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It continues to get worse

It finally went thru. Our own commissioner did NOT want us to be awarded for what was promised in our contract and then deflected saying, well now it's the city and lawyers stopping this contract from going thru. All coming from a woman who stole an elderly couple's checkbook in the 1980s in...

It’s just one issue out of many. The other issues include raises, retro pay, star days (a paid day off every few weeks), and a no fault sick policy.

The contract also limited our commisioner’s management abilities too.

The story behind it was that the city and our OWN commissioner of EMS had 90 days to make the decision to appeal what the arbitrator ruled or vacate the arbitration from September to December 17th at 5pm, and our commissioner chose to vacate the arbitration at 4pm on December 17th. So our union...

The union has 30 days to make a decision to take this to court and from what I hear when it comes to these sort of issues, the judge typically sides with whatever the arbitrator decided on in the first place. It’s just the city and administration of CEMS that are stalling with this. Bottom line...

Excellent point about PD and FD getting what they need and not EMS. As far as I know the EMS union has 30 days to respond to the city’s results.

http://www.cleveland19.com/2018/12/18/city-cleveland-denying-ptsd-support-cleveland-ems-workers/ Anybody else’s cities and administrations like to **** over their own employees? Just curious. Please be descriptive and share the post with others if you can. Thanks!

If that’s the case then these patients would probably benefit more from a violin solo administered via room air. Unless these fools are in full arrest, I prefer to give as much Narcan as possible to wake them up. If they leave the scene, then great less work for me and my partner. They wanna...

Yes correct. Not dissing on firemen but it’s true. V-fib = CPR and shock. This is a stay and play situation until the rhythm changes. Consider this a teachable moment.

Our rules and procedures are at times questionable and sometimes silly. Unfortunately we do not carry the nasal cannula capnography on our trucks, we only carry the ET tube ones. And yes they actually do prohibit us from using capnography on non-cardiac arrest calls, people have been disciplined...

Of course I'm joking. And no we don't do double EJs even though we often suggest the idea. It's just basic medical mischief. We treat these patients accordingly by adequately oxygenating their precious airways and brain cells as well as restoring their consciousness so that we can expedite the...

It's not needed on every call, but I think anytime you're placing a patient on the monitor, then yeah get a capnography reading. I wished our department let us use capnography more, we're only required to do so on cardiac arrests, but it's a much better and more useful tool than pulse ox and it...

It just depends on what type of setting you work in. If you're on a critical care setting, you'll be able to do more interventions and see some really sick kids and maybe have longer transport times. As for a 911 system for a city, knowing weight based dosages for emergencies like anything...

What are your thoughts? That's very interesting and I wished our city let us do 24's. As far as there being no fatigue management policy for your department, what type of arrangements are set up currently for your workers when you are on shift for a 24? As for where I work, we only do 12...

http://www.city.cleveland.oh.us/CityofCleveland/Home/Government/CityAgencies/PublicSafety/EMS https://twitter.com/clevelandems?lang=en https://www.care1975.com/

I believe wound packing is technically considered bandaging care which is allowed by us and is found in most protocol systems. For most major traumas and bleeds, wound packing is often encouraged. Unless a protocol specifically says not to do this, just do what's in the best interest of the patient.

Our city runs a third service EMS system separate from the Fire Department in an urban setting. We do all the transports, Fire shows up as a first responder, mostly BLS but some ALS pumpers, and they provide initial care before we show up to transport. The firemen are great at fighting fires and...

Gold cross services maybe?

If they wake up and start to fight, just keep yourself and your partner safe. Defend yourself, leave the scene, or let them leave the scene/truck and then eventually call PD to the scene if you have to. You're their to help these ingrates not fight or sedate them. They're not worth wasting...