Craig Alan Evans
Forum Lieutenant
- 135
- 0
- 0
I was just shown this slide during a critical care paramedic course. Thought it was worth sharing.
Last edited by a moderator:
Appearance and tradition. Why even use ambulances for CCT? Just fly them all
Our joke is, aviation doesn't fly if there is a cloud in a 200 mile radius.
Then they :censored::censored::censored::censored::censored: when we don't call them.
I might or might not have had this exchange over the radio...
"Dispatch, can I have the status on aviation?"
"they state available, would you like them to respond?"
"negative, just checking. I need an incident number for a patient refusal."
I was just shown this slide during a critical care paramedic course. Thought it was worth sharing.
The majority of "street" and for that matter "CCT" paramedics would not. Certain programs (NCTI in particular in this area) have done a lot of people a disservice in giving them "critical care" classes that leave much to be desired at the end of the day.Eh I agree to an extent. It really depends what you define as a "Critical Care Patient". I think the major issue would be IFT of critical care patients. How many "street" medics would truly feel comfortable transporting an IABP patient maxed out on 3 different pressors or a SAH patient with a ventriculostomy, etc.
In theory, a CCT medic SHOULD be thinking further down the road, be more familiar with more medical conditions and bring a higher level of practice to the game. In reality...it depends.That is where the CCEMTP makes the most sense. Familiarizing medics with those types of patients and equipment. Is there a real benefit of a CCEMTP in normal 911?
Due to staffing shortages we just dropped from CCT/EMT-P to CCT/EMT-B. They do a bit more than that, but the workload is still quite a bit higher in this config than it was.And yes, In an CCT environment the Basic would pretty much do just that. How many CCT teams even use basics? Most are Medic/Medic or Medic/RN/RRT
Appearance and tradition. Why even use ambulances for CCT? Just fly them all
Craig, I think I'm right there. If a patient is critically ill AND needs transport between hospitals, the odds that the patient has been mismanaged up to that point are high.
Craig, I think I'm right there. If a patient is critically ill AND needs transport between hospitals, the odds that the patient has been mismanaged up to that point are high.
Probably because flying a non-time critical patient is ungodly more expensive and somewhat more dangerous.
i might or might not have had this exchange over the radio...
"dispatch, can i have the status on aviation?"
"they state available, would you like them to respond?"
"negative, just checking. I need an incident number for a patient refusal."
And yes, In an CCT environment the Basic would pretty much do just that. How many CCT teams even use basics? Most are Medic/Medic or Medic/RN/RRT
I have a question.
Since we know that response times play almost no role in outcome, do not save significant time during transport, driving lights and sirens increases the chance of a MVA, and generally the equipment and patient are not conducive to bouncing down degraded roads at 60 mph, why do critical care transport ambulances even have lights and sirens?
The CCT at my service is CCEMTP / EMTP in the back and EMT-B driving.
They are apparently moving to 2 CCEMTP's in the back and the EMT-B up front.
That slide is correct from what I've heard. The Basic's only function is to drive and nothing else.
When I worked at North Shore LIj, the basics were shown how to set up pumps, vents, and 12-leads. The medic just had to confirm that the equipment was set up properly.
Since the UMBC course has turned into a merit badge course what are all of your's opinion about the http://www.bcctpc.org/ CC and FP certs?
I think it's a step in the right direction and it's not making money off of courses.
I am way to paranoid for that. I won't start a pump unless I set it up myself