Recent content by JPINFV

  1. JPINFV

    HIPAA

    Oh, you mean John Doe? Yea, I transported him last week... how's he doing?
  2. JPINFV

    Abd pain

    The CT scan that the senior resident threw on because something didn't feel right. Also with that hospital's patient population, patients are assumed to be meth positive until proven otherwise. We know he was meth positive because it became a, "Well, admit to surgery and pre-op labs." He was...
  3. JPINFV

    HIPAA

    On one hand, just don't mention names. On the other hand, I'm not sure anyone has ever been charged with a HIPAA violation for mentioning that they transported Mr Frequent Flier (who is well known to the service) again yesterday. Technically it's a violation, but it occurs all the time, everyplace.
  4. JPINFV

    Abd pain

    I had a patient who was coming in with sharp epigastric pain after eating a gas station burrito. He had an aortic aneurysm. Of course being meth positive could have contributed.
  5. JPINFV

    Medic dumps patient off gurney on purpose

    The paramedic too...
  6. JPINFV

    Psych Calls and Psych Pharms

    ...and what education do you have in medicine or psychology, or pharmacology? Are you a physician, psychologist, or pharmacist?
  7. JPINFV

    BVM and OPA question

    EMS: Must get ET tube in. Anesthesiologist: Air goes in, air goes out is more important than a PVC challenge.
  8. JPINFV

    BVM and OPA question

    One of the advantage of the bags on the anesthesiology machines is that they're flow inflated bags. No seal, no bag. Also, a good seal will induce a head tilt often anyways. You lift the face to the mask, not squish the mask to the face.
  9. JPINFV

    Question about HIPAA

    Loss leader. Also see hospitals taking medicare patients.
  10. JPINFV

    Airway Management

    Mistake? The resident just scored an extra chest tube (I kid...).
  11. JPINFV

    SD EMS wage protest.

    That doesn't make it less true. I can always post the hack jobs that the OC Fire Departments were releasing last year when OC was introducing private company paramedics. The press reports that the OC firefighters were releasing make Loose Change look sane.
  12. JPINFV

    The Ebola risk, does it really exist?

    On one hand, completely out of proportion. On the other hand, I think it did gear processes that should have been in place to begin with. MY hospital (county hospital, one of the busiest EDs in California, 12th largest county in the US by population, largest by land area) undertook a 2 day crash...
  13. JPINFV

    Preventing Patient Care. Because seat belts are so easy to release. Thoughts?

    In other news today, a conscious patient burned to death after the ambulance he was in was hit by a car and caught fire. Unfortunately, the patient was locked in using seat belts that wouldn't release, so he was unable to escape.
  14. JPINFV

    Mauran Ambulance Service (LA County)

    They're still around?
  15. JPINFV

    Airway Management

    At my hospital (I did a month on anesthesiology), the attending is present for all inductions and extubations. Additionally, the plan is discussed between the attending and the CRNA prior to each case. Outside of that, a lot of times the attendings sat in the break room, which includes a monitor...

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