billy52 Posted August 2, 2008 Share Posted August 2, 2008 What would you do in a situation where the Sr EMT did not perform a BVM on a patient when one should have been performed. What about further consequence, could the city be liable? Link to comment Share on other sites More sharing options...
chbare Posted August 2, 2008 Share Posted August 2, 2008 Need a bit more to go on. What was the situation, patient condition, history, and outcome of the call? Why did the provider in question feel that BVM ventilation was not required? Why do you feel the procedure was required? Take care, chbare. Link to comment Share on other sites More sharing options...
billy52 Posted August 2, 2008 Author Share Posted August 2, 2008 SR EMT did not perform the BVM even though she was having breathing difficulty. Patient made it to the hospital but needed CPR upon arrival. Sr was afraid of what to put in their report. Outcome of patient unknown. Link to comment Share on other sites More sharing options...
streetsurgeon Posted August 2, 2008 Share Posted August 2, 2008 would still need a little more backround on the call. you stated pt with breathing diff. but then you had to start cpr at the hospital.. sounds like there was more to it than breating diff..could you elaborate? Link to comment Share on other sites More sharing options...
billy52 Posted August 2, 2008 Author Share Posted August 2, 2008 alright heres the whole scenario: the patient was a lady in her 70's she had tacypnea, she had previously had hip surgery. weak short of breath, the paramedic put her on a nonrebreather. the EMT offered an IV bag but the paramedic said they didn't need it, he also said it was non emergency traffic. 50 minutes into transport paramedic changes it to emergency. they arrived 7 minutes later and pulled the patient out. she was unconscious, had nonrebreather on, and no IV. they pulled her out of the ambulance doing one handed chest compressions forgetting the BVM. Link to comment Share on other sites More sharing options...
AnthonyM83 Posted August 2, 2008 Share Posted August 2, 2008 How long exactly had she been in cardiac arrest from the time they pulled her out? Link to comment Share on other sites More sharing options...
billy52 Posted August 2, 2008 Author Share Posted August 2, 2008 she had been in cardiac arrest for 1 minute Link to comment Share on other sites More sharing options...
AnthonyM83 Posted August 2, 2008 Share Posted August 2, 2008 How many team members were in the back of the ambulance? How long does it take to open a cabinet, get a BVM, unwrap/disentangle/assemble it in your units? Was there any other equipment they were carrying out? Link to comment Share on other sites More sharing options...
firedoc5 Posted August 2, 2008 Share Posted August 2, 2008 So, did she stop breathing and/ or became unresponsive just prior to arrival or just as unloading her? What was her original chief complaint, SOB, general weakness, hip pain, all the above? If she was tachypneic, what was the rate and quality of her respirations? What were her changes to make the paramedic think it had became an emergency? IV may have been called for by the paramedic earlier, but being the Sr., that was his call. Just a side note, I could be wrong, but, is this Shane? Link to comment Share on other sites More sharing options...
Arizonaffcep Posted August 29, 2008 Share Posted August 29, 2008 Aren't PE's fun? Link to comment Share on other sites More sharing options...
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