thegreypilgrim
Forum Asst. Chief
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I hinted at this in another thread, but wanted to see to what extent this exists in other systems.
In my system, there appears to be some considerable discord between what the receiving hospitals here expect or want out of EMS versus what the EMSA and medical direction does. The main one like I've said before is the spinal clearance protocol. Obviously there are exceptions but overwhelmingly hospital staff does not like EMS clearing c-spine. They prefer everyone with any kind of "injury problem" to be placed in spinal immobilization in the field and then immediately cleared in the ED. In other words, they seem to believe that spinal clearance is an ED procedure not a prehospital one.
That appears to be pretty universal for the region. I've worked in 3 different systems down here and experienced the same hostility to it in each one, and have heard similar accounts from people working in other nearby systems.
Another one they don't seem to like is our rate control of A-Fib with RVR protocol. I suppose this is more understandable since we use verapamil and they all seem to use diltiazem for first-line. So I get that one.
Finally, they don't like "notification only" type radio reports. Even though by EMSA policy base contact is only required in very limited circumstances, in practice we have to do it on every call. Because the hospitals get all in a tissy if you just notify. They say it "builds relationships" and I suppose it might, but it gets old real fast.
So, does anybody have anything similar going on in their system?
In my system, there appears to be some considerable discord between what the receiving hospitals here expect or want out of EMS versus what the EMSA and medical direction does. The main one like I've said before is the spinal clearance protocol. Obviously there are exceptions but overwhelmingly hospital staff does not like EMS clearing c-spine. They prefer everyone with any kind of "injury problem" to be placed in spinal immobilization in the field and then immediately cleared in the ED. In other words, they seem to believe that spinal clearance is an ED procedure not a prehospital one.
That appears to be pretty universal for the region. I've worked in 3 different systems down here and experienced the same hostility to it in each one, and have heard similar accounts from people working in other nearby systems.
Another one they don't seem to like is our rate control of A-Fib with RVR protocol. I suppose this is more understandable since we use verapamil and they all seem to use diltiazem for first-line. So I get that one.
Finally, they don't like "notification only" type radio reports. Even though by EMSA policy base contact is only required in very limited circumstances, in practice we have to do it on every call. Because the hospitals get all in a tissy if you just notify. They say it "builds relationships" and I suppose it might, but it gets old real fast.
So, does anybody have anything similar going on in their system?
