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The problem is, like most things in life and medicine, you can't use absolutes. I agree IN MOST CASES 90mph is too fast. However there are exceptions. The stretch of I-10 TransportJockey mentioned being one. EMS as a whole needs to learn nuance.

I'm aware...but you would've seen the cow from a long way away....

There's no cars or trees in rural West Texas to hit. Seriously, if you run off the road the only thing that will stop you is deep sand, a windmill or a cow.

Less than healthy, but this guy approves

Oklahoma was like this. Amazed me.... "So it's better to let my patient aspirate while I unpackage and hook up the suction than to risk something non-sterile being put somewhere....non-sterile? Cool, I guess..."

It's 2016...how is not having the ability to monitor SpO2 on AN AMNULANCE still acceptable anywhere?!? You can get them for 50 bucks!

To be fair, so does a King or Combitube's they're just shaped different so you don't see it. PTLs are crap, but at one point they were what was available. Still better than the yellow bast@rd (an airway that still requires you to use a mask....great job guys) but still crap. Of course if you...

Except that EMS and EM treatment of acute pain never has been, and still isn't, what's caused the opioid issue in the US. Core measures forcing long-term narcotic scripts followed by the DEA yanking the rug out from under opiate-dependent patients has led to the current heroin crisis.

If this is actually the reason, seek help. Running off to Alaska and isolating yourself will make you more depressed, not less. There's no shame in admitting you need help. See the sticky at the top.

Two thoughts. 1. Don't drive any faster than you can react and maintain control in the conditions. This is usually far, far less than 90mph. Rural TN has roadside trees, valleys, bridges, ect. 90mph is a poor choice. 2. There's some people who don't know just how desolate West Texas is. You...

I routinely saw more (both in numbers and acuity) critical patients doing IFT than 911 in a metro area, as the 911 providers didn't service SNFs. Throw in CCT and the IFT gig I worked was more stimulating mentally than some 911 jobs I've worked. Unfortunately because it was "just IFT" sick...

It's unlikely you'll ever "forget" this call but it sounds like you've made appropriate progress in processing the emotions that go along with an event such as this. If you're not depressed or overly saddened by it than there's really nothing more to put behind you. Don't think you have to be...

The fact that you continue to justify you actions and care more about being "in trouble" than how you treated someone in need of actual care speak volumes about your character. The fact that your agency told you "not to worry about it" speaks volumes about theirs. I'd suggest you look for...

The words "petulant children" come to mind.....

There's this much discomfort over end-of-life care....Jimeny Christmas.... 1. Most medic units don't have the orders or meds for appropriate terminal weans. Most CCT units should. 2. Terminal weans are not easy, it's a balance between treating air hunger/discomfort and outright killing the...

There is no light where giving a patient your number while on a call could be considered ethical or professional. Dating coworkers is another dangerous teritory...however I met my wife at work (and at one point she worked for me :eek:)

I got hired for my first flight job at 4 years as a medic in a busy urban FD. I was in no way ready. My current job I started at 10 years and some change, with lots of time in rural 911, ground CCT and education. I was prepared this time around. Don't rush things.

Labs and imaging are to confirm suspicions, not as a shotgun to figure out the problem. Besides, POC testing has come a long way.

The question being, were you asked to falsely document or did you just not take the time to actually assess whether the patient had the condition or not? I saw both sides, billing who couldn't fathom patients getting better and providers who's laziness was screwing the company out of legitimate...

I was going to bring up the point that I'm not sure most monitor/defibrillators are capable of pacing at a rate where overdrive pacing works....