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We have had narcotic sealing/accountability problems recently at the company I work for and I was wondering what types of systems other services use to lock their narcs. Currently we have our narcs locked in our ALS med bags with a small combo lock. Inside the locked compartment the...

This has been an ongoing hot topic in the county where I work. Who is in charge at the scene of a motor vehicle accident in which there is entrapment? Do the rescue personnel from the fire company take precedence over the paramedics or do the paramedics have the authority to take control due to...

I had an uneventful call with a chief complaint of hypertension this afternoon. Nothing out of the ordinary really: I boarded the BLS truck, went en route to the local hospital, did my assessment, put her on the monitor, started a line, drew labs, etc. etc. and then we were there. What I found...

I had a patient today that I brought into our local hospital ER and didn't take to a larger city hospital with a cath lab and caught some heat from my supervisors. I'm looking for some information. My pt had an altered mental status and wasn't much help in getting a past medical history and his...

I'm new to this forum and came across it on my quest for more knowledge about billing and billings agreements between ALS and BLS agencies. I currently work for the only ALS provider in a rural Pennsylvania county. We work in a tiered EMS system where the closest (usually volunteer) BLS crew is...