Privatized EMS in Placentia CA

saltymedic21

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Placentia's New Interim Fire Chief - OC Register

Placentia Hires Fire Chief to Lead Transition - OC Breeze

Placentia just hired an interim fire chief to get their department started up. The city went with Scott Ferguson - Murrieta's Fire Chief (past fire chief now I guess). It says he also worked as a chief for Santa Monica and Manhattan Beach as well. The article shows that he'll be paid 187,500 by the city under his contract.
 

VentMonkey

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Eww the impact vent.
Lol, I hear ya man, but at least they’re trying. I say good on them, and I hope they show up OCFA’s “paramedical rescue” care.
 

DesertMedic66

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Lol, I hear ya man, but at least they’re trying. I say good on them, and I hope they show up OCFA’s “paramedical rescue” care.
This. Lynch has been putting in some major effort it trying to become a decent IFT company. They now have ventilators and IV pumps and are able to transfer a decent amount of medications on the pump. I do know they have medics who work for them who have a lot of 911 experience. We have some of their medics who still work part time at my 911 ground job. OFCA is trying to make it sound like the city is replacing trauma doctors for CNAs. For medical calls all you are really trading is one shoulder patch for another.
 

GMCmedic

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Lol, I hear ya man, but at least they’re trying. I say good on them, and I hope they show up OCFA’s “paramedical rescue” care.
I wonder with my current vent knowledge (albeit still limited but worlds ahead of the medics at my old AMR shop) if that vent would be less of a headache now than it was 5 years ago.

Im just convinced that vent is not good for sick people.
 

VentMonkey

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Im just convinced that vent is not good for sick people.
I highly doubt that their transport times to tertiary centers will yield negative outcomes. Their coverage area is densely populated.

And, FWIW even most of these self professed “vent gurus” will admit that the A/C vs. SIMV debate hardly comes down to overall outcomes. Patient comfort? Absolutely. Detrimental effects? TBD.
 

GMCmedic

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Maybe its PTSD from all the alarms I heard back then.

Maybe its that its 100% pressure trigger.

Maybe a lack of adeqaute sedation protocols at the time.

Like I said above, with current knowledge Id like to see if the vent is easier to deal with. Back then we would take patients out of the quiet ICU rooms in AC mode and stick them in the back of an ambulance, not knowing at the time that SIMV was probably better for them in that environment.

One of the ICUs we regularly transport out of uses the zoll branded impact with good success on sick patients. Those patients typically have a RASS of -5 and/or still paralyzed, which likely contributes to that success.

I tend to echo Eric Bauers thoughts that the Impact was developed for the military and in that subset of patients it is good, in chronicly ill obstructive patients, there are much better options.

Tl;Dr my opinion is mostly derived from an overall bad experience that could be attributed to several factors that are no fault of the vent and im likely unfairly blaming the vent. Ive found that the revel is just miles ahead.
 

RocketMedic

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I'm still expected to put living people on an Autovent 3000, which is barbaric and stupid, so Lynch is better than Anonymous Texan Employer @ this point for that.
 

EMT Rookie

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Wow, just wow. OCFA fire captain delayed the transport of an elderly patient with a head wound because he didn’t want Lynch handling the transport and instead had emergency ambulance dispatched Code 3 as they were 30 minutes away.
 

VentMonkey

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Overall, this is good. It’s unfortunate for the patient who was dealt this card, but I think we know it’s nothing new.

What is new is how it’s being brought to the attention of the general public in regards to the FD’s piss poor care. So, overall, it’s good.
 

RocketMedic

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Wow, just wow. OCFA fire captain delayed the transport of an elderly patient with a head wound because he didn’t want Lynch handling the transport and instead had emergency ambulance dispatched Code 3 as they were 30 minutes away.
“Professionals”
 

wirk242

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Wow, just wow. OCFA fire captain delayed the transport of an elderly patient with a head wound because he didn’t want Lynch handling the transport and instead had emergency ambulance dispatched Code 3 as they were 30 minutes away.
Soooo, they had to wait for a ambulance to respond to a call in their own operating area. Lynch doesn't do 911 transport in placentia, emergency does. If anything this is emergencys fault for taking 30 mins to get on scene.

I don't know OCs system but maybe it was a code 2 response for emergency. I doubt this pt was circling the drain if the SNF didn't even call 911.

There are operating areas for a reason. If not, ok popwhat's to stop Lynch from dispatching their own bls boxes to calls and snake transports from emergency if they are not on scene by the time they are ready to transport.
 

wtferick

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I hope other cities start to look into opting out of OCFA. It's all the same service.

I also doubt Emergency was 30 minutes out. From past history, a Care unit would end up responding if Emergency had no units, or if they had such an ETA like 30 mins.
 

jgmedic

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Soooo, they had to wait for a ambulance to respond to a call in their own operating area. Lynch doesn't do 911 transport in placentia, emergency does. If anything this is emergencys fault for taking 30 mins to get on scene.

I don't know OCs system but maybe it was a code 2 response for emergency. I doubt this pt was circling the drain if the SNF didn't even call 911.

There are operating areas for a reason. If not, ok popwhat's to stop Lynch from dispatching their own bls boxes to calls and snake transports from emergency if they are not on scene by the time they are ready to transport.
LOL. Snf didn't even call 911??? Dude, that is SOP for a lot of these places. **** operating areas, its an ambulance. and it's not ALS, OCFA is sending their own medics, also, OCFA dispatches all ambos code 2 and then you can be upgraded. The whole OC system is garbage. Ive have personally responded to a scene with a Lynch rig on scene and the OCFA engine elected to wait for us(Care), anyone else see a problem here???
 

wtferick

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LOL. Snf didn't even call 911??? Dude, that is SOP for a lot of these places. **** operating areas, its an ambulance. and it's not ALS, OCFA is sending their own medics, also, OCFA dispatches all ambos code 2 and then you can be upgraded. The whole OC system is garbage. Ive have personally responded to a scene with a Lynch rig on scene and the OCFA engine elected to wait for us(Care), anyone else see a problem here???
OCFA waiting on an ambulance that has two EMTs aboard.. while an ambulance on scene already has to two EMTs aboard. Such a joke of a system.
 
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ITBITB13

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OCFA waiting on an ambulance that has two EMTs aboard.. while an ambulance on scene already has to two EMTs aboard. Such a joke of a system.
In LA County if a patient is a trauma like the story says, they LACoFD medic would just transport with the IFT ambulance.
 

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