fyrplug92

I hope you paid better attention in medic school than you did in psychology class, because you are a complete FAILURE at psychoanalysis. :roll:

I am the most anti-municipal, pro-private advocate you will find at EMT City, besides GulDukat.

And trauma bores me to tears, because I far prefer the intellectual challenge of practising medicine over the monkey skills of simple cookbook first aid.

You are also a FAILURE at reading comprehension, as I did not disrespect anybody. In fact, I have gone out of my way to express my respect for transfer personnel. That does not change the fact that they still are not EMS. Not being EMS is not a disgrace or anything to be ashamed of. It's just a simple fact. ER nurses are not EMS either, but I don't see them getting bent out of shape about it.

At least we agree on the volly thing.

Maybe you should read your own post for comprehension.

If you want to discuss Psychology and psychoanalysis, then I would be more than happy to oblige, especially with your perceptions.

If an intellectual challenge is what you seek then perhaps a lesson in humility would be beneficial for you. The first step to any issue/problem is admittance.

Suppose there is no need to log the meds used on patients for treatment when they are on a transfer ambulance, since they're not a real ambulance.

(twang) We only got sum string, scoch tayp, and krayns on are band ade buggy. Whatchya got on yur speshulised emurguncy ambalans?

Are you sure that it is more of not wanting to deal with the 911 system, or a silent prayer for a pair of idiot EMTs who doesn't know what they're looking at? I'm saying that because if a basic is on scene of a critical SNF patient, then they should be requesting ALS [transport time dependent, of course], so the end result would still be the same [ALS on scene].

Before anyone asks, yes I've gotten the thick accented "Patient very sick, you take patient now" speech several times, and had no problems calling 911 for a medic over the facilities objections if I felt the patient required it.

Are you assuming that the medics are only in 911?

Okay, here's how it is. Every citizen is empowered with the right of Citizens Arrest. Does that make every citizen a police officer? No.

By the same principle, not every vehicle with "AMBULANCE" on the side of it is EMS. Just because you may end up stumbling upon an emergent patient through occasional bad luck or bad dispatching, or just because your local authorities might ask your transfer company to "light up" the next time two nuclear laden 747s crash into an elementary school full of epileptic haemophiliacs, does not make you EMS. And that goes for all you freelance EMTs who work full-time in the games department at Circuit City too. Just because you carry a seventy-five pound whacker bag in your trunk, stop at a wreck on the side of the road, and hang a custom made badge from Gall's around your neck does not make you EMS either. Thanks for your help, but you can leave now. Or, if you want to really be helpful, pull your ten year old Honda Civic with the $2000 dollar strobe bar sideways across the road to protect the real EMS from getting run over while they earn a living.

Damn, I been hanging around Asys too long. :?

Talk about some deep seeded anger issues. Are you a municipal lifer, or just a trauma junkie? With that type of response you are opening pandora's box. Not all "ambulance" services are non-emergency. SNF are more likely to call their contracted private service in the case of an emergency over the local 911 department, all because they do not approve of their careless attitude. Don't judge those who choose to earn a paycheck as opposed to life long jolly vollies.

Shame on you!

How unfortunate it is that our profession is brought to this. No wonder we are looked upon as the red headed step children of emergency medicine. Doctors belittling medics for their field decisions, er nurses on a power trip, and egotistical ems personnel. Sounds like one big nasty mess that apparently has no end in sight.

Luckily, some of us aren't so biased and are capable of displaying mutual respect.

Arrogance vs. Confidence

After fifteen years in ems, last ten as medic, and currently in ems mgmt, I have seen my fair share of arrogance. Confidence is definitely necessary to provide proper care; however, there is a fine line to be drawn before reaching arrogance. Most of those that I have encountered have not been able to see the line before crossing it. No one shows them. It begins in medic school, certificate or degree. The idea that you are responsible for more as a medic sets in, but it does not prove that you are responsible. As the new medic is released into the field for training, and I hope they're trained after school, the senior medic sets the example. The experience and expertise of the senior medic should dictate the attitude to be displayed by the newbee.

As far as the continued dispute over public vs. private, etc., the ems hierarchy is responsible for this. It will continue until there are no differences to be made. (i.e. who is mandated to the state's requirements and subject to inspection, and who is not.) Does being affiliated with a municipal dept entitle them to be exempt from state standards?

I have seen a lot of bashing back and forth of public vs. private. I have been on both sides of the fence. Neither one is any better than the other. The only differences are those they answer to.

If a poor dept, unable to staff squads, cannot provide for their people, and they happen to seek help from a private service to meet their needs, so be it. Ultimately the patient has received what was needed at the time. Yes, all are trained the same, initially. However, public services tend to be more capable of handling trauma or any other problem requiring more than two people. The privates tend to be more capable of handling what they can with what they have (masters of improvisation) to achieve comparable results (mostly geriatric medical emergencies with no verbal input). Does being affiliated with a private service mean that you are less capable or knowledgeable?

Take a career emt/medic from a public service and place them in the privates, with no previous experience in it. What would the outcome be?

Take a career emt/medic from a private service and place them in the public service, with no previous experience in it. What would the outcome be?

Disasterous either way, regardless of the scale. :-k