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I'd venture that someone calling 911 frequently for minor issues needs help. They may be lonely, depressed, have an undiagnosed medical condition, etc. And everybody truly deserves help. That's one of the things I like about EMS. Nobody is ever told "no." Sorry. Just my $0.02 on the ethics of...

If a service accepts Medicare, I'm sure there's a loophole where the president can order that payments not be made to services who don't pay their employees X or more.

I thought you weren't supposed to touch seizing patients? Although in status I would be concerned about breathing.

In my first responder class, there was a big explanation on "who's in charge," although I am not fully sure I understand it. My understanding is: -- The highest medical qualification is in charge. -- If medical qualifications are equal, the one with the ambulance is in charge.

I don't understand why this is better than-- 1. Sending (existing) engines as BLS first response 2. Adding more ALS ambulances.

Yes, right now I am in an event medical role.

Any tips on practicing? It's very difficult to come up with a realistic practice scenario. Things seem to move a lot faster in real life than in a scenario you watch or read through.

So something like this would suffice? "Hey guys, this is John, a 57 year old male complaining of chest pain. He walked here from the Starbucks and can't get up now. We got him on oxygen and gave him 324 of ASA PO. Here's his medical history and vitals."

There was a thread that touched on this earlier, but I'd appreciate some help with giving on scene handoff reports. (Handoff from a BLS first response unit to an ALS transporting unit). I find that on scene I get a little rushed or flustered so I either omit something or my handoff report comes...

Engine = 4 people? Rescue = 2 people? Ambulance = 2 people? Total = 8? I'm all for sending all resources needed to a call, but this seems like an odd setup. Why does the fire department send an engine and a rescue? Usually I understand they send an engine to take care of things until the...

Sorry my post was confusing. What I was saying was that the first time I rode with lights and sirens I was a bit startled, so I imagine a patient would certainly be.

Adrenaline and increased HR is negligible?

Is there any clinical significance to being scared out of your mind during a STEMI? My experience is exclusively in a first response role so when I did ride alongs, I found going backwards with lights and sirens very scary. Especially when you look out the back and realize you're on the wrong...

2 firefighters, 1 family member, you, the patient = 5 in the back? Could you actually get anything done?

Old thread, but I wanted to pose a particular scenario: You respond to a pedestrian struck by a motor vehicle. She is curled up on the sidewalk yelling (loudly but intelligibly). Visual assessment shows three large lacerations to the head. Under the assumption that you were going to C-spine...

The book is very useful for the tests and NREMT. Read it!

Tap dance on the sternum.

I love that we don't bill. (Although unfortunately the ALS will). It always brings a smile to someone when they try to hand you an insurance card and we tell them we don't collect from patients.

As I was taught, you can't go down, you can only go up. Otherwise it's abandonment. EMT can accept patient from EMR or EMT Paramedic can accept from EMR, EMT, or Paramedic Doctor can accept anyone because they're the "highest" There are several flaws in this (does nobody ever get discharged...

It certainly seems plausible to the untrained eye. Isn't nausea/vomiting among the side effects of a heart attack?