Arovetli
Forum Captain
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and the heat have it
the 100% directionless thread
- Thread starter KEVD18
- Start date
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Was a very good Finals.
Epi-do
I see dead people
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Glad to be playing country medic today. I played city medic yesterday, and had 7 runs in 12 hours. All but one were actually legitimate patients. The highlights included a CVA, an OD that swears they didn't take anything despite responding to narcan, and new onset a-fib with RVR and LBBB. I shouldn't have to work so hard at a part time job.
RocketMedic
Californian, Lost in Texas
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No more Mitch Rapp?
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Nothing like having the fire chief pull you into his office and try and intimidate you...and then going out on a call and screwing up on the radio.
I'm not used to not being allowed to call for resources on the radio, every request has to go through the officer. Cause that's how collaboration works I guess. In sure this will go we'll. and I just got mandatorily for an extra 12. So that I can work 100 hours this week.
I'm not used to not being allowed to call for resources on the radio, every request has to go through the officer. Cause that's how collaboration works I guess. In sure this will go we'll. and I just got mandatorily for an extra 12. So that I can work 100 hours this week.
RocketMedic
Californian, Lost in Texas
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You need to upgrade to gold patch.
Anjel
Forum Angel
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Was just dispatched along with with 5 of our ALS trucks to a plane crash.
Was cancelled as we were pulling up to the airport. It was a small plane and that cities fire department had 5 rescues on scene.
I'm Kinda sad. But do hope everyone involved is ok.
Was cancelled as we were pulling up to the airport. It was a small plane and that cities fire department had 5 rescues on scene.
I'm Kinda sad. But do hope everyone involved is ok.
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Not sure if that would even help in that kind of situation. It's kind of similar here. Most fire chiefs or officers on scene will defer to the county paramedic's advice on whether to cancel aviation or bring them in, but God help you if you cancel them yourself rather than going through command.
Anjel
Forum Angel
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Update: 4 people involved. 3 DOA and 1 with 100% burns transported and pronounced at the ER.
Wheel
Forum Asst. Chief
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What is the reasoning behind this? I presume it's because they need a heads up about setting up a landing zone. Correct?
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I'm willing to bet it's because it's their job, and they want to do it. It helps them feel important and needed... Lol
Wheel
Forum Asst. Chief
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I try to see the best in people. :blush:
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I think the issue is that I forget that we are just the private ambulance contractor...seen not heard.
At my part time place where I started we are pretty much in command of every scene outside of the town because the volunteers do not feel comfortable calling for what they need. It's not uncommon for the ambulance to call for another engine or rescue on an MVA or to set up an LZ. That's not done here, and I am learning me hard way.
At my part time place where I started we are pretty much in command of every scene outside of the town because the volunteers do not feel comfortable calling for what they need. It's not uncommon for the ambulance to call for another engine or rescue on an MVA or to set up an LZ. That's not done here, and I am learning me hard way.
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Come out of the gates firing with a Symptomatic HTN crisis. Gotta love having a good rapport with the physicians...
Start giving a report to him and all I get back is "what do you need and why?" "Symptomatic HTN crisis, 5 mg metoprolol SIVP, sir." "Do it before he strokes out please."
Barely touched his pressure...220/130 with a headache and blindness is bad right?
Start giving a report to him and all I get back is "what do you need and why?" "Symptomatic HTN crisis, 5 mg metoprolol SIVP, sir." "Do it before he strokes out please."
Barely touched his pressure...220/130 with a headache and blindness is bad right?
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220/130 is only borderline hypertension here :lol:
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They do need to at least know whether the patient will be transported by air or ground in order to set up a LZ. A few of the fire departments though are more particular about it being their scene, their fire district, and their decision regarding whether a helicopter needs to land at their accident.
For example, a few months ago I was dispatched to a "High Mechanism MVA" for a car into a house. This coded out as a Delta level trauma, so the state police helicopter auto-launched. We got there at about the same time as the first BLS fire ambulance and engine. The car had literally just bumped into the siding of the trailer home. Zero damage to the car, and minor siding scrapes on the house. After seeing that Grandpa was talking, complaint free, and had just hit the gas rather than the brake, I went to cancel the helicopter. My FTO stopped me before I could and warned me that it would be better to go through the fire officer on scene and offer up that we didn't believe this patient would need to be flown and we would be ok with him releasing the helicopter. It's just a different way of doing things than I'm used to.
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I agree but this guy was super symptomatic otherwise I woulda left it alone. No hx of but he was also 70 and hadn't seen a doc in 20 years...
Pretty funny to watch my partner drop an 18g without a TQ and still have some "therapeutic blood letting" going on. :rofl:
Not sure about surrounding agencies but we have it on standing orders for STEMIs that meet certain VS criteria (HR >140 and SPB >140) otherwise we have to call.
I know a nearby ALS transporting FD has labetalol on standing orders but they woulda had to call for this because he doesn't meet their parameters for it as far as the numbers go.