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I went through a very extensive program which was about 18 months long. When I was about to get out, I felt very confident in my skills and assessment abilities...then I had my first call - I haven't felt the same since.

Dispatch: "center is confused" and Medic: *Mic keyed up, but speaking to someone else on scene* Ma'am, this guy is stone cold graveyard dead *then speaking into the mic* Medic 34 medcom, were on scene w/ one DOS, PD on scene.

I understand that injuries can happen that are undetected until later. But in this specific case the pt had a distracting injury and mechanism for spinal injury, so even without back or neck pain, it would be appropriate to SMRD. The reason that the 10 other riders you were talking about...

Understood - that's exactly what I'm saying. *edit* misspoke

I would bet that they were not backboarded because they got up and walked off.

The lone fact that the child apparently died from an unnatural circumstance prevents personnel in the service I run with to call for termination of resussitation...unless of course, the pt has been known to be deseased for some time. I will say, that both pediatric arrests that I have been...

Distracting injury + mechanism = smrd

Cookie, it sounds like you did a good job.

EMS will always exist in one form or another regardless. I think the question you need to ask is: Will evidence based medicine kill EMS as we know it? And I think the answer to that question is: yes, absolutly.