crotchitymedic1986

_{I say buy cheap on all personal equipment you use at work, it will get lost or stolen at some point.}

You guys put way too much faith in the scientific community and the research that is cited as fact. There was a time when the smartest people on this earth knew the earth was flat and that the sun and moon orbited the earth. There was a time when when we believed that attaching leaches to your body would heal you. There was a time when it was known that white german men were a special race and could not be defeated in sports by african americans. There was a time when the smartest engineers in the world believed you would never see a car exceed 25mph. There was a time when all the experts in the world thought that you could not add any more functions to a cell phone, and there was no way it would ever be smaller than your standard 1950's era portable military radio.

Time and time again, studies and theories are debunked or proven inaccurate, so please for God's sake stop with the statistics already.

OK, to quote the usuals in the room, show me proof that it exists. ADD is just kids drinking too much sugar and then sitting in front of a video game. PSTD is weaklings who are looking for a way out. If either is a real disease, why did not exist prior to 1980 ?

hmmmm, wonder how all the people in centuries past survived without those drugs.

whats a clamshell ?

There is no such thing as PTSD, just as there is no such thing as ADD. It is all a figment of the pharmaceutical industrys imagination to sell you drugs.

as long as it is against someone white, it is all good.

You may be right about his destination, but that is GOD's decision. Jesus directed us to turn the other cheek and not judge

I don't know if EMS is racist or not. I do know that I really don't give a shit what race a paramedic or EMT is so long as they're competent, dedicated to patient care, and capable of doing the job--those are the only things I look at, and the only things any of us should be looking at.

Next time you go to work, count how many black supervisors you have.

What would Jesus Do ?

I can pray that EMS will learn from this example and stop being such a racist industry

Not perfect, but at least they are trying

http://www.washingtoncitypaper.com/blogs/citydesk/2011/04/19/the-fire-this-time-how-many-black-fire-investigators-does-d-c-have/

I like how Ruff saw the need to cover his tracks and protect his reputation by ending his quote with, I havent slept with any of the above, which is kind of the point. You are not what you say you are, you are not what you hope to be, YOU ARE WHAT YOU DO. And when you choose to not date a race of people, it shows how racist you are.

Cut open his chest with your swiss army knife and do cardiac massage, he will be dead if you dont. But seriously, the epi dose IV (stick a vein dont do IM) couldnt hurt.

the problem is none of this is about REFUSALS it's in fact aobut APPROPRIATE CARE OUTCOMES.

one of the reasons Health insurance is expensive inthe USA (aside from the admin bloat) is the way in which it encourages the status quo and unnecessary consumption of resources to meet some fantasy 'standard of care' promoted by lawyers and fee for service providers ...

Wonder why all those Canadians come to the US when they need real medical care ? Are you suggesting socialized medicine Ms. Obama

Where is the farting and masturbation competition

I know it sounds crazy but the OR does have an influence on the whole hospital. The OR is the cash cow for the hospital, no matter where it is. Although the ER often gets overwhelmed by the volume of patients who present to the ER, the other end of the problem is when the ER can not move admitted patients to the floors because rooms are not available or ready. In hospitals that have drastically improved diversion, they have done so by expediting elective surgeries and room turn around times on the floor. You have to improve flow throughout the whole facility to solve the diversion issue

p.S. Another mind blower, consutants in the industry are now promoting that ERs do away with the triage process and see everyone as they appear, to avoid logjams. Sounds crazy but it is true.

I will be the one to vote the other route. There is an old joke: A guy is interviewing applicants for an accounting position, as the applicants come in, he asks one easy question, "What is 2 + 2 ?" Everyone quickly answers 4, and is then shown the door. Finally an applicant comes in and answers, "what would you like it to equal", and he is given the job. In this economy, I advise that you sort of lie; answer no about being terminated, and then don't list that employer on your application. There is no way for them to check it if you do not admit to working there.

And per the OP, this person transmitted the information electronically via facebook.

You guys are in serious need of a HIPAA class.

You started a good list, but you missed the most important reason for ER backlog, but thats ok cause its an inside industry secret that will not get published. Those hospitals that have improved ER flow have done so by attacking the problem on the floors and in the ER. In most hospitals, doctors come and make rounds once; they see all their patients, sit in a cubicle for an hour or two, and then dump 12 charts at the nurse's station at one time. When doctors are forced to round at certain times, turn in charts as they complete them, and are forced to take care of potential discharges first, the flow of patients moves much better throughout the facility. The second sacred cow is the OR. Doctors are assigned blocks of time in the ER, and those times are never altered. If Doctor A has OR room one reserved from 9a-12p, no other surgeries occur in that room, even if he has no procedures that day. By forcing the surgeons to use time and rooms efficiently, again flow improves, but no one will touch the sacred surgeons.

There should be a new law passed nationally, if your hospital is on diversion, you should not be allowed to perform elective surgeries until such time that you are off diversion. The Diversion Problem would be solved overnight.

Because I worked in a pediatric ER, and 62% of menengitis patients were originally seen by EMS and sent to hospital or doctor by car. Close to 40% were seen in a regular ER and either discharged or transferred to us without a spinal tap being done. Petechia rash is a late sign of menengitis, and it is hard for a 2 year old to tell you his neck is stiff. Just read through the EMS news section and read the countless stories of medics leaving people at home to die. There is too much we can not diagnose in the field with the limited resources that we have, and there are many disease processes you simply do not have the experience to understand. For instance, WITHOUT GOOGLING, tell me the proper treatment for an adult sarchiodosis patient in respiratory distress ? Most new medics can not tell the difference between early CHF versus COPD ? Tell me all that you know about the prehospital treatment of pulmonary hypertension. Tell me about how you treat a child with hypoplastic left heart and an O2 sat of 68%.

I imagine you will have some of the answers by morning when you research the web for the next few hours, or you could be honest and say I do not have a clue. These are just a few examples of why we should not leave patients at home.

Then do me this one last favor; take the number of patients your service sees, and then multiply that number by 1-2%, what number did you come up with ? That is the number you kill every year from refusals. Sounds good when you say hey we are right 98-99% of the time, not so good when you say, damn we killed "x" number of patients. Even if the number is "2" that is "2" too many.

And for the record, an unexpected death due to EMS refusing to transport a patient to the hospital does not equal clinical excellance; it constitutes negligence.

Not at all, tell me what clinical competence you use to decide to let a 2 year old with fever stay at home and go see the doctor the next day ? How do you determine it is simple teething, versus ear infection, versus viral infection, versus menengitis ? Please tell me that you do not use the lack of petechia rash to determine the child is safe to go by car, I hope you are not that dumb ? Or do you subscribe to what we stupid people do and aire on the side of caution and transport all children with fever ? Show me a Doctor who wont look in an ear, do a CBC, or a strep test prior to discharging this child to stay at home !

So please educate me to your clinical expertise.

P.S. Not trying to insult you, but before you decide to lecture the rest of us, you might want to run at least 100 calls.

answer my scenario please. According to you guys, since this information was not transmitted electronically, and the cops are not health care providers, there is no violation. Right ?