Last On: 1:37PM, 22 Oct 11
Don Fifield
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  • Thetford Center, VT
  • United States
  • Firefighter/EMT
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Don Fifield's Discussions

IC's request for ALS canceled by responding BLS
26 Replies

Our fire based EMS was dispatched with a third party transport ambulance service. On arrival we located the trauma patient  screaming in pain while lying on cold muddy ground.IC asked dispatch if the…Continue

Started this discussion. Last reply by Kalynne Sep 18, 2011.

 

Don Fifield's Page

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Kalynne replied to Don Fifield's discussion IC's request for ALS canceled by responding BLS
"A passerby with a band aid in their pocket would have done more good.  Arriving on scene without taking the person out of the cold, into a warm ambulance, packaging them appropriately and treating any injuries to the extent they could while ALS…"
Sep 18, 2011
Michael Lee Reisman Maj-Ret RNNP left a comment for Don Fifield
"The Ugly American from Fayetteville, NC this former Army Nurse Corps Major unmasked I live in Fresno, California just back from Bagram Airbase, Here is my story about my unmasking the"Ugly American” with WWLR out of Fayetteville, NC that…"
Sep 15, 2011
Adrienne Linn replied to Don Fifield's discussion IC's request for ALS canceled by responding BLS
"Sorry for the mix up Joe. Hopefully Don will give us all some additional info to work with."
Sep 15, 2011
Joe Paczkowski replied to Don Fifield's discussion IC's request for ALS canceled by responding BLS
"Point of clarification. I'm not the original poster and have no knowledge of this event besides what has been posted by Don."
Sep 15, 2011
Adrienne Linn replied to Don Fifield's discussion IC's request for ALS canceled by responding BLS
"At first glance, I'm thinking that your EMS based fire is BLS at the very least, so at least the same level of medical control as responding BLS unit so...the responding unit was out of line, plain and simple. ICS means that the IC requests the…"
Sep 15, 2011
Skip Kirkwood replied to Don Fifield's discussion IC's request for ALS canceled by responding BLS
"For it to be abandonment, there has to be proven harm from the action.  No evidence of that.  Arriving on the scene and leaving without seeing the patient does not constitute abandonment.  Trust me, I'm a lawyer!"
Sep 15, 2011
Bob Diehn replied to Don Fifield's discussion IC's request for ALS canceled by responding BLS
"This may constitute abandonment...not sure what the exact circumstances were (does "fire based EMS" mean another ambo was already on scene, is "ALS resource" an intercept or an ALS ambo?), but the crew arrived on scene, and while…"
Sep 15, 2011
Nathan Stanaway replied to Don Fifield's discussion IC's request for ALS canceled by responding BLS
"Viewed as unacceptable.  Much like the incident where the EMTs supposedly told the coach NOT to use the AED on the kid in cardiac arrest.  Unacceptable.  Im for the using the female dog..."
Sep 14, 2011
Neil White replied to Don Fifield's discussion IC's request for ALS canceled by responding BLS
"I guess its more a difference in how ems services work on each side of the pond. Our dispatchers have the habit of deploying the seventh fleet to everything. Many times crews can use local knowledge to decide things aren't needed without…"
Sep 14, 2011
Joe Paczkowski replied to Don Fifield's discussion IC's request for ALS canceled by responding BLS
"...hire->higher... :(     Ok, I forgot that they never made contact, while leaving isn't necessarily abandonment, it is definitely worthy of sanctions.   Also, I put in my initial response that everything was going off of just…"
Sep 14, 2011
Dallas P. Patrick replied to Don Fifield's discussion IC's request for ALS canceled by responding BLS
" "
Sep 14, 2011
Joe Paczkowski replied to Don Fifield's discussion IC's request for ALS canceled by responding BLS
"If the EMT crew accepted care for the patient and never transferred care back to someone else, then it could easily be considered abandonment. Just because someone hire was someplace on scene doesn't mean that they had a provider-patient…"
Sep 14, 2011
Dallas P. Patrick replied to Don Fifield's discussion IC's request for ALS canceled by responding BLS
"My Question is...  Was the Emergency Personnel on scene higher or of the same level of provider as the BLS unit?  If so then no.1 we are not looking at abandonment issues.  No.2  if this was a private EMS company who is…"
Sep 14, 2011
dr-exmedic replied to Don Fifield's discussion IC's request for ALS canceled by responding BLS
"It's one thing to be a bit annoyed that you've driven halfway across the county only to not be needed, and I don't think that's the action anyone's concerned about. It's quite another to cancel an advanced unit when…"
Sep 14, 2011
Brooks Walsh replied to Don Fifield's discussion IC's request for ALS canceled by responding BLS
"Props to the IC for advocating for the patient. Even if pain control was the only ALS indication (as is implied above), that's a good enough reason."
Sep 14, 2011
Don Fifield was featured
Sep 14, 2011

Profile Information

Employer/Affiliation
Firefighter/EMT
Primary Agency/Department Type
Volunteer Fire/EMS Department
Primary Department/Agency Name
Thetford Volunteer Fire Department
Department/Agency Web Site
http://www.thetfordfire.com
Years in EMS/Public Safety
27

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At 9:48pm on September 15, 2011, Michael Lee Reisman Maj-Ret RNNP said…

The Ugly American from Fayetteville, NC this former Army Nurse Corps Major unmasked

I live in Fresno, California just back from Bagram Airbase, Here is my story about my unmasking the"Ugly American” with WWLR out of Fayetteville, NC that took place at Bagram Airbase. Your medic warrior brother

My you tube, cut and paste below to see my video

 

http://youtu.be/jj1H1Q31NaA

 

Thanks Major Mike Reisman Major US Army Ret-RN CS FNP

PS You would not believe the hate mail I did receive over this post for not looking the other way.

 

WorldWide Language Resources, Inc

 

308 Person Street

 

Fayetteville, NC 28301

 

Office: 910.483.2881 Fax: 910.483.2470

 

 

 

 
 
 
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