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How about you teach your dispatchers to properly schedule patients and not lie to them over and over and over first(oh were 10minutes out, oh were 30 minutes out, when in reality they were never even on the board to begin with)before you introduce a new method...Ive talked to a couple...

I like that video, but why are they going code 3 with a stable patient? Same with Episode 4. Patient complains of Dizziness in Ep 4, paramedic says hes very stable yet transports him code 3.

Let's just say it's one of those cities :) Great friendly medics, but when the same units go to a stubbed toe as a heart attack/arrest, therein lies a problem

Oh believe me, I'm not advocating every FF should be a medic in the city(Im sure my property tax and ambulance bill would go up too if that happened). I do think we need more BLS providers, but another reason is there is only 2 ambulances in the city to transport patients, and my best guess...

Although I would like to see P/B trucks, I like ALS on the rigs because the calls everyday in this city are high acuity. There are probably 6 nursing homes, 3 urgent cares and 1 hospital(stemi, neuro and trauma transfers) that FD gets called to a lot, so they do need some paramedics in the...

I think P/B trucks would be great. I don't work for my local FD, but because we are in LA County, in order to be ALS you have to have 2 medics on the ambulance(only exception for a P/B is an IFT ambulance if you apply for a waiver from the EMS agency). Our FD has 2 medics on each ambulance and a...

They did although it was 3 days after his seizure and 18hrs after he woke up. It showed some calcification in some vessels in the brain, but the neurologist who looked at it said it was somewhat normal given the age. I actually might be able to get some images from the CT and MRI and attach it...

Yup, when the Dr. called me at 6AM to tell me that, I was asking wtf it was cause I never heard of it. It was so weird to see my dad laying there scratching his nose and moving his hand and feet but not moving his eyes, able to hear us or talk.

BINGO! Although the hospitalist said it was: Posterior Reversible Encepholopathy Syndrome caused by the extreme blood pressure. I guess the RN 2 days before put that my dad refused his BP medications for 2 days, although he has never done that, cause the BP to go up. Although the doctor said he...

The K+ was the only elevated number, electrolyte wise. I can get the exact number soon, but the sodium, bicarb, lactate, aninon gap, WBC were all well within normal range. The only values that were not good was the Potassium. RBC and Hemoglobin were low, but its always been that way with the...

Pretty good guess, but negative. I will wait a couple hours for some more responses and tell everyone the diagnosis tonight. All I will say is even the Hospitalist told us he has not seen very many patients with the ending diagnosis.

Here is the labs right after he was admitted: Bicarb - 26.2 mmol/L Lactate - 0.8 mmol/L Also failed to mention WBC were 7 and no evidence of any infection.

I am going to tell a real life scenario that happened to my father and throughout the whole event, I was there to witness everything. You are dispatched to a seizure call in at 9:30AM. You arrive to a patient who is a 60yo male who has a history of AKA left leg, diabetes,ESRD, hypertension and...

Why are we giving Oxygen to a person with a level of 98% on RA?

Unfortunately no vents over here.

I would also think that the amount of people you have to help you and your distance to the hospital/trauma center makes a huge difference. If your used to having 3-4 medics/emt's on your ambulance able to assist, load and go because almost everything can be done enroute as you have plenty of...

Oh yea, I'm not saying stay on scene for 30 minutes trying to get an IV in after failing 4 times. I'm saying try once real fast and head out. What does it take you, 2 minutes to get an IV in? Delaying 2 minutes is probably not going to do much harm and if you get the IV in great, will most...

EMS is not the coroner, so they should not transport deceased patients. Work on scene until ROSC or termination after efforts. The only exception that I see to this rule is drownings, electrocution and pediatrics(only because I have seen this a couple times in some protocols in SoCal). Now, if...

The goal is to alert people to CPR so they can help. The goal of the alert for structure fires and accidents is not for the people to help, it's just strictly to alert. Some agencies allow all calls to come through PulsePoint and like others have stated, some agencies only want CPR calls...