MAC4NH
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As well in regards to my posts abut headaches, my intent was most headaches are "blown off" when in fact, they could be life threatening. BLS providers are not adeuately trained to determine if it is life threatning or not. Rarely, I ever see a physician that does not perform a whole work up on a "worst H/A ever" complaint. It only takes once .. and they won't do that again.
So how can an ALS provider in the field determine if it's life threatening or not it if the physician needs to do a full workup? Sounds like ABC's and prompt transport are the solution. In an area where there are long transport times, I agree that ALS would be better in case the patient crashed. In an urban area, there's not that much more an ALS provider can do for the patient than a BLS provider. BTW, in my system, a headache not accompanied by AMS is a BLS dispatch. And no, we don't blow them off, even if we do think it's BS.