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We see RT's on PICU/NICU transport teams and on private ambulance companies. The ones on private ambulance companies pretty much just run calls with a BLS crew (SNF to ER, ER to SNF, discharge with vent, etc.). I don't know the pay in AZ but the private ambulance RT's only make $32/hr roughly...

Exactly what we thought and what we did. The sending facility basically let him sit there in shock for hours and didnt do any treatment until we arrived and asked for it

As stated above, BP improves to 112/92 enroute with a HR still in the 110's. As soon as you arrive at the STEMI center and are backing into the ambulance bay, patient goes into PEA arrest. You start CPR, give 1 dose of epi and transfer the patient to the ER staff. After 25min of resus efforts...

Levophed then dopamine. No additional 12 lead as the stemi transfer was already initiated. Cant remember why dopamine was also requested. In LA County, CCT-RN’s are not allowed to intubate on ground transport, only use i-gels which is why a Dr might be helpful. BP raises to 112/92 halfway...

The info we got was that was the only 12 lead done prior to getting the call for a stemi transfer. Didn’t get exact lab values on this call but remember the RN saying the trop was “high”. No other meds given at all besides 1L NS bolus. First time producing blood yes Temp was normal and lung...

I'm gonna throw in a call we had. Interesting stuff happened. You are a CCT crew called code 3 to a hospital's telemetry floor for an urgent STEMI transfer to a hospital with a cath lab. Your transport time will be 11min from hospital to hospital and you have 1 CCT-RN and 2 EMT's on board...

Original plan was to transfer to the hospital with cardiac cath and then send her to the hospital closest to her after. When she refused cath, they decided to send her to the non cath hospital closest to her with a plan to transfer her back and forth for the cath if she decided to do it. In...

Exactly what we did, nitro and morphine (what we carry). Pain subsided and 12lead at the bedside was faxed to the Dr who wasn’t concerned enough to transfer to a stemi center

Actual call here. Not super exciting but figured I would post more IFT calls since we don't get a ton in the scenario section. Keep in mind, we are a CCT truck in LA County which means we have a CCT-RN and 2 EMT's on board. You are called for a non-emergent transfer of a 84yo female with a...

A 2 person GSW happens like everyday in our system in LA, it's routine. Definitley not de-breifing that. And unless your the 911 provider assigned to the call, calling for a helicopter off duty is not going to get you a helicopter.

Well prehospital and IFT are different. CCT has orders from the Dr and by that point they have already been examined, scanned, treatment started and going to definitive/higher level of care.

We have never clamped a tube on any CCT shift even during the whole pick of covid. Only seen it done once at a facility when we were transferring a patient to Cedars Sinai.

Correct, however the firefighters can be individually sued I believe if they are acting "outside the capacity/scope" of their job and/or "gross negligence". Pretty sure we can all agree this is gross negligence especially when the staff is saying multiple other Rialto firefighters have never...

Working on a CCT IFT ambulance as an RN is great if you want to go back to school for an NP, MSN, etc. or if you have another job and you want to do it on the side. A lot of companies right now in CA at least pay OK hourly but OT and extra shifts is where you can make $$$. An RN I work with made...

Anxiety/Panic attack. So dumb the nurses even laughed as we told em.

Transporting a person to the hospital because they witnessed a car accident. Meanwhile, the people actually involved in the accident were not injured at all and didn't even need police assistance. Minor damage.

Eyeball it works for us. Like someone said here, it gets creative with pads on also lol. In regards to limb vs torso placement, we do limbs now (used to do torso but the CCTRN I work with now prefers arms/legs) but when we get to any Kaiser ER, the techs and RN's put their 12 lead limb leads on...

We do IFT and Kaiser's are famous for accepting patients from other hospitals and having no beds available. It's not hard, if you don't have a bed available either don't accept the patient until you do or find another Kaiser that has space available. An ambulance shouldn't have to wait 9hrs with...

When training in an ER, we were taught to place the limb leads on the lower left and right abdomen (near the belly button) and the wrists as opposed to the shoulders/wrists or wrists/ankles. When I was on shift the other day, a paramedic asked me why I did that as he never saw it done that way...

I say: “Hospital A is expecting patient with a STEMI not asystole, that’s when we divert” and then add what you say. Most of these people don’t do transport so we have to explain why we do things a particular way, including not removing iv’s when being transported to another hospital.