So...you have essentially no medical knowledge, education, or training, and you are responding to people that otherwise would be getting a responce by qualified paramedics? This is why campus EMS is a worthless idea unless they are ONLY acting as first responders for a couple of minutes until an ambulance arrives.
The abd can be a complicated enough area for an experienced provider, let alone someone in your position. This is evidenced nicely by your thought that all you did wrong was not watch your partner. Nothing personal, but there you go.
Just out of curiosity, after the pt "deteriorated" why did you call for a BLS ambulance? What do you really think they would do for this girl that you couldn't? Hint- the answer is nothing.
seriously? he's a first responder, probably new to the field and at least he came here to learn what went wrong, cut him some slack. I agree it was wrong, and mistakes were made but it's a learning process, I was there in his shoes once, as I;m sure you were too, unless your one of those medics who thinks they never made a mistake, boy I know I have made some, but I;ve learned from each and every one, and thankfully no pt was harmed seriously in the process.
to the original poster, what i would have done is this:
-called for a ambulance immediately
-not worried about money or insurance, that's not the issue at hand
-advised the pt of the complexity, and importance of the ABD organs
-advised them that time could/ is of the essence and advanced test are needed
REMEMBER
-if she was still refusing to go let me ambulance come on in, and evaluate her
-basically do everything you can to cover your rump, remember we can will and should be held accountable to our decisions
- always refer to higher medical training if you're unsure
-always watch your partner, especially in an unsafe situation (not that this was, just a soapbox of mine
-whether you asses or your partner asseses, make sure it is complete thorough and sytematic. I let my emt partner assess just about every pt, but I listen to everything she ask and says and point things out as she goes. thats something we've worked on over time, but remember, it's your license and your caboose on the line too, saying I wasn't watching my partner is not a valid reason in court.
just some info for ya.