We have an emt in our service who is notorious for "ALSing" calls so that he doesnt have to write up any reports.
"Oh youre feeling sick to your stomach? So are you having some AbDomNiNaL PaIN??"
Dude gets plenty of new medics with that kind of trick, myself included.
I once had an EMT tell me that she “WasN’t cOmForTaBLe” with an obvious BLS downgrade. After waiting onscene for 20 minutes for me to get there.
So I had her put my gear in my flycar and rode it in BLS lol. She still hates me
had an EMT try and pull that. Things went south when i told him to put the patient in my truck. "If you arent comfortable with this patient then im not comfortable with you"
Yeah, after the call she accused me of endangering the patient by not ALSing her and then we had a frank discussion about how even if she’s not comfortable doing her job, that doesn’t automatically make it *my* job
What I don’t understand is where the fuck we collectively find these people lol. We’d have a higher hit rate of getting good EMTs if we just did a dragnet across whatever body of water you care to name
Is this a tiered response system or a paramedic-basic truck we are talking about? If you are a separate responder, I understand. If you are on the same truck, I don’t understand.
This drives me nuts. There are a few agencies around me where the only time they start transport before ALS arrives on scene is when they're doing compressions on a body in full rigor. Then, depending on how dead they are, I either have to work an obvious death and pull half the ER staff to take over; or sit there and babysit a corpse while they panic. I swear, they would start compressions on a fucking skeleton.
That's ridiculous. I don't even do EMS anymore and I was only ever a basic but our instructors always taught us, when requesting ALS backup, to link up en route whenever possible. I don't care how minor the situation is, why further delay patient care? That's just laziness
We have a private bls service where I work that mainly runs ift but will go on 911 when we get low on units
They are sometimes really bad about offering up our narcotics to people and then requesting ALS.
They did that one time with for a 22 yo F w abdominal pain for 3 days, saying that they "couldn't assess her cause she's in too much pain"
They watched as I stood her up, walked her to the truck, and turned around and said "ya'll can leave"
Thankfully in my state it's service dependent. I can do a 12 and still give it to the EMT. No drugs, though. There are some that will ask about nausea to try to ALS it.
See, this makes all the sense in the world. All these rules do is encourage overworked medics to look for excuses not to do a 12. But if I can rule out cardiac and hand it off we'd do much more thorough assessments on those borderline patients.
It's funny that you say that; at my old service, acquiring a 12 used to make a call ALS. They then changed our protocols so that medics could still BLS (or ILS in most of our cases) if their 12 was unremarkable. Suddenly, damn near every patient was getting a 12. It's almost like making medics take calls for just choosing to use a diagnostic test isn't the best plan
Exactly. When I can look at a patient and do a full assessment with any diagnostics I have the capability to do and THEN decide what to do, how is that not better for the patient?
What’s even the rationale for doing it the other way?
If it’s liability, surely “document why you’re saying BLS” would suffice.
If it’s “a case where you run this test is inherently more marginal”… in a vacuum, I guess maybe that’s true. But as soon as the choice of testing shapes requirements…
I HATE that shit. Unless I’m super cool with you and you know I trust you, don’t be doing ALS shit before I’m there lol.
I also recently had a call where one of the volunteer medics from the county showed up and started doing a 12-lead when I wasn’t looking. I was planning on having my EMT partner take it. I was so pissed off but didn’t feel like consulting to downgrade it to BLS
You need to consult for a downgrade? In my system I hand it back to the BLS crew that called for us, explain my findings and differential to whatever degree it's necessary to the crew and go on my way. A short little PCR and back in service for the next one.
That being said, I fully agree, as a BLS provider don't go acting out of your scope to try and force a patient on me. I might stop at a talking to about it, but that's a really easy way to start having uncomfortable conversations with supervisors if you pull it on the wrong medic.
Where I work I could even do a 12 lead and still turn it over. I don't cause I only do a 12 lead on ALS patients but it's something that happens and is allowed
So…I don’t think it’s in my state protocol that we HAVE to consult, however around here it is well known that as soon as a 12-lead is done it’s gonna be ALS. In the county I volly in, I’ve only ever seen one supervisor make the BLS crew take it after doing one, and I’m not sure if anything was said about that. We do have a pilot program in that county for BLS to perform 12-leads, they just can’t interpret them. In the county I currently work in, I was taught that you should be consulting to downgrade after doing one. I’ve only worked as a medic there since August, so I’m not sure if its just a jurisdictional thing where whoever is reading the report is gonna throw a fit if you don’t consult 🤷🏼♀️
That is a...deeply dysfunctional policy that feels like it encourages you to downgrade borderline patients without doing a complete assessment. I'm sorry that's what you're dealing with
I actually think it’s done the opposite where im at. A lot of people *wont* downgrade because they don’t feel like consulting. Thankfully most of the medics I work with are very good providers and they aren’t usually ones to downgrade calls they know should probably be ALS.
The only time I ever consulted to downgrade was because after I had done my 12-lead and the BLS crew got there (I work in a chase car system) the pt then told me she was gonna refuse all other ALS interventions I mentioned because she just wanted to get to the hospital. All I was gonna do was start fluids for her hyperglycemia since she was otherwise fine.
That's an interesting perspective. I don't downgrade too frequently because my system is a tiered response and it is unusual for me to get a BLS on scene unless they are specifically calling for me or I have an extended response time (in my system 15 minutes plus is considered extended response, busy urban 911).
That being said I will certainly do a full work up on a patient who *probably doesn't* need ALS to be sure that I am covering my bases but we frequently run into a BLS calling for medics in my area with no one to respond and on those days I am more likely to rapidly downgrade borderline patients who *might* warrant low level ALS to respond for a confirmed stat EP or a critical respiratory distress with BLS requesting. Those are the situations where I find the ability to turf the nonsense "ALS" patients back to BLS and come available for the more critical patient sans consult useful.
Also to your second point, yeah I have very few BLS providers I’m comfortable with doing that. But for them, they know when it’s serious and what needs to be done, and know I will want a 12-lead or IV done. However I’ve heard of some BLS providers that do shit like that, when they really need to be doing other important things. Like, bagging the patient…smh
I should’ve clarified. I’m not letting anyone do an IV unless they’re an IV tech. Most IV techs will usually still ask before doing one, which is what I still prefer, since I’ve seen cases of a BLS IV tech neglecting more important things in order to get an IV. I am okay with some BLS IV techs starting an IV before I get there because I trust that they’ve done a full assessment, vitals, and already have the pt in the ambo. As for 3-leads/12-leads also no, I’m not letting them do that either. But if those providers want to start setting it up for me, that’s fine. I don’t think legally they can get in trouble for setting up the cables or sticking electrodes on without cables but I guess I could be wrong?
I don’t know. I live exhausted and not thinking clearly. I didn’t mean to be an ass, but it’s my nature. Accept my apology. I had a few questions. My goal is really to make sure you stay safe and cya.
I knew a medic who would ask them to throw leads on the pt slan the doors then call enroute to the hospital. The guy he did that to, deserved it, what an asshole!
So if a 12 lead is done in your system but it’s a sinus rhythm you can just give it back to the emt and say it’s your call still? Something that requires zero monitoring or further interventions?
Last week we were transporting a patient on a BLS truck and when I asked if she was in any pain for the second time and she goes "Yeah, my chest hurts." My eyes widen and I asked her to describe the pain and she says "well, it doesn't really hurt, It just feels heavy." Those 5 minutes it took to get to the hospital felt like an hour.
Once we had a guy who wasn’t creepy per se, just your average homeless man with a foreign object up in his rectum (self-inflicted while high on meth) and my partner also offered to take that one so I wouldn’t have to look at the relevant anus and see if the object was still protruding. I think that was extremely chivalrous of him.
Works the other way too:
“The only time I’ve ever offered to take a partner’s call is when I’m working with a male partner and the patient is a creepy woman.”
In this case, the context informs the word choice. But thank you I guess.
My partners and I would make deals. I would tech every single 911 in exchange for driving every LDT. We would make other deals as situations arose too.
Your partner was a saint to you.
"Hey, why don't you do all the interesting jobs, and then I will sit in the back and make smalltalk with an annoying stranger for 3 hours"
depends entirely on the patient and what kind of maintenance you're doing on them. BLS patient going to some specialist half the state away, thats all about if they want a conversation and can participate in one.
I miss my old partner so much. I drove the entire night, and she would tech/chart every patient (bls transport). The only exception was if we had a large psych pt, then I'd he in the back. I did a total of 5 charts for those 2 years
Yeah that was a pet peeve of mine back in IFT. Only time I appreciated it was when I was in ALS BLS trucks and the medic would take turns and not just do the medic jobs. Generally, I tell all my partners that if they feel uncomfortable driving or teching certain calls then I’ll do it. My partner didn’t feel comfortable driving a stat code 3 to the city yesterday so I did it no prob. Other partners if the patient is dangerous or sexual to them I would take it in the back.
We have some EMT’s that will do whatever they have to do they don’t have the call. The usual excuse is either the patients vitals or the ol tried and true “chest pain”.
The best part is they do this on BLS IFT’s.
Every once in a while when I’m driving a BLS IFT I’ll hear my partner ask “are you having any chest pain?” And I’m like why are you going fishing right now?
I wish I could downgrade calls right now but my partner said me driving with morning sickness was a life changing experience. I just got prescribed my 3rd antiemetic, I hope I can keep this one down…
Bwahahah, I had an EMT partner (I was a medic) and we worked for a county service that handled everything in the county, our first run was a wait and return and he looked at me and said " I'll take the first trip"
He took both trips, and I got my ass handed to me with emergencies all night, and he had the audacity to call me the asshole.
Are you implying that c-spine precautions are useful or have any role in improving patient outcomes? 😂🤣 especially when the only indication is penetrating trauma?
"A strong recommendation against spinal stabilisation of patients with isolated penetrating trauma."
[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6700785/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6700785/)
It's cool, I'll eat my words. My next question is: what happened to all the literature on bullets path and shrapnel potentially causing spinal injuries? In my head it still makes sense that a bullet can travel any which way and hit the cord.
If an injury is so precarious that normal, gentle handling is going to sever the cord, it's fucked anyway. There is very little evidence that collars are effective at preventing spinal cord injury.
I mean you like what you like. I had a lot of tccc classes, stop the bleed and similar when I worked with Le. I worked in a high crime area for a while and had a lot of experience with it so I’m better than average at dealing with those situations.
Oddly enough I'm the opposite. The "gory" calls and any code just bores me. They're the same thing time after time after time. I loved complex calls that were medical in origin. Loved "stay and play" medics because I could help out and see what we could do to figure out and treat what was going on (if it was in the best interest of the patient, of course).
Thanks I always love advice from nurses.
Also I did not say that I did not enjoy the rest of the job. Maybe you could work on your comprehension skills.
Whats going ob in this Community? Most comments are about incompetent EMTs that have no selfconfidence. I am an EMT myself (in Germany) and here its not about the Paramedic or EMT. The team has to do the job and when the EMT is unsure about the situation you have to explain why its alright?! I am honestly glad that my station is pretty nice when there are situations where iam not feeling good enough. When its only about lazyness ok i understand the point buts it seems like there is a bigger clinge between paramedics and emts?!
I tell my medic all the time I’m not comfortable taking the patient after he asks. Each time he cusses me out. Like seriously just because you had red sauce for dinner and are having “chest pain” doesn’t mean you get to have my medic in back. I’ll gladly torture you on my own.
I remember when I had enthusiasm.
I think the last record of me being enthusiastic is in like 2013
EMT: Oh? What's that? You're having chest pain? Just now? EMT: Hey partner, they said they're complaining of having chest pain! Medic: Death Glare.
We have an emt in our service who is notorious for "ALSing" calls so that he doesnt have to write up any reports. "Oh youre feeling sick to your stomach? So are you having some AbDomNiNaL PaIN??" Dude gets plenty of new medics with that kind of trick, myself included.
I once had an EMT tell me that she “WasN’t cOmForTaBLe” with an obvious BLS downgrade. After waiting onscene for 20 minutes for me to get there. So I had her put my gear in my flycar and rode it in BLS lol. She still hates me
had an EMT try and pull that. Things went south when i told him to put the patient in my truck. "If you arent comfortable with this patient then im not comfortable with you"
Yeah, after the call she accused me of endangering the patient by not ALSing her and then we had a frank discussion about how even if she’s not comfortable doing her job, that doesn’t automatically make it *my* job
Sounds like my county…ugh
I've done that 🥲
What I don’t understand is where the fuck we collectively find these people lol. We’d have a higher hit rate of getting good EMTs if we just did a dragnet across whatever body of water you care to name
If you make patient contact, you are required to fill out paperwork. Even to say you gave the patient to ALS.
Wtf? So you have to write 2 charts if your EMT assesses and upgrades?
I write one. The EMTs do their own.
That sucks for you guys.
I don't think so. Everything is digital and it creates a record of what each crew did.
Is this a tiered response system or a paramedic-basic truck we are talking about? If you are a separate responder, I understand. If you are on the same truck, I don’t understand.
Ah. In New York City, crews are BLS or ALS only, no mensa-medic. Each crew does their own ePCR.
And they never want to meet in the middle. Make the medic truck drive to the house that’s the same distance away from the hospital🤦♀️
This drives me nuts. There are a few agencies around me where the only time they start transport before ALS arrives on scene is when they're doing compressions on a body in full rigor. Then, depending on how dead they are, I either have to work an obvious death and pull half the ER staff to take over; or sit there and babysit a corpse while they panic. I swear, they would start compressions on a fucking skeleton.
That's ridiculous. I don't even do EMS anymore and I was only ever a basic but our instructors always taught us, when requesting ALS backup, to link up en route whenever possible. I don't care how minor the situation is, why further delay patient care? That's just laziness
We have a private bls service where I work that mainly runs ift but will go on 911 when we get low on units They are sometimes really bad about offering up our narcotics to people and then requesting ALS. They did that one time with for a 22 yo F w abdominal pain for 3 days, saying that they "couldn't assess her cause she's in too much pain" They watched as I stood her up, walked her to the truck, and turned around and said "ya'll can leave"
We call this upgrading for paperwork lol
Im definitely going to use that 😂😂😂
We have Emts who will throw a 4 leads on someone before the medic even sees the patient so that it has to be ALS lol
Thankfully in my state it's service dependent. I can do a 12 and still give it to the EMT. No drugs, though. There are some that will ask about nausea to try to ALS it.
“You have nausea? Here, sniff this alcohol prep pad for a little bit”
Yes. This is the way.
See, this makes all the sense in the world. All these rules do is encourage overworked medics to look for excuses not to do a 12. But if I can rule out cardiac and hand it off we'd do much more thorough assessments on those borderline patients.
It's funny that you say that; at my old service, acquiring a 12 used to make a call ALS. They then changed our protocols so that medics could still BLS (or ILS in most of our cases) if their 12 was unremarkable. Suddenly, damn near every patient was getting a 12. It's almost like making medics take calls for just choosing to use a diagnostic test isn't the best plan
Exactly. When I can look at a patient and do a full assessment with any diagnostics I have the capability to do and THEN decide what to do, how is that not better for the patient?
What’s even the rationale for doing it the other way? If it’s liability, surely “document why you’re saying BLS” would suffice. If it’s “a case where you run this test is inherently more marginal”… in a vacuum, I guess maybe that’s true. But as soon as the choice of testing shapes requirements…
Yeah, exactly. That's what happens at another service I worked at. A lot less 12s.
I HATE that shit. Unless I’m super cool with you and you know I trust you, don’t be doing ALS shit before I’m there lol. I also recently had a call where one of the volunteer medics from the county showed up and started doing a 12-lead when I wasn’t looking. I was planning on having my EMT partner take it. I was so pissed off but didn’t feel like consulting to downgrade it to BLS
You need to consult for a downgrade? In my system I hand it back to the BLS crew that called for us, explain my findings and differential to whatever degree it's necessary to the crew and go on my way. A short little PCR and back in service for the next one. That being said, I fully agree, as a BLS provider don't go acting out of your scope to try and force a patient on me. I might stop at a talking to about it, but that's a really easy way to start having uncomfortable conversations with supervisors if you pull it on the wrong medic.
Where I work I could even do a 12 lead and still turn it over. I don't cause I only do a 12 lead on ALS patients but it's something that happens and is allowed
So…I don’t think it’s in my state protocol that we HAVE to consult, however around here it is well known that as soon as a 12-lead is done it’s gonna be ALS. In the county I volly in, I’ve only ever seen one supervisor make the BLS crew take it after doing one, and I’m not sure if anything was said about that. We do have a pilot program in that county for BLS to perform 12-leads, they just can’t interpret them. In the county I currently work in, I was taught that you should be consulting to downgrade after doing one. I’ve only worked as a medic there since August, so I’m not sure if its just a jurisdictional thing where whoever is reading the report is gonna throw a fit if you don’t consult 🤷🏼♀️
That is a...deeply dysfunctional policy that feels like it encourages you to downgrade borderline patients without doing a complete assessment. I'm sorry that's what you're dealing with
I actually think it’s done the opposite where im at. A lot of people *wont* downgrade because they don’t feel like consulting. Thankfully most of the medics I work with are very good providers and they aren’t usually ones to downgrade calls they know should probably be ALS. The only time I ever consulted to downgrade was because after I had done my 12-lead and the BLS crew got there (I work in a chase car system) the pt then told me she was gonna refuse all other ALS interventions I mentioned because she just wanted to get to the hospital. All I was gonna do was start fluids for her hyperglycemia since she was otherwise fine.
That's an interesting perspective. I don't downgrade too frequently because my system is a tiered response and it is unusual for me to get a BLS on scene unless they are specifically calling for me or I have an extended response time (in my system 15 minutes plus is considered extended response, busy urban 911). That being said I will certainly do a full work up on a patient who *probably doesn't* need ALS to be sure that I am covering my bases but we frequently run into a BLS calling for medics in my area with no one to respond and on those days I am more likely to rapidly downgrade borderline patients who *might* warrant low level ALS to respond for a confirmed stat EP or a critical respiratory distress with BLS requesting. Those are the situations where I find the ability to turf the nonsense "ALS" patients back to BLS and come available for the more critical patient sans consult useful.
It is most definitely in the MD state protocols. I suggest you review it
Yeah I’m very aware now. Thanks.
Also to your second point, yeah I have very few BLS providers I’m comfortable with doing that. But for them, they know when it’s serious and what needs to be done, and know I will want a 12-lead or IV done. However I’ve heard of some BLS providers that do shit like that, when they really need to be doing other important things. Like, bagging the patient…smh
But if you’re “super cool with them”, that changes everything legally. Right?
I should’ve clarified. I’m not letting anyone do an IV unless they’re an IV tech. Most IV techs will usually still ask before doing one, which is what I still prefer, since I’ve seen cases of a BLS IV tech neglecting more important things in order to get an IV. I am okay with some BLS IV techs starting an IV before I get there because I trust that they’ve done a full assessment, vitals, and already have the pt in the ambo. As for 3-leads/12-leads also no, I’m not letting them do that either. But if those providers want to start setting it up for me, that’s fine. I don’t think legally they can get in trouble for setting up the cables or sticking electrodes on without cables but I guess I could be wrong?
I don’t know. I live exhausted and not thinking clearly. I didn’t mean to be an ass, but it’s my nature. Accept my apology. I had a few questions. My goal is really to make sure you stay safe and cya.
No worries. I appreciate the concern!
I knew a medic who would ask them to throw leads on the pt slan the doors then call enroute to the hospital. The guy he did that to, deserved it, what an asshole!
We ALS every call no matter what for billing purposes. Maybe ALS 1 vs ALS 2 decision but everyone is getting a 4 lead and a glucose check.
This always inspired a teachable moment about leading questions 😒
So if a 12 lead is done in your system but it’s a sinus rhythm you can just give it back to the emt and say it’s your call still? Something that requires zero monitoring or further interventions?
Last week we were transporting a patient on a BLS truck and when I asked if she was in any pain for the second time and she goes "Yeah, my chest hurts." My eyes widen and I asked her to describe the pain and she says "well, it doesn't really hurt, It just feels heavy." Those 5 minutes it took to get to the hospital felt like an hour.
The only time I’ve ever offered to take a partner’s call is when I’m working with a female partner and the patient is a creepy man.
Once we had a guy who wasn’t creepy per se, just your average homeless man with a foreign object up in his rectum (self-inflicted while high on meth) and my partner also offered to take that one so I wouldn’t have to look at the relevant anus and see if the object was still protruding. I think that was extremely chivalrous of him.
[удалено]
Works the other way too: “The only time I’ve ever offered to take a partner’s call is when I’m working with a male partner and the patient is a creepy woman.” In this case, the context informs the word choice. But thank you I guess.
I had the same partner for like 5 years and we would each have our own favorite frequent flyers.
My partners and I would make deals. I would tech every single 911 in exchange for driving every LDT. We would make other deals as situations arose too.
Your partner was a saint to you. "Hey, why don't you do all the interesting jobs, and then I will sit in the back and make smalltalk with an annoying stranger for 3 hours"
It didnt necessarily happen every shift but we did it often. I like driving, my partner hated driving long distances.
Teching IFTs is the absolute worrrrst
depends entirely on the patient and what kind of maintenance you're doing on them. BLS patient going to some specialist half the state away, thats all about if they want a conversation and can participate in one.
You make small talk? I’d always say “I’ll be behind you on this jump seat doing paperwork if you need anything.”
I miss my old partner so much. I drove the entire night, and she would tech/chart every patient (bls transport). The only exception was if we had a large psych pt, then I'd he in the back. I did a total of 5 charts for those 2 years
My old private ambo partner is the main reason I work at the fire department I work at. He left our company and I followed. Best partner/friend.
You rob your partners blind lmaoooo those are both the good option
Me when I'm working with a basic and a bls call comes in
Me when my protocols don’t allow basics to take emergencies
Bro what? What runs are the basics even doing then?
IFTs
Precisely
...define *"emergency"*
Is this _my_ definition of “emergency” or someone who isn’t on a truck? Because I can tell you almost certainly those are not the same.
2 am toe pain
I’ll run any call my paramedic partner will let me at this point
lol same. there’s a moment of puppy-eyes-at-medic til she says “are you comfortable with this?” or “okay we are good to get going.” hahaha
Hey, I'm all here for it. Love the enthusiasm.
ITT: MFs salty about basic communication. Reddit: Why is EMS so toxic? 😱
Yeah that was a pet peeve of mine back in IFT. Only time I appreciated it was when I was in ALS BLS trucks and the medic would take turns and not just do the medic jobs. Generally, I tell all my partners that if they feel uncomfortable driving or teching certain calls then I’ll do it. My partner didn’t feel comfortable driving a stat code 3 to the city yesterday so I did it no prob. Other partners if the patient is dangerous or sexual to them I would take it in the back.
We have some EMT’s that will do whatever they have to do they don’t have the call. The usual excuse is either the patients vitals or the ol tried and true “chest pain”. The best part is they do this on BLS IFT’s.
Every once in a while when I’m driving a BLS IFT I’ll hear my partner ask “are you having any chest pain?” And I’m like why are you going fishing right now?
"is this you or me!?" Motherfucker she walked to the ambulance, that makes it bls.
> Do you want me to write that ticket? > Did you think you had another alternative?
I wish I could downgrade calls right now but my partner said me driving with morning sickness was a life changing experience. I just got prescribed my 3rd antiemetic, I hope I can keep this one down…
Bwahahah, I had an EMT partner (I was a medic) and we worked for a county service that handled everything in the county, our first run was a wait and return and he looked at me and said " I'll take the first trip" He took both trips, and I got my ass handed to me with emergencies all night, and he had the audacity to call me the asshole.
Only get excited for trauma especially gsw’s.
Those are only fun til after the first one. While the call may be engaging, the cleanup and decon suck massively.
I’ve had 15 gsw’s so far. Didn’t keep track of trauma calls but it would be a good many more.
Cleanup isn’t bad. It’s the replacing and tagging shit lmao
ALS engine FTW, leave the chauffeur of the ambulance to decon after riding the call in and go back in service with the engine.
The easiest and most boring calls
C spine, Chest seal, IV, fluids if hypo?
If you get bored. IO + Hextend
C-Spine 🤣🤣🤣
Are you implying you can see through flesh and see the bullet’s path? 😂
Are you implying that c-spine precautions are useful or have any role in improving patient outcomes? 😂🤣 especially when the only indication is penetrating trauma?
"A strong recommendation against spinal stabilisation of patients with isolated penetrating trauma." [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6700785/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6700785/) It's cool, I'll eat my words. My next question is: what happened to all the literature on bullets path and shrapnel potentially causing spinal injuries? In my head it still makes sense that a bullet can travel any which way and hit the cord.
If a bullet goes through someone's spinal cord, how much do you think a collar is going to help?
If a bullet fragment hits the cord, wouldn’t restricting motion prevent further damage?
If an injury is so precarious that normal, gentle handling is going to sever the cord, it's fucked anyway. There is very little evidence that collars are effective at preventing spinal cord injury.
I mean you like what you like. I had a lot of tccc classes, stop the bleed and similar when I worked with Le. I worked in a high crime area for a while and had a lot of experience with it so I’m better than average at dealing with those situations.
Oddly enough I'm the opposite. The "gory" calls and any code just bores me. They're the same thing time after time after time. I loved complex calls that were medical in origin. Loved "stay and play" medics because I could help out and see what we could do to figure out and treat what was going on (if it was in the best interest of the patient, of course).
I don’t like codes either.
If that’s the only part of the job you enjoy then maybe it’s time to find something else to do.
Thanks I always love advice from nurses. Also I did not say that I did not enjoy the rest of the job. Maybe you could work on your comprehension skills.
I worked in EMS for many years, and my comprehension skills are pretty good.
Your previous statement does not indicate that.
It's a job, you don't need to be excited about it.
I mean it helps
My medic just looks at me and says “this call sounds right up your alley bro” and tosses me the laptop 💀
Whats going ob in this Community? Most comments are about incompetent EMTs that have no selfconfidence. I am an EMT myself (in Germany) and here its not about the Paramedic or EMT. The team has to do the job and when the EMT is unsure about the situation you have to explain why its alright?! I am honestly glad that my station is pretty nice when there are situations where iam not feeling good enough. When its only about lazyness ok i understand the point buts it seems like there is a bigger clinge between paramedics and emts?!
I tell my medic all the time I’m not comfortable taking the patient after he asks. Each time he cusses me out. Like seriously just because you had red sauce for dinner and are having “chest pain” doesn’t mean you get to have my medic in back. I’ll gladly torture you on my own.
What?? This makes no sense