EMTLife.com - The #1 Online Forum for EMS-Related Discussion  

Go Back   EMTLife.com - The #1 Online Forum for EMS-Related Discussion > The Break Room > EMS Lounge

EMS Lounge Sit back, relax, and start up discussion with fellow medics. This is a perfect place for new users to make their introductions.

Reply
 
Thread Tools Search this Thread Display Modes
Old 10-02-2005, 08:57 AM   #1
namaste1967
Forum Crew Member
 
Join Date: Sep 2005
Location: S.E. Michigan
Posts: 60
Training: EMT-Basic

A question, even though to some, maybe a dumb one............hospitals use the automatic bp, pulse, & pulse ox machine (nurse on a stick), why hasn't that become a piece of equipment on an ambulance?? Our rigs have GPS and all the lastest technology.........


namaste1967 is offline   Reply With Quote

Old 10-02-2005, 10:06 AM   #2
smileyyemtb76
Forum Crew Member
 
smileyyemtb76's Avatar
 
Join Date: Sep 2005
Location: S.E. Michigan
Posts: 41
Training: EMT-Basic
Send a message via MSN to smileyyemtb76 Send a message via Yahoo to smileyyemtb76
I think we don't have those on our trucks, because there is too much room for malfunction. And out there on the road in an emergency situation, you can't afford to get the wrong vitals. Many times I will get called to a nursing home, and the nurse has just taken vitals with the "nurse on the stick" and then I take em, and bp is off by 10 or 20. My partner will recheck, and we will get the same thing. In someone with chest pain, that 10 or 20 is the difference between Nitro or no Nitro.
__________________
"One by one the penguins steal my santity!"
smileyyemtb76 is offline   Reply With Quote
Old 10-02-2005, 04:22 PM   #3
Wingnut
EMS Junkie
 
Wingnut's Avatar
 
Join Date: Jan 2005
Location: Naples, Florida
Posts: 2,027
Training: EMT-Basic
Also in our profession we need to be VERY proficient at taking vitals the good old fashioned way. We cannot be dependant on the machines.

If we got busted using one of the machines during class/lab, clinical, etc..we would be kicked out. Never happened, but they sure did seem serious
__________________
Jennifer...Collier County, FL
EMT-B, CPR Instructor, Real Estate

Don't worry, these days doctors can keep a person alive well beyond thier usefullness! ~Hugh Neutron

If it's wet and sticky, and not yours, LEAVE IT ALONE! ~ffemt8978

My Gramps the Entrepreneur:
Wingnut is offline   Reply With Quote
Old 10-02-2005, 04:53 PM   #4
namaste1967
Forum Crew Member
 
Join Date: Sep 2005
Location: S.E. Michigan
Posts: 60
Training: EMT-Basic
Quote:
If we got busted using one of the machines during class/lab, clinical, etc..we would be kicked out.
In one of my ER clinicals, that's all they would let me use.........also on one of my ride-a-longs, the medic had the bp cuff hooked up to the zoles and was taking "auto vitals" that way. Is that SOP for medics?
I guess I thought that since hospitals relied so much on them, that they may have been more accurate.........that's what I get for thinkin'!!
namaste1967 is offline   Reply With Quote
Old 10-02-2005, 06:19 PM   #5
TTLWHKR
Forum Deputy Chief
 
TTLWHKR's Avatar
 
Join Date: Jun 2004
Location: Colton Point, Pa
Posts: 3,142
Training: EMT-Paramedic
Send a message via AIM to TTLWHKR
Too much room for error.
TTLWHKR is offline   Reply With Quote
Old 10-02-2005, 06:28 PM   #6
namaste1967
Forum Crew Member
 
Join Date: Sep 2005
Location: S.E. Michigan
Posts: 60
Training: EMT-Basic
Quote:
Originally posted by TTLWHKR@Oct 2 2005, 06:19 PM
Too much room for error.
I'm curious why hospitals rely so much on them..........
namaste1967 is offline   Reply With Quote
Old 10-02-2005, 07:16 PM   #7
MMiz
Community Leader
I put the M in EMTLife
 
MMiz's Avatar
 
Join Date: Jan 2004
Location: Down South
Posts: 1,000,004,678
Training: EMT-Basic
There is a huge difference between a hospital and an ambulance.

The company I work for provides medics BP cuffs on their Lifepak 12s, yet almost every medic takes the baseline vitals by hand. The machines still aren't good enough to always get a good and consistent set of vitals. Once you have the baseline you may have it take the BP automatically every 5 minutes, but I'd never rely on a baseline BP from a machine.

At the hospital the patient is in their bed in a nice quiet environment. That's not the same thing in the back of a moving ambulance. Even at the hospital one out of ever 10 BPs is crazy-off. That's why most units keep their BP kits on the cot, even if you dont take in your jump bag. As far as the NHs go, their BPs are almost always off. I always take my own BP at the hospital or NH before we get in the ambulance or transport. Then I take one in the back of the ambulance as we're pulling away.

Also, it's expensive. Why pay for an expensive piece of equipment that has a high error rate when a $20-$150 BP cuff can do it accurately (with a trained EMT) and will last longer?

Just like my trucks GPS isn't always right or perfect, the same goes for the auto BP cuff
__________________
Matt
EMT-B

MMiz is offline   Reply With Quote
Old 10-02-2005, 07:40 PM   #8
rescuecpt
Community Leader Emeritus
Community Leader Emeritus
 
rescuecpt's Avatar
 
Join Date: Jun 2004
Location: Long Island, New York
Posts: 2,088
Training: EMT-Intermediate
Send a message via AIM to rescuecpt
Quote:
Originally posted by namaste1967@Oct 2 2005, 07:57 AM
A question, even though to some, maybe a dumb one............hospitals use the automatic bp, pulse, & pulse ox machine:censored: (nurse on a stick), why hasn't that become a piece of equipment on an ambulance?? Our rigs have GPS and all the lastest technology.........
We have the automatic BP, pulse, and pulse ox (one unit) made especially for ambulances. Works well on our long transports, but we (my squad) requires the EMTs to take at least two manual readings per transport (and of course make sure the machine is inline with the manual and vice versa) - the State only requires 1 reading, whether manual or automatic.

I love the machine for when I'm not in a rig with an ALS seat - I can hook it up on the far arm, leave it there, and let it do its thing (I can set it for every 5 minutes, 10 minutes, etc) while I start a line in the close arm, do exams, monitor the Zoll or Lifepak, etc. When I'm riding an emergent ALS call alone, which happens a lot, it's an extra pair of hands.
__________________
I have 360 joules worth of 'bite me' slung over my shoulder and I say otherwise...
rescuecpt is offline   Reply With Quote
Old 10-02-2005, 07:43 PM   #9
Jon
Community Leader
Community Leader
 
Jon's Avatar
 
Join Date: Nov 2004
Location: Southeastern PA
Posts: 7,874
Training: BS, NREMT-P
Send a message via AIM to Jon
Quote:
Originally posted by namaste1967@Oct 2 2005, 04:53 PM
Quote:
If we got busted using one of the machines during class/lab, clinical, etc..we would be kicked out.
In one of my ER clinicals, that's all they would let me use.........also on one of my ride-a-longs, the medic had the bp cuff hooked up to the zoles and was taking "auto vitals" that way. Is that SOP for medics?
I guess I thought that since hospitals relied so much on them, that they may have been more accurate.........that's what I get for thinkin'!!
My medic school required that we document 25 sets of vitals (manually) by patient #, along with 20 12-leads, 15 O2 applications, etc.... Basic stuff, so they could document we were able to do that.

Otherwise, they didn't care.

Most places using something other than a LP10 for a defib have a BP cuff and Pulse ox intergrated.

Most places have no problem using the intergrated stuff, but you MUST verify it manually.

Jon
__________________
EMTLife.com used to be my life. Now there are pesky distractions like school, work, and friends. But I still like this place.

The views expressed here are mine and do not reflect the official opinion of my employer(s) / Companies or the organization(s) through which I access the Internet

Quote:
Originally Posted by Robb View Post
I can't wait until people actually know what we're talking about when they get called an LIV lol
Jon is offline   Reply With Quote
Old 10-02-2005, 08:05 PM   #10
TTLWHKR
Forum Deputy Chief
 
TTLWHKR's Avatar
 
Join Date: Jun 2004
Location: Colton Point, Pa
Posts: 3,142
Training: EMT-Paramedic
Send a message via AIM to TTLWHKR
Quote:
Originally posted by namaste1967+Oct 2 2005, 05:28 PM--></div><table border='0' align='center' width='95%' cellpadding='3' cellspacing='1'><tr><td>QUOTE (namaste1967 @ Oct 2 2005, 05:28 PM)</td></tr><tr><td id='QUOTE'> <!--QuoteBegin-TTLWHKR@Oct 2 2005, 06:19 PM
Too much room for error.
I'm curious why hospitals rely so much on them.......... [/b][/quote]
Hospitals don't bounce down rough roads.
Ambulances do.


Hospitals machines don't get slammed around.
Ambulance machines do.


Isn't gonna kill ya to auscultate or palpate a BP every 5 or 15 minutes, what ever you're doing. Sure the LP can be used as one, but I would never rely on it, just b/c I don't trust electronic vs. my own touch and hearing.
TTLWHKR is offline   Reply With Quote
Reply

Bookmarks

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Forum Jump

Similar Threads
Thread Thread Starter Forum Replies Last Post
ER Nurse Invents New Way To Sanitize Hands TrmaGrl220 EMS-Related News 16 01-10-2008 02:26 PM
nurse sets fire firecoins EMS-Related News 4 04-10-2007 03:35 PM
Flight Nurse and the Medic MedicPrincess EMS Humor 17 01-09-2007 10:22 AM
Stick a fork in me , I am done like dinner!! Medivixen EMS Talk 10 11-17-2006 10:12 AM
Patients that stick with you... CodeSurfer EMS Lounge 2 04-18-2005 05:48 PM


All times are GMT -4. The time now is 06:31 PM.


Powered by vBulletin
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright 2001-2014, EMTLife LLC. All rights reserved.