JCicco345

So that would make you what ??? Ignorant Right ?

I would definetly make a note in the PCR, because if he has been using drugs that would be directly related to his care. ALso i'd make sure PD was responding, here we get them on just about anything anyways. But i'd defenitly make sure they came, i know thats not our job, but its still the right thing to do.

Good point, in my system 3 als trucks = 6 medics, if not you'd atleast have 3 als and 3 bls, so the medics can take pt 1 and pt 2 and let the bls handle the ankle pain, and 1 or 2 other bls pt's. All i'm saying is there are ways to treat all 6 patients, and you do not, i'll say it again DO NOT leave a patient that is living for dead, maybe in a serious mci (plane, train, serious bus crash) but this isnt even really an MCI. MCI by definition is more than what you can handle, 3 trucks can handle 6 patients. Pt 1 needs extrication, so your probably going to end up with the birdie for that one anyways, pt 2 is critical and you take her and take one of the bls patients, and buh-bye, transport. Then you have 4 patients with two trucks, load up a bls and als patient, and your second als truck is gone. down to 2 patients and 1 truck, now that truck has to stand-by with the extrication and if the bird is coming wait for that too, so you leave your ankle pain patient on scene with you and have fire or your partner, who ever is availble start treating them. Then once you have either loaded pt 1 up or got the bird to take them then you throw the bls pt into your truck and there you go. Now you have zero patients, all patients transport to a hospital and hopefully all got there alive, thats really all you can ask for. You don't have people standing by on scene wondering why there is a seriously injuried 20 y/o driver with a seriously injuried 3 y/o in the back, and your medics are looking at possible ankle fx's. Try explaining that to your boss when that makes the news, i'd love to hear your reasoning.

I know dead is dead, but patients with falling vitals are not dead. Like ryder said and i think i stated before 3 als trucks for 6 patients, there shouldn't be any patients that cannot be treated. So just because the patient has falling vitals means you should take care of a patient with bilateral ankle pain first and just leave the critical patient there to die ??? Good to know if i ever see you pulling up i'll make sure i complain of ankle pain.

Sorry i didnt read all the replies until after my post, but it gave me some better ideas. I just don't know about the sheet and moving on thing, how many of you would be able to put a sheet over a 20 and a 3 year old trauma patient. I don't care how critical they are, 3 trucks and 6 patients there shouldn't be a reason to leave two pediatric patients (20 isnt really pedi but still), but i just wouldn't leave them for dead.

My first thing it depends on how many other rescue persons that i have on scene and/or enroute. I'd at minium have 1 - 2 more units rolling to the scene, als preferable but bls works just as well. Well since we have 3 ALS trucks on scene, first truck takes Pt # 1 that is a priority 1 als with extrication needed. So truck 1 will be starting treatment and standing by with fire for extrication. Truck 2 will be dealing with pt # 2 in the back of the car, another priority 1 als trauma patient, they will be scooping the patient and gone. Here's the tricky part, truck 3 is going to take pt 4, road rash and weak vitals = another p-1 als patient, and also pt number 6 as it sounds likely for internal injuries. Now if i have another truck they get the rest of the patients, all p-2, all can be bls'ed if neccesary due to lack of ALS. If no other trucks available, i'd be looking towards the fire or PD for drivers, and truck 2 would have to take a second patient, pt # 3, get a fire or police driver if possible if not get going to the hospital. That leaves pt 5 to go with another truck if i could get one or if not the pt would either go with truck 1 or if it was extended extrication then we would have a truck cleared from the hospital. The other situation that we have to looking at is Pt 1 with the extrication, if it's going to be more than 20 minutes on scene I want the bird now. Tough sceniaro, i'm new to this but thats the quickest way i can think of getting everyone to the hospital. Also well the ALS crews are dealing with the pt's fire would be assisting with the minor pt's and assisting the medics with the priority 1 patients.

Hey everyone, i know AMR has some bases in PA. I was just wondering if anyone knows which areas AMR provides services. 911 an non-emergent. Thanks everyone and have a safe one.