Rezq304

I'm currently a Paramedic Student...just started a few months ago acually and I can't agree more. One of the other students that was riding with me to class just up and dropped out. Now, while I can say I thought he would make a damn good medic, I'm glad that he quit when he did if his heart wasn't in the right place. I think I'm one of the few in the class that actually look forward to going to class and I've made it a point to try and at least one thing new EMS related every day. I'm thrilled with the class and I love the mental challenge put before us!

Ummmm.....no!!!!!

The person below me has made love on an ambulance.

What's everyone's opinion? Which one is better?

2004 Dodge Stratus, jet black...boy does that thing look sweet going down the road with both red lights going!

The term Ambulance Driver IMO IS an evil term. While it should be considered a privilege to drive an emergency vehicle, if any recognition should be given, it should be for the patient care that is performed, not the trip to the hospital!

I live in a relatively rural community and becuase my crew know that I'm on 30%+ calls a year, they made the stipulation that if i provided the bag, they would keep it stocked.

Yes, I wasn't saying deny needed treatment, I'm just saying that if it's not a major life threatening problem, I'll do it in the truck. If my line is to attempt to up their BP which is only slightly low, then it'll wait for me to be in the truck. Hypoglycemic patients will get their line and D50 where I find them. My SOP's don't go into much detail as to scene vs truck. They unfortunately leave the decision to the ALS provider which some times isn't the best idea.

That is a thought. Actually the driver was one of the one's airlifted. And it stops and makes you think because I was the lucky sole that ended up working on the drunk driver. Almost makes you wish that you would've just left him there to die.

Good call folks.....that's pretty much how it was worked....with the exception that we attempted to code Pt 2 when she crashed. Pt one was extricated post event. Pt 3 & 5 taken to local facilityfor stabilization. The other two were air lifted to Level 1 trauma center.

Ok, here's the scenario:

Two vehicle MVC, head on collision. Vehicles are a Honda Civic & a RV, older style with the wooden frame.

As you roll up on scene, you notice that the RV has been splintered into a million pieces and your scene looks like a disaster zone. You are the first of three ALS trucks within two minutes to arrive on scene.

Total of six pt's.

Pt 1-Driver of the Civic, 20yo female, shoulder/lap restrained.

Pinned between the seat and the steering wheel. Vital signs fading. Responsive to painful stimuli.

Pt 2-Rear passenger of the Civic, 3yo female, appropriate child safety seat.

Severe trauma to the upper torso, head & neck. AMS, Vitals falling, Child is not responsive to any stimuli just staring into space.

Pt 3-Rear passenger of the Civic, 4yo female, appropriate restraint system.

Obvious deformity to R forearm. Vitals stable. Pt is screaming "bloody murder".

Pt 4-Driver of RV, 40yo male, ejected from the vehicle.

Noticeable road rash on posterior of the body, Vitals are weak, but maintaining for the moment. AMS, incoherent speech. Odor of ETOH suspected.

Pt 5-Front Passenger of RV, 35yo female found seated in passenger seat of RV. Unsure of restraint.

Pt AAOx4 c/o bilateral ankle pain. Obvious deformity to both ankles. Pt c/o no other pain. Vitals stable. Odor of ETOH suspected

Pt 6-Rear Passenger of RV, 41yo male, unsure of restraint. Pt found within rear compartment of RV.

Pt AAO x person & time. Pt. c/o pain all over. Deformities to L thigh & L forearm. ETOH suspected. Pt vitals stable with exception of Hypotension and a narrowing pulse pressure.

Let's see how you'd work it.

You can't tell me that you walk in the room, slide someone on the stretcher and take them straight to the unit without even a hint of a basic assessment? When I say basic, I'm talking Focused History, initial vitals, O2 admin if necessary, initial assessment. This is along the lines of our local SOP's. The only time I would rush any of the initial is when I suspect the patient is crappier than they are presenting. You know, that gut feeling that this one is going to be CTD very soon.

lol...emtmoira, that would be a 10-54 and a 10-45 respectively.

It's my opinion that BASIC treatment be initialized on scene and escalated to ADVANCED treatment on the unit en route the hospital.