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EMS Personnel! What Topic Do You Think You Need More Training On?
I was looking through the ems facebook page and i found a question similar to this one. Most of the responses were peds, ob, hare traction splints and interpreting 12 leads.... So my question is, what do you think you need more training on? Any input is welcome!
tcss
Jessi<3
tcss
Jessi<3
Replies to This Discussion
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Permalink Reply by Jessica Travis on
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so i think the next question is " how often do you redo your certs?"
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Permalink Reply by Russ on
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unusual situations...the cops arrest a guy in a power wheelchair and asks EMS to transport them to the jail (this happened recently in my area) do you transport or tell the cops to take him without the chair?.....you have a blind patient with a dog, you are gonna transport to the hospital, do you take the dog also? or call animal control...i'd like to have better tools to treat the hearing impared
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Permalink Reply by John Crabbe on
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As mentioned, getting back to the basics always helps. Something that our training captain has been doing though is ensuring the proper issues are addressed when talking "scene safety".
Anyone ever in an EMT class knows to ensure the scene is safe, they come in for testing or whatever, ask is the scene safe and a proctor says the scene is safe. However, what does that mean? So when told you are coming up to a MVA, such questions are what are you looking for...with an appropiate response, vehcle in a position to block traffic, vest on, check for lines down or hazards, do an outer circle, do an inner, airbags deployed, etc. Domestic disturbance are the cops there first? Stuff like that is a good review.
Another thing we have just done is immobilization of pts in awkward positions, such as a pt who fell head firts down the stairs, leg on the stairs, one under, head down to the wall, torso curled in a ball. So we had to get the pt to a board without compromising C-spine. Definately takes teamwork.
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Permalink Reply by blair4630 on
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I remember once we had a drug roundup and one of the dealers was wheelchair bound. He was taken to county lockup by one of our wheelchair vans.
On the issue of service animals (seeing eye dogs, seizure dogs, etc.), you had better be transporting the animals with the pt., that's a law. If you put a service animal in the care of animal control, not only is there potential for the animal to get violent, as they are very, very protective, but you open up your service to fines.
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On the issue of service animals (seeing eye dogs, seizure dogs, etc.), you had better be transporting the animals with the pt., that's a law. If you put a service animal in the care of animal control, not only is there potential for the animal to get violent, as they are very, very protective, but you open up your service to fines.
I would say it is going to depend upon the patient situation and for the most part having an animal in the back of the ambulance is not an option, whereas animal control has resources to take proper care of an animal, not the hospital, not the EMS provider. Law or not, it would be a hard pressed justification to say that patient care was not done because of the worry about a service dog.
Here is the deal, if the person with a service dog is picked up at home, there is no reason to bring the dog along. If the person is sick or injured while out in public, there is no reason to bring the dog, let the resources of animal control handle it. We do not have kennels, we can't allow a dog to just sit in the hospital because the patient is there.
Very protective they may be, but well trained they are and most animals are trained to ignore their natural aggressions to care for their master. Point being, we had a fatal fire this summer where the victim was wheelchair bound, fell asleep with a cigarette and started the fire. Instead of his service dog looking out for it's own life, the dog was found next to the master. These are service dogs, not police K-9's.
Finally, what matters is the patient care, not the service dog. This isn't a case where the person with the dog is going to the hospital on their own for an appointment where they have control of the dog, this would be cases of an emergency where the master is the patient. At that point the average EMS, or medical person does not have the proper training to handle the dog and as such, should be left in care of Animal Control. This isn't about a bus not allowing the dog on the bus, this isn't about the dog being allowed in a store and so forth. This is about the person being the patient and that we as EMS and hospitals do NOT have the proper resources to handle and care for a service dog while the master is being treated.
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Hmm...interesting points. We have always transported service animals in the ambulance with us.
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Permalink Reply by Wade Seely on
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I agree with the training on the basics, and relying on those skills and not just the machines. I also believe that a big area that a lot of ems personell could use more training is writing patient care reports. that one time when it may go to court is to late to worry that you have crossed all your t's and dotted your I's. It is something that everyone is told is important, but never really trained on well.
TCSS
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Permalink Reply by Jason Thomas on
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Scene safety and incident command should be a part of the paramedic exam, if your going to take control of a scene understand what you need to do. Do not tell the FD how to cut the car unless you know how to do it. Make sure that truck placement is done properly. YOUR SAFETY comes first by all means. Know your role on the scene and do not try to wear to many hats. Fire and EMS are both needed on a scene but we need a happy medium to work effectively together.
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KNOW where EVERYTHING is in the truck. Know how to USE EVERYTHING in the truck.
ASK QUESTIONS ALL THE TIME
Excellent
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Permalink Reply by Shareef Abdu Nur on
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Well, with 12 leads there are so many medics who just read whatever the monitor has interpreted as the rhythm. in doing this, many medics forget what they are even looking for(rate, rhythm, S-T elevation or depression, P-R-I intervals, notched P waves, PVC's, etc...). Many medics are performing 12 leads and not assessing the 12 leads. So, the monitor is assessing the patient more than we are. We need to look at the patient, decipher the 12 lead and determine our next course of action. Another thing is that many seasoned medics went to school before the big 12 lead fad and we have learned what we know about 12 leads on our own. Sure, we have taken classes, but one class every other year does not prepare us for actual street treatment.
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Permalink Reply by Paul Montpetit on
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I have noticed that as care gets more and more technical...people are forgetting the basics....it is still about A,B,C's people....all the tecnology in the world won't help squat if your patient isn't breathing....you will bring in your patient with lovely lines, ekg tracings,and meds on board....but deader than hell because you didn't monitor the airway.....yes, I like the tee shirt...."Paramedics save lives.....EMT's save Paramedics"....Train to use your head.....recognize what you have and to think for a split second on managing the situation....not just the patient but the situation...Don't run off half cocked so to say.......Paul
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Actually had a nice conversation with an ADA specialist on this one and even threw them for a loop. Basically boils down to if the patient is conscious and is able to care for the animal, then take it. However, if the pt is unconscious then the animal should be taken care of by police, animal control, etc. Here the PD does the animal control anyway.
As for the wheelchair thing, we never transported a motorized wheelchair.
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