katbemeEMT-B

I think that I did state he's not 100% right. We wouldn't want Dust to get a big head.

Cos, are you sure you really want to know what it is? I think I'm too afraid. It could be something gross.

I hate the way that Dust has caused me to reach deep within myself and really start thinking. I also hate the fact that he's usually right (sorry Dust it's not 100% of the time). I also hate the way he has such a way of pointing out that I really don't know what I'm talking about. I was only considering going back to school and now thanks to him I have to. So to you Dust, I say :tongue3:

Now that's funny sh*t :laughing3:

Congratulations! :headbang: Be confident, I'm sure you did fine.

Naughty Ruff, you're suppose to bash spenac not stand up for him.

:shock: OOOOOH NOOOOO not Kyle! Bad Kyle, you can't kill this thread. OK, on to the topic at hand...... :violent1: That's for picking on my gal Terri. This is cause it's me :violent2: :violent3: :violent1:

Now, now, don't talk about yourself like that.

Yep, they're coming to take you away, HAHA! To the funny farm where life is gay. LOL

I'm not a nurse but I'll give you your Prozac. It's admin. rectally :bootyshake: right?

Terri, I think spenac has finally entered end stage old timers disease. He no understand English anymore. Poor, poor spenac. :crybaby: I'm sorry spenac, I won't pick on you anymore. HAHAHA! Not, you are the reason I get up in the morning. I dream about ways to terrorize you. LOL

That's ok spenac, we know it's from that oil you use. It's affecting you're brain function. LOL I got's to get me some oil. Maybe I could use it on some of the fat a$$es we haul. Make it easier to move them. :twisted:

Don't get so excited spenac, you just might have an MI. Remember, if Terri and I go we're taking you with us! :twisted: Duck, here comes the FBI :glasses4: :glasses5:

That did cross our minds but we did feel for them as we knew this man was dying and so did they. He actually passed away the following night. After that incident the hospital doing the transfer will have the family stay to do additional paperwork and allow us to get a headstart.

We did an interfacility transfer from our local hospital to a specialty hospital in the Metro. The family was at the local hospital and asked if they could follow us. We told them it would be better if they went ahead of us and gave them directions. We loaded the patient, (end stage cancer with periods of apnea) and took off. We got 5 miles into our 60 mile trip when we noticed a car on the side of the road. As we turned onto the Interstate, so did this car. As we weaved through the traffic, so did this car almost causing two accidents by cutting people off. We got to the hospital ER entrance and pulled into the ambulance garage and guess who was right behind us. That's right folks, the family. They were pissed as hell when we told them they couldn't park there and would have to go to the parking garage. The wife insisted she was coming with us and we told her she would have to go through the main entrance for security reasons. She was irate. I felt for her but policy is policy (Very bad area of the Metro)

We brought in a 32 y/o/f "difficulty breathing as a result of chemical inhalation (third trip). The two previous trip brought her no relief. Talking to the admit nurse and she states, "yeah, I know who she is, she was in here last night for an ear ache." I quickly corrected her and she sat there and argued with me saying, "She knows, she was here". Well, she pulled out the admit roster and points to the patient she was referring to. I quickly just had to throw in there, "I realize they are both hispanic but that my dear is the wrong name. This is the right one and look, she was seen for difficulty breathing." Her response was, "Well, they all look alike". I wanted to bitch-slap her right on the spot.

Hey Doc, we actually had one of those a few months ago. The call came in as a single MVC. Arrived on scene and the very large man had blown through a stop sign on a very busy highway and hit the ditch on the other side of the road. The damage to the car was slightly above minimal with most damage to the front where it had drove itself into the ground. Both driver and passenger air bags had deployed. Upon assessment, he wasn't breathing and had no pulse. CPR was started by passer-byers and continued en-route. Five minutes in the ED and the doc called it. We later found out he had suffered from a massive MI and that was the cause of the accident. We basically were trying to revive a guy that had been dead for six minutes before we got there. It was a great review case at our monthly meeting though. The ED doc even attended. Thankfully he didn't take out anyone else.

I agree, I guess I didn't explain my point very well. That is why you need to do a full assessment and physical exam and continue that assessment en-route. I still think this guy had a head injury unless of course that's natural for him. Thanks for pointing that out doc. I now see the error of my ways. :oops: I shall strive to improve these faults. :downtown: I will learn from this and do better next time. I will learn to finish my thoughts and how to ...............damn, forgot what I was saying. Oh yeah, and how to better express them. But seriously, you are correct in your observation. And yes Dust, shame on you for not catching that. You must have been tired.

Maybe it goes back to your parentage.

:geek: I found your baby picture SPENAC. How cute. Here's your momma :hippy2: You realize that we have now hijacked this thread and it will be ours till admin. kills it? HAHAHA........we are :evil:

I want to ride on your ambulance. Me like beer.

I think I have been wrong twice in my life. The first is when I got married. Took me seven years to figure out I was wrong when I said I do. The other was when.......hey maybe that was only time I was wrong. LOL

I think another thing to look at is that these patients were either flown or taken by ground. I would assume that if they were flown, they reached definitive care much quicker than by ground. Would that not be a major factor. I think if they really wanted to prove their study they could have compared ALS ground to BLS ground or ALS ground to ALS Air Care. Comparing BLS ground with limited scope to ALS Air Care isn't even logical to me. So I guess I would say this study was probably done to promote air care but with a very skewed view. They also fail to mention that some one had to have been caring for that patient prior to air care arriving on scene. What did they do? Just my opinion and not always the right one.

Then there's the patients that scream like a baby because they broke their leg skateboarding and when you ask what they do for a living they tell you they're an xtreme sports nut. Yep, that's their job, to keep me busy.

I do agree Whit that a femur fx can be life-threatening. That it also why it is so important to watch the patient for any signs of shock. But it also doesn't warrant lights and sirens and high speeds unless they would show signs of decomposition. Continual reassessment of the patient would allow you to determine if you need to upgrade transport. In reference to this patient, if his description is true, he was not suffering from any signs of shock as he stated all vitals were normal even after arriving at the ED. I guess that does surprise me as I have seen many patients with tib/fib, pelvic, and radial fx show signs of shock within 15 minutes of onset of injury. But I guess I wasn't there so who knows.