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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...

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

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 So they mandated them when the order first came out and then rescinded the mandate when it was...

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...

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...

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...

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.

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.

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

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...

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...

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

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...

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

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.

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.

Those scenarios are far from exclusive to private services.

If you have to ask...... Seriously, I took it years ago (so it may have changed since then) when I was in probably the worst shape of my life and hadn't practiced for it at all. I found it 8 or 9/10 on a scale of difficulty at the time, but I did pass it. I'd say for you can probably cut that...

I would be very surprised to learn that briefly moving three yards away from a patient in order to communicate about issues critical to the management of that patient constitutes "abandonment" in any jurisdiction. Especially when you weren't providing any intervention that couldn't be maintained...

Even though I am generally very satisfied with my life and career the way it is now, I still miss and often reminisce about my HEMS days. Good luck.