bstone
Forum Deputy Chief
- 2,066
- 1
- 0
Don't worry, Medicus. We gave him the chair!
EMT-B administering IV's?
- Thread starter TX_EMT_RXY
- Start date
medic417
The Truth Provider
- 5,104
- 3
- 38
I knew I would eventually win the chair. Now as Chairman of emtlife my first action is........
Is there a logical reason to allowing an emt to start an iv? I have worked as an emt for close to fifteen years and never once have I thought I wish I could put an iv in this patient.
In my experience a patient that requires an iv is probably going to require a paramedic at some point.
Please save all your comments about every patient needing a paramedic it simply isn't true, the toe pain with the underlying inferior wall MI going on is getting a little old.
Maybe in a PB system.
Other then that I really don't see the point, I agree it would be up to your medical director.
Really six weeks, wow.
Good luck.
In my experience a patient that requires an iv is probably going to require a paramedic at some point.
Please save all your comments about every patient needing a paramedic it simply isn't true, the toe pain with the underlying inferior wall MI going on is getting a little old.
Maybe in a PB system.
Other then that I really don't see the point, I agree it would be up to your medical director.
Really six weeks, wow.
Good luck.
Depends on the environment.
Wilderness, disaster, long transport/evac times, etc.
15 or less minutes to the hospital, no real reason.
bstone
Forum Deputy Chief
- 2,066
- 1
- 0
And a doctor probably.
I can particularly see its value from more of a support standpoint. Lets say you have a code, the EMT with the ability to start an IV can do so, freeing the medic up to do the higher level tasks such as analyzing the situation and deciding on an appropriate course of action. When he has done so, the IV is in place and good to go.
If it is a simple case of hypovolemic shock, the EMT can begin fluid resuscitation independently.
-Medicus
Medicus is Latin for physician. I took five years of it. Vesalius, for example, was a medicus.
Glad to know they changed the word play for NREMT-P, that really changes what it is.
Your comments are indicative of a well-developed inferiority complex. You feel threatened by the OP and felt the need to comment because you know they could have the same license in nine months to a year.
Vene: I don't have any experience with wilderness ems, I saw a tree the other day it was nice, we should get more of those.
Bstone: My point was an ALS complaint will usually get an ALS response here.
Medicus: I agree in some areas which work PB this could be valuable, here when Als arrives it will be two medics. The emts will then concentrate on effective compressions while the medics address medications, monitoring and airway.
Bstone: My point was an ALS complaint will usually get an ALS response here.
Medicus: I agree in some areas which work PB this could be valuable, here when Als arrives it will be two medics. The emts will then concentrate on effective compressions while the medics address medications, monitoring and airway.
Always depends on the environment. I didn't know what PB stood for (I assumed it meant pay-based). From an operations standpoint, it makes more sense to me to have one medic on an ambulance and one basic so you could run two ALS units instead of just a BLS and ALS.
medic417
The Truth Provider
- 5,104
- 3
- 38
Pull your head out of your butt, wipe the excrement off the glasses, and read my post. I never downgraded or attacked the OP. And again I have already stated that Paramedics don't have enough education. I hope the OP goes forth and gets more education. I feel no threat from the OP.
Why do you feel threatened by me? You are actually trying to do what you falsely accuse me of doing so thus you feel threatened by me based on your own comments.
JPINFV
Gadfly
- 12,681
- 197
- 63
Would you trust the ER tech or CNA with determining that a patient is in hypovolemic shock and initiating fluids?
rwik123
Forum Asst. Chief
- 718
- 7
- 18
with the training that I have received, i think it would be irresponsible to me or other basics to start IVs... theres no physiology involved in the emt-b curriculum that would carry over the IV's
medic417
The Truth Provider
- 5,104
- 3
- 38
It's hard to believe that they allow Paramedics with their limited education to do it. Many Paramedics can not explain the whats and whys.
:blink: What a terrifying thought! That post really did startle me.
I guess the reason, I am not against EMTs starting IVs is that I forget everyone else doesn't really have the same working knowledge.
I'm still cringing from your post. I'm going to have nightmares tonight. Thanks a lot.
If it makes you feel any better, in the 70s and early 80s prior to nursing moving into the EDs, the ED techs, who had less formal education and a lot of OTJ often started lines and fluids.
Shishkabob
Forum Chief
- 8,264
- 32
- 48
Eh, depends.
Cook Childrens hires ONLY Paramedics as ER techs.
So yes, I would trust some ER techs with that.
JPINFV
Gadfly
- 12,681
- 197
- 63
...and what about the majority of other places that either uses CNAs and/or EMTs for techs?
Shishkabob
Forum Chief
- 8,264
- 32
- 48
...and what about the majority of other places that either uses CNAs and/or EMTs for techs?
Ah, but you said ER techs, you didn't qualify it was a cert level, and as such was a null and void blanket statement
But, just to indulge...
I don't know.. should I trust you?
JPINFV
Gadfly
- 12,681
- 197
- 63
Ah, but you said ER techs, you didn't qualify it was a cert level, and as such was a null and void blanket statement
But, just to indulge...
I don't know.. should I trust you?
Touche at this point...
TraprMike
Forum Lieutenant
- 230
- 2
- 18
I just put their hand in a water bowl, and rehydrate themselves by absorbtioin. unless they p on the cot first, then plan B.