New Orleans EMS A&E show! *Video*

SandpitMedic said:
Arcadian ambulance supplements them down there. The agency on the show only has a small portion of the city, including the French Quarter.
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This is only somewhat true. Acadian Ambulance currently has 2 911 contracts within the New Orleans Metro Area: Unincorporated St. Tammany Parish (which is north of the lake) and St. Bernard Parish. Orleans parish is completely and totally covered by the third service municipal you see featured so named New Orleans EMS which has been in continuous operation since the 1880's when it began as Charity Hospital Ambulance Service. Mutual aid response is given throughout the metro area by the following agencies: West Jefferson EMS, Gretna EMS, Plaquimines EMS, East Jefferson EMS, Acadian Ambulance, A*Med Ambulance, and Westwego EMS. New Orleans EMS also provides mutual aid to her surrounding municipalities and parishes.
 
Chewy20 said:
Well the crew is not waiting at the hospital...They get there quicker to be ready to take another call quicker. Makes sense. They just seem to not have the resources for their call volume.
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Oh, I read that as hours of wall holding with their patients prior to transfer of care. What does he mean by the ER wait times in regard to EMS otherwise? I do understand how those kind of hold times can wreck unit availability.
 
chaz90 said:
Oh, I read that as hours of wall holding with their patients prior to transfer of care. What does he mean by the ER wait times in regard to EMS otherwise? I do understand how those kind of hold times can wreck unit availability.
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Nothing really, unless they need to divert to a different hospital due to not having enough room in the facilty to triage.
 
chaz90 said:
It's not even available for physicians? TBH, that bothered me more than anything else in the episode. The patient looked like he was crying as they were trying to intubate him while still semi conscious.
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Nope, they can only use paralytics for induced hypothermia to treat shivering.
 
chaz90 said:
Oh, I read that as hours of wall holding with their patients prior to transfer of care. What does he mean by the ER wait times in regard to EMS otherwise? I do understand how those kind of hold times can wreck unit availability.
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Wall time is exactly what I meant. They have a support unit whose job is to sit with patients to free units up. That unit is a van with two stretchers and a monitor in the back staffed by a paramedic. They sit on the wall with the patients to free up units.
 
Chewy20 said:
Nothing really, unless they need to divert to a different hospital due to not having enough room in the facilty to triage.
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They do have a support unit with extra stretchers to move the patients over and free up the transport unit.
 
Frozennoodle said:
Nope, they can only use paralytics for induced hypothermia to treat shivering.
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Wow. I know working in an urban environment is a different animal, but that is wild.

It's funny because I imagine one of their arguments in withholding RSI from physicians is that the hospitals are all close enough that transport time is short and RSI likely couldn't be safely accomplished in that short time, but initiating hypothermia pre-hospitally post ROSC with enough time to induce shivering and treat that with paralytics is also pretty time intensive.
 
Frozennoodle said:
Wall time is exactly what I meant. They have a support unit whose job is to sit with patients to free units up. That unit is a van with two stretchers and a monitor in the back staffed by a paramedic. They sit on the wall with the patients to free up units.
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Interesting
 
chaz90 said:
Wow. I know working in an urban environment is a different animal, but that is wild.

It's funny because I imagine one of their arguments in withholding RSI from physicians is that the hospitals are all close enough that transport time is short and RSI likely couldn't be safely accomplished in that short time, but initiating hypothermia pre-hospitally post ROSC with enough time to induce shivering and treat that with paralytics is also pretty time intensive.
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That's exactly the argument that is used. Transport times don't justify its use. Our protocols require us to sit on scene at least 10 minutes prior to transporting a patient to stabilize them so maybe that's why they think that shivering will be an issue. It's also funny because we have the option to initiate a percutaneous airway.
 
Frozennoodle said:
That's exactly the argument that is used. Transport times don't justify its use. Our protocols require us to sit on scene at least 10 minutes prior to transporting a patient to stabilize them. It's also funny because we have the option to initiate a percutaneous airway.
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Not to get off topic, but a ten minute transport with a patient that needs to be intubated now still means an additional 10 minutes added on to whatever time the ED needs to get their gears rolling, find a doc, place orders, and perform the procedure. Just one of my little gripes about that justification, not a snipe at you or the system.
 
Chewy20 said:
This episode isnt AS cliche
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Very much agreed. Not always a big fan of the voiceovers, but that's television for you. Overall, I think this was much better than week 1. Remember, we're probably their toughest audience too.
 
chaz90 said:
Very much agreed. Not always a big fan of the voiceovers, but that's television for you. Overall, I think this was much better than week 1. Remember, we're probably their toughest audience too.
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Yeah it was deffintly better. I am on shift right now and all we did was nitpick it haha.
 
I liked this one a lot.
 
So to watch the show on their website you must have a cable subscription. THIS is why the interwebz pisses me off sometimes.
 
Chimpie said:
So to watch the show on their website you must have a cable subscription. THIS is why the interwebz pisses me off sometimes.
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But torrents make up for the hatred
 
This is easily the best portrayal of our profession as there ever has been on TV. Its really the best it can possibly be. They will obviously highlight every high priority call and we are the only ones on the planet who seem to know that its not always intense gun shots and severe CHF every single call. I think its an awesome show and those guys are doing a good job. Thoroughly enjoying it so far!!
 
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