What are some things that you have been taught that is total BS?

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johnrsemt

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Such as:

can't get a Radial pulse unless BP is over 80 S, Femoral pulse bp over 70, and carotid pulse with BP over 60 S.

High Flow O2 for everyone
but---
too much O2 can shut off resp drive on COPD patients
(I was taught both of the O2 ones in same EMT-B class)
 
-That anything but CPR, defib and epinephrine has proven benefit in cardiac arrest
-That helicopters speed patients to trauma centers or offer any benefit to the average trauma patient
-That non-physiological mechanism of injury (damage to the car, injury to other persons, etc) can help predict severity of injury.
 
Endotracheal tubes prevent aspiration and are the "gold standard of airway management"

Fluid boluses of 20ml/kg are needed for the hypotensive trauma patient.

Norepinephrine is a pressor of last resort and people who get put on it always die.
 
BLS before ALS
 
Everyone wants to sue you.
 
Narcan is a benign drug.

CHF is caused by fluid overload.

NPAs are a poor adjunct compared to OPAs
 
Using the largest gauge possible when starting IVs on anybody "just in case"
 
Oxygen is a benign drug that everyone should receive at 15 L/m via NRB mask.

Lights and sirens saves lives.

Seconds always count.

Everything works out if the patient arrives at the hospital "alive."
 
The Golden Hour.

You can't diagnose a STEMI in a pt that has a LBBB or paced rhythm
 
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That diseases always present the textbook way and only one bothers a pt. at a time.
 
Transporting a suspected CVA to a stroke center is a no-no for BLS
 
Veneficus said:
I just have to ask...

Who told you that?
Click to expand...

I've been told that all the time. BLS can only transport to the closest medical center, even if it's just a bandaid station. Baloney. If my patient has s/s of a stroke, I will go the extra 15 minutes to a stroke center. If a medic can meet up with me in that time fine, but if not I'm not diverting.
 
katgrl2003 said:
I've been told that all the time. BLS can only transport to the closest medical center, even if it's just a bandaid station. Baloney. If my patient has s/s of a stroke, I will go the extra 15 minutes to a stroke center. If a medic can meet up with me in that time fine, but if not I'm not diverting.
Click to expand...

That is crazy, what the hell can a medic do for a stroke?
 
Veneficus said:
That is crazy, what the hell can a medic do for a stroke?
Click to expand...

Can you please come tell that to everyone here?! One of the dispatchers at an old job even tried to tell a medic that we couldn't transport to a stroke center, we had to go to the 'closest appropriate facility', which in her mind, was the hospital a block away. Nevermind the fact they have no neuro capabilities, and their CT scanner was down!

In this area, people seem to believe 'closest appropriate facility' means closest facility, even if the patient will have to be transferred out immediately for care somewhere else. I've gotten in trouble several times for transporting BLS to a trauma center, cardiac, or another specialized facility without waiting on medics, or diverting to the closest facility to my location.
 
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