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ffemtp1988

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About ffemtp1988

  • Birthday 02/29/1968

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    EMS Educator

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    Male
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    Indianapolis, IN

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  1. The way I read it, Vasopressin wasn't out. Epi was preferred for V-fib and V-Tac and Vasopressin was still considered for Asystole/PEA. I think the trend is definitely emerging that we are treating V-Fib/V-Tac differently than Asystole/PEA.
  2. Talk about it tactfully, don't claim up hold in in a d let it fester. And for Pete's sake don't do the typical EMS thing and batch about it to everyone else and never a dress it with the person.
  3. I think by some of the comments that you made in the end of your post that there are other issues besides the hypoglycemia. I am surprised that no one brought up ADA. Like HIPAA is is greatly misunderstood. It says that you have to make a reasonable accommodation, but in the end, they must still do the job. The fact that you allow them to have food and time to treat his blood sugar should be compliance. I believe if I were in your shoes I would start the documentation trail with the lack of compliance of the Chief's request. Use progressive discipline and if non compliant and you send them home, you may be able to use your attendance policy here too. If necessary, you may be able to supply your documentations and concerns to a physician of your choosing and require that employee to have a fitness for duty evaluation done. Of course if you require them to go to your physician, you will have to pay for it. If they are not deemed fit for duty, or progressive discipline takes effect, you can remove the employee from the roster. It is reasonable to question division making and ability to drive your vehicles with frequent episodes of altered mental status in the face of non compliance.
  4. Wow! I had forgotten all about the old oxygen powered thumpers. The service I worked for back in the late 80's early 90's had two of them. Back then you would get a supervisor response on an arrest just to bring you the thumper. You would work it alone then the supervisor would pick it up at the hospital. The ED's hated them because the just didn't understand them, but they worked.
  5. At least more providers have turnout gear. I worked in the south back in the late 80's and early 90's. We had a Hurst Tool on our ambulance because fire did not respond. We used to do extrications in short sleeve polyester shirts with hardware store work gloves and safety glasses. Believe it or not, that was a service that once in that time frame won EMS System of the Year with those safety practices in place.
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