luke
Junior Member
Posts: 22
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Post by luke on Mar 16, 2007 23:27:13 GMT -5
Why is it that some EMT's think they are god? Here is an example for you, Lets say you are an EMT and at a residence for Difficulty Breathing, you do your patient assessment and vitals and when the rig arrives on scene you have an EMT that has to do everything that you have just got done doing. (I know vitals and such change) Then when you go to load the patient do you make a patient climb in to the back of the rig when he already is having a hard time breathing or do you put the patient on the cot, and when you place the patient on the cot, the next comment out of this EMT's mouth is F@#KING People, Real professional? I know people have bad days and when SH%T hits the fan things come out of peoples mouth. Comments like that make other EMS or QRS personal feel unwanted.
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Post by chief322 on Mar 17, 2007 5:57:05 GMT -5
Luke (Chief);
As I have numerous times expressed and declared that I am a NFT in EMS matters, would like to point out and ask questions from your post. Being a NFT, I will try and base them off of the fire end of the command structure.
To the best of my knowledge NFT's such as myself would be considered FF's in the EMS world. First Responders would be LT's and EMT's our Captains. EMT-P's would be our CFO's.
Based on your example, the EMT on scene assumed patient responsibility (COMMAND). That EMT acessed the conditions of patient (SCENE) and began treatment (INITIAL ATTACK). When the bus arrived and additional resources (MUTUAL AID) were readily available, was the patient "given" to the assisting/transporting unit (TRANSFER OF COMMAND)?
I can certainly understand that if you were on-scene as a QRS unit, even with EMT level certification, feeling snubbed or unappreciated. However, if the patient was turned over, even in theory, to the Bus personnel, then the responsibility and care tactics falls upon them.
Kinda like a Deputy Chief relinquishing command to the Fire Chief. Its up to him to allow the gameplan to continue or restructure and start new. Either way, as someone who has passed the torch to another, you either play by the new rules set out or get out of the game.
I share your pain and know what you are saying here, brother!
Tim
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Post by Chief-551 on Mar 17, 2007 11:37:48 GMT -5
Then when you go to load the patient do you make a patient climb in to the back of the rig when he already is having a hard time breathing or do you put the patient on the cot? ABCs, ambulate before carry.
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Post by 4157 on Mar 17, 2007 13:01:56 GMT -5
I do the same thing for every call that involves QRS
I'll take their report, write down their last set of vitals on my report, write it off as QRS; and then take my own set. Your information is important. However, since you are a QRS, a non-transporting agency, you have just transfered care.
The patient is now someone else's responsibility, they have to account for their own actions. It's not about stepping on toes, or making someone else feel inferior. It is expected that a transporting unit take a set of vitals soon after getting to the patient.
Since the patient is having resp diff, you shouldn't have them exerting themselves. Call for assistance if you can't lift them (for any reason) w/ the crew you have, your safety comes first..
You ABC your hypochondriacs, and felt this way for the last two weeks patient.
No need for the attitude or cursing, number one sign someone needs to be off a rig for a while is if they can't handle a situation w/ out cursing. NEVER curse in the presence of the patient. Bad bad bad, brings down the whole crew, bad for moral. Quality, value, compassion (caring), a few of the things a lot of ppl are neglecting in EMS these days. The patient wants to know that the EMT, medic, etc. can do their job, obviously; but they also want to know they are going to be alright. The best way to convey that message, with out telling them (in case they aren't going to be alright), is to stay calm, composed, and be nice to the patient. Many times the patient will appreciate the caring demeanor better than the actual care that was provided.
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luke
Junior Member
Posts: 22
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Post by luke on Mar 18, 2007 1:53:08 GMT -5
Chief-551
I was taught that the ABC's were Airway, Breathing Circulation
1883 wrote Since the patient is having resp diff, you shouldn't have them exerting themselves.
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Post by 4157 on Mar 18, 2007 10:35:46 GMT -5
Chief-551 I was taught that the ABC's were Airway, Breathing Circulation Well, what he was saying is sort of a play on words, if you will, just another use of the vast list of mnemonics.
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Post by Chief-551 on Mar 18, 2007 12:36:41 GMT -5
Just thought I'd add a little humor.
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Post by chief322 on Mar 18, 2007 19:54:24 GMT -5
Chris;
Kinda like the last three of the psuedonym "PROBLEMS", eh?
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Post by Medic13 on Mar 18, 2007 23:37:31 GMT -5
I should get a little credit for staying out of this one for at least a few days ;D
Continuation of care was right... reassessing vitals was right... letting patient walk into rig was questionable... outburst was wrong.
I'm not trying to downplay the situation, but I would hate for folks to think this is just an EMS thing. Seems like we always hear about the EMT's who think they're god, but never when it goes the other way. This situation is sticks and stones compared to the disrespect I've experienced and seen out of some unnamed fire officers. Only difference is that it's "acceptable" for these fire officers to disrespect EMS (and dispatchers). Bottom line is that everyone puts their pants on one leg at a time. Some folks...fire, ems, and police... need to grow up and realize that respect is mutual.
I'm sure I'll ruffle some feathers with this one, but no disrespect meant to fire officers in general.... just as I'm sure the original post was not meant to disrespect EMTs in general. We all know who the good ones are, just as we know the bad ones.
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Post by 4157 on Mar 19, 2007 0:13:43 GMT -5
Chris; Kinda like the last three of the pseudonym "PROBLEMS", eh? Not exactly.. More like the acronym CHAOS; Chief Has Arrived On Scene. Mnemonics are memory aids in EMS. SAMPLE, OPQRST, DCAPBTLS, ABCDE, CASHPN, SOAP, AEIOUTIPS, etc..
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Post by chief322 on Mar 19, 2007 5:17:58 GMT -5
Now that was a good one! Never heard that one before.
Lets set the record straight though, If I am on the scene, you can bet it COMPLETE CHAOS!!!!!!!!!!!
Ask any of my peers. Me and FUBAR seem to go hand in hand!
Tim
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