Search results

  1. Tigger

    Your Controversial EMS-Related Opinion

    Yea, it’s different. That’s the point. There isn’t a viable comparison, so don’t make one.
  2. Tigger

    Your Controversial EMS-Related Opinion

    Most emergency medicine providers of any level have zero business comparing their skill set with anesthesia.
  3. Tigger

    Your Controversial EMS-Related Opinion

    Nearly every (I’d say all but don’t know this to be fact) piece of research regarding video scope and bougie use shows vast improvement over a stylette and DL, with the improvements even more well seen with the “occasional intubators” like EMS and many EDs.
  4. Tigger

    Your Controversial EMS-Related Opinion

    And yet little in the way of research supports this.
  5. Tigger

    Ambulances held hostage

    They are registered as agency specific EMS arrivals when we take them out front as well. Every report I write needs an MRN documented as well. Also of note, one of our receivings is out of staffed beds and has been for days. And now they’re closed to ambulance traffic which seems appropriate...
  6. Tigger

    Ambulances held hostage

    I guess I don't see how a signature fixes any of these issue. Lazy people are also likely to be lazy about documentation and falsify or otherwise manipulate such procedures. Maybe it's different with Epic and RFID badges, but there's really nothing to stop people from falsifying these...
  7. Tigger

    Ambulances held hostage

    I document their full name, title, and signature. All of which could be falsified too, if you really want to play that game. My point is that there really is no more burden on the hospital itself for putting a BLS patient in the waiting room than having them sit on the stretcher in the hallway...
  8. Tigger

    My Facility has no Training Officer....don't want to go "inactive"

    Some refresher education providers also offer a skills verification (that is separate from the class) that might fit your needs?
  9. Tigger

    Ambulances held hostage

    Is there any need to prove this? I document who I turned the patient over and what location that occurred at. Not sure how an RN scribbling on the tablet would change anything.
  10. Tigger

    Ambulances held hostage

    The patient signs for themself. We don’t require a receiving signature nor has any agency I’ve ever worked for unless the patient is altered or otherwise unable to sign. I’m not suggesting just dumping the patient in the waiting room and dipping out. But where is the burden of giving the...
  11. Tigger

    Ambulances held hostage

    Absurd. Charge nurses here will ask over the radio if the patient can just go straight to triage even if there are open beds. We take people out to six hour waits all the time.
  12. Tigger

    Ambulances held hostage

    It is unclear to me what the solution is though, this seems like a very entrenched problem in some areas and you can be sure those facilities don't think they're violating in laws. Do people really hold the wall with BLS patients? I can't imagine how the hospital could prevent you from taking...
  13. Tigger

    Ambulances held hostage

    It’s intriguing that this is also such a regional problem. There are some areas of this country where holding the wall is commonplace and others where it never happens. What gives? I’m very appreciative to work in a place where I’ve truly never waited with a patient longer than the time it...
  14. Tigger

    New Orleans EMS Loses Director...Again?

    I don’t think organizational leadership is a tenet of medical school. Leadership and clinical ability are separate things. And why does the physician need have final authority on operational matters?
  15. Tigger

    Attitude.

    I left my last job in part because this attitude is so pervasive. But I could never figure it’s source, just that management often stoked it for whatever reason. A lot of the “senior” employees were just unpleasant to be around and wore their salt like some kind of honor belt. I guess new people...
  16. Tigger

    12 lead placement

    Physio wants you to put the limb leads somewhere on the limbs for the 12 lead. Hospital device might be different. Sometimes limb anatomy or tremors makes this less practical and I’ll put the leads on the torso. Would rather have an EKG that I can read 🤷‍♂️ . Also for rate monitoring I’ll put...
  17. Tigger

    the 100% directionless thread

    If you're service or hospital uses PAPRs I'd appreciate a DM!
  18. Tigger

    Avive 4 minute city

    This does not replace any part of a “normal” 911 response to a cardiac arrest.
  19. Tigger

    Pediatric Drowning Airway Management

    Well we don't intubate children as was in the original post sooo...
  20. Tigger

    Your Controversial EMS-Related Opinion

    It has improved it. Video based training has forced the training division to create videos and easily post reference materials that exist in perpetuity.

Top