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Got sent to a fire station for a walk in. Upon arrival gentleman walks out and wants to go to Harborview. His chief complaint was his fake eye fell out and he needed someone to put it in for him. Nice enough guy, but didn't need a $1,000 ambo ride.

Its not that we can't do spo2. It is a Basic skill in this state. We do it when we arrive at the ER. However, in King County, the medical director believes in treating the patient and not the numbers. While it would be helpful to have a pulse ox, I can see where they are coming from. You...

The patient was being treated for Substance Abuse. Unfortunately I don't know what substance nor do I know how long since she last abused. That said I am unaware of any issue relating to Oxygenation that would cause Syncope with the exception of Hypoxia. Patient had all of her vital signs...

I prefer the map book. I can see a wider picture of the city than with a GPS. We don't have an "area" we have to know the entire city so a map book is very helpful. GPS is usefull for long distance trips like when we take patients to Montana.

I think you did a great job. Sure, other things could have possibly been done but you got her breathing again and got her to the hospital safely and alive. There are plenty of calls I have been on where I could have done things differently. Hindsight is always 20/20. Use every call as a learning...

Why did you go with a NPA? Were there any other sounds besides "diminshed"? Rales? History of CHF, pulmonary edema is a possibility isn't it? Can your service give paralytics and drop a tube? Could you have called medical control to get authorization to use CPAP?

Explain this clincally to me? Based on what I know Oxygen is used in a process called perfussion. When someone is perfusing normally, why should I give them extra Oxygen? What benefit am I providing to the patient for giving them extra oxygen when they are already at 100%? While I couldn't...

EMS is an ever evolving field and I am always trying to learn. My legal background has made it so I want to be able to justify my actions if ever questioned. I believe she did fracture her Clavicle. There was an obvious deformity upon palp, she screamed in pain upon palp and wanted to deck...

Dizziness can be caused by a lot of reasons, most of which O2 isn't going to help. I believe the dizziness was caused by her withdrawing from substance abuse and not a ground level fall. Since she was A&Ox4 and PERRL with no trauma to Head, Neck or Back, denying pain and no deformities upon palp...

I am a Basic so I don't do 12 leads. The vitals were all normal for her age (27). I don't remember exact numbers but BP was about 118 / 76, RR 14, PERRL, Lungs clear all fields, HR was mid 70's normal and strong. Skin was Pink, warm, dry with no diaphoresis. She was A&Ox4. Her walk was of...

No, I would have boarded her had we responded and she was still on the floor as that is what the protocol states for an unwitnessed fall. Sorry for the confusion. At the point we arrived she had been up walking around for quite sometime. I have no doubt she needed to be seen at the ER, but I...

I agree. I would have done the spinal precautions had we found her on the floor (protocol) but the fall had happened about 3 hours prior and she ambulated with assistance of staff to our gurney and had been walking around since. C-spine precautions were long out the window. The center is staffed...

Sorry I'm not a radio geek so I don't really understand all the terminology, lol. I do know that they are replacing the radios in all of our 100+ ambulances with digital and the hospitals are also upgrading. I hate giving Short reports, I prefer going to HMC because they don't require a...

So a couple of weeks ago I was with my FTO and we responded to an unwitnessed fall at a rehab center. The patient was a 20's female who stated that she woke up on the floor and did not know how she got there. Her only complaint was right shoulder pain and I did notice deformity to right clavical...

I think the HEAR radio is trunked as well and we do have access to the TRAUMA DOC and MEDIC DOC talk groups but as mentioned we aren't supposed to use them. I do enjoy listening to the MEDICs give their reports to Medical Control though. Quite informitive, especially when you see the Medic unit...

In Seattle we use a HEAR radio to give a short report to the ER. At the Basic level we don't have Medical Control, the Paramedics are our Medical Control so we don't need to worry about that. The medics use a HEAR radio to contact the appropriate medical control when needed. Pretty interesting...

I got problems with this. Just because its not an emergency doesn't mean he doesn't deserve an ambulance. Have you ever had hip pain? It can be excruitating to the point that a stretcher is the only comfortable and safe way to transport a patient. Just because there are cars and able bodied...

Considering Meth is an Amphetamine the only benefit I can see would be the vasoconstriction possibly slowing down the spread of the virus. On the flip side that would also slow the white blood cells from reaching the virus. Considering there are numerous LEGAL amphetamines I would assume that...

Not all "exciting fire calls" are exciting. They go to more BS then we do - we just transport their BS patients.

Im currently on FTO at my first 911 emt job. I am nervous but I am confident in my skills. Take one day at a time, pay attention and learn from not only your FTO's but also from the senior EMTs. For me personally its not my BLS skills that make me nervous, rather its the routine ePCR's and...