Treatment onscene or enroute

[firemedic301]

Sorry Fire guy's, just wanted to throw out a thead that would spur on some discussion. In the 3 years I have been in the City I have seen somethings that make me scratch my head. Let me start by saying In the 12 years I spent on a Box I prided myself on loading the Pt throwing them on O's stripping a line, sticking in a line, and calling the Hosp. I prided myself in doing that in 4-5 minute tranport times. however, I am findind AMR unit transporting to facility 10-20 minutes away SITTING on scene starting lines and WHATEVER for 5 minutes or longer?????

I REALLY don't want this thread to become an AMR BASHING thread!!!!!! I just want to say, pick it up a notch, get going!!!! I realize more than most, if a pt is a HARD stick then do what you have to do, however we all know that is only 1 or 2 out of 20 and I also am VERY aware that AMR medics are going to come back with the arguement that US city boys don't do SH%#^T onscene most of the time and to that I say "YOU ARE ABSOLUTELY RIGHT!!!!" However, MOST of the time I have learned there is NO need for us to start ALS care!!!!

So just get going and do the 3 things you need to do before arriving at the receiving facility, a line, O's, a call to the Hosp. EASY as that!!!!!! Also, if YOU (AMR) walk in the door with a smile on your face and a TRUE willingness to be polite and friendly I promise you MOST of the fire crews will embrace you!!!!! If you walk in pissed off with a SHIAT look on your face that is what you will get in return!!! I TOTALLY respect a hard working AMR crew!!!!! However, they unfortunately are far and few between.

SMILE, SMILE, SMILE, we ALL have a GREAT job, and if you don't think so then go flip burgers and quit!!!!!
HAVE FUN LIFE IS TOO SHORT!!!!!!

[hottie4fire]

I read this kind of thing and it infuriates me!

All you guys like to do is bash the folks at AMR. Most of us are good hard working people. You guys always have the problem lifting patients and making us do all the work. I can't stand the AMR bashing and attacking from you guys any longer. STOP IT!

We are there to help too. WE are part of the solution.

[sansoofireman]

You guys always have the problem lifting patients and making us do all the work.

OK, you idiot, that's what you get paid for. I'm not going out on injury because some weak chick doesn't want to lift a patient. If the patient is heavy, no problem, let's all work together. But I had an AMR chick who asked for my help lifting a patient on the gurney. The patient weighed 80 kg. I told her absolutely not.

If you don't want to do the job, go back to 600 Iowa and clock out. And BTW, Hottie, you need to shut your piehole. All you're doing is making a fool of yourself. The EMS Forum is down the hall, second door on the left.

[RedBloodedAmerican]

Id' like to think I can see both sides of this argument...being im a full time FF and stay part time at AMR ( many reasons, mainly i enjoy it ) and i agree with 301.

I take pride in the fact that, as stated in other discussions, I can be a MOBILE medic. (yeah thats what the M stands for MICP believe it or not) Its what sets us apart from nurses and doctors. A dynamc, moving enviroment and we're still able to function. Its why we're called, to get things and get it done quick.

If you cant start an IV with a moving ambulance while in between procedures/med admin or what have you do a legit BHC and continually assess the pt., then get off an ambulance and into an ED. I love the challenge of a patient saying theyre a hard stick, and "you'll never hit it while the ambulance is moving", then seeing the look on their face as i calmly slap on the vena-gard with perfect flow.

As for AMR crews complaining a FF/PM doesnt perform this prior, doesnt help, or whatnot, seriously get over it. Who do you think did the thorough assessment, controlled the scene, gathered all neccessary info., so when you get there all that needs to be done is throw in an IV or maybe call the hospital.

It is AMR's responsibilty to load the patient on the gurney / pt movement... read OGL's, Fire CANT handle the gurney unless properly trained and neccessary. What FTO taught you to differ all gurney handling to a FF?

The number of AMR crews coming on-scene eager to work, with a positive attitude is dwindling. And yes i understand AMR doesnt pay well, post moves from County Line/ 10 all the way to 203/dwtwn. SB, do in fact suck, the dispatcher________ (fill in whatever you'd like) and every other crew is a sand baggin SOB. Get over it! I did my time in the city on a 24 (48..72...96) for longer than anyone else has and loved it. Worked with great people both for AMR and everyone i ran with from Rialto, Muscoy, Devore, The City, The Casina, all the way to BFE.

And Vegas boys, c'mon you think those totals for calls in a shift I saw up before were good, try 29 with 26 transported...in appx. 25 hours ( who needs to see their station)

And in conclusion, I apologize if i came off arrogant, cocky, whatever you may say but i speak the truth. Hottie, admit it, you KNOW 301 is right. Dont think of it as AMR bashing, think of it as a challenge. Doing all pt care in under 3-5 mins should be the standard. Dont complain...when was the last time you trained for hours on end, fought a structure fire, then ran a medical aid with full enthusiasm and much needed patience with the transporting crew after...?...I'm just sayin.:D

[BabyCity]

Thats weird,

I said all that stuff in the EMS forum earlier today...are you other fireguys my clones, or is the majority right? Ponder that Hottie, you slackjaw ambulance driver. Hottie, are you even a PARAMEDIC??? I'm sure you have all the answers and have sworn to uphold the Hippocratic Oath, but seriouslly...if you dont walk the walk, don't talk the talk-leave it up to the big boys.

Get the gurney, have on a smile, and I'll put whoever the freok I want into your front seat, because your Ops. Manager said so.

And don't get clever with some remark like, "I'll just put people in your fire engine then", well, go right ahead. I'll take the family memeber to the hospital myself and while enroute I'll have your field sup meet me at the hospital.

You wonder why AMR's contract is up for renewal in 2009? It's because of your agency, your attitude, and your weak back.

[sansoofireman]

Thats weird,

I said all that stuff in the EMS forum earlier today...are you other fireguys my clones, or is the majority right? Ponder that Hottie, you slackjaw ambulance driver. Hottie, are you even a PARAMEDIC??? I'm sure you have all the answers and have sworn to uphold the Hippocratic Oath, but seriouslly...if you dont walk the walk, don't talk the talk-leave it up to the big boys.

Get the gurney, have on a smile, and I'll put whoever the freok I want into your front seat, because your Ops. Manager said so.

And don't get clever with some remark like, "I'll just put people in your fire engine then", well, go right ahead. I'll take the family memeber to the hospital myself and while enroute I'll have your field sup meet me at the hospital.

You wonder why AMR's contract is up for renewal in 2009? It's because of your agency, your attitude, and your weak back.

Dude, I normally don't put the entire quote in, but that was bad-*BLEEP**BLEEP**BLEEP*. I wonder if she'll ever get the hint or if she'll come back with another entirely lame comment.

My next step for dealing with people like this is to get a Carl's Jr. application and hand it to them whenever they get mouthy.

[Ash702]

I read this kind of thing and it infuriates me!

All you guys like to do is bash the folks at AMR. Most of us are good hard working people. You guys always have the problem lifting patients and making us do all the work. I can't stand the AMR bashing and attacking from you guys any longer. STOP IT!

We are there to help too. WE are part of the solution.

I thought you said you were gonna stay out of the FF forums? Oh well.... let the bashing continue!!!
What I think 301 is saying is that Pt care can be taken care of EN ROUTE to the ER. And as far as lifting pts....YOU are PAID to do that!! So DO IT!! My job is to transfer care....your job is to continue care. So Do it and quit whining about it.

[firemedicmatt]

I love AMR! If it wasn't for them who would lift PT.'s and transport BLS?

[F-Dub]

One thing baby city there is nothing wrong with putting people in amr's ambulance but remember to be courtious and ask first. Remember it is their ambulance not ours, and remember most of them keep their personal stuff in the front seat. Just be polite ask them first and give them a chance to secure their stuff before putting someone in the front seat. I dont know where you work but in my city we have quite a few dirt bags and wouldnt put it past alot them to go looking throught their stuff for money or any other items that interest them, while the emt is in the back helping the medic strip a line or putting a patient on the monitor.

I understand your guys point of amr not lifting patients and having the crews where they walk in the door and act like a wheel chalk for the gourney. What is wrong with us helping on each and every patient that we run on. We get paid good money for patient care and the more hands that help the less chance of anyone getting a back injury wether it be a firefighter or an ambulance worker. Yes there are alot of lazy amr crews but their is alot of lazy fire crews too. Keep in mind that many fire crews do dump on amr because they can and regardless of what you all think that probably gets old pretty quick. I think that if all of us firefighters treated the amr crews with a little respect most of them would do the same. Try it out and see what happens. For the four years I was a medic I didnt have very many big porblems with amr crews, because I treated them as people not like s!@t. When I did have a problem I took care of it immediatley after the call was over and typically didnt run into the same problems in the future. We are all there to help eachother and give the patient the best possible care we can.

[deceptacon]

Heres one ...What about the AMR crews that show up onscene without their
gurneys.Does the fire engine show up without hose to a fire .What it all comes down to is there are two types of people at AMR.
1.The guy or girl that wants a fire job.
2.The guy or girl that doesn't deserve a fire job.
We all did are time on the ambulance, suck it up and do your job(HOTTIE). And if you do good at it you can tell them in your fire interview that you know DECEPTACON...

[firemedicmatt]

Deceptacon.... Lmao!

[EMTSailorGirl]

Im an EMT and Im sure some of you guys know me. I work with the same crew {although Im on a LOA since getting called to serve my country in support of OIF}. We work the same OCFA schedule. I have nothing but respect for my Captains, medics and FFs. Im a girl and I always try to pull my weight. I work out 5 days a week. My partner and I even use to go to the fire station and work out during our shift. Truth is that skinny people arent calling 911. We have nothing but extra large people in our district. If I need help lifting a patient I usually dont even have to ask, the guys will jump in and help. I believe we are a crew and should all work together on a call. I feel I have a good relationship and have earned trust and respect from the OCFA guys.

[Johnny on the spot]

"I dont know where you work but in my city we have quite a few dirt bags and wouldnt put it past alot them to go looking throught their stuff for money or any other items that interest them, while the emt is in the back helping the medic strip a line or putting a patient on the monitor." F-Dub.

Wise words from Rice Chucker... so wise, in fact, he doesnt even know how true that statement is.

IF, and only IF, said EMT would NOT be in the back stripping a line and hooking up the pt, said EMT and Medics personal belongings would not be at risk of theft from san bernardino's sophisticated residents.

Said EMT SHOULD lock the gurney in place, close both doors, assist the family member of the PT into the front seat securing them with a seatbelt, get into the driver seat, and head towards the most appropriate medical facility (closest, cardiac, trauma, peds, or patients request). The medic can strip the line, get a blood sugar, update vitals, and call it in... all while enroute. For MOST (99.3%) of the medical aids, all treatment can be done without BHC (ICEMA protocols), and notification ONLY has to be made to the hospital. IT does not state that the ambulance has to have a destination before the EMT takes the trans out of P... nor does it give a timeline for how many minutes before arrival to the ED that notification needs to be made. So call enroute.

I will be here for the next 40 hours if you need any more information about ambulances, taxes, or any of lifes questions. Thank you.

[firemedic301]

IF, and only IF, said EMT would NOT be in the back stripping a line and hooking up the pt, said EMT and Medics personal belongings would not be at risk of theft from san bernardino's sophisticated residents.

Said EMT SHOULD lock the gurney in place, close both doors, assist the family member of the PT into the front seat securing them with a seatbelt, get into the driver seat, and head towards the most appropriate medical facility (closest, cardiac, trauma, peds, or patients request). The medic can strip the line, get a blood sugar, update vitals, and call it in... all while enroute. For MOST (99.3%) of the medical aids, all treatment can be done without BHC (ICEMA protocols), and notification ONLY has to be made to the hospital. IT does not state that the ambulance has to have a destination before the EMT takes the trans out of P... nor does it give a timeline for how many minutes before arrival to the ED that notification needs to be made. So call enroute.

I will be here for the next 40 hours if you need any more information about ambulances, taxes, or any of lifes questions. Thank you.

I actually could not agree with Johnny more on his post!!!

With that being said, and seeing your signature about "LIKING TO SPOT PEOPLE" and writing such an good response that apidimizes (sp?) an Engine Medics point of view of the TRANSPORT Medic.

Again, how much time did you spent in the back of a BOX as a TRANSPORT Medic in your career???? Just my .02 cents, but before you START "spotting people" in any aspect of the Fire Service or EMS, get some more "YEARS" on the job before you start throwing stones in the glass house that is the Fire and EMS Service. :eek: Being a Medic by nature makes you a SHARK, however, YEARS ON give you more TEETH to bite with. A Great White usually doesn't have to tell you how bad a$$ they are, they just are. Just my honest opinion.

[cheese]

Johnny on the Spot, when you can stop sleeping in Sponge Bob bedding, then you can chime in. LOL. Besides, City Medics only do paperwork anyways, we know who does the 'real' work.

[firemedic301]

hey Chucky Cheese your brush helmet is in BE227 just an FYI. I will pull it and send it with Hudkins tomorrow!!!

[cheese]

Thanks buddy.

[F-Dub]

Jonnie on the spot when you can start your own IV's and not have the truck firefighter do it ofr you, then you can talk s@!t about other people. Just kidding brother anyway my point was just ask before you put someone in THEIR ambulance thats all wether they start the line in route or not is up to them as long as it is not a critical call. Once they sign the green the patients is theirs, and as long as them sitting for a few extra minutes to start a line doesnt create a critical problem with the patients health then who cares.

[Johnny on the spot]

Even though I like to spot people (all out of fun, of course) I was not spotting anybody on this thread.

And 301, I am glad you could not agree with me more....

I wish I could say the same about your last statement.

Making an accurate assessment of a current situation that one deals with almost daily,then forming an opinion on how the situation can be better handled, and then stating that opinion on a public forum meant to inform fellow Fire/EMS brothers and sisters to make our jobs better, safer, and more productive does not need to come from a FF/PM with a "I have 10+ years" patch on their shoulder.

Remember, there is ALWAYS somebody out there with more... more experience, more time, more intelligence, and more skills (f-dub!). So don't be that guy.

[cheese]

WOW. Did you really write that last comment Johnny Spotty? That was way over my head, but then again, I'm just a FF EMT. lol

[firemedic301]

Johnny I'm glad you didn't disappoint me!!! Your rebutal was without a doubt, what I would have expected from you. I am going to be the FIRST person to say I wear my "10+ year patch" with pride as I'm sure you will in 10 years from now when you are sitting in my position. Anyway, I try not to do a lot of spotting on here but, some of the posts you have made ie. the "people that live in the mountains deserve to have their houses burn down" was in my opinion (and I'm sure others) ignorant, but you have your opinion and this is a forum where freedom is your right as well as mine. I may be way off track, and others on this board can correct me if I am wrong, but some of your posts come off arrogant and definately express an opinion that surpass your years of experience. I with my "10+ year patch" am still a way small fish in this SBFD pond or the Fire Service ocean for that matter. My "10+ year patch" is absolutely trump by the BERDOOBEAU's, Bollinger's, Webb's (I could go on and on) and the rest of the guy's with 20+,25+, 30+ year patches, and when they (BERDOOBEAU) have done in the past when I have spoke out of line, given me a verbal cattle prod to get me back in line, I accept their opinion and make an effort to check myself out of respect for their YEARS. I could not phathom calling out one of them out with the same undertones and words you fired acrossed my bow. One thing you have is balls of steel and passion, I just think some of the things you post are way to arrogant and sh$t that is coming from me.:eek:
I will throw this one out to the Kangaroo Court of opinion on this forum for judgement.
I stand by my post about you and your wealth of Fire and EMS Service knowledge "LIKING TO SPOT PEOPLE" and YES the "LIKING TO SPOT PEOPLE" is what I was attacking. To me it say you get enjoyment out of calling people out!!!! I personally don't get enjoyment out of SPOTTING people, I think it only creates resentment when somebody calls me out and gets ENJOYMENT from it. If you indeed "LIKE" spotting your colleagues that says a lot about yourself to me. I would venture to bet that almost ALL the "RESPECTED" 10,15,20,25+ year vetrans don't "LIKE" calling US lesser experienced guy's out when we step or speak out of line, but they do it because it keeps OUR focus on the betterment of the Fire Service.

Consider this my last rebutal to you on WESTCOAST911. I have to work with you for the next 10-13 years and I don't want this pissing match hinder a good working relationship. I let my distain for your "LIKING TO SPOT PEOPLE" signature get under my skin and that is what makes MY shark fin stand up. So feel free to "SPOT" people in peace.

[Johnny on the spot]

301. Please do not misquote me. I never said "people that live in the mountains deserve to have their houses burn down".

You refer to the "going green..." thread where i have some strong opinions based on common sense. I would never claim to be a judge of who deserves to have their house destroyed or not.

As for my signature, I am afraid that I may be giving false representation of myself by having that on there. I do not want you to have distain for my signature, I want you to have a smile. that was its purpose. I would hope you know me well enough to see that I say everything with a smile and try to keep things light and fun. The next 10-13 years should be a lot of fun.

[TBONE]

Hey Nuke you need to change your signature to TIDE THE SPOT REMOVER