Recent content by LAS46

Thanks for the great answers to my questions... I learned a little bit today!

This is a call was forwarded to me by a friend. Dispatch: Snowmobile vs. tree accident. The patient has been taken into the local tavern. Arrive to find: A 24 y/o female in the one stall bathroom. She is complaining of abdominal pain and vaginal bleeding. Assessment reveals: • Airway...

Yeah this seems to happen all the time here with the SNF because they get fed up with a PT and want to get rid of them for a bit. I hate doing those transfers because it is RIGHT ACROSS the street from their facility to the ED. What a waste of time and resources.

I agree with that. There are some exceptions made for those cases but 99% of our PTs dont ask to be taken to a different hospital. And a critical PT cant ask so we still have to do what med control says.

I really dont like the EMS system out here... all PTs unless authorized by online med control have to be seen at our Level 4 Trauma Center (Basically a URGENT care center) before they can be transferred to a Level II or Level I facility. If it was up to me all Serious Condition PTs would be...

Answers in bold in quote.

ALS was dispatched but they arrive almost always when we are ready to load and go. Its the way the EMS system is set up here. They dispatch our county QRTs (Quick Response Teams) but the QRT from ALS personnel is not the best so we end up with only Basics. In this county they dont let EMT-I's...

Is the swelling of the feet new onset or does she always have that? You mentioned "high BP meds"... was one of them a diuretic? Has the patient been compliant with her meds and diet? This is a regular PT and almost every time we have ran on her she has had swelling of the feet. The medication...

No JVD or Jugular Reflex. RR was 18 Nitro x3 was not effective for any relief of pain. They physical assessment turned up no other abnormalities. No pain upon palp of legs or feet. Decreased ROM on both feet due to swelling, minor pain. The only recent medical Hx was surgery to place...

Rule 500 Colorado Rule 500: http://www.dora.state.co.us/medical/rules/500_non_emer.pdf

Pulse ox? 92% ra Ekg? No EKG Capnography? Temp? 96.2 Recent bout of sickness? No Known Smoker? No How are her legs? Some swelling noted in ankles and feet. Our QRT crew only had Basics w/o IV cert available. Basics are limited on what they can give via IV. I am certified to interpret...

PT had not been traveling, and does sit for long periods.

This was a call that we had a few months ago. Dispatch: 58 yo female with chest pain Arrive to find: female seated at kitchen table, SOB, pale, cool, clammy, radiating pain down left arm. Assessment reveals: Airway is patent but PT is SOB. Pupils are PERRL, Lung sounds are clear, Skin...

Temp outside is 12 deg F. Dispatched at 0900 Arrived at 0945. Caller says PT has been on ground for about 15 to 20 min. Aprox Height of Tree stand was 18 feet. The Trauma Center and only hospital is 50 miles from your Ambulance. PT is located another 8 miles off road.

Dispatch: 36 year old male who fell from a tree stand. You are on a BLS only ambulance today. Arrive to find: Scene is safe. Man fell to ground and landed on wood. He is responsive to verbal stimuli. Arrival at the scene will be facilitated by the use of ATVs and additional help. Was...