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Daddio-on-patio wrote:Jago668. First things first. Since you went out of your way to belittle and offend every paramedic with your admitted ignorance of emergency medicine let me assure you we have come a looooong way since Johnny, Roy, and phone calls to Rampart. Let's walk through an active seizure scenario in the field with a comparison to one in a hospital emergency department: (FYI: A Mobile Intensive Care Unit ambulance by definition is staffed with a certified paramedic.)
Patient is actively seizing. MICU establishes IV access and administers ativan or valium based on protocol. Intranasal route is also available if IV access unobtainable. During the procedure other potential causes are assessed (blood glucose level, poisoning, etc.). Hospital: Refer to MICU procedures.
Patient is in status-epilepticus: MICU provides initial treatment as noted. Provides versed drip and performs RSI (rapid sequence induction if you're interested in researching.). Hospital: Refer to MICU procedures.

It's unfortunate that paramedicine is so vastly taken for granted and absolutely under appreciated. It would be great if there was some way to educate the public of the capabilities that many EMS services provide.

Not every paramedic, just the ones that were belittling and offending people already, the ones wanting peoples careers ended for them (the firefighters) making the best call they could at the time with the information they had. I appreciate you explaining what should actually happen though, no sarcasm I really do. You have been the only person to actually explain anything. All that would have been great if there had been one of those there. At the time the firefighters made their decision there wasn't one of those, there wasn't one of those on the way, there was no eta on when one of those would get there. So once again I ask, do you stand there and do nothing or do you try to get the girl to the hospital?

13 minutes from the time the call came in to when the girl hit the trauma room. No response from an ambulance until the truck was so close to the hospital it would make no difference. I keep hearing if. If she had worsened, if something had gone wrong, if, if, if. If those things had happened and the firefighters had followed protocol those ifs would have happened with the little girl in a parking lot and an ambulance unknown distance away. Using your own arguments those firemen would not have been able to help her. As it was no harm was done to the girl from their actions. They made the best decision they could given the information they had at the time. You gentlemen (and I use that term loosely in this circumstance) are armchair emt'ing well after the fact. Maybe I'm mistaken and you are all perfect and have never made a mistake in your entire lives.

If I was in a medical emergency and coherent enough to answer. No ambulance in sight, no response from one, no eta. If a couple of firefighters offered me a ride to the hospital in something with sirens and lights I would take the ride every time. This girl wasn't coherent, but her parents were and they didn't have a problem with this. What do you think their response would have been if the firefighters hadn't taken the girl. "Sorry you'll just have to sit here with your unresponsive partially paralyzed little girl for an unknown amount of time until one shows up." Ya'll keep wanting to play the what if game. Let's play. What if they had done that, and what if the little girl had died? "It is not my fault, I was just following orders."

How is driving her to the hospital a danger to her? The dad could have done that, would you recommend that CPS take the kid away if he had because it was somehow a danger to her? I don't understand why you would want careers ruined over it. I don't understand how she was in no medical danger, yet she somehow needed an actual ambulance at the same time. JP171 you are coming off very four legged beast of burdenish over this. I can't imagine why it would be intentional, but you have done a poor job explaining why what they did was so horrible.

What I want to say violates a couple of forum rules.