ambodriver

I work in a very large city, this is crazy to me. i can't understand---I always have resources. Sounds like you did the best with what you had. That's all we can ask. Strong work.

Are you comparing your glorified taxi with real 911 transports? This patient was going to a rehab center. She could have waited for appropriate equipment to move her. You sound like your 22 years of experience comes from the privates....I'm impressed with your knowledge of billing, scamming medicare, and being a douchey manager.

I would have transported them both. Horrible spot to be in friend.

Google fu? ROFL +1 sir

So a pt. has to be stuffed in an ambulance on the floor for a taxi ride over to a rehab center? Why not just call appropriate resources and transport them in the safe and logical way. I call BS. Big bad 911...the privates will save the day. Please. You sound way to immature and inexperienced to be a manager...but hey its the privates that doesn't matter does it

Another reason privates have no business in EMS. I've seen this happen time and time again at a private company. She is the medical personnel on scene, its her ambulance and its her rules. IF she thought it was unsafe then thats her call. Kudos to you Medicgirl. Someone going to rehab can wait for appropriate transport. This isn't rocket science or even an emergency. It's a transfer service...it's not even EMS. The right move is to wait for appropriate resources. A private will not understand this, because all that matters to them is $$$$. As such, I despise private EMS, the 95% scam that transfer services provide.

Who cares about your bible? Who are you to be preaching here? Give me a break super medic, push your own values on your kids, not to us. really? I'm not sure why I'm responding to this.....probably just to point out this is one of the stupidest things I've ever heard on this forum.

The job will always get done in Chicago regardless of whether we like each other or not!

sensitive subject for me how do you think these guys will get treated at the firehouse? guys are already talking about black listing them at the houses

AC is pretty solid bet imo. In a true emergency situation with a critical patient, I've never seen anyone complain about placement of IV's. They should be happy we've taken care of everything for them. True the arm can bend impeding flow, I've placed a board like we do with peds to stop the bending. That being said, I do follow the start low and go high, force of habit I guess. 18g is my standard goto for most patients, large bore =14 if I can. EJ is a great spot for large bore IVs, especially on an unresponsive trauma.

On my FD pregnant medics or FFs get laid up to do light duty. With the streets being so volatile I don't know how I'd feel about having a pregnant wife/GF/partner on the streets. It is illegal to discriminate for pregnancy in my state.

Ughh.. corporate? Despite despising privatized EMS I have some good advice for you. 1) next duty day show up an hour early. Go through the entire ambulance and know it inside and out. Yes your preceptor was a bitch, but the best way to deal with people that are so negative is outshine them in every possible way. Good luck.

Perhaps a clot that resolved on its own. Id encourage a trip to the ER with a line in case the episode were to return. I'd grab the doc and make sure he knew what was going on and what I had observed.

whoa whoa super medic. Let's not take this into a personal attack because you don't like my opinion of the KED? Use it if you like it, I could really give two shits what ya use or how ya use it. Truth is, you have no idea how I operate, who I am, or what I think is important. Funny...I'm on a 48er and just came back from some BS MVC. We threw the collar on him, put the board under his butt halfway on the cot and had someone behind him guide him down onto the backboard. Was lovely and went smooth. The guys complaint was "shoulder pain" near the seatbelt area. No damage to the car whatsoever. I wouldn't have even backboarded him after a more thorough back exam, but its so ingrained in these parts that its almost taboo to suggest anything against it. Throwing the KED on this guy would have required much more pt. movement then simply c-collaring him and moving him to the backboard from inside the car, or even /gasp letting him self extricate, stand, then sit onto the backboard to be guided down. Don't take it from me though, you clearly know-it-all and will get pissy if I voice my opinion. The KED might be nice if the only way to get him out was from above, lets say if we cut the roof off. Don't take it from me though. I'm just a lazy incompetent ambulance driver who doesn't know how to use a ked http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2691505/ http://ukpmc.ac.uk/abstract/MED/9523928/reload=0;jsessionid=4CB35A3D4ADDBC204DDF09C8D6A1AD34

Sensitive, sensitive! Think I care about some negative points on my profile here? Sorry, not in it to win a popularity contest. Bite me. back on to topic..................... I've used to KED ONCE. Our local trauma center called our firehouse to goto a church for a pastor that was released earlier in the day. They said he had a cervical fx. s/p fall that they missed on the X-Ray. He was sitting up and as a super precaution we used the KED to immobilized him and move to a backboard. I see the KED as a waste of time. You can accomplish the task far easier and less whippish if you apply a c-collar, hold manual stabilzation and jam a backboard into the car and guide the patient down. Fumbling around with that KED how much are you twisting, and moving that patient around. Proper handling of the pt. will work much better in this situation. The real problem, is the ridic. notion in EMS that everyone in any sort of fall/MVC must be backboarded. How about allowing a more thorough exam and letting us clear C-Spine in the field instead of these ridic. backboards, that quite frankly probably do more harm then good in a cervical injury. p.s. i've heard the KED is good for immobilizing little kids. We have a seperate device for that, and again it does more harm then good to wrestle a kid into those things, don't ya think? earth to common sense?

people use KEDS?

yea its called 1 800 taxicab, or public trans!

Yea I would have 'boarded, get to ambo, look for a quick airway and go. Everything else done in route. 10 mins fishing for an IV seems a bit much. I wasn't there though.

...dustdevil shut up already with hating on FDs, its getting old quick. There are retards in the FD and private services. and yes lock your doors

alright, quit picking on him. shock you can be my friend.

yea, those crazy NYers don't know WTF a rig is eh?

I work in one of the top 10 busiest ambulances in the nation. In a horrible part of town. If people are going buckwild on the ambo you know what I do? Call the cops and drive away. Or throw the body in the ambo and drive away. I wouldnt even waste time with pepper spray. I carry a knife....mainly as a tool, but for a last resort self defense. Yes, my partner and I have had to tussle. It's a fact. Carrying all that shit just gets in the way. 99.999999999% of the time they love seeing us on scene. Even the retard ghetto thugs will carry a jump bag for me if I ask. 100 hours of combat training. Would love to see you get dropped off in my ambo with this attitude. However---whatever you like to do right? Your preference bro. More power to ya.

Take it easy guys he is SAVING LIVES and has 100+ hours of COMBAT TRAINING. Yes. +1 sir. I'm with you on this post brother. I carry on my person at all times: a full jump bag heart balloon machine a mini promed cath lab that comes with a pocket nurse a 6 pack of nihi grape a big belt buckle with a star of life 3 pairs of trauma shear a fire dept/ems shirt a pocket EKG book a badge Really though: "Dude you're a freaking whacker .... WTF On my belt I carry ... nothing When not crewing I carry .... nothing "

taxi it up bro. Welcome to EMS. Can't recall how many times I've transported some drunk dumbass or toe ache and missed a deserving call. Like the child vs vehicle. Great. detach yourself emotionally, it'll do wonders for ya.

Well I should add that the reality I speak of exists only in my area. I am not sure how privates do elsewhere. I am ignorant on that. I am glad others have found good jobs that they can support families on w/o being union. That is great, and I further advocate more pay and benefits to my paramedic and/or firefighter brothers union or not union. However, in the Chicago area, unions have paved the way for the middle class. Would I prefer to not have to pay union dues and receive all the bennies the unions helps provide us with? You betcha! However in my area that is not a possibility. I am blinded by how it works in the Chicago land area. There are only two options in this area for EMS personnel Non-union positions: poverty wages Union positions excellent pay and bennies. If other people in the country make it w/o unions and make respectable wages I am happy for them and would even say they don't need union representation. Nothing personal friend