nuEMSgurl

...if the first crew that attended the second patient stuck around a bit-like at a distance. Here, if it's not a big service, we can stick around a little bit-see if there might be anything else we observe that might help in the event that we do get to treat him after all. If it is a big service, you can just about forget the crew sticking around. My guess is that they probably didn't, but I could be wrong.

I've got a question related to it-what if you're riding with multiple services? We used to only have one service that was contracted for ride time with our school until that service started their own paramedic training program and telling University students who had already been scheduled for ride time, "Oh, gee, I'm so sorry but one of our own absolutely has to have that truck! You'll just have to reschedule!' And the university student would reschedule and get, "Oh, gee, I'm so sorry but one of our own is has to have that truck! You'll just have to reschedule!" In other words, it's a good ol' boy system where if you're not one of "us," good luck. Finally, someone at the University told them that if they didn't shape up, we'd be allowed to ride with other services. Well, they didn't shape up so they got permission for us to ride with other services. Got any advice on how I should conduct myself and memorizing protocol in that situation?

The fact that we have to get a second unit to transport the patient may be confusing in that the medic from the responding unit is the one who spoke to the supervisor. When we asked the medic what the supervisor was getting onto us for and he said it was for nothing but a bunch of crap, that's all we got out of that medic. He never would tell us what the supervisor said. I said some things that came across as rude, and for that, I am sorry. I'm not excusing my behavior, but I've been through some agency downsizing four times in the past year, and I'm hurting. I'm not posting anything more on this thread. You can think what you want.

I gave every detail I could about the call. I asked the medic who spoke to the supervisor what the supervisor said, and all he said was that the supervisor was getting on to us for nothing. He did not say what he meant by nothing, so I cannot tell you what it was he was getting on to us for. You need to keep in mind when we work the motorcross, we are a dedicated unit. We can't haul patients to the hospital, we have to call a second unit to do that. Once the second unit arrives, the paramedic on that unit is in charge. In other words, YES I was there. That radio I held in my hand was real, that arm I helped stabilize was real. Now, is there anything else you do not understand?

Here's what I did say, with the only changes being what's in bold. That and I cut out the previous paragraph as it did not pertain to what I'm trying to say. So cut me some slack, please! How many times do I need to say I'm sorry?

From my previous post "and I don't mean to come across as angry or cocky, and I am sorry for that." Enough has been said about me needing to take a chill pill. I've already been called on that and it shouldn't happen again. I'm normally not that way. :wink:

Let me clarify some things...first off, I know that the bulk of this is basic knowledge but my partner is wanting to know if she missed something, and she is a paramedic, and I'm in paramedic school right now so I'd like to know the same thing. BLS may not cover everything (if anything) that she missed. For instance, someone with BLS knowledge would know how to splint and what local protocols would be, but they may or may not know what IV fluids or medications to use, if any. Second, I don't like it when I give all the information that I have and people say that the information is not complete. It's not anything personal, and I don't mean to come across as angry or cocky, and I am sorry for that. Finally, I am frustrated about some other things that are going on in our service right now...this event just made it worse.

It's in the ALS section because we're an ALS service...I'm the EMT, my partner is the paramedic and my partner also wants to know if she missed something...got it? As for more complete information, I can't give you that. All I can tell you is that there was a second medic on the scene who spoke to the supervisor and he said that all the supervisor did was chew us out for nothing. Now do you understand that when I say that's the most complete information I can give you, THAT'S IT, there's nothing more I can give you? Sorry, but I'm the type of person that gives everything I know offhand. If I don't know any more than that, I can't and won't give any more than that.

The information you have there is complete...all the sup did when we called him was tell us we couldn't do that. Splint was left on-taking it off would do more harm than good and as was stated earlier they could get us for negligence if we did.

You are serving as medical command at one of the largest Motorcross tournaments in your state and are called to the scene of a "biker down." On arrival, you see a 16 year old male lying on the track. He is alert and oriented to time and place and tells you that he only fell off of his bike, and based on his location and time that he had not gone through any jumps (again, no great fall). However, you note that he is not moving his left arm, which is rotated at the elbow. You ask both him and his father if he is to be transported via ambulance. Both say yes. Your state is a "you call. we haul" state, so if they call 911 for anything from a tick bite to a cardiac arrest, if they say that they want an ambulance to take them, you take them. Your partner proceeds to splint the elbow while you contact dispatch, request the second unit to respond, and establish communication with that unit while it is en route. The second unit arrives within six minutes of your call. They load the patient onto the cot, but just before they put him in the ambulance, he changes his mind and decides to go to the hospital by car. Your partner verifies that they DO NOT want the ambulance and informs the patient that they can do some things en route (ie, IV establishment). You notify dispatch so that they can notify the hospital that he is coming by car. At that point, your supervisor gets on the radio and asks if you rendered any treatment. You state that you splinted him. Your supervisor says that you can't do that and orders you to call him immediately. Was there anything that your crew missed? What reasons would the supervisor have for his reaction?