ParamedicOfCalifornia

HAHAHA NOT. Tone drops and you look like a moron responding. Plus as mentioned by someone else you could trigger respiratory problems in fact the powder on your clothes could make your patient have more difficulty.

I can not believe we have this many unprofessional people in our profession.

LOL dude its a joke plus we carry multiple uniforms its a policy.... People will live i promise...... its like the water above the door i guess i could put them in hypothermia but dude its just a joke man its all good....lol

i know it can be given through an NG tube if needed......... but dang thats a long about way to give d50

Dude baby powder on the fan blade of the fan..... HAHAHA if its above the bed and they go to lay down POOF hahahahah ITS awesome

Has anyone ever questioned this practice to your county EMS committee/ county EMS agency or has it just been accepted as a fact of life? If it's not a best practice, then why are you guys doing it? Alternatively, what makes your treatment regime so limited that the hospital has more to offer a patient in cardiac arrest than the paramedics (please list specifics)?

The hospital can do more in way of advanced procedures that only doctors can do.... central lines.... cardiac massage.... etc...... no one really questions it we just do what our protocol says to do.... We are actually not limited we our one of the more open ems systems in that we can do alot with out ever asking its really nice..... as i said protocol is protocol is protocol

I don't think you need to give them a chance when doing so involves transporting L&S with an unbelted provider doing CPR in the back. We have to transport medical arrests in Ontario as a PCP unless your service is participating in ROC's TORIT study. Hopefully this study will change that.

If after running my whole SCA algorithm there is no ROSC what are the chances of that changing? Is their chances of survival higher than the chances of myself, my partner, another motorist or bystander being injured in an MVA while we run L&S? I don't think so.

not going to lie your post is all truth but round here its L&S for that kinda stuff its all about getting them there but i do have to say this.... my partner and i have a different way of driving L&S with a code... Its with alot more precaution and slower speeds... we dont do 75 with a CA in the back... in fact most of the time it ends up just above the speed limit with the ability to clear an intersection a little faster... the opticoms we have work like a charm.....

I know running rolling codes is a fact of life in some areas but don't try to defend it as best practice, or worthwhile, or anything like that. Rolling codes need to go and as quickly as possible.

it is a fact in the system i run in.... its just how we run things but i wouldnt say its the best practice because as everyone knows the system is different every where you go..... while we run code to the hospital here you guys may have a standard that says hey do cpr throw down 2 rounds and a get a tube and your done..... as i said its less than 1% this person is going to even get a pulse back.... but around here we just have the load and go policy and procedure in place.... we can leave them under certain circumstances but for the most part if not obvious we transport

Are you even really a paramedic?

yea some how i made it through the program

Taken ACLS recently?

And how do you not stop CPR? Attempting CPR in the back of a moving ambulance, or on a moving stretcher, is pretty much worthless. It's the same as not attempting CPR at all.

And what do we have to give them change for? I don't normally carry that much cash on me anymore.

-be safe

lol my bad a chance hit the wrong key..... but yea i guess cpr in the back of a rig is not the best but i dont know man we have protocol to leave people where they lay if we give it a strong try but i just see that its the little extra effort we have plus im not that far from a hospital so if i was 45 min away im sure my idea of a cardiac arrest might change

Are you honestly suggesting that your patient has a prayer in the world of a good outcome after stopping CPR (poor and constantly interrupted chest compressions are worthless) for the 5-15 minutes it takes to get to the hospital?

we dont stop cpr we continue plus if protocol is followed then you have to stop and check for pulses... i have known a few medics that thought the patient never had a chance that got pulses back.... do i think they will ever have a good outcome no.... but you have to give them a change right....

Ok so the other night My partner and I were sitting at a post covering our area, and we heard a structure fire go out. As fire arrives on scene they have a working structure on their hands single alarm, fully involved motor home, seconds after that a cardiac arrest goes out in the area. The bat chief arrived on scene and took over there was a total of three engines on scene. Moments later the ambulance crew responding to the cardiac arrest arrived on scene and requested help to work up the cardiac arrest from the fire department. During the process before ECC asked the bat chief, he stated that the motor home is almost burned to the ground and this is going to be a shovel operation. ECC then came up and asked if he could send someone from the structure to assist the ambulance. He came on and said no they needed extra man power, now come on I don't know about you guys but I do think he could of sent at least one firefighter and a engineer to help out. The cardiac arrest was only a couple blocks away and the majority of the crews weren't doing anything and there was only one hydrant. I'm not sure on the standard procedures on structures but I bet you that if that was one of his family members he would of sent someone over to help, Granite it is a luxury having a someone help then the medic doesn't have to juggle compression, ventilations, iv, pushing med's and so forth

i would say i would have to agree if this is a operation that is fully involved i would say maby that a assistance should have been provided....

Okay, just admit it. How many patients have you had a crush on...or have even fallen in love with? And...how many of those patients did you wish were your wife/husband??? I know it seems like a silly question...but...

LoL cant say i have but i have had a few drunk girls that have told me that they love me...... its funny..... im thinking alright then......

No, you shouldn't have started driving in the first place. Its one thing if they arrest in transit, but if they are dead on scene, work them till there not dead or call it. I realize local protocal will vary.

we have protocal where we can call on scene but there seems to be a few times where you can transport code 3 to a hospital and they can perform a procedure that is not allowed in the field and possibly get pulses back.... i know there is only a 1% chance but hey thats better than 0 right