P_Instructor

Aloha! Welcome to the forum. I used to live in Kailua.....a long time ago.

Ultimately you are going to base your treatment on the clinical picture of the patient, however, you better get all the information needed to make that decision on which treatment modality/pathway you are deciding on. It comes down to fully understanding the pathophysiology of what is going on with the patient. Although fictional, there are many variables that need to be thought of prior to just slamming or bamming (meds/shock). If this was a true situation, your knowledge and experience would hopefully promote a fast clinical decision to the proper treatment regime. One must remember that not all thought out processes will work, and you must always be prepared for the possible unwanted outcome. This could have many factors involved, but my opinion would be in in line with chbare, if the patient was previously in PEA, we need to consider all the H/T's, and could be electrolyte problem. Good scenario.

Watch it....your talking monetary stuff. I personally wouldn't give them that much <credit>.

Ha, ha, ha, ha, ha.............nice comeback Vent!

What????? All the prior responses are good. Does that FD really think they are going to recoop that much revenue???? From MVC's where is seems most of the drivers today are running with minimal insurance if any at all???? This is how it is in my territory, insurance wise. They better recheck the statistical figures again. I agree with the comment.....

..............nice...........

That's what I was wondering....were they too small (you know how those Texans think big) or too big......

I am not sure if 12 years will be the total amount spent, but he got what he deserved! There is no place in this business for this type of action. What really bugs me is that he was trying to blame others. He should have at lease stood up and took the blame for his actions. I wonder if there will be any monetary items also attached. Good riddence.

OK, I agree. I can get along with dropping the felony charges, but he needs to be blasted with all the other charges. Running with hazard lights does not give you permission to break the law. Even running with a 'strobe' light (not knowing what color) does not give you that permission. Anyone who sees a law cruiser following you with their lights on, the position is to 'pull over and stop'. If the cruiser was responding to the call, it would go by. If it was stopping you, then explain why and what you are responding to, and I would hope most officers would understand. There is much more information needed to really comprehend this situation...speed, how reckless, etc. This gentleman is still liable for his actions, lawful or not.

I agree...what is the point, trying to save time or electrodes? If you are doing it to determine if the 12 lead needs to get done, then just do it anyhow.

Whoops...goofed...

Gotch ya.

I took the post as a degree in EMS and not management. Ususally in the managerial aspect, more business classes are needed beyond the initial EMS degree. Sorry.

This will depend on where you are at, as well as what services you plan to apply at. Typically, having the degree will make you much more marketable than having no degree. This appears to be the current trend. I will try to find the research in this area.

Very true.....that's the (no pun intended)....ticket.

Welcome

Most are the common calls with increase in the ETOHers. Most oddity is the intoxicated male who was bobbing for apples and almost drowned himself. Friend saved him from the water, but caused a stay in ICU for aspiration.

Hey kid, do what is best for you. I left the full time gig because of back problems, but found a great position as an instructor in EMS at local college. I also still work part time for the service on occasion and it keeps me in the loop. Totally loving it. Actually gained a better rapport with the other full timers, and the newbies look up to you as an old fart when you do work PT. Look at the big picture, do what's best for you. If you get the position at Hermann, dig in and make it a positive experience. Expand you horizons. Looks like you would be better off monetary wise, and then would have to be around your local BS Lt. I feel you would probably do a good job in the new position, and I hope you succeed in getting the job. Think of it as your own 'well-being' of the EMTigger.

As for you and Montana boy.....Welcome to Club Med............

Welcome to Club Med....We're much warmer here......

Cool. Fully understand. Thanks.

Cannot deny nor support at the managerial level, however within just the state, there is an aeromedical committee that meets regularly with the State EMS Bureau to discuss all issues. Members include admins and providers. True, some heated debates, but the plan (don't know if I should say 'seems' or 'is' or 'appears') to be working. My assessment (which some may deem unsubstantiated) reveals a spirit among all. I guess I'm to 'grounded' to verse my opinions....so be it. Thanks. You have brought up a good point.

The original robot post concerns financial perspectives and I do not dispute this like you. I am not a business major, but an EMS provider with many years (30+)of field and flight experience, and yes in my region. I am not currently in flight operations, however am exposed to this every day. I have many friends that are on the other flight programs withing my region, and based upon (what you would call speculation and not hard evidence) my observations, these programs do get along with each other, and repeatedly assist each other for backup and/or transport. All I am saying is that it can work if programs can communicate what should be done for requests. There is no jumping of calls, no bashing of services, etc. All the programs work together to provide what is needed......prehospital aeromedical ALS services. Again, the post I presented is that it is possible that the system could work if all parties involved would communicate and not just go for the jugular because of the money. And this is only my opinion. Within your postings, I would advise not to capitalize any so called points you want to make. This may/seems/or will point out potential repercussions in the future.

All I said is that it seems to work in this area, I know it may not in others. Send me the stats and models for my area alone and I will address the situation either with or against you. It is a poor day when as you stated, "Safety, patient care, employee morale, is all secondary to flight volumes...", as this should not be why the services are out there, to be flying billboards. I will not dispute that fact that this specific case is a money issue.

Point is that it is working in my area. I am sure there will be problems in other areas (ie. the basis of the post). Hope things work out amongst them and you. Fly safe and don't bump anything (ie. Coast Guard/Marine mishap, keep them all in our EMS prayers!)