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Are there contradictions for ASA? Or is our protocol just particularly strict?

I'm a knife coming to a gun fight, but... Did the husband see what immediately happened before he saw her stumble down the stairs? (Any indications to rule in/out trauma?) I'd of course have ALS and an ambulance coming emergent, originally give oral glucose if there was a gag reflex... and...

I was obviously on the BLS side of this but want to better understand that the ALS practitioner does, and why. BLS: 40 y.o F (athlete) pt presents to aid station before race asking for a blood pressure check because she feels "unusual." The BP turns out to be 160/100. This reading concerns...

Perhaps add in a central insurance collection point. Let's say an ambulance ride costs $1000. There are ten rides given. The exchange bills all patients but only receives $6000. Each of the transporting ambulances then gets paid $600. So essentially, the incentive becomes the same to...

I find these things very annoying. I'd much rather carry a backpack and set it down on scene than look like I'm fixing a wedgie while I'm trying to find you a band aid.

My understanding is that the demand for blood is way down because hospitals now have a way to keep the same packet viable for longer. However, this is admittedly imprecise information so if someone can explain that it'd be great.

I was just trying to think of a non-neurological but definitely trauma situation for the sake of the discussion. Although now that you bring it up... at a demo I once had the pleasure of playing around with some of those tourniquets that attach to the torso and can cut off circulation to a...

I'm a rookie here and don't usually engage in transport of patients, but if I were in this situation, here are my thoughts: 1. Time permitting, call medical control if there is a doubt. 2. Does this patient need the neurological capability? I could be mistaken, but for a patient with an...

Very good point.

A Siri-like artificial intelligence tool that can overhear your conversation with the patient and automatically start filling out the patient care report. Since I often work semi tough to access areas, something on top of Google maps that would suggest the best way to get an ambulance to our...

Event medical groups vary widely in quality. (I largely do events and have settled in group I like). A good question to ask yourself is whether it seems your safety and wellbeing is the top priority of the group. Asking you to get your own insurance is a red flag to me.

I'm now getting very confused on what an NPA can and cannot do. For some reason I thought it wouldn't help with the tongue problem.

I'd argue that there is always the ethical duty to act.

My first time overseeing a special event, I said something stupid: "Attention all teams, security is responding to report of a fight near the entrance, please shelter in place and return to base immediately. Standby for roll call. Team 1 ..." The question then became... should they shelter in...

I have heard issues of ALS providers becoming incompetent at the high risk skills (intubation etc) because many of their calls do not require those interventions. That is what changed my thinking from "more is always better." Would it not be better to train EMTs on better assessments and have...

Around the neck to control epistaxis. :)

I like that.

The tough one is RR. For pulse, you can just have your partner shake hands with the pt after you and not let go for a minute while you talk as if this isn't weird. Getting a good RR without making the pt alter her breathing is tough.

Aren't flight programs supposed to ask whether any other flight program has turned down the mission due to weather, and if so, automatically reject?

I've actually taken interest in the laws surrounding this sort of stuff, although I am way over my head trying to make sense of them. In my area, as far as I can tell, you have a duty to stop and help, but Agency X pays the county for exclusive rights to emergent transports (read: billing), so...