mycrofft
Still crazy but elsewhere
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- 48
- 48
Around EMTLIFE some thoughts occur to me repeatedly and sometimes I have to blurt them out. Here are a few, care to share yours? (Are they printable?).
1. Cut to the chase. Assess-diagnose-treat-transport. (Get billing info).
2. What does the pt need during the time required to transport? (ABC's, then more).
3. Has a pt ever been transferred from a hospital bed to an ambulance in the parking lot because the care out there is better? (No).
4. I know that procedure is neat, but does the risk balance the benefit? (Do you KNOW the risks?).
5. "...and five is four"*. (So often we re-raise the issues but just give them different twists).
6. Do the objective signs support the history? (Don't treat complaints, investigate complaints.)
7. Don't bandage to absorb or cover bleeding, bandage to clot and stop the bleeding.
8. Since every year they have improved CPR for about forty or fifty years, why aren't we at zero deaths from cardiac standstill?
9. It's not the size of the kit, it's the knowledge to diagnose then use what you have.
10. Everyone has a scope of practice. Know yours.
Anyone else have these sorts of recurrent mental comments?
(*"...and five is four". Old game, spell a number, count the letters, spell THAT number, count its letters...you always come down to a count of four, because 4 is the only number to equal the number of letters when you spell it).
1. Cut to the chase. Assess-diagnose-treat-transport. (Get billing info).
2. What does the pt need during the time required to transport? (ABC's, then more).
3. Has a pt ever been transferred from a hospital bed to an ambulance in the parking lot because the care out there is better? (No).
4. I know that procedure is neat, but does the risk balance the benefit? (Do you KNOW the risks?).
5. "...and five is four"*. (So often we re-raise the issues but just give them different twists).
6. Do the objective signs support the history? (Don't treat complaints, investigate complaints.)
7. Don't bandage to absorb or cover bleeding, bandage to clot and stop the bleeding.
8. Since every year they have improved CPR for about forty or fifty years, why aren't we at zero deaths from cardiac standstill?
9. It's not the size of the kit, it's the knowledge to diagnose then use what you have.
10. Everyone has a scope of practice. Know yours.
Anyone else have these sorts of recurrent mental comments?
(*"...and five is four". Old game, spell a number, count the letters, spell THAT number, count its letters...you always come down to a count of four, because 4 is the only number to equal the number of letters when you spell it).
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