no excuse for admin of the wrong drug but maybe this lady should review narcan before suggesting long term effects.

hello mam i m also intereted to this field how i can join with u .
by
noble_mk@yahoo.com

Mike, I agree that there is a lot to learn from FedEx. What if you could track the status of your relative or an incoming patient (if you are a receiving facility) as easily as you could track a package. Some issues to work out there, but you get the drift. Ritz-Carlton is another such company to learn from at the personal interaction level. Here is an interesting exercise - What would it look like if FedEx and Ritz-Carlton got into the EMS business as a joint venture? How would they manage their logistics? How would they train and empower their staff to do whats right for the patient? (Did you know that the maid who cleans your room at the Ritz-Carlton has the authority to spend hundreds of $$ without supoervisor approval to fix a customer issue?)

Food for thought....

--- Mic Gunderson

Just who makes the call on this. Is an ambulance sent to the call & they make the decision or the 911 center?

Correct hand position for steering is only 9 to-3. But, in the first picture you show, the hands are not in 9 to-3, they are lower, in 8 to-4. This is a horrible grip, and I would say 10 to-2 is better than it.

The airbag, for me, is the lease important considuration while steering. The most important is control, and this will prevent the car from getting into an accident to begin with. In 9 to-3 (like the third picture) you have full control and you are safe from the airbag.

Additionaly, the thumbs are not in risk of fracture unless you really go offroad. On the road, keep those thumbs hooked inside to optimize control

I would walk away from the Paramedic field in a heartbeat!!! I have been in EMS for almost 19 years and I can say it is not the calls or the people we serve that burns me out. It is administration showing favortism and partiality, it is the backbiting and lack of comradery among the medics that really make me want to walk away. If I win the lottery,no one will see my happy backside again.

What a great article. John was so very helpful with our article series. Kudos to him for taking the time with us in creating the series. He is a class act!

What a wonderful article! Such a great reminder that we need to get to the basics of why we chose to be in healthcare, and continue to choose to make it good and helpful! THanks for this reminder and the wonderful elements of Take 5!
Mary G

I have been writing and sending information packs to both Dey and Meridian for almost 2 years now, so I would just like to say "THANK YOU" for introducing your new and safer product. This is all that I wanted, and finally it has come to fruition! YES! Im sure that my letters and suggestions were in a long line of requests to have this changed, but Im just glad it all worked. Now that Im 18 years old, and also a State Certified EMT [and still in high school] I can feel reassured that I helped to make a difference!

Hey DEY, after all of my hard work, I would love the opportunity to be your Youth Spokesperson and offer informational usage sessions here in Utah, if you would be willing to give me the trainers and marketing information. Lets get the word out that you have done this now! No more thumb dosages for my dad either--Thank Goodness! His ICD and heart cant take much more!

Let me know if you would like my help! Im ready, willing, able, and now a newly State CERTIFIED (EMT) and willing to offer my assistance!

WOW, who would have ever thought that persistent letter writing [2 years worth] could really get something accomplished?

CARPE DIEM!
Spenser Dauwalder

Dr. Wardlaw was a great person as well as a good Dr. Some years ago, he and his wife and I were foster parents.. and they, and I adopted children. When I would go for my eye exam, we always caught each other up on our children.I really missed him when he moved to Atlanta... He will be sadly missed by all. My prayers are with his family.

Great article and great job soldier. I have been
an EMT for 18 years. Mm also a medic in the Militia in CA I suspected as much BVM verses ET placement.

I direct some of you to oathkeepers

It wasnt until last week (Oct. 20, 2009) that I found out that my Father was deceased! He had passed Dec. 22, 2008. I have had several health issues this past year and havent had the ability to contact my father like I normally did, the nursing home never notified us and now his remains are completely gone! We cant spread any ashes or have a open or closed casket funeral. I am so upset and it is tearing me apart that I didnt get to say goodbye.

Good article ,good luck to all armed forces. It seems
to me that people are improvising to save lifes.
Medicine is advancing and saving lives. Thanks
to all the docs out there.

I brother was recently found deceased in his home last Thursday and ended up at the Maryland Anatomy Board and he cannot have an open casket. We were never officially notified. A friend of his called me the next afternoon wondering if we heard from the police and we had not. My mother spoke to him a week ago tonight. The funeral home was finally able to get his body in Baltimore and bring it home today. He is in advanced decomposition and my mother cannot view her son for one last time. So not only were we not notified so that we got his body sooner but it appears that he may not have been refrigerated. What is happening in Maryland?

You take the patient where the system allows. You may take the patient across town one time but the next time you may not be able to. If the patients having an MI and wants to go to a hospital that i dont feel will be able to accomadate them or is too far. Im not taking them there. Period. I dont know how many times I have run into this in colorado but it is a lot. Doesnt matter who your insurance or doctor is. Its no different for anything else. We are not a taxi service. This is emergency medicine. If I am sick enough to call an ambulance, take me to closest facility so i can feel better now. If a patient wants to go to a hospital 20 miles away during rush hour in a system that is busy that day. Im not taking them. Not all patients get transferred. A majority of them are released from the ER. Im gonna take the patient to the hospital of their choice if our system is good, but if its bad I am not driving across town in rush hour for an appendix, risking other peoples health when there is a hospital 5 minutes away or less. EMS is busier than ever. Time to change to a closer hospital or a different insurance.

thanks for the info buddy-been a medic for 20 years and didnt know i should have went to ALABAMA!!!!

Thank you for this excellent presentation and case study. I work at a small community hospital that recently received accreditation as a stroke center. I look forward to incorporating this information into my nursing practice.
Thank you

Within reason is subjective and should be within the capacity of the paramedic to determine whether or not the patient gets what they want or dropped off at the nearest facility for treatment. This isnt Burger King. The municipal fire rescue company out of service time and on-duty coverage is a reasonable consideration whether or not to transfer out of your service area. If she wants to go to another service area move within that service boundary or call a cab for non-emergent care.

umm what it boils down to is customer service. dont be lszy cuz you want to get back. do the right thing. stable take em where they want to go within reason.

Illinois law states that a physician makes the transport decision on going past the closest facility. Sounds to me like Medical Control should have been contacted.