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Happy Birthday!!

This is old guys. Already been threaded here several times.

Seems like some of our future docs watch just a tad bit too much TV! http://www.ems1.com/medical-clinical/articles/477974-ER-mistakes-blamed-on-medical-dramas

No, as a matter of fact that is another issue concerning the MSP HEMS system; they don't charge for any of their transports! Maryland taxpayers pick up the entire tab. The argument is that private HEMS can provide much of the transport service that MSP currently provides thus saving millions...

This is a good one! Maryland's shock trauma head, Dr. Thomas Scalea, is having kittens over the possible bill to delay the purchase of new helicopters so a commission can investigate emergency helicopter use in Maryland. He further stated that the delay could mean dispatchers may have to use...

Or perhaps the reporter got it wrong? They've been known to mis-quote from time to time.

Seems like there are several points raised as to why a city should not use a system similar to Houston. But, this program seems to be picking up more interest, especially due to the success of Richmond and Philadelphia's program. Cincinnati and Houston are just two more major cites to adopt this...

That may be. But, if you look at the Houston program, if an emergency is detected by the tele-nurse, the call is then transfered back to the 911 center. Seems like some thought was put in for safeguards. Perhaps, Richmond has the same?

This very topic was already discussed a couple months ago here: http://www.emtlife.com/showthread.php?t=10994&highlight=houston+nurses This is newer in concept and different than the Dallas debacle. This is a tele-nurse system whereas the Dallas program actually used nurses as dispatchers...

That's it.

I can't find anything that says she is guilty in a civil trial. The ruling in December from the California Supreme Court just rules that she is not immune from civil liability under California's Good Samaritan law; therefore, a civil liability suit can now proceed. This ruling is highly...

Couple points of order. I think you are referring to the recent California case whereby the courts have allowed a suit against a Good Samaritan to proceed. However, in this case, the Good Samaritan believed the car would burst into flames when in fact the car was not on fire at all. From what...

It's more common than you think! Here is a report to the Santa Rosa Fire Department that supports charging for fire department responses to medical calls. Look at the end of the report for a listing of other California fire departments that charge in addition to ambulance charges for the fire...

Here is a link to one of the articles that I discussed earlier. http://www.iowaapco.org/HIPAA.htm It's actually from an earlier article published by Page, Wolfberg and Wirth, LLC. However, in the article you will find what I was referring to earlier as an "incidental disclosure" whereby...

Yes, I'll dig this info back up again. It was a very good piece that really centered around what we call "HIPAA Hysteria", which I find quite common in my travels. You are correct about the transmission of data, but when HIPAA came to life, there were a ton of assumptions about dispatch centers...

HIPAA is very clear about not interfering with the care of a patient. For instance, in many areas it is common for dispatch to give out the patient's name to EMS responding to a call since in many rural areas that is the best way for crews to locate the residence. This was an actual example...

You shouldn't do it at all unless your employer clearly outlines in a policy format that scene photography of any kind is within the scope of your employment. Without any authorization from your employer, your best bet is to forget the MOI and evidence photography.

Your logic, although plausible in its intent, is exactly what is getting medics into trouble. If "documenting MOI is part of the job", then the EMS providers needs to put that in a policy format that clearly spells out just what MOI documentation will take place and the proper chain of custody...

Unless your employer has specific policies, guidelines, etc. as to the taking of scene photos, you shouldn't take one single image. Especially if you value your employment! I've authored numerous articles on this very subject including one that appeared in the July 2008 issue of JEMS magazine...

Noticing RielHalfBreed's avatar, it's no wonder why he is so passionate about tattoos.