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If he was mentally competent, what right does EMS have to tell someone what they can or cannot due prior to entering the ambulance?

Maybe you could suggest to your admin that they supply you guys with disposable gowns on your ambulances.

Like I said, I agree that they are not practical for EMS, nor does there seem to be a tremendous need for them in our setting. The challenges to actually performing them, and performing them correctly, however, seem to have more to do with us than anything else.

I must have misunderstood what he meant by "feasible"; I would agree with your definition.

Can you tell me in what way you find it unfeasible? I'm not saying it isn't impractical, or that it isn't less than ideal, only that it's not physically impossible to accomplish it adequately with the proper tools, time, and training. Thanks.

I think it's perfectly feasible for paramedics to place central lines in a sterile manner, even in the back of an ambulance... I just don't see a great need for it.

I'll echo Mycrofft's statement in saying that the safest and probably best thing for the patient is for us to perform our interventions on scene and THEN transport. Slow is smooth, smooth is fast. Treat, stabilize if necessary, package, move to ambulance, repackage PRN (grab that extra blanket...

As a current CP student, I found the responses to this thread interesting to read. A lot of good ideas, critiques, and observations. As part of my program, we have to develop an assessment of our own communities and determine the gaps in the local health care system and how a community...

My preceptors nicknamed me Bieber or "Biebs" during my internship because of my appearance and my hair (and my first name). To this day they still call me it.

I'll put patients with minor complaints in the captain's chair and walk them in.

I'll grant you the first two, but you don't need a monitor to diagnose tension pneumothorax and if someone's in arrest due to pericardial tamponade, you probably won't be able to evacuate it (unless you're one of those rare systems with pericardiocentesis available to them) and transporting...

I wouldn't disagree with getting more info. I don't disagree. There's indications of trauma, more info would be helpful. There's a difference between "blowing off" protocols and recognizing when they do not fit the situation and it's time to do what's best for the patient based on the...

Maybe you can give a better description of what this "dirtbike accident" consisted of? Was the patient ejected? Run over? Something else? Preceding symptoms? What were the assessment findings?

Cardiac arrest following a traumatic mechanism isn't a clear presentation? I don't follow what you're getting at... Are you saying that trauma must be external and visible for us to base our triage/treatment on it? What is an asystole strip going to tell you that you can't see for yourself...

Everything sounds good so far. No need to waste a chopper on a patient that has basically zero chance of survival. Don't know what your policy is, but once we have a patient in the back of the truck if we terminate we're out of service until the coroner arrives. Sounds like the EMT in question...

This.

Sorry, didn't mean to sidetrack the thread. But real quick, how can you justify applying a treatment which is not beneficial and potentially harmful to the majority of patients "when in doubt", as opposed to catering to the most common etiology when the cause of the particular patient's...

Not at all. I advocate ending this obsession with treating all cardiac arrests as if they were the same and to start treating cardiac arrests with the most appropriate care for whatever etiology can be most likely attributed to them. And if we are going to have any particular treatment as our...

Aw, let's not do that! :) Yes, that is an impressive variety of etiologies, however all of those together still comprise the vast minority of total cardiac arrests. What is the point you are trying to make? What else would you suggest doing? Besides defibrillation, I mean. You find it one...

Gracias. I was addressing adult patients suffering from cardiac arrest in all my previous posts, for clarification.