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I believe the EMTALA verbiage is "a medical screening exam" which can be a RN following established protocols. In the L&D world where primips show up all day long just because they are having sensations they've never felt before, it's pretty common to be seen by just a RN. In this case...

It may not have technically been an EMTALA violation, but I can't really envision a defensible scenario where a G4P3 had been displaying increasingly strong and regular contractions over six hours and was still discharged without even briefly seeing a provider.

I'm not sure how I'm jumping to conclusions; all we have to go on is what these articles say was in the incident reports filed by the EMS crew. Federal agents wouldn't allow an ambulance to leave the scene, and an individual agent nearly acorn'd the ambulance driver because he completely...

Presumably, the ambulance was in drive and moving (or about to start moving) before they were detained by the officer, and the driver then kept his foot on the brake rather than putting it in park because he thought that the any moment the issue would be resolved and they'd be able to leave. At...

This is a very real concern with AI. I would argue (and there is some evidence to support the idea) that despite all it's value and usefulness, the internet has already made us dumber in some important ways, and avoiding over-reliance on AI both in education and in practice will become...

I get how these things generally work, I just think it's absurd, at least as described in the linked article. The article says that "wilderness paramedics" can administer it, so it exists in the paramedic scope for the state, a "wilderness paramedic" just being a regular paramedic with a...

So they gave a drug that was 1) clearly indicated, 2) within the paramedic scope of practice, 3) which a physician authorized, and 4) produced the desired outcome, quite possibly saving a life. And for that they are being threatened with having their credentials revoked? There's got to be...

This really should not be the case at all. If the igel is properly sized and seated, no sort of pressure should be required to keep it in place. Some tape is probably a good idea to minimize the chance of dislodging (just like an ETT), but that's about it.

Once again, this is completely untrue. Every time you repeat the same lie, you reinforce the fact that you really have no idea what you are talking about.

There absolutely is no "legal presumption of negligence liability" due to off-label use of a drug 🤣. If that were true, then a majority of physicians and advanced practice providers commit medical negligence multiple times a day, every day. Clearly that is not, in fact, the case. Did you know...

Even their fluid requirements are often exaggerated and exceeding them significantly can be very detrimental.

All this data is saying, unless I'm missing something, is that pedestrians from primarily minority neighborhoods in Boston are much more likely than pedestrians who live in others areas to be struck by a motorist, no matter where in the city they are walking. The author of the article is going...

Alternatively, one may not want to be indentured to an employer for 2-3 years just to save the few thousand dollars that two semesters plus books typically costs at a community college. Now, if you were working for a good department that not only paid all of the costs of your schooling PLUS a...

My advice is to take a few deep breaths, delete ALL the apps that you've downloaded and put away the skill sheets, and just stop worrying. There's no reason to be neurotic or stress yourself out about acing the final of a course that hasn't even begun yet. If you are scoring in the 70's without...

Really interesting video; I'm very out of the loop on the TCCC stuff. Synthetic blood substitutes have been looked at for many years and would clearly be a game changer for some battlefield patients, but many casualties would still require early damage control surgery which realistically will...

That was a good one for sure but his role in Heat was my favorite

My wife and I love camping but I've gotten old and soft so I really like to be off the ground on a real mattress and to not have to worry about setting up or taking down a tent, especially in the rain. Also, having at least a fan is really nice when it's hot. So I thought about getting a cap for...

Bed of a pickup with a cap is a good option for a minimalist camper setup. You can also keep a tent and such tucked away in there in case you don't feel like sleeping in the truck, or can't quite get your truck to the place you want to camp.

That's exactly how things were when I started in the late 1990's. It wasn't uncommon to have a firefighter or two, or occasionally someone from a second ambulance crew ride to the hospital and help out, but that was far from a given. The baseline expectation was that a two-person ambulance crew...

Thanks for the quick reply.