medicmafiaemt

i have worked rural ems all of my career and in my opinion if possible with pts stay and play now depending on how aggressive your protocols are and what your allowed to do you can do almost everything to a person that the ER will with the exception of a cath or other surgical procedure i know fibronilytics are making their presence known in EMS even in a area like MS where we are always behind the times and in CVA and STEMI calls these can be very very useful and can actually have a pt ready where when you get to the hospital they can roll straight into the cath lab or wherever. In my personal opinion and if it was me in rural EMS or urban EMS i would stay and play if possible. the bed habit has came into EMS that if a hospital is not far then it is ok to not treat your pt too many times have i seen pts roll in with nothing done because the crew was "just around the corner" this is no excuse, treat your pts and treat them right or find another job quit trying to come to work and do nothing to get paid if your incompetent brush up on your skills if your just lazy then fix the problem or get out you make us all look bad. off my soapbox now lol anyways yes i agree the stay and play method in rural EMS is the better choice if possible