ilemtbwantn2bTXEMT-P
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About a month ago my partner and I had a rookie with us doing one of his company required ride alongs. Anyways we got a call to a nursing home for the 59y/o female who fell and was c/o severe hip pain nothing unusual at first. On arrival we found our pt laying in bed screaming in pain, she had a h/x of stoke with left sided paralysis and hypertension when I initially took her B/P it was at the time and still is the most hypertensive I have ever gotten from a pt. it was 190/110 our SOP says ALS at 200 Systolic so we immediately called medical control gave them the other vitals of resps. around 22 and I don't recall the pulse now, the pain when we asked the pt was a 12/10. Medical control advised us thta the LPN on site could give the pt her B/P meds and to transport to the closest ER. My partner asked the LPN who obliged and after the med was given and we got the LPN's info for the report we quickly transferred the pt to the cot and moved her to the rig. I was driving as my partner was just a few months senior to me he was working with the rookie in the back. I radioed our dispatch of the situation and since we were BLS asked to go Lights/Sirens. They said call our Medical Control we did and gave them a new set of vitals which hadnt changed at all. They we dumbfounded as to why they didnt hear our siren in the background already. So I tell dispatch what control said and then ran emergency to the ER. On arrival at the ER we transferred care to staff, on a side note our closest ER from the scene was a 20minute dirve with Lights/Siren. On arrival at the ER the B/P hadnt chnaged still. So we go and do our report and all that and then get a cell phone call from our clinical coordinator a Paramedic who is all pissed we ran hot and he flat pout said to us we did it all wrong and that the pian and hypertension were unrelated and redo the report documenting everything. Another note my partner did document everything including that call in total our report narrative was about 5 pages long. So we called our Resource EMS Office and explained everything to them, they weren't happy at all. So we figured it was settled and all would go on fine. No a day or two later our Operations manager chews us both out for goin to our System for what to do after getting chewed out. Everybody except our bosses syas we did the right thing for the patient. Did we? Any feedback on this is greatly appreciated.