Ultimate Rescue Rick POV

[EMTSTUDENT25]

You tubing this subject a minute ago, there are some intense displays of what people consider necessary. I mean wow, some of those cars have more lights then 2 rescue trucks combined! These volunteers must have some great day jobs!

 

[usafmedic45]

We run code 3 when we have a code

During transport? Why?

Right...around here we get about 4/10 cars that actually yield to us, and I'm in a rural system

That's about my experience as well.

 

[usafmedic45]

These volunteers must have some great day jobs!

If his chief sees those videos of the driving he posted, the guy who was the subject of the original videos posted on here will probably have more time to spend at that day job. LOL

 

[mcdonl]

During transport? Why?

Well, unlike the Internet we have SOP's that are determined by others. I do not make the rules, I just follow them.

And, there are some facts written somewhere about cardiac patients getting advanced care faster. And, even though where you live and in your service your lights and sirens do not do YOU any good, there is a whole world out there that is NOT YOU and others experiences, although inferior to YOURS may vary.

 

[usafmedic45]

During transport? Why?

Well, unlike the Internet we have SOP's that are determined by others. I do not make the rules, I just follow them.

No need to be snarky, it was just a simple question.

Same here with the exception that I used to help develop protocols. Your SOPs need to be updated so you can stop risking your necks transporting corpses. There's no benefit to transporting a cardiac arrest patient without ROSC off the scene unless you have a really good exception to the norm (hypothermia being the most common one).

 

[epipusher]

Driving hot to the hospital was and still is one of Dr. Bledsoe's many myths of EMS. http://www.emsworld.com/publication/article.jsp?pubId=1&id=2027

 

[mcdonl]

[Your SOPs need to be updated so you can stop risking your necks transporting corpses.

Your still hung up on the speed aspect of things. Sure, lights and sirens can cause some people to panic, and potentially cause an accident, but where we live L&S used as a means to alter the traffic flow works. It may not work for you, but it works for us. So, we do it. And, our SOP's give us certain times (Codes, Intercept Requests, etc.....) when we MUST go Code 3, but we rarely would ever need to alter our speed, the speed limit is already 45-55 for all of the transport except where we hit towns and cities, in which case getting through traffic is important.

Maybe it is because we live in a place where we get snow, so our roads are wider... maybe it is because we live in an area with a lot of land so there is not much parking on the roads... for whatever reason, in my short three years driving rescue I have NEVER had a vehicle fail to yield to me.

 

[mcdonl]

Driving hot to the hospital was and still is one of Dr. Bledsoe's many myths of EMS. http://www.emsworld.com/publication/article.jsp?pubId=1&id=2027

Who cares? Pick a topic, and you will find differences in opinion. I am not saying that anyone on here is doing anything wrong by not going Code 3 to the hospital, but it seems like the crowd who has drank the Bledsoe Koolaid seems to think that those of us who DO get benefit from it are wrong.

 

[usafmedic45]

Your still hung up on the speed aspect of things.

No, I'm "hung up" on the increased risks associated with code 3 operations. It's well documented and not just my opinion. I'm also "hung up" on the multiple studies that show effectively no difference between paramedic treatment on scene and then pronouncement versus field treatment and then transport to the hospital.

It may not work for you, but it works for us.

Does it? Who is it benefiting?

Maybe it is because we live in a place where we get snow, so our roads are wider... maybe it is because we live in an area with a lot of land so there is not much parking on the roads... for whatever reason, in my short three years driving rescue I have NEVER had a vehicle fail to yield to me.

n=1

I know you don't like me, but I'm just trying to get you to think beyond "Well, our protocols say....". There's nothing wrong with that. If you want to be a robot, fine, but don't get on my case when I question the approaches that you take because they deviate significantly from how the progressive side of EMS operates and thinks.

 

[epipusher]

:beerchug:
I'm Mr. Protocol's, so lucky for me ours are medic discretion

 

[usafmedic45]

Who cares? Pick a topic, and you will find differences in opinion. I am not saying that anyone on here is doing anything wrong by not going Code 3 to the hospital, but it seems like the crowd who has drank the Bledsoe Koolaid seems to think that those of us who DO get benefit from it are wrong.

LOL Then you need to show us the data. Welcome to medicine as a branch of science and not a form of mystical voodoo.

If you don't want to believe Bledsoe, how about taking a look at:
CODE 3 Responses


Merlin MA, Baldino KT, Lehrfeld DP, Linger M, Lustiger E, Cascio A, Ohman-Strickland P, Dossantos F. Use of a limited lights and siren protocol in the prehospital setting vs standard usage. Am J Emerg Med. 2011 May 11.


Transport of Cardiac Arrest

Millin MG, Khandker SR, Malki A. Termination of Resuscitation of Nontraumatic Cardiopulmonary Arrest: Resource Document for the National Association of EMS Physicians Position Statement. Prehosp Emerg Care. 2011 Oct-Dec;15(4):547-54. Epub 2011 Aug 15.

...or any of the other multiple studies on the subjects at hand

 

[looker]

If a vehicle is equipped with proper emergency lights i will get out of its way. Otherwise he/she can sit behind me till they can safely pass me.

 

[mcdonl]

LOL Then you need to show us the data. Welcome to medicine as a branch of science and not a form of mystical voodoo.

If you don't want to believe Bledsoe, how about taking a look at:
CODE 3 Responses


Merlin MA, Baldino KT, Lehrfeld DP, Linger M, Lustiger E, Cascio A, Ohman-Strickland P, Dossantos F. Use of a limited lights and siren protocol in the prehospital setting vs standard usage. Am J Emerg Med. 2011 May 11.


Transport of Cardiac Arrest

Millin MG, Khandker SR, Malki A. Termination of Resuscitation of Nontraumatic Cardiopulmonary Arrest: Resource Document for the National Association of EMS Physicians Position Statement. Prehosp Emerg Care. 2011 Oct-Dec;15(4):547-54. Epub 2011 Aug 15.

...or any of the other multiple studies on the subjects at hand

Not talking about medicine, talking about vehicle operations. But, you clearly have displayed that you have no ability to see anyone elses opinion.

I on the other hand see your side of the argument, and get it. I just also know that in some environments vehicle operations differ and there are pro's and con's and the con's do not always out weigh the pro's. No since arguing with someone like you, it is pointless and no fun. This got boring.

 

[usafmedic45]

Not talking about medicine, talking about vehicle operations.

When you're talking about using a vehicle to effect patient care, you are talking about medicine. It's just like how the debate on whether to go by air or ground is based largely on the demonstrated lack of benefit to aeromedical transport in most areas (Maine actually being one of the exceptions for the most part).

Not talking about medicine, talking about vehicle operations. But, you clearly have displayed that you have no ability to see anyone elses opinion.

No, if I didn't see that you have a point, I would have simply called you an sincerely ignorant fool and been done with it. However, I am trying to have an intellectual discussion with you and yet you can't come up with a better response than:

No since arguing with someone like you, it is pointless and no fun. This got boring.

Bring up something to back up your contention other than "in my experience" and it wouldn't be so boring. You basically sank your own ship on this one by not being able to effectively defend your stance other than by trying to attack my credibility. That's not an incredibly professional way of handling when a colleague tells you that you might want to think about something. Thinking about it doesn't simply mean feeding it through the strainer to pick out the bits that fit with your own stance and then claim you were right all along.

 

[HotelCo]

Looks like the person with the POV is a member here. The videos are down now.

 

[usalsfyre]

Bring up something to back up your contention other than "in my experience" and it wouldn't be so boring. You basically sank your own ship on this one by not being able to effectively defend your stance other than by trying to attack my credibility. That's not an incredibly professional way of handling when a colleague tells you that you might want to think about something. Thinking about it doesn't simply mean feeding it through the strainer to pick out the bits that fit with your own stance and then claim you were right all along.

This is another illustration of the battle EMS faces to become part of mainstream medicine. Mcdonl, not trying to pick on you, but the thinking you display (my anecdotal experience trumps all other evidence) is one of the reasons other health professions look at us and laugh.

 

[Chimpie]

I really could care less if someone spends a lot of money on lights, but this is crazy:

[youtube]http://www.youtube.com/watch?v=DHkLn4gdzHM[/youtube]

 

[ArcticKat]

I really could care less if someone spends a lot of money on lights, but this is crazy:

I think he broke his camera with all that flashing contrast.

 

[PotatoMedic]

I really could care less if someone spends a lot of money on lights, but this is crazy:

I wonder what is worth more... the truck or the lights? :wacko:

 

[Cup of Joe]

I think NY really needs to rid themselves of the blue light laws. They should have an outright ban on courtesy lights on personal vehicles while they are moving. All they do is give some people the idea that they are better than everyone, above the law, and have the "right" to drive unsafely to put the public, and themselves at danger.

However, if they are closer to the emergency in their POV, and are permitted by local protocols, i think volunteers should be allowed blue lights on their POV only to be used when the vehicle is parked on scene to increase scene visibility and safety.