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All right, I think we are getting a little far off from the center point of this debate. Just to add, I am enjoying all the different points of view. There seems to be a lot of focus on how far the patient was transported. Let's step away from that and look at just the patient and the MOI. 8...

Thanks bid, I had been looking through the protocols to find an answer.

*wait for a need for an ALS intervention. Also, I understand this call was 2 min for the hospital, I am responding to you saying that even 15 mins away, it wouldn't make a difference to you

So you wouldn't put a large bore IV in this patient? 15 min away and you wouldn't even place an IV? 8 months pregnant, severe abd pain, unrestrained head on collision, and you wouldn't even place an IV?!? What happens when that pain she is having is her placenta tearing from the uterine wall and...

I stand by what I said, the mechanism of injury and high risk OB factors makes this patient an ALS patient. Any paramedic that would push a patient on their BLS partner who isn't comfortable taking the patient is a bad partner. Everyone justifies this as a BLS patient because of the transport...

0-2mins Paramedic-EKG, IO, Epi Basic-compressions 2-4mins Paramedic-compressions Basic-OPA,15 lpm via NRB, set up remaining Epi's, CBG 4-6mins Paramedic-Epi, Medical History, Events leading to arrest Basic-compressions 6-8mins Paramedic-compressions Basic-Set up advanced airway, setup amio...

I see your point, at the company I'm at now I would have to document it as ALS per our assessment protocols, but other places it could be documented as BLS

At my company, the mechanism of injury and the high risk OB makes this an ALS patient irregardless of the transport distance. Also, the OP seemed very uncomfortable taking this pt in the first place, that right there make his paramedic partner very irresponsible and a poor excuse for a medic

We do have different protocols for drowning and respiratory arrest. Once respiratory arrest causes cardiac arrest, we go with our CPR-HD protocol. I'll type up the algorithm so everyone can see the system

I agree in this instance "load and go" was the best course of action. However, unlike many medics on here, I would not have given this call to my BLS partner. He has been a Basic for several years and is fantastic at his job, but this patient is an ALS patient all the way. Now, with such a short...

Really the best thing you can do for your pt is to treat them just like you treat any chest pain/cardiac pt. I understand the need for 12-lead to make a transport decision, but knowing if it's a true STEMI or not shouldn't change your treatment. So, treat for chest pain(ASA, Nitro, Morphine and...

Here is our CPR-HD algorithm, every two min compressions are swapped between the paramedic and basic, the one not doing compressions has specific tasks.

We refer to it as CPR-HD. I have heard of CCR and believe it is very similar. Every pt, no matter what the rhythm, gets an advanced airway after 8 min. After working the patient for 20 min, we make a transport decision based on certain factors. The main factors are age and what rhythm the...

Has anyone heard of this type of CPR? The company I am currently working for uses this CPR algorithm for cardiac arrest patients. It's standard ACLS with the exception of bagging the pt. Our system involves placing a NRB at 15 lpm on the pt and performing compressions. We stop compressions for 5...

We have a service here in Houston that allows non medical drivers, but only as a volunteer. Really the only way you are going to get a job is to get your EMT