Recent content by HawkMedic

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    IN Fentanyl and no IV

    Maryland just got Fentanyl as a substitute for morphine due to the national shortage, however they haven't approved any other route other than IV.
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    A theoretical question : the lesser of two evils ...

    Listening to some of the posts; I wish we had more in our protocols! We have peripheral IV's; EJ's; IO in the long bones, and the humerous. It would be cool to do a sternal or Illiac IO. We can't access fistala's or ports/ PICC's without medical direction so its basically a waste of time you...
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    EMTALA / JCAHO violation?

    I guess the other question I would ask is in the idea of transporting to the appropriate facility would you work an arrest by yourself? The variables are endless, and this case just proves the point that its called "practicing medicine". You'll probably never master it, even though I'm sure...
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    EMTALA / JCAHO violation?

    I'm not sure what your asking? I am an ALS provider just for clarification; If I was to transport to the other facility It's difficult to say when I would rendevous with another provider, and its not guarenteed that It would be a Paramedic.
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    EMTALA / JCAHO violation?

    To answer some of the questions: I am an NREMT-I99; We have paramedics/ CRT-I's in the county. All of the county is volunteer with the exception of the supplemental paid staffing; So we rely on the volunteers to upgrade as driver most of the time. Occasionally we have a chase vehicle from the...
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    EMTALA / JCAHO violation?

    I'm just trying to prepare for a confrontation with the system director, so this doesn't happen again. If I'm at fault than so be it. I've heard alot of good comments, and I appreciate all the comments some are a bit over the top but it's still information to take home at the end of the day...
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    EMTALA / JCAHO violation?

    I appolagize the the blog comment. And I didn't understand how exactly EMTALA worked so thanks for the information.
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    EMTALA / JCAHO violation?

    I'm avoiding some of the questions cause I don't need someone monday night quarter-backing a call when they don't understand the area/ resources that are available. And I though someone on hear would have more knowledge than I did about EMTALA, and JHACO. I'm not getting the information I need...
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    EMTALA / JCAHO violation?

    varying junctional to Accerated junctional w/ RBBB; Initially onscene the ECG showed ST segment changes in Inferior; 15 lead performed without any Right sided involvement; Third ECG and subsequent ECG's show no signs of STEMI. Our protocol states we are unable to call a STEMI with QRS duration...
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    EMTALA / JCAHO violation?

    Thanks socialmedic. I'm unfamiliar with EMTALA, and couldn't find alot of resources about it. That answered my question just fine!
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    EMTALA / JCAHO violation?

    Truetiger the hospital usually accepts the patients and transports them by air if they meet the criteria, apparently the patient didn't meet the criteria.
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    EMTALA / JCAHO violation?

    It's not my decision to make; I have protocols to follow that were assigned by doctors. The Cath lab in the area is new and cannot perform all the proceedures that some of the other individuals were talking about. It's basically exploritory; We usually fly out individuals to other major...
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    EMTALA / JCAHO violation?

    Usalsfyre I appreciate your opinion, but I don't think you read it right!
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    EMTALA / JCAHO violation?

    Silver to reply to you; I cannot transport Heparin, or Tridol; It's outside my scope of practice!
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