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RaceMedic

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Everything posted by RaceMedic

  1. ohhh come on i miss the old days of nitro paste on the toilet seat or lasix in the coffee .. LOL (not)
  2. KY under the door handles is funny as hell ... Just sayin
  3. Consider the person to have just been trained! and i do not mean by you but someone i am sure mentioned that if they would have complained of chest pain and they would get right in . Race
  4. HAHAHAHAHA.... exactly my point... He is calling me a hypocrite, so i was just demonstrating how we all are hypocrites Race
  5. Im not gonna flame ya, You called it when you said "That is my call for better or worse" I know many others would do the same thing and there is nothing wrong with your decision. Race *edit* The difference is you have the cojonies to stand up and say it in an open forum when the consensus has been to lean the other way thus far.
  6. Yes Mother, Juggs, and Speed is available but only on dvd not on streaming yet ...
  7. I agree that the "hazing" has in some cases gotten out of hand but you are in control of how far you take it. But i would like to mention that EMS is a family in and of itself no different than in the fire service or Law enforcement. there is and will be hard times given and arguments pranks and so on. DO not take it personally unless it is a personal attack. If you choose not to take part personally that is your choice. But please do not ( not saying that you have) pass judgement on those of that do. Race
  8. I admit my inexperience with Nipride, I am familiar just none of the services i have worked for used it that or i did not have the opportunity to use it. I was not referring to HEMS. Personally, I feel that HEMS has very little value in IFT where i am. we have one rotor in my area now that the company operating it has to create situations for it to be used. but to give you an idea, in my area we have 5 fixed wing and 1 rotor (soon to be two, unfortunately) in a 75 mile radius. Ground is the norm here for IFT unless they are extremely critical then they fly fixed wing. Rotors do not do scene flights here. they are to slow compared to ground and have nothing else to offer treatment wise over our ground protocols for emergent response. Just for a little background, My area is 4 - 5 hrs by ground or 1- 1 1/2 hr by air to the nearest level 1 trauma or full service cardiac care center with 24hr cath lab and/or cardio-thorasic surgeon. I know it is not the farthest from care or the most remote by comparison but i very seldom will refer to HEMS. It has its place just not where i am . ohh and i keep forgetting to add there are no level 2 or 3 trauma centers between the level one's and my area. in the spirit of your post (that had to point out to me, ) i will gracefully sit back on the sideline. Race
  9. AK, I am guessing that your IFT patient was fairly stable to begin with or you would have flown them out instead of driving ? At any rate, as you describe if your current patient condition i would have stopped and investigated to be sure that this is a current MVA and not something that had been worked and is awaiting the tow truck. On finding a patient, what is his condition? is he impaired? I have a duty to the person i am currently transporting so i want to know if this "new" patient is under the influence of anything (alcohol or stronger) before i decide if i am going to introduce him in to the back of my currently occupied ambulance. Just as s safety issue. Also as a side note, it would just be common courtesy to your IFT patient to ask their permission to bring the roll over patient in for transport (whether you decide to follow it or not). It also depends on the condition of the roll over victim. I have transported in a similar situation before. however the patient i picked up was (by my assessment) able to ride in the front seat of the ambulance. He was not charged for the ride and was taken to the hospital. I have also delayed my transport and waited at an accident scene providing treatment while waiting for a 911 unit from the area while my partner monitored the patient in the back ( we were medic medic crews then ) so it was easier. Race
  10. Rock, I used to work for Cypress Creek EMS. I have seen all of the "ambulance services" there when i was working. I had no idea what it was like though until i read the article i was emailed through EMS1. Crazyness down there. And it is not only ambulance services, it is the "clinics" and "Nursing homes" that are nothing more than a house in a residential area that someone decided they would house people or offer "therapeutic" day treatments of junk food and tv watching for psych patients or "delayed development" patients. After reading these articles its no wonder my flight service has such a hard time collecting form medicare... Race
  11. when i dropped them in the waiting area they were taken off the cot. We did not wait with them. No HIPPA, No EMTALA .. their condition just did not warrant a cut ahead in line. Race *edit* If they need to stay on the cot then they need to be in the ER not the waiting room/triage area... Just to clarify
  12. That sucks PCP, hope all is well with them and a speedy recovery. I have responded to one of my own Ambulances that rolled and transported my own crew... Keep us posted please Race
  13. How do you change your thing from like EMTCity Freshman to something else ? I want it changed to "Resident Hypocrite" ...
  14. It was as a show of faith, a demonstration from a previously vengeful God that had transitioned to a kind loving God after having leveled Sodom and Gomorrah, turning Lotts wife to a pillar of salt, destroying the earth in a flood... ect. The "Prophets" needed to sell a new revised edition of there God to please the masses. Hence the need for an always has been edited bible, and a new and old testament. Race
  15. Do what you think you have to do. I have admitted my hypocrisy and clearly stated what i do in the situation you stated. The only real answer here is to be more aware of whats going on and make sure everything is in place to prevent a mistake from happening. thus making this entire conversation a mute point. Race
  16. Well now that depends on the belief you follow. If your following the catholic faith and believe in the trinity ( father son and holy ghost being one in the same being) technically God sacrificed himself, there by committing ritualistic suicide. Yet Suicide is a mortal sin that can not be forgiven. This is a scenario i posed to my pastor during my confirmation interview. He had no response for me on this nor a couple other questions i had ... I didn't get confirmed...
  17. Yes i am a hypocrite, I also do not allow my daughters to do things i was allowed to do as a kid. I was allowed to drink alcohol at family functions, picnics, weddings ... ect. there is another example. I tell my patients they need to lose weight and cut out jink food, right after i scarfed down a quarter pounder, fries and a coke. I venture to say you have done the same ? How about smoking ? you smoke and tell your patients they need to quit ? I mentioned alcohol. Do you drink? you know thats bad for you. i bet you also tell people they need to not drink dont you? Where do you draw the line ? Call me a hypocrite, your right and i own it !!! Race Who said anything about killing anyone ? And i'm not looking for respect for anything. I do a job that's it. Never claimed to be a hero or a role model. You admitted you were wrong ... great happy for you. But do not confuse the complete withholding of information ( exactly what you did) with disclosing it through the proper channels ... Go back and re read my post i never said withhold information i said report it to the ER doc and to your director first. Race
  18. Yea i figured you were trolling ... I did not say not to disclose it. I said do it through proper channels. 1. If you lose your job over an honest mistake and you happen to be a great medic and huge asset to the medical field in general, your no longer of any use to anyone cause your no longer a medic with a huge mar on your record. Your one of those that runs through an accident scene to the patient aren't you ? 2. No one orders me to do a treatment or transport in a certain way unless they are going to take over patient care. supervisor or not. It is my patient i am the one responsible. 3. my report tells all. it is after all a binding legal document, even mistakes are documented by me. The people that need to know right then will know what has happened. Basically you are going to go in and add to a patients stress level possibly causing another health issue for your "moral obligation" to tell the truth right then and there ? In your "mistake" you lied to your partner about what happened in the truck with the lidocaine drip. Your really looking out for him aren't you ? You realize that he is as liable for what happens as you are ? Get off your moral high horse and join the rest of us in the real world. Think before you act. If your service is continually paying out 1 million dollar plus lawsuits cause you decide you made a mistake and need to come clean, how will the effect your services budget ? how many things will be cut from the budget line items like that new unit your service needs ? well one lawsuit and your stuck in the old one for another 5 yrs at least. then maybe the board decides that medics are too risky to have on staff and busts the service down to BLS only ? you just cost how many jobs and took away ALS coverage from your service area.. There is more at stake than your moral do goody have to be totally honest cause it makes me feel good about myself feelings. These are far off results but not out of the realm of possibility. That is why there are policy's and procedures in place for things that happen. good luck to you Race
  19. hmmmm call based pay is to unpredictable to really count on for income, especially in a rural service. You may go days with out a call. hard to make a living with out money. Supply and demand ... well i don't think that will work cause as a medic i want to work. If the rural service is paying more but still has no volume how do you keep skills? The busier city job is still more attractive do to actually getting to treat patients. Besides who is going to provide the money for a rural service to pay the medics ? In most cases where i am the really rural services are completely volly with an annual operating budget less than my "not so rural" services fuel budget. there county population is somewhere in the neighborhood of 10,000-15,000 people compared to my county of aprox. 60,000 people. Economics suck ass, but it is simple to see that the tax base that a county of 15,000 can not pay as much as a tax base of 60,000 ... and we are only 45 miles apart .Not to mention that very rural service may run in a busy year 200 calls as opposed to my services call volume of 3500 calls a yr .... can't pay with whats not there ... Damn wish the feds could figure that out .... Race *edit* The only union shop i worked in was in the metro area as soon as the union was voted out the pay and benefits increased exponentially. Im not a pro union worker...
  20. im going to take a chance here... stepping in to traffic... While i completely understand your feeliing the need for total full disclosure on mistakes but that is just not smart. The receiving Doctor will need to know what has and has not been done, mistake or not. He/She will need to know what to do to correct or reverse whats been done if needed as well as how to formulate his treatment plan regarding medicine interactions and so on. To totally disclose to the family and/or Patient you are committing career and financial suicide. Go ahead and tell the PT and family then go home and wait for the process servers to bring your subpena and phone call from the lawyers. Also going to the family with out first consulting your service director and/or medical director you may also be forfeiting legal backing and support from your service. If you do not follow procedures and policy of your department or service you will find yourself on your own with out a job, income or lawyer for defense of your actions in court. Also chances are no other lawyer is going to touch your case if your known for just taking things in to your own hands. This isn't the good ole days when you could say " i'm sorry i did blah blah, It was a mistake" and have the response " ohhh i understand its ok" and part ways with a handshake. The is a sue happy "ME First" generation. If they can take something from someone and not have to earn it themselves they will. If you don't believe it look at all the welfare fraud and system abuse thats happening everyday. Not to mention the mess in Houston TX with Medicare fraud. http://www.ems1.com/...ayers-millions/ I promise you that if you follow proper channels and disclose inforamtion to whom it needs to be disclosed to things will flow as they should. Yes you maybe punished, you may have to do follow-up training, you may still even lose your job. You also may protect yourself and your service from a needless lawsuit over something that may have been an honest and relatively harmless mistake. Look at your policies and if you can not find it ask your director. Race *edited cause something didn't make sense, not sure that it does now but what the hell*
  21. I PM'd you, no need to HiJack the thread any further. Race
  22. I think i need a change of scenery.... yes, yes i think thats the case !!!

  23. So far with what i have read, i was way off concerning EMS. The only mention of EMS systems are hospital based but then it still hasn't mentioned much. But i will keep reading... Race
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