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Holy ****e dude! What kind of people are you hiring? I worked the hood in a system that ran 100,000 calls a year for 10+ years. We didn't have issues like those. Trauma wise our issues were with scene times. Often they were related to trying to resolve airway issues that were not going to get...

I would agree that most talk that talk. Based on my experience, I do not agree that in reality, many actually walk that walk.

Try counting decades.

I am getting the idea that if you were on my team, I would love to give you a break. Maybe a very long, long break.

Well the standard is a review of specific criteria and a random review of X % of all calls. But I wouldn't characterize the review as looking to see if your crews know what the they're doing. The thought of that approach is pompas and exemplifies the very mentality that I am taking issue with...

If it drives your decision making or would help the receiving facility focus on pertinent aspects of the patient's life, why would you not have charted it? Think of a pattern of elements like that that you've seen. Perhaps it was house tidiness. More likely it was something like ambient...

Beauty is in the eye of the beholder. Who says that I am not able to document that fact? Is it the doc at the receiving facility? The attorney representing the agency in the face of a law suit? Some QI guy who was never anything other than average when they were in the field? As long as the...

The mean QI man in our minds is an idiot who wouldn't recognize a sick patient if it were in front of his face, yet tells everyone how he saved the day given the slightest chance. Unless you are one of them, you know the type. They used to say that those who can't, teach. In modern EMS, what I...

Bryson Mills (uncle, deceased), Richard Southall, quoting his father who was also an attorney (uncle in law, deceased), Justin Morris, EMT-P --> Attorney, (initially KC,MO---> somewhere in LA the last I heard), some assistant attorney to Claire McCaskill when she was the DA for Jackson County...

Thanks mgr. But I don't need research data to supplement my years of experience with the strengths and weakness of the GCS. It is a tool that has value, but it doesn't tell anything other than a quick story. That all it was ever intended for and it works well in that regard. If a medic is the...

I don't agree. The GCS is good for what it is intended. It quantifies in a narrow scope the results of a very superficial neuro exam in a manner that be easily communicated in a rapid manner to illustrate the result of the exam. Team members not with a patient can spend 5,6, 10 sentences...

The first thing taught in law school is never write anything down unless you have to. Why do you think lawyers teach each other that only to turn around and tell everyone else to write everything down? To the QA people writing all that hogwash about how a vague writer will find themselves in...

I am a little hesitant to answer a question like this from a "student". I would not want to say anything that might contradict the direction of his classroom training. For now, the main goal is not to save a life but to pass the state test. With that being said... We are basically looking at...

Army medic in those days was a guy with some battlefield training who could start in IV. Not much else:)

Thanks! These are a great start.

Well, yes that is true. I have used them in the past because their advanced airway capabilities were superior to what I had available. Just not something I've had to do recently.

Looking back at our service's use of air transport in the past couple of years, I'm not seeing any real benefit. I work in an area about an hour away from the larger hospitals. Looking for research for the benefits of shaving a few minutes off of arrival times, I didn't come with anything too...

My wife and I worked at EMSA a little over 10 years ago, not long after PP took over from AMR. I have a great friend who moved to the midwest from the LA area. Based on his experiences Oklahoma would be a bit of a culture shock... just a bit. The pays sounds low, but the cost of living is...

Define unlikely. Then define whether the potential benefit might be outweighed by the potential risk. Many cardiac arrests we work have less than 1% chance of survival. Should we not treat them? Is that the philosophy that I'm hearing in these threads? 25+ patients/week through the 80's and...

I don't understand the question. Are you referring to no change in mortality based on nitro use?