neoboi

our sup is supposed to bring it....but we also overstock our rigs such that we generally don't run out..

i dont ever take stuff from the hospitals for myself, but i'm known at the local hospitals as the blanket stealer, cuz keeping a patient warm is my biggest thing......

i would like to mention that this sounds like the eden medical center trauma room in castro valley, ca.

2 pair Gloves, Personal Cell, Work Cell, Work Pager, Radio, Shears, Penlight, 2 pens, my steth, and a pack of gum, and my wallet (oh, my county ID too) . in my backpack in the rig, i have my spare uniform, cell charger, and copies of all of my certs as well as my nintendo ds, and my prevacid.

i've tried every "economy brand" almost, andd i havent liked any of them. I am a total Littmann fan! I use a classic II se, but, i really like the master classic II. and if i had the inclination to spend a large sum of money, i'd buy either the cardiology III, or the S.T.C, what i like about the littmanns are the vaccuum that occurs when you put them in you ears, it really helps cut thru all the noise, espically if you have to get off scene in a hurry and en route to the hospital quickly.

the doc at the er (saw him today) said that the tachycardia was caused by a panic attack secondary to the sedative effects of the meds. he further explained that she had a simple gallstone. he however said that it was a good thing at a heartrate we brought her in quickly and didnt wait for als and we expedited transport since we had limited means.....but he also said that the doc at urgent care shouldn't have dumped the Pt on us, she could have broke the tachycardia and wait for a non emergent paramedic ambulance to take her to the er..... but he gave us a pat on the back *shrug*

So.....our dispatcher just takes the orders from the nurses and doctors for transfers and the nurse or doc at the sending facility is expected to know what kind of transport to the hospital the patient needs. one other detail i forgot to point out was that had we not ran hot, we would have had a 12-15min transport time.....the best available path around the hospital we were going to has like 9 stop lights and 4 stop signs. (We were going to stanford university hospital ER). My greatest concern was her heart rate and her pulse in transport actually went down a little.....but, it still had me scared shitless that she was going to have some sort of tachyarrythmia. in the end, nobody got in any trouble and what county med control got all upset about was that we *decided* to go hot, not that we did it.....they're pissed that we didnt call als cuz they think that private services are only good for transporting psych patients. they would have us rather transported her with no lights and sirens, and then about 1 min into the transport call in an upgrade, which sounds stupid to me.... on the IV thing.....we can transport anyone with plain NS, D5W or D5NS, D10W or D10NS or LR, provided there's no additives. Thats running into any type of indwelling catheter, and we can monitor the drip rate as perscribed by the doctors orders.

Ok....so I need a sanity check..for a call Dispatch: BLSGS265 respond to urgent care code 2 (no lights or sirens) for a 33/f c/o abd pain. Pt --> ER for further dx/tx. On scene at urgent care: 33/f c/o 7/10 peri-umbilical pain and dizzyness. pt just recieved 25 of demerol, 12.5 of phenegran. on exam, Pulse 152, BP 116/84 R 24. no rebound or guarding, no provoking factors, dull throbbing pain, peri-umbilicial pain. no other findings. pt denies Past Hx. we stat paged the urgent care doc overhead to the pt bedside, they ran a strip, showed Sinus Tach at 154. SaO2 92% on RA. Doc said, she should be fine for xfer. pt begins to c/o "sinking feeling" begins to shivver and complains of "anesthesia" feeling. what we did: 6Lpm O2, shock position, MD opened NS IV to wide open, and we transported 2 miles to ER code 3. (no traffic on streets). so, we get to ER they room her, and dispatch calls us back to quarters....... county med control wanted to know why we decided to go code 3 right off the bat... our explination: ALS response is 7-10 minutes. our trip at code was 3 minutes......sure a paramedic has drugs...but, they're farther out than the ER doctor is..... county med control accepted this, but frowned at the code 3 decision right off the bat citing that if we think we need code right off the bat we should call ALS. i can see their point, but time vs. distance was on our side. input on this?? also: we told the doc of our plan for code 3 and she endorsed it.... was i wrong? :shock: <---me eager for learning!

well.....i have no problem with a deaf EMT or Paramedic, i dont know any deaf people who would put themselves in the position to work in a field that requires so many different auditory cues. i do however have a deaf physician who i have no issues dealing with, etc etc.... his interperter that has been with him for over 15 years at the same hospital is also a PA and whenever something that requires hearing, such as lung sounds, or heart sounds need to be checked, he checks them. there is no reason a deaf person couldnt work in the healthcare field. that isnt an emergency setting. my physician is your typical general practicioner and had no problems in med school or his residency performing the required tasks. but, ada's "definition" of reasonable, usually wouldn't require that a position where hearing is so vital to the safety of the employee as well as their ability to perform their function would not apply to an EMT or medic, i dont think. also: i don't think that in california you can even get an ambulance drivers certificate if your physical card says you have any hearing or vision deficits that are not correctable. but, i could just be guessing..