the 100% directionless thread

[fast65]

Don't beat yourself up over this. There is a reason that they do serial 12 leads in the ED. Sometimes you are not going to see changes on the first one and can only get to the actual dx after comparing them.

You started correct interventions for the given situation (though a lock might have been nice, perhaps) and the patient did get relief. As long as you are concerned about your actions (or inactions) and learn from it you are not failing anyone.

I actually did start a line, the only thing missing was perhaps another dose of NTG and a code 3 return. I ran a total of 4 12-leads on this gentleman, and it wasn't until the last one that I started seeing minor ST-changes, and by that time we were 30 seconds out. However, the patient thought I did a great job and was thankful that we didn't come in code 3, so I suppose that is a plus.

 

[medic417]

I actually did start a line, the only thing missing was perhaps another dose of NTG and a code 3 return. I ran a total of 4 12-leads on this gentleman, and it wasn't until the last one that I started seeing minor ST-changes, and by that time we were 30 seconds out. However, the patient thought I did a great job and was thankful that we didn't come in code 3, so I suppose that is a plus.

Code 3 can stress patients which means working heart more which means more damage. May have been beneficial that you missed it.

 

[Sasha]

You can have mine.

He bought a snake today. Im gonna either pawn him off, or kill him.

If he bought a snake I don't want him. He and the snake would be finding a new home.

 

[Sasha]

Your to young for her, or maybe to old no sure based on her posts. :blink::huh:

Judging by his profile he's been EMS since before I was born. Therefore he is too old. I no longer date over the age of 30

 

[DesertMedic66]

Judging by his profile he's been EMS since before I was born. Therefore he is too old. I no longer date over the age of 30

Well hello there Sasha haha

 

[STXmedic]

Judging by his profile he's been EMS since before I was born. Therefore he is too old. I no longer date over the age of 30

If you're into the whole pedo bear thing, I'm sure Fast would go with you

 

[fast65]

Code 3 can stress patients which means working heart more which means more damage. May have been beneficial that you missed it.

Exactly what I was thinking after he said he was glad we didn't come in code 3.

If you're into the whole pedo bear thing, I'm sure Fast would go with you

As long as there will be candy and puppies there, I'm good to go.

 

[rmabrey]

Looks like I have an opportunity to do volunteer EMS bike patrol and possibly a paid gig.

 

[ffemt8978]

Looks like I have an opportunity to do volunteer EMS bike patrol and possibly a paid gig.

Congrats, but for some reason I had a mental image of you on a bike with a card in the spokes for your "siren". :rofl:

 

[rmabrey]

Congrats, but for some reason I had a mental image of you on a bike with a card in the spokes for your "siren". :rofl:

I was just gonna make woo woo sounds but I like your idea better

 

[bigbaldguy]

I was just gonna make woo woo sounds but I like your idea better

Ooo and a helmet with a red flashing light. That sir would be awesome.

 

[adamjh3]

Range day

 

[ffemt8978]

Ooo and a helmet with a red flashing light. That sir would be awesome.

That one has the light and siren built into it.

:rofl:

 

[DesertMedic66]

Had a flight crew fly down from Northern California to Southern California to fly a patient from a hospital down here to a Skilled Nursing Facility up in Northern California.

We transport to the flight crew to the hospital and it ends up that the SNF will not accept the patient because of a central line and some medications being infused. The Doctor at the sending facility refuses to change the line or meds.

So the flight crew gets cancelled. Yeah that is a first for me.

 

[Handsome Robb]

Had a flight crew fly down from Northern California to Southern California to fly a patient from a hospital down here to a Skilled Nursing Facility up in Northern California.

We transport to the flight crew to the hospital and it ends up that the SNF will not accept the patient because of a central line and some medications being infused. The Doctor at the sending facility refuses to change the line or meds.

So the flight crew gets cancelled. Yeah that is a first for me.

I wonder how the billing works for that? Canceling an ambulance isn't a huge deal. It's a bit more expensive to fly across a state then cancel the service...

 

[bigbaldguy]

Had a flight crew fly down from Northern California to Southern California to fly a patient from a hospital down here to a Skilled Nursing Facility up in Northern California.

We transport to the flight crew to the hospital and it ends up that the SNF will not accept the patient because of a central line and some medications being infused. The Doctor at the sending facility refuses to change the line or meds.

So the flight crew gets cancelled. Yeah that is a first for me.

Wow! So who gets the bill for that I wonder? Obviously someone didn't give someone else the right info or they didn't listen when they were told.

 

[ffemt8978]

Anyone want to take bets that the ambulance service gets the bill?:wacko:

 

[Handsome Robb]

Anyone want to take bets that the ambulance service gets the bill?:wacko:

My guess it would be whoever requested the transport but who knows.

That's on expensive mistake.

 

[DesertMedic66]

I wonder how the billing works for that? Canceling an ambulance isn't a huge deal. It's a bit more expensive to fly across a state then cancel the service...

According to the whole flight team no one is going to get charged because they did not transport.

@BBG yeah the hospital "forgot" to tell the SNF that the patient has a central line in place with meds being infused.

 

[bigbaldguy]

According to the whole flight team no one is going to get charged because they did not transport.

@BBG yeah the hospital "forgot" to tell the SNF that the patient has a central line in place with meds being infused.

Ouch, so the basically the transport company eats the cost. Bummer.