the 100% directionless thread

usafmedic45 said:
No. I don't pay any attention to them. I first heard that joke about ten years ago.
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Ah, they posted it a couple days ago is why I ask.
 
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rmabrey said:
Ah, they posted it a couple days ago is why I ask.
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I've heard of them, but to be frank this is the only website I really go to that is EMS related unless I have a specific reason to.
 
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usafmedic45 said:
I've heard of them, but to be frank this is the only website I really go to that is EMS related unless I have a specific reason to.
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I'm still wondering who this 'Frank' guy is everyone keeps talking about :rofl:
 
Guess I will have to look up NAEMD protocols since they are not used around here. Although I do wish our dispatchers would be competent enough to find out if there is a history of seizures and/or the patients current mental status.
 
rmabrey said:
Does anyone else think the EMD dispatch protocols use leading questions to get an ALS response, hen e more money
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I don't think they use leading questions for revenue generation, I think they use them because

A)The public is too stupid to determine the need for advanced care

B)Many EMTs are too stupid to upgrade a "BLS" call PRN.

That is all.
 
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I'm not ashamed to admit that I'm an American, but you don't need to be in the city square every Sunday to know there's something wrong in this country when gay marriage is a bigger issue than the 14% of Americans who are illiterate. #RickPerry2012

and...

nicejacket.jpg


...and...

the music in the Strong ad is a blatant rip off of the gay, Jewish, communist sympathizing American composer, Aaron Copland.
 
I have to admit, I was shocked when Rick Perry announced he was running for president. He's been making these kind of gaffes for years in Texas...
 
n7lxi said:
This was a single dispatcher, not following dispatch protocol. Not "dispatch being ahead of the system". Our system works pretty darn well the way it is, with medics on fly cars... Or squad trucks, if you want to be specific. I have no issues with the PMD system... I do have issue with a dispatcher sending medics on a call that clearly didn't meet medic criteria.
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Should have been dispatcher is ahead of your system as every call should have a Paramedic evaluate patient.
 
medic417 said:
Should have been dispatcher is ahead of your system as every call should have a Paramedic evaluate patient.
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Sorry, I don't agree. I used to feel that way too... However, the majority of falls, bumps and car accidents are entirely appropriate for a BLS crew with no paramedic intervention necessary. Should a medic go on chest pain, respiratory and altered mental status? Sure, and in most cases, we do.

In many cases a medic is simply not necessary. However, this is my opinion and obviously not yours. So, take it for what it's worth.
 
n7lxi said:
Sorry, I don't agree. I used to feel that way too... However, the majority of falls, bumps and car accidents are entirely appropriate for a BLS crew with no paramedic intervention necessary. Should a medic go on chest pain, respiratory and altered mental status? Sure, and in most cases, we do.

In many cases a medic is simply not necessary. However, this is my opinion and obviously not yours. So, take it for what it's worth.
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I agree that Paramedics are normally not needed but I do not feel it is appropriate for an under educated dispatcher or emt on scene to determine whether Paramedic is needed or not. Allow the Paramedic to make quick assessment then downgrade to basic if not needed.
 
Well, In my system, if I make PT contact, it's my patient and it's easier to take the PT ALS than to call a med control doc to okay a BLS release.

The PMD criteria are actually pretty decent. Problems occur when tbe dispatcher "uses their own discretion" There are some PMD upgrades that are sketchy, but in most cases the resource assignment is pretty much right on. And if you're not familiar with PMD, I suggest you do a little research. It's not an uneducated dispatcher making a guess, it's a specific series of questions that prompt a dispatcher to assign the appropriate unit to the call based on the complaint. To put it in hose monkey terms, it's the same way you don't send a full structure response to a trash can fire. And if you need more help when you get there, you ask for it.
 
n7lxi said:
Well, In my system, if I make PT contact, it's my patient and it's easier to take the PT ALS than to call a med control doc to okay a BLS release.

The PMD criteria are actually pretty decent. Problems occur when tbe dispatcher "uses their own discretion" There are some PMD upgrades that are sketchy, but in most cases the resource assignment is pretty much right on. And if you're not familiar with PMD, I suggest you do a little research. It's not an uneducated dispatcher making a guess, it's a specific series of questions that prompt a dispatcher to assign the appropriate unit to the call based on the complaint. To put it in hose monkey terms, it's the same way you don't send a full structure response to a trash can fire. And if you need more help when you get there, you ask for it.
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And that is a flaw with many EMS locations. There is no reason to not allow your Paramedics to downgrade to basics. If you can't trust them fire them.
 
I agree. BLS can cancel medics, but medics can't downgrade to BLS. A silly, antiquated policy, but that's a state EMS issue. Not every system is perfect, but it's a small price to pay for the rest of the system, which is actually pretty good. ;)
 
Hence why PUM systems typically are better systems. Sure, SSM can suck, but atleast there's ALWAYS a Paramedic on scene, and can downgrade it to their BLS partner whenever they want.




Unless the BLS partner is a douchnozzle and says "I don't feel comfortable"



Right, because the Paramedic feels comfortable on EVERY call...
 
This is my drug box. There are many like it, but this one is mine.

My drug box is my best friend. It is my life. I must master it as I must master my life.

My drug box, without me, is useless. Withoutmy drug box, I am useless.

Sent from LuLu using Tapatalk
 
Linuss, work a month in my system and your opinion will change. I was a huge fan of the PUM and then I came here. I worked in Private systems that were P/B and while not a true PUM, the differences were negligible. I also worked as a fire based medic. The way we do things here is as close to medic nirvana as possible. There are a few minor pinch points, but I'd rather work here than any other place I investigated, and that includes all of the systems in Texas, REMSA in Reno, MEDIC in Charlotte... Wake is the only place I'd consider over here.
 
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