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StreetDoc2426

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    http://www.louisvillemetroems.com/
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    Louisville KY

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  1. I live in Louisville Kentucky. The big rumor here is that AMR is wanting to bid into the 911 coverage here. Does anyone know of any truth to this? What is the service like to work for? Under the current 3rd service, municipality, employee's are in the state retirement system and they are union. Would AMR even be interested in a service like this??
  2. want to set yourself apart? pay your people UNBELIEVABLY well.
  3. ____________________________________________________ = Dead,,,,call the coroner, do your paperwork,,,clear. NEXT
  4. Never horked on scene, but i am terribly allergic to cats,,made a run where a lady had 68 cats,,,walked in and immediately began to wheeze up,,,told my partner to get the pt outside and i'd deal with her there,,,i can handle a few cats but 68 was an excessive exposure. Closest i came to tossing cookies,,,several years ago i worked for a private service that had the county coroners contract,,,baggin and taggin. The bodies never bothered me. I had learned little breathing tricks that kept u from smelling the stench of a real rotter. On one occasion tho, we went into a low rent apartment,,guy had been dead about 2 weeks and was lying on the couch,,,,we lie the bag on the floor next to him, unzip it and went to pick the guy up. He had molded to the cushions of the couch,,,we had to rock him back and forth several times to "break" him free. When he finally gave way, there was a bottle of Mad Dog 20/20 underneath him. I began laughing soo hard that i was breathing in that foul air and tasting that nastiness. I ran over to the window,,,still laughing and gagging at the same time with my head out the window. My partner walked over to me and asked what I was laughing at,,,,I pointed at the bottle of MD 20/20 and said "i knew that crap would kill somebody one day"
  5. We call them "Squirrels" here,,,(hence my avatar) Volunteer FF's are "Whacko's" and/or "Whacko ding-dings"
  6. This thread was inspired by the "hurricane" thread, which ak had already locked. I was surprised to read peoples posts about how odd it would be to intubate a conscious patient. We routinely employ nasotracheal intubation in conscious pt's in severe respiratory distress, as well as the unconscious "but breathing" people who wont arouse with pressure points, ammonia, etc as a means of protecting the airway from aspiration. In short, I've hosed my share of drunks. This year I've dropped 6 so far,,,think imma try to keep a running count this year. Just wanted to see if others do this as well?
  7. 1. yes it is, the sooner you accept it, the better off you'll be. Its not all blood, guts and glory. 2. Not really, (this may change state to state), but here, they get 2 bills and then the transport is written off. Every ambulance provider in this state has to certify that they will transport patients on emergency calls, regardless of thier ability to pay, in order to recieve their license. (even the privates) 3. I will agree with you on this one, they do have the right to refuse, and, if oriented, I will allow them to do so after they have been fully advised and informed of the potential risks involved. Then i document accordingly. 4. Once again, not really, the abusers will be triaged and we will escort them to the waiting area where they will spend the better part of the day twiddling thier thumbs and watching CNN with the rest of BS that walks in. Most just get tired of waiting and leave. 5. I've made too many of these to remember,,however, there have been runs like this that I've made where the b/p has been OMG/Holy Chit batman, and they have recieved rapid transport to the hospital. We also get alot of "i just need you to check my sugar". I do get peeved when i have to drive across the county to get to a pt's house and there is a driveway full of cars, house full of family and they are a good golf swing away from the hospital. I've also seen a percieved routine headache call result in an previously undiagnosed brain tumor, a toothache=MI (pt confused tooth pain with jaw pain), and waaaay too many FDGB's result in head bleeds. All were transported. All im saying is dont get complacent, watch what take refusals on, document, document, document.
  8. 1st day of EMT class, you should learn that what constitutes an "emergency" to us and what constitutes an "emergency" to your patient may be two different things, regardless, your job is to take them to the hospital. We employ a strict "you call, we haul" policy and if a crew refused to take a pt to the hospital, they would be looking for another job. Aslo, you leave yourself wide open for lawsuits. That brings me to my second point, taking refusals. Personally, i try not to as much as humanly possible,,,i'll talk BS into going any day of the week,,,i just give the ride, dealing with it is the hospitals problem, and i've protected myself. Its all about CYA, The number 1 EMS related litigation involves crews taking refusals. I enjoy my house, my car and all the other neato chit i've accumulated over the years to just give it up to someone because i didnt do my job.
  9. our ambulances look like they could run a nascar race with all the frickin decals,,,they didnt spare a square inch of space,,,all stars of live and the service name, CAAS sticker,,yadda yadda yadda,,,,overkill to the max
  10. You "MOOO" at cows in the pasture through the PA You get a complaint called in on you for said Mooing You stash fishing poles in the Main O2 compartment You get a complaint called in on you for utilizing said fishing poles. Your response/transport is delayed due to cattle crossing You know all the Flight nurses, medics and pilots by name Your patients addresses are always "PO Box ###" or "Route ###" Every patient in thier 50's went to school with your parents. Every Patient in thier 30's went to school with You Every Pediatric patient goes to school with Your kids You've burned an entire shift up on a Meth Lab stand-by (im in kentucky) You've had to replace stock on the truck from Wal Mart You've actually treated a person for injuries they sustained while trying to ride a deer.
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