Are us medics this bad???

**DOC** · 06-18-2011, 04:54 PM

http://www.youtube.com/watch?v=YzYxz...layer_embedded

**IEDmagnet** · 06-18-2011, 05:22 PM

Brother, Army medics are the salt of the earth to me. Well the ones I know. Can't speak for them.

**Ops NCO** · 06-19-2011, 06:47 AM

Bwaa!

**KS110** · 06-19-2011, 08:38 AM

Bahahahahahaha

Dead on portrayal of the firefighters in my area, they really get on my nerves sometimes

**DOC** · 06-19-2011, 11:46 AM

Years ago someone decided to put this list together of why to call for air transport to admit a trauma pt into the system. They heavily focused it on mechanism of injury to "play it safe" and mechanism trumphed assessment. Patient seemed ok but, there was more than 24 inches of deformity to the car you flew them because there was a high percentage that there would be significant internal injuries. Fast forward 20 years and I can deform a new car 24 inches with one blow of a sledge hammer. With all the advancement of safety features in the vehicles today the whole process needs to be revamped and assessment based decisions need to be made.

Here is my thought, Paramedics spend anywhere from 700 to 1200 hours in clinicals in school depending where you go. Why not add 100 hours in a squad car, not only will that give vaulable observation into the other half. It will give them the oppertunity to see the property damage accidents and just maybe give an idea of how crazy the mechanism of injury thought process is and how it is outdated.

What do the LEOs here think of that?

Now the whole air vs ground transport for which I am so opinionated on, another time and in the medical section, I will get frustrated enough and let it fly some night...

**IEDmagnet** · 06-19-2011, 11:54 AM

Good plan there DOC, it'll never happen though.

**4duece** · 06-19-2011, 01:23 PM

This is a spoof on protocol medics and those services that don't allow any devation from protocols. Protocols are for people who don't know what their doing, just my 2 cents. Been a paramedic since 1996, I've called in my share of dust offs but mostly from rural areas where I had an hour or greater transport time by ground or multiple trauma pts.

**DOC** · 06-19-2011, 03:54 PM

Originally Posted by 4duece

This is a spoof on protocol medics and those services that don't allow any devation from protocols. Protocols are for people who don't know what their doing, just my 2 cents. Been a paramedic since 1996, I've called in my share of dust offs but mostly from rural areas where I had an hour or greater transport time by ground or multiple trauma pts.

We have people do it all the time where I am at...15 min by ground to trauma center...

After 14 months of seeing real trauma in Iraq I have a different opinion of air transport and that opinion involves medics doing their job.

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**4duece** · 06-19-2011, 08:19 PM

I agree, flight services are overused in the U.S. but when I get out of my ambulance and see a youngster who was riding a rice rocket and hit a parked dumptruck, his spine in the shape of an S and his eye sockets no longer symetrical on his face and he's still breathing and the closest trauma center is 65 miles north a helo is a good option.

**VoTrooper99** · 06-19-2011, 08:56 PM

We fly next to no one, but there are still some truisms regarding my area here. Some of it has to do with the FD just doing shit and others have to do with liability concerns.

1.) They overuse collars and boards WAY too much. I once had a minivan full of people get rear ended and they saw dollar signs. The accident caused a minor dent in the rear bumper...next to nothing. FD still had to board and collar everyone because they said they had "neck and back pain". Even they were rolling their eyes...but god forbid anyone gets sued, hence the over reaction.

2.) FD ALWAYS BLOCKS THE ROAD. Drives me nuts. They show up on something simple with three or four pieces of apparatus and cut four lanes down to 1 for no apparent reason. They claim they need all that bullshit to block things off and create a "safe work area" citing some federal standard. It must be that they can't keep their head on a swivel because even with one lane open they walk out into traffic all the time.

AHHHHHH!!!

**DOC** · 06-20-2011, 01:20 AM

Originally Posted by 4duece

I agree, flight services are overused in the U.S. but when I get out of my ambulance and see a youngster who was riding a rice rocket and hit a parked dumptruck, his spine in the shape of an S and his eye sockets no longer symetrical on his face and he's still breathing and the closest trauma center is 65 miles north a helo is a good option.

Agreed...that and head injuries are good reason. We can handle basically everything else out there.

Vo, The rules for clearing the C-Spine are: Any complaint of pain sitting still gets a collar. Distracting injuries, broken bone, gets a collar. After that there are a couple of tests for it. Thankfully there are some new protocols coming in the future that will allow common sense to be used also. As far as shutting down a road, common sense needs to be used. I have seen instances over the years that closing the road actually caused accidents like on the interstate. Just pulling a fire truck out to block it is as dangerous as playing in traffic and sometimes people do not understand that. As a public works employee also I see that everyday and we use warning signs ahead of the closing for a reason.

**VoTrooper99** · 06-20-2011, 12:46 PM

The truck thing they say is some national standard that they have to follow or they will get into trouble. Part of some accredidation maybe? What makes me crazy is that they will walk out into traffic four feet from you without saying anything, causing the person you just told to go to jam their brakes, almost causing another accident.

The collar crap is all about playing defense against the lawyers. Not much we can do about that.