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  1. Carlos Danger

    COVID VACCINE - The Megathread

    But isn’t that kind of the point of our system of government? If legislation can’t be passed, there is a reason for that.
  2. Carlos Danger

    the 100% directionless thread

    The jab matters a lot because even though you can still get the virus once you’ve had it, you are way less likely to develop a viral load sufficient to cause severe illness.
  3. Carlos Danger

    Ambulances held hostage

    Look, the point here is that it isn't any financial incentive to having an overcrowded ER with long wait times. ED care is expensive to provide, a large proportion of those patients are uninsured, the all important Press-Ganey scores suffer, and no one wants to work there. There is no secret...
  4. Carlos Danger

    Ambulances held hostage

    There is a difference between saying a hospital is running in the red and saying that one of their major departments is running in the red. Obviously there could be exceptions, but ER's that are attached to hospitals are definitely not net revenue generators in most cases. When you say...
  5. Carlos Danger

    Ambulances held hostage

    An overcrowded ED filled with uninsured frequent flyers is not a revenue generator for a hospital - quite the opposite.
  6. Carlos Danger

    COVID VACCINE - The Megathread

    The hospital that I work for for is now owned by the largest health system in the country (HCA) and they told us early on that they would not mandate vaccinations unless forced to by the government. So they mandated them when the order first came out and then rescinded the mandate when it was...
  7. Carlos Danger

    Your Controversial EMS-Related Opinion

    You are correct, and this has been true for years. Not every airway requires a VL but the problem is, it is impossible to know which one will until you've already pushed the NMB, at which point it is (not infrequently, in the case of an emergent tube) almost too late unless you have really...
  8. Carlos Danger

    Ambulances held hostage

    It seems unlikely to me that the attorneys who wrote this article are the only ones in the country who are familiar with EMTALA. Or that ANY of the other lawyers who contract with EMS agencies or staff attorneys for health systems have ever considered this. JUST these guys, huh? Decades after...
  9. Carlos Danger

    Ambulances held hostage

    Some of the claims made in this article seem dubious. For instance, if it were true that it is a violation of federal law for EMS providers to remain with the patient while waiting for handoff and that it is likely also a Stark law violation (eye roll - is EVERYTHING we don't like a Stark law...
  10. Carlos Danger

    Ambulances held hostage

    That law is a nursing union thing that of course purports to be about patient safety but really is about nothing more than creating more jobs for RNs.
  11. Carlos Danger

    Ambulances held hostage

    This is actually very common. When I was new in EMS I worked inner city and there were two large hospitals in my zone whose parking lots we were regularly dispatched to for various reasons.
  12. Carlos Danger

    New Orleans EMS Loses Director...Again?

    Yes. How about a person who actually has education and experience in business and organizational management?
  13. Carlos Danger

    Attitude.

    Here's one recipe for creating employees with bad attitudes: Start with mostly young, immature people who have little life or work experience and seem to have an ever increasing sense of entitlement Attract them to a profession with implications of excitement and glamor, when it is actually...
  14. Carlos Danger

    Your Controversial EMS-Related Opinion

    Obviously this was tongue-in-cheek and meant to spur a little controversy, which it did and always will. I hate to wade into the nurse vs. paramedic debate but I usually do because I'm dumb like that. I will point this out: paramedics receive a pretty in-depth education in a VERY narrow area...
  15. Carlos Danger

    Your Controversial EMS-Related Opinion

    I'm sure I have other controversial opinions, but this is definitely the one that comes to mind the quickest.
  16. Carlos Danger

    Your Controversial EMS-Related Opinion

    You are correct; a generally accepted rule of discourse (and one that I've pointed out on this forum more than a couple of times) is that a claim of fact should be supported. However, that presumes that I am actually trying to convince you of something, which I am not. I was simply stating my...
  17. Carlos Danger

    Your Controversial EMS-Related Opinion

    It’s out there and it is easy to find.
  18. Carlos Danger

    Your Controversial EMS-Related Opinion

    This is demonstrably untrue, at least a good portion of the time. There’s quite a bit of research in support of computer based education.
  19. Carlos Danger

    Your Controversial EMS-Related Opinion

    This entire post demonstrates a fundamental lack of understanding of how this vaccine works and what the point of being vaccinated really is. Plus, there’s another thread for this.
  20. Carlos Danger

    the 100% directionless thread

    Those scenarios are far from exclusive to private services.
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