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Old 04-16-2012, 03:20 PM   #1
Rescue51
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Biophone


Do paramedics still use biophones, and are they still like the ones on "Emergency!", or are they more techy now??

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Old 04-16-2012, 03:44 PM   #2
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No, no we do not. We don't usually call the hospital to ask about treatments, we have a set of standing orders dictating what we can and cannot do, and we have quite a broad range of treatments compared to what you've seen on Emergency.

That being said, we do on occasion, still have to call the hospital for orders, and we can use the radio or our cell phones for that.
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Old 04-16-2012, 03:46 PM   #3
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... A lot has changed since the mid 1970s, and trust me, we do have advanced communication technologies. I'd venture to guess you have a modern day "biophone" in your pocket right now.
In all seriousness, many areas have moved away from "mother may I" medicine, and paramedics function on standing orders allowing them to use many of the treatments in their arsenal without on-line medical control approval.

With that said, we do have the ability to communicate with the hospital for consultation with a physician (generally an attending trained in EMS protocols), Entry Notes (letting the hospital know we're en route, with a broad sense of patient presentation, facility dependent), and/or for approval for rarely-used or complicated treatments.

We have the ability to communicate verbally with the hospital by cell phone (generally on a dedicated, recorded line), via radio (in my area, coordinated through a central "CMED" dispatcher), and with telemetry (also region specific). Paramedics generally interpret live cardiac rythms, and in some areas need to transmit 12-lead electrocardiograms for ED/Cardiology interpretation of an ST-Elevation MI (Heart Attack).
For that, we generally use cell phone data connections or the internet.

Beginning a few years ago, the NEMSIS data requirements became standard in many areas, so more services are moving to electronic patient care reporting solutions (as opposed to paper reports, not seen on Emergency), and EDs generally get a faxed report within a few minutes of the crew finishing, whether they're still at the ED or not.

I know it's hard to believe, but the TV show you idolize is not a perfect picture of pre-hospital care, and a lot has changed in the years since it went off the air.

Good Luck!
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Old 04-16-2012, 03:52 PM   #4
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Originally Posted by emt.dan View Post
... A lot has changed since the mid 1970s, and trust me, we do have advanced communication technologies. I'd venture to guess you have a modern day "biophone" in your pocket right now.
In all seriousness, many areas have moved away from "mother may I" medicine, and paramedics function on standing orders allowing them to use many of the treatments in their arsenal without on-line medical control approval.

With that said, we do have the ability to communicate with the hospital for consultation with a physician (generally an attending trained in EMS protocols), Entry Notes (letting the hospital know we're en route, with a broad sense of patient presentation, facility dependent), and/or for approval for rarely-used or complicated treatments.

We have the ability to communicate verbally with the hospital by cell phone (generally on a dedicated, recorded line), via radio (in my area, coordinated through a central "CMED" dispatcher), and with telemetry (also region specific). Paramedics generally interpret live cardiac rythms, and in some areas need to transmit 12-lead electrocardiograms for ED/Cardiology interpretation of an ST-Elevation MI (Heart Attack).
For that, we generally use cell phone data connections or the internet.

Beginning a few years ago, the NEMSIS data requirements became standard in many areas, so more services are moving to electronic patient care reporting solutions (as opposed to paper reports, not seen on Emergency), and EDs generally get a faxed report within a few minutes of the crew finishing, whether they're still at the ED or not.

I know it's hard to believe, but the TV show you idolize is not a perfect picture of pre-hospital care, and a lot has changed in the years since it went off the air.

Good Luck!
Cool!!! I had a feeling biophones weren't used, but I wasn't sure. Thanks!!!
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Old 04-16-2012, 03:52 PM   #5
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No, no we do not. We don't usually call the hospital to ask about treatments, we have a set of standing orders dictating what we can and cannot do, and we have quite a broad range of treatments compared to what you've seen on Emergency.

That being said, we do on occasion, still have to call the hospital for orders, and we can use the radio or our cell phones for that.
Thank you!!!
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Old 04-16-2012, 06:38 PM   #6
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WTF is a biophone?
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Old 04-16-2012, 10:25 PM   #7
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WTF is a biophone?
It was the Orange Box UHF radio that Johnny and Roy used to contact OLMC at Rampart on the TV show Emergency.
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Old 04-17-2012, 02:18 AM   #8
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It was the Orange Box UHF radio that Johnny and Roy used to contact OLMC at Rampart on the TV show Emergency.
Biophone was the Orange Box's(Motorola APCOR) father. It was actually a radio-transmitter/receiver/telemetry unit that you could have voice communication with a physician WHILE you ran a Three-lead EKG through it.
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Old 04-17-2012, 09:01 AM   #9
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Biophone was the Orange Box's(Motorola APCOR) father.
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Old 04-17-2012, 11:25 AM   #10
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Not too shabby.

http://en.wikipedia.org/wiki/Biophone
15 min recharge time, remote/little or vehicle/big antenna use. NOT programmable, you plugged in crystals for each freq.
However, probably short range, initially no relay capability through vehicle, and NiCad batteries have their own set of issues.
.....
Remember, Johnny and Roy had no transport capability. It was them and the doctor, so a phone was very important.

PS: I worked where we had acoustic coupler modems to send out EKG's (warbling analog tone) via standard phone landline to an EKG interp company as late as 1999.
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