Comments on: Ambush.

By: Amy

Amy — Fri, 23 Apr 2010 10:50:46 +0000

Tim, unfortunately what you have proven is that KCM1 is an agency that is afraid to let their medics treat, not that they are the best in the country.

Doing CPR one time and having a few ride alongs is not the same as working the streets. I’m sorry.

By: Adam Thompson, EMT-P

Adam Thompson, EMT-P — Sat, 03 Apr 2010 22:13:37 +0000

What about ice packs and proper splinting prior to ALS pain management. While I am all for pain management, I mean I am a huge advocate for it. If a BLS truck is closer to a closed Fx patient in a tiered system, I don’t believe delaying transport in leu of an ALS unit is appropriate. Depending on the pain level of coarse. If moving the patient will cause an increase in pain, I agree with you. If it is a closed ankle Fx, I believe the EMTs can handle them.

By: Silverman780

Silverman780 — Wed, 10 Mar 2010 03:32:09 +0000

Im on medic 22′s side on this. Im a basic in a rural medic unit that is paired with the local fire district. There have been too many time where ALS has been needed for life support (chokings and cardiac issues) and as well as pain management.

A particular time was when a guy had his leg broken, caught and pulled part way into a hay baler. Now the extrication took a little over a half an hour and life flight wasn’t available at that time. It is a forty minute drive running code 3 to the nearest trauma center in Portland. Without ALS this guy would have had to go over an hour in excruciating pain as we basically had to man handle his leg out of the baler

By: Timothy Clemans

Timothy Clemans — Tue, 09 Mar 2010 19:33:40 +0000

“Tim, unfortunately what you have proven is that KCM1 is an agency that is afraid to let their medics treat, not that they are the best in the country.”

I now understand that KCM1 isn’t all it’s cracked up to be.

“they don’t remember your medicine, they remember how you made them feel.”

Great quote. Remember to say that the next time a kid in his mom’s base basement says prehospital pain management is waste of time.

By: Medic 22

Medic 22 — Tue, 09 Mar 2010 14:04:12 +0000

Thanks for chiming in M3. I’ll admit, I did get a little hot over this topic, but I find it frankly insulting that Timothy can criticize ALS patient care without any experience. The Zofran for nausea or Morphine for pain are two simple ALS procedures that we can and should use to care for our patients. Thom Dick said, “they don’t remember your medicine, they remember how you made them feel.” If we treat all of our patients with compassion, treat them as if they were family, then we are always doing the right thing.

By: medicthree

medicthree — Tue, 09 Mar 2010 13:44:19 +0000

I added to the discussion, medicthree.com

By: Reality Check | Medic Three

Reality Check | Medic Three — Tue, 09 Mar 2010 13:43:15 +0000

[...] the EMS blogosphere has found itself in yet another little tiff. This time Timothy Clemans and Medic22 are in a bit of disagreement about proper use of ALS, among other [...]

By: medicthree

medicthree — Tue, 09 Mar 2010 13:10:29 +0000

Tim, unfortunately what you have proven is that KCM1 is an agency that is afraid to let their medics treat, not that they are the best in the country.

Doing CPR one time and having a few ride alongs is not the same as working the streets. I’m sorry.

By: Mary Czaja

Mary Czaja — Sun, 07 Mar 2010 01:17:03 +0000

Rob I agree with you. Medic 1 thinks they are the bees knees. I think you know where I stand on that one!

Timothy your response made zero sense. Maybe I am missing something?

Riding along and doing CPR once is a lot different than having actual experience. I recommend that you get some actual work experience and then come back and we can talk about it. It will require you to get much better test scores then you did in my class.

By: CBEMT

CBEMT — Sat, 06 Mar 2010 22:43:53 +0000

Since when is doing CPR during a Medic One ride along not considered touching a patient and not riding on an ambulance?

Does it matter? He’s still got no perspective.