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See above, the issue of doing a thorough assessment to minimize wasted time in the hospital now makes sense to me. My background is in Computer Science (with a splash of Economics thrown in there), so I tend to dissect things in terms of efficiency. Even assuming all calls were non-emergency...

Excellent point. No I did not mean waste of my time. I truly was looking at overall utilization of resources. You have convinced me that a good assessment is worth the time because of the savings on the other end.

Being someone with a love of efficiency, the initial reaction was-- this is wasting a resource (the ambulance). If it's not an emergency, the sooner the patient can be handed off to someone else, the less time this unit spends unavailable for calls. But I totally get it from the patient care...

Some topics in other discussions reminded me of this. When I did my ride along with the ALS 911 provider, most of our calls would follow the same general format: fire is on scene, we get the patient from them, load into the ambulance, spend 15-20 minutes doing an assessment in the ambulance...

I'll take ownership of the SVT bit. He said VT with a pulse, and I'm the idiot who thought that meant SVT.

The exact logic of my colleague was to address a pulse-producing VT (such as SVT).

This is a bit of a game of telephone, because I'm recounting something I heard that happened and was curious about it. For the bottom line, if you assume that AED pads are a dime a dozen and that this wouldn't happen UNTIL an assessment, ASA, vitals, etc were done, would you ever want a BLS...

Correct.

Since this thread appears to have been resuscitated... I don't think it's that hard at all. A log in / log out procedure is what they used when my volunteer team and the fire department were jointly covering a large event. Team XYZ logging in, Team XYZ temporarily out of service, Team XYZ...

They administered 325 mg ASA chewed and oxygen for a low SpO2, as well as controlled for shock with a space blanket given the cold/wet weather they were in. After that they used the AED pads. It's not often that we get this type of call so neither myself nor our leadership was concerned with...

I was talking to a friend who recently ran a CP call. He turned on the AED and put the pads on, with the logic that if the pt went into VT he would want to shock before the pt lost consciousness. I was surprised because we're told specifically not to do that in EMT class. But upon talking to...

So, to clarify, is the proposal BLS privates and ALS fire ambulances? That isn't stated anywhere, but if both are the same level, why would the acuity of the call make a difference?

If you wear EMT pants, there should be a pocket big enough for your stethoscope that seals up pretty well.

I believe the trend is towards defining MCI in terms of being overwhelmed. Most things I have read have stated that the definition is purposefully ambiguous.

How about a freezer?

Isn't there universal donor blood?

I'm wandering in the wrong forum again, but curious about how ALS providers treat trauma. I was reading something about the recent trend not to bring trauma patients up to normal blood pressure, but rather to use intravenous fluids to keep the pressure around 80 mmHg. Presumably this is...

Ask all zombies that are able to walk to proceed to the yard and green tag themselves. :)

Isn't it a big joke on this forum how inaccurate such trusting is?

Any why only low acuity? If they're going to play with the privates, why not send any ambulance of the correct staffing (ALS or BLS) to the call?