Sdowler

Working for my service I have seen some shady things with medicare and medicaid. The patient that has dementia and is traveling by EMS. Why is this patient going by ambulance? Well for safety and security of the patient and the driver. I will document what I see. On the pcs the patient is not ambulatory but when you enter the room that same person is walking around. Do patients traveling with hip precautions need ambulance how about knees. Non emergent evals are interesting. Read the FAQ for medicare just because 911 is called does not mean transport was indicated.

then fling at

GRX makes a great Littman Knock off and I recently lost it. Bought off EBay and thought I lost it bought a second one. Great ears cheap. It works. The Classic II I used for years is still in service to.

EMS should be EMS. No fire based or police based. Private service may be able to better cover Rural areas but I do not feel that hospital based EMS should be working in the hospital doing stuff other than EMS.

Cambridge has a tiered system where the city will transport mostly BLS and then PRO EMS will provide contract ALS. But the city has Medics and will transport ALS on their own. The engine is back up.

What I have noticed is the recent trend toward electronic run reporting and the questions being asked. The NH TEMSIS system is a copy of a model in use by many systems and one of the questions that will cause a "kick back" is the SSN. Several other questions arise with billing info beeing sent to people who have access at the admin companies or the IT guy at some large services such as AMR, Rural/Metro or whatever. Secondly If you transport more than one pt is that a violation? Third Hall beds have no privacy.

My service in the US just voted a strike on both the east and west coasts

OK my spelling went to the toilet sorry

The EKG licks possibly like a right sided MI with depressions and QRS widening in I,AVL, V3,V,V6, also maybe a BBB

OK RTA = Rapid Trauma Assessment The H&H thing was just a joke for someone else on the forum disregard it If her GCS is so low how does she have a gag relex or am i picking nits

sorry not my point. just an additional source.

Dust are you saying that cardiogenic shock saved the pt due to other complications?

I like exercise induced Rhabdo TX is IV sodiumbicarb i think

Dust what is your opinion, nasal intubation or RSI if the NPA is not good enough and the pt is difficult to ventilate. Side note what is her EtCO2?

what is her h&h trendelenberg :twisted: :twisted: :twisted: