how many times they have possibly abused the system. Sticky subject

I wonder if this is going to replace the blood test done in the hospital. Does it test for the same cardiac enzymes and is it just as accurate or better? I know at the ER I work at the lab takes around 20 minutes or more with blood, so if this could be done before the pt even gets to the ER by us that would be great. Is the test going to show positive or elevated for someone who has a damage heart from the past? I have a lot of questions about this but am excited to hear of the possibilities.

I use a variety of method together to help me prepare for test. I read the chapter hopefully before the lecture. With my notes and vital vocabulary I make online flashcards at www.flashcardexchange.com which a free site easy to use where you can make electronic flashcards. I study the flashcards till I know them and understand them. The other methods include using work books, and the websites the books offer which usually have questing for every chapter. The ones I get wrong get added to my flashcards and there you have it.

I am not sure how the sup vehicle works rather than just looking like an SUV with a light bar, siren, stickers, and paint job. As for the ambulances we have, none in our area, nor have I seen this feature in person on any of the other local crews.

I've heard a story at work where a criminal stole the ambulance outside a pt's residence. The funny part is all of our ambulances like many have GPS tracking. To say the least he was unable to hide . Different incident: I also recall dispatch asking a unit "why is the sup vehicle moving?" (The sup was working a code with the unit) The units response was that the fire department was taking it to their station till sup is done. Dispatch was relieved to find out why the vehicle was moving on their computer screen.

Most EMS apps I have field out ask for all violations in the past 5 years, plus they check your record once they do decide to hire you I assume. It certainly won't help you but don't let it stop you from reaching your goals. Good Luck.

I'm with Kyle on this one. I was wondering that during the whole video.

Welcome to AMR from an Independence MO AMR employee.

My real name brings up a lot of other people. However my username is rather uncommon and brings up 2 pages (2nd page only having 2 sites) of different sites that I use the username on + a few other random things I am not responsible for. It also has me reviewing a cemetary under my yahoo screen name which I am sure I have never done seeing that I don't do online reviews often and have yet to ever review a cemetary.

This is to the same effect of asking, should I retake CNA before I start RN? Simple answer is no. If there is basic material you need to brush up on grab the EMT book and do so on you own or find help and save yourself the time and money of retaking the class.

I find my palm very useful for life however have rarely used it in the field. I have a drug guide, partial medical dictionary, RN labs, and IdentADrug, and also Google Maps which came with the phone. The IdentADrug is a great concept with the ability to type in the code on a pill and know what the pill is. However I have yet to use it, but I am sure I will find it useful sometime. The drug guide is useful and contains a vast amount of information which makes it hard to use quickly. RN labs is great afterwards to find out exactly what an abnormal lab value means down to the exact details, from the common ones to the uncommon lab values. The calendar is great for personal use as is the rest of the phone. I would not of spent the money if it wasn't also my cell phone which I am bound to be carrying all the time anyways. I don't need to carry any extra items as it is.

Who or what are you searching that makes you worried?

My favorite is Taz due to his awesome spinning effect. Not really sure if there is another reason, he has just always been my favorite.

I believe an EMS NASCAR crew is a must. I also believe like firedoc pointed out that drivers are a big problem with the standard of care that is provided. I believe that some sort of protocol needs to wrote and enforce that drivers can not refuse car in a serious accident. If NASCAR is going to be resonsible than they should be allowed to set high standards.