Recently a paramedic with Rural/Metro in Webster, N.Y., recalled what he considers to be the hardest call of his career: responding to two firefighters who were ambushed on Christmas Eve. Check out…Continue
Randolph Mantooth ("Johnny Gage") partners up with JEMS Editor-in-Chief A.J. Heightman to staff his 1974 Cadillac Criterion Ambulance en route to workshops on CO poisoning and REHAB, NFPA Standard 1584, sponsored by Masimo and the IAFC on Tuesday…
"I tell them that it is one of the most rewarding jobs out there, but not that great of pay. If you are in it for the money, you are in the wrong profession. If you are a thrill seeker with a strong back, stomach, mind, and sense of humor, EMS is the…"
"It was your analogy, so I ran with it!
.....Yeah! We find ourselves discussing that one a lot, don't we? LOL!
To get back to the thread, my jurisdiction reviews every refusal at the Field Supervisor level--every one of them.…"
"I'm not sure the "combat soldier" analogy works for me. Combat soldiers don't work shifts, and don't get days off. There are very few EMS organizations where medics run from call to call with no down-time in…"
"You can. It's called: building a better machine that reduces the workload.
Even combat soldiers get fatigue and get pulled from the line. During the battle, perhaps not. But they do get pulled off the line and…"
"Ones' mood surely can be influenced by lack of food. But whether you're a medic on duty, or soldier in combat, or a cop on the beat, a pro will recognize when he or she is getting hypoglycemic and do something about it. The…"
"I think probably both.
There is something unique about some EMS providers. Most people go to work, they expect to work through their shift, with perhaps a couple of breaks and a meal. Some EMS folks seem to feel like "a call"…"
"Within reason, I agree with you. The problem is that until the health-care system undergoes MAJOR changes, there is no alternative but the ED.
What the research has shown is that medics do not make the right decisions when given the ability…"
"The trick is "replicability." You can do what Grady was doing when you own both the primary care capacity and the ambulance - but that is not the case most places. The other questions that must be answered are…"
"I don't disagree at all that the model needs to change. However, we need to work in the current model, well, or nobody will trust us to do the new and better things going forward.
Right now, as the system exists, there is NO ONE who must…"
I'm surprised that you would not throw the caveat out there of "under the current model of care" in there, without exploring the opportunity for for EMS to better partner with heath care systems and payors to better access…"
"Yes we do. We do 100% peer audits everyday. Every morning the oncoming shift audits all of the runs from the previous shift. The only runs that are not audited are no patient runs (i.e, disregards, false medical alerts). We…"