Guest guest Posted August 1, 2000 Report Share Posted August 1, 2000 In a message dated 08/01/2000 12:25:04 PM Central Daylight Time, scapuchino@... writes: << What about the Fire CHief? I strongly believe he need s to go too. 3 separate incidents and all they have done is fire the medics. This is too common. He needs to be held accountable as well. Perhaps he should step down. >> While all of us believe in accountability, and yes, I do know that a life was lost, even a Doctor who loses a malpractice suit gets to go on and practice another day. I believe that a firefighter with an impeccable record, 2 months short of retirement, should not lose his entire pension. I have a feeling that I will not be the only one either, that thinks this way. No way he, nor his superiors, should go unpunished. There is a lawsuit pending and other punishments available. These are my opinions and mine alone. The Medical Director and those under him, have a huge amount of accountability for their people. Chiefs, Capts., QA and QC all play a big part in the line of responsibility. Waiting to see what else comes down.............. Andy Foote, EMTP Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 1, 2000 Report Share Posted August 1, 2000 Please remove me from this subscription list. Thank you. napper285 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 1, 2000 Report Share Posted August 1, 2000 Okay, the following is MY OPINION. It sounds as though the system failed. Unfortunatly the American response to failure is to fire/kill the failing person (killing currently being frowned upon it is generally firing), using said fired person as the 'scape goat', and closing the issue by claiming the situation as been corrected. *BUZZ* Not the right answer. Yes, if this guy screwed up big time he needs disciplinary action. But ONE failure in 20 years, come-on, that is NOT worth termination over. Maybe loss of wages, demotion, LOTS of EMT remediation, but not termination and loss of pension. The BIG thing that needs to occur here is that HFD needs to find out HOW the system failed and fix the failure point. Is the failure point lack of training? Is the failure point unclear protocols? Is the failure point inability to communicate with the patient? I don't know. But I suspect the ACTUAL problem will probably not be fixed, the fire-fighter will get his pension back, and the other two medics will get reinstated once this 'quiets down'. But then again, I am a cynic (sp) who thinks the worst of everything. At least I always get pleasant surprises. =) Webb....ah, you all know what I am where I work by now. ________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 1, 2000 Report Share Posted August 1, 2000 What about the Fire CHief? I strongly believe he need s to go too. 3 separate incidents and all they have done is fire the medics. This is too common. He needs to be held accountable as well. Perhaps he should step down. On Tue, 1 Aug 2000 11:47:50 EDT wegandy@... writes: > Houston FD has fired a 20 year veteran firefighter/EMT and taken away > his > pension as a result of the failure to properly deal with the 12 year > old > patient who later died of an aneurism. The fire chief described the > reason > for the firing of the FF/EMT with an otherwise spotless record as > " complacency. " The report outlined failure to follow guidelines. > It is > ironic that the FF/EMT fired was the only Spanish speaking FF > present. The > FF/EMT will appeal the dismissal, according to the news article. > > This is the 3rd firefighter to be fired recently over patient care > issues. > Two more were fired for a previous and separate incident. > > To read the latest newspaper article go to HoustonChronicle.com. > > > Gene Gandy, JD, LP > " Just the messenger. " > > > > > ________________________________________________________________ YOU'RE PAYING TOO MUCH FOR THE INTERNET! Juno now offers FREE Internet Access! Try it today - there's no risk! For your FREE software, visit: http://dl.www.juno.com/get/tagj. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 1, 2000 Report Share Posted August 1, 2000 Everyone loses in this case. It never fails one screw up and everyone will pay. It's not fair, but that's the way it is. We are held to a higher standard by choice of our own. These things happen all the time in this country ,and shouldn't be rewarded with retirement . The medics still haven't had their appeal heard. Time will tell. This one just hopefully gave everyone a wake up call, and a strong message. The medics will get their fair hearing and day in court. Perhaps they will be proven innocent and perhaps not. Just ask yourself one question: " If it were your child what would you recommend happen to the people involved " ? Don't forget the other two case in which one was a child ,and one was and adult. If you were in a room with the medic, the family, and had to make a decision what would your decision be? What about the lawsuit you'll go through just because your the Chief with 3,300 employee's running 100,000's of calls a year. If this all becomes true, then what dollar figure would think the family should be compensated with? If it were Doe on the street would he have done anything? Would you have done anything? From the news reports the system is fine. All the policies and procedures were in place to deal with all the situations, and they just weren't followed. It appears the system is fine, but the policies have to be enforced. A 20 year veteran must set the highest standard. At last we are all human,and we make human mistakes. We all have to pay consequences for our actions, intentional or not. Ron Re: [texasems-L] Update on Disturbing Case from Houston Okay, the following is MY OPINION. It sounds as though the system failed. Unfortunatly the American response to failure is to fire/kill the failing person (killing currently being frowned upon it is generally firing), using said fired person as the 'scape goat', and closing the issue by claiming the situation as been corrected. *BUZZ* Not the right answer. Yes, if this guy screwed up big time he needs disciplinary action. But ONE failure in 20 years, come-on, that is NOT worth termination over. Maybe loss of wages, demotion, LOTS of EMT remediation, but not termination and loss of pension. The BIG thing that needs to occur here is that HFD needs to find out HOW the system failed and fix the failure point. Is the failure point lack of training? Is the failure point unclear protocols? Is the failure point inability to communicate with the patient? I don't know. But I suspect the ACTUAL problem will probably not be fixed, the fire-fighter will get his pension back, and the other two medics will get reinstated once this 'quiets down'. But then again, I am a cynic (sp) who thinks the worst of everything. At least I always get pleasant surprises. =) Webb....ah, you all know what I am where I work by now. ________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 1, 2000 Report Share Posted August 1, 2000 I Thank you so much for trying to help me recover the original story from the Houston Chronical. However I am still unable to do so. Being in the Panhandle sometimes it is difficult to recover News from such sources. If you don't mind, could I impose on you another time and have you recap,or ??? It would be very helpful to our department. Thank You so much. PJDEMT@... Fritch EMS ________________________________________________________________ YOU'RE PAYING TOO MUCH FOR THE INTERNET! Juno now offers FREE Internet Access! Try it today - there's no risk! For your FREE software, visit: http://dl.www.juno.com/get/tagj. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 1, 2000 Report Share Posted August 1, 2000 Right, however the Chief stated the reason for firing the emt was because of complacency. Shouldn't the shift supervisors, Lt, Cpt, and Chief also be held liable for this " complacency? " At a time like this the Chief shouldn't be making any decisions. it should be the city manager reviewing the case from the Chief on down. iT LOOKS LIKE ANOTHER CASE OF HANGING SOMEONE OUT TO DRY. IA should be looking into this one. On Tue, 1 Aug 2000 18:29:33 -0500 " " writes: > Everyone loses in this case. It never fails one screw up and everyone > will pay. It's not fair, but that's the way it is. We are held to a > higher standard by choice of our own. These things happen all the > time in this country ,and shouldn't be rewarded with retirement . > The medics still haven't had their appeal heard. Time will tell. > This one just hopefully gave everyone a wake up call, and a strong > message. The medics will get their fair hearing and day in court. > Perhaps they will be proven innocent and perhaps not. Just ask > yourself one question: " If it were your child what would you > recommend happen to the people involved " ? Don't forget the other two > case in which one was a child ,and one was and adult. If you were in > a room with the medic, the family, and had to make a decision what > would your decision be? What about the lawsuit you'll go through > just because your the Chief with 3,300 employee's running 100,000's > of calls a year. If this all becomes true, then what dollar figure > would think the family should be compensated with? If it were > Doe on the street would he have done anything? Would you have done > anything? From the news reports the system is fine. All the > policies and procedures were in place to deal with all the > situations, and they just weren't followed. It appears the system is > fine, but the policies have to be enforced. A 20 year veteran must > set the highest standard. At last we are all human,and we make human > mistakes. We all have to pay consequences for our actions, > intentional or not. > Ron > Re: [texasems-L] Update on Disturbing Case from Houston > > > Okay, the following is MY OPINION. > > It sounds as though the system failed. Unfortunatly the American > response to > failure is to fire/kill the failing person (killing currently > being frowned > upon it is generally firing), using said fired person as the > 'scape goat', > and closing the issue by claiming the situation as been corrected. > *BUZZ* > Not the right answer. > > Yes, if this guy screwed up big time he needs disciplinary action. > But ONE > failure in 20 years, come-on, that is NOT worth termination over. > Maybe loss > of wages, demotion, LOTS of EMT remediation, but not termination > and loss of > pension. > > The BIG thing that needs to occur here is that HFD needs to find > out HOW the > system failed and fix the failure point. Is the failure point lack > of > training? Is the failure point unclear protocols? Is the failure > point > inability to communicate with the patient? I don't know. But I > suspect the > ACTUAL problem will probably not be fixed, the fire-fighter will > get his > pension back, and the other two medics will get reinstated once > this 'quiets > down'. But then again, I am a cynic (sp) who thinks the worst of > everything. > At least I always get pleasant surprises. =) > > Webb....ah, you all know what I am where I work by now. > > > > ________________________________________________________________________ > Get Your Private, Free E-mail from MSN Hotmail at > http://www.hotmail.com > > > ------------------------------------------------------------------------- ----- > > > > ------------------------------------------------------------------------- ----- > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 2, 2000 Report Share Posted August 2, 2000 As usual the system reminds me of the tail wagging the dog syndrome....I do not advocate a shrug of the shoulders and slap on the hand for those involved in this tragic event...however, It kinda makes one wonder if the public was ever looking when this guy climbed into a burning house to search for someone who was thought to be home by the lay public..risking his life on a guess...Yea, it was his job..and yes he did screw up this time...guess he'll just have to wait until he stands at the pearly gates to be recognized for anything right he has done...Your so right Matt... > >Reply-To: egroups >To: egroups >Subject: Re: [texasems-L] Update on Disturbing Case from Houston >Date: Tue, 01 Aug 2000 16:05:44 CDT > >Okay, the following is MY OPINION. > >It sounds as though the system failed. Unfortunatly the American response >to >failure is to fire/kill the failing person (killing currently being frowned >upon it is generally firing), using said fired person as the 'scape goat', >and closing the issue by claiming the situation as been corrected. *BUZZ* >Not the right answer. > >Yes, if this guy screwed up big time he needs disciplinary action. But ONE >failure in 20 years, come-on, that is NOT worth termination over. Maybe >loss >of wages, demotion, LOTS of EMT remediation, but not termination and loss >of >pension. > >The BIG thing that needs to occur here is that HFD needs to find out HOW >the >system failed and fix the failure point. Is the failure point lack of >training? Is the failure point unclear protocols? Is the failure point >inability to communicate with the patient? I don't know. But I suspect the >ACTUAL problem will probably not be fixed, the fire-fighter will get his >pension back, and the other two medics will get reinstated once this >'quiets >down'. But then again, I am a cynic (sp) who thinks the worst of >everything. >At least I always get pleasant surprises. =) > > Webb....ah, you all know what I am where I work by now. > > >________________________________________________________________________ >Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com > ________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 2, 2000 Report Share Posted August 2, 2000 The chief did not make the pt decision in this case, the medic did. If the medic does not follow policy then we should fire the chief?? No. We are all held accountable for our own actions. If that was my child I would be upset. Re: [texasems-L] Update on Disturbing Case from Houston > > > > > > Okay, the following is MY OPINION. > > > > It sounds as though the system failed. Unfortunatly the American > > response to > > failure is to fire/kill the failing person (killing currently > > being frowned > > upon it is generally firing), using said fired person as the > > 'scape goat', > > and closing the issue by claiming the situation as been corrected. > > *BUZZ* > > Not the right answer. > > > > Yes, if this guy screwed up big time he needs disciplinary action. > > But ONE > > failure in 20 years, come-on, that is NOT worth termination over. > > Maybe loss > > of wages, demotion, LOTS of EMT remediation, but not termination > > and loss of > > pension. > > > > The BIG thing that needs to occur here is that HFD needs to find > > out HOW the > > system failed and fix the failure point. Is the failure point lack > > of > > training? Is the failure point unclear protocols? Is the failure > > point > > inability to communicate with the patient? I don't know. But I > > suspect the > > ACTUAL problem will probably not be fixed, the fire-fighter will > > get his > > pension back, and the other two medics will get reinstated once > > this 'quiets > > down'. But then again, I am a cynic (sp) who thinks the worst of > > everything. > > At least I always get pleasant surprises. =) > > > > Webb....ah, you all know what I am where I work by now. > > > > > > > > > ________________________________________________________________________ > > Get Your Private, Free E-mail from MSN Hotmail at > > http://www.hotmail.com > > > > > > > ------------------------------------------------------------------------- > ----- > > > > > > > > > ------------------------------------------------------------------------- > ----- > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 2, 2000 Report Share Posted August 2, 2000 The news report was the reason for firing was not following department, and Medical Directors policy, protocol, SOP, which has been long standing and well known. There is no City Manager. The Chief is a fine man, and will be the first to step up the the batters box for his personnel when they are right. No one can really say what should happen unless your there in their shoes. We all can be a Monday morning quarterback, but it doesn't change two people are dead. Who did they talk to about getting help? Would you want a captain to pay a price when he wasn't even informed? If he was and he took care of the patient would that change what should happen to the medic? It sounds like there are some post that want someone else to pay the price for something they didn't do. I won't judge since there is a internal, external, investigation, and civil lawsuits. There may be criminal charges before it's over for all we know. So anything I've said is just based on opinions from the news articles I've read that may be all correct or all wrong. There is still some families without their loved ones, who asked Emergency Professionals for help. The families are grieving and HFD morale is rock bottom. No winners, and we probably aren't helping on this server. What I do support is their is a massive effort to get to the truth and that DOES say allot for HFD, the Chief, TDH, the Medical Director, countless others, and Texas regardless of what happens. HFD is the finest Urban Dept in the Country. As large as they are there will be mistakes, and people will pay a price. HFD is not alone in this, since the Hospital did have the patient for a long time. Is anyone looking into that? If so who? The media hasn't said anything about their part,nor have you heard of any investigations. I bet there are, but your not hearing it. Ron Re: [texasems-L] Update on Disturbing Case from Houston > > > Okay, the following is MY OPINION. > > It sounds as though the system failed. Unfortunatly the American > response to > failure is to fire/kill the failing person (killing currently > being frowned > upon it is generally firing), using said fired person as the > 'scape goat', > and closing the issue by claiming the situation as been corrected. > *BUZZ* > Not the right answer. > > Yes, if this guy screwed up big time he needs disciplinary action. > But ONE > failure in 20 years, come-on, that is NOT worth termination over. > Maybe loss > of wages, demotion, LOTS of EMT remediation, but not termination > and loss of > pension. > > The BIG thing that needs to occur here is that HFD needs to find > out HOW the > system failed and fix the failure point. Is the failure point lack > of > training? Is the failure point unclear protocols? Is the failure > point > inability to communicate with the patient? I don't know. But I > suspect the > ACTUAL problem will probably not be fixed, the fire-fighter will > get his > pension back, and the other two medics will get reinstated once > this 'quiets > down'. But then again, I am a cynic (sp) who thinks the worst of > everything. > At least I always get pleasant surprises. =) > > Webb....ah, you all know what I am where I work by now. > > > > ________________________________________________________________________ > Get Your Private, Free E-mail from MSN Hotmail at > http://www.hotmail.com > > > ------------------------------------------------------------------------- ----- > > > > ------------------------------------------------------------------------- ----- > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 2, 2000 Report Share Posted August 2, 2000 I cannot help but feel for a man with that much time in. Nevertheless, if he was the commanding officer of the station or the person in charge of making the medical decision that was made, it is right that he should pay a penalty commensurate with the fact that his action (or inaction) contributed to a death. Holding people accountable for their actions and decisions sometimes means we are forced to make them pay in bitter coin. It is a hard lesson and sends a loud message to other members of the department. I agree with some others that the problem goes deeper than a few guys at a station. It suggests to me that there is a dysfunctional attitude about people in the community on the part of the service, paid for by taxes, that is charged with looking out for their emergency medical needs. That responsibility was breeched and I think some much fatter sparrows, of the chief variety, should also fall. I am not sure of the significance of the person fired being hispanic. Personally, I am sick and tired that we immediately look for a racial or ethnicity-related motivation for any negative behavior toward others in our society or assume automatically that it is there. I suspect, more often than not, these things happen because the culprits just don't care, period. That is my personal opinion. Dave [texasems-L] Update on Disturbing Case from Houston > Houston FD has fired a 20 year veteran firefighter/EMT and taken away his > pension as a result of the failure to properly deal with the 12 year old > patient who later died of an aneurism. The fire chief described the reason > for the firing of the FF/EMT with an otherwise spotless record as > " complacency. " The report outlined failure to follow guidelines. It is > ironic that the FF/EMT fired was the only Spanish speaking FF present. The > FF/EMT will appeal the dismissal, according to the news article. > > This is the 3rd firefighter to be fired recently over patient care issues. > Two more were fired for a previous and separate incident. > > To read the latest newspaper article go to HoustonChronicle.com. > > > Gene Gandy, JD, LP > " Just the messenger. " > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 2, 2000 Report Share Posted August 2, 2000 Just for the sake of discussion- one of the Houston TV stations reported last night that there have been 2 resignations at HFD by rank and file- one stated he was present at 18's when the boy was there. One thing he stated was that as they were getting vitals, they asked the mother if she wanted the boy to be taken to the hospital and she said no! He then directly stated, " At that point, we did not have consent. " I am not attempting to validate his comments, only reminding all that there are 2 (or more) sides to a story... The other resignation was by a medic who decried the manpower (er, sorry- personnel) shortage as one of his reasons for quitting. Food for thought..... Randy Pitts Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 2, 2000 Report Share Posted August 2, 2000 Not that long ago, the ranger in charge of the Los Alamos Nat. Forest gave the order to start a " prescribed burn " that did a lot of damage, and if my memory is correct, cost two firefighters their lives. The ranger was allowed to retire. The HFD veteran who has been " indefinitely suspended " has worked, in the past 20 years, an estimated 54,000 hours for the citizens of Houston. 6 hours of a mistake shouldn't cost this man a deserved pension for a lifetime of service. And I wonder... is the punishment equal to other violations of the same department rules? Or has this man been made an example of for political purposes? " Leadership is action, not position " Larry RN CFRN LEMT-P ....and some other stuff ________________________________________________________________ YOU'RE PAYING TOO MUCH FOR THE INTERNET! Juno now offers FREE Internet Access! Try it today - there's no risk! For your FREE software, visit: http://dl.www.juno.com/get/tagj. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 2, 2000 Report Share Posted August 2, 2000 I agree with Ron, but yet disagree. A professional, regardless of time in service must set the highest standards, not just professioanlly but personally. If you cannot maintain high standards in your personal life, then how can you maintain high standards in your professional life? Let's raise the bar. Sloan -via Grafenwohr, Germany - Re: [texasems-L] Update on Disturbing Case from Houston Everyone loses in this case. It never fails one screw up and everyone will pay. It's not fair, but that's the way it is. We are held to a higher standard by choice of our own. These things happen all the time in this country ,and shouldn't be rewarded with retirement . The medics still haven't had their appeal heard. Time will tell. This one just hopefully gave everyone a wake up call, and a strong message. The medics will get their fair hearing and day in court. Perhaps they will be proven innocent and perhaps not. Just ask yourself one question: " If it were your child what would you recommend happen to the people involved " ? Don't forget the other two case in which one was a child ,and one was and adult. If you were in a room with the medic, the family, and had to make a decision what would your decision be? What about the lawsuit you'll go through just because your the Chief with 3,300 employee's running 100,000's of calls a year. If this all becomes true, then what dollar figure would think the family should be compensated with? If it were Doe on the street would he have done anything? Would you have done anything? From the news reports the system is fine. All the policies and procedures were in place to deal with all the situations, and they just weren't followed. It appears the system is fine, but the policies have to be enforced. A 20 year veteran must set the highest standard. At last we are all human,and we make human mistakes. We all have to pay consequences for our actions, intentional or not. Ron Re: [texasems-L] Update on Disturbing Case from Houston Okay, the following is MY OPINION. It sounds as though the system failed. Unfortunatly the American response to failure is to fire/kill the failing person (killing currently being frowned upon it is generally firing), using said fired person as the 'scape goat', and closing the issue by claiming the situation as been corrected. *BUZZ* Not the right answer. Yes, if this guy screwed up big time he needs disciplinary action. But ONE failure in 20 years, come-on, that is NOT worth termination over. Maybe loss of wages, demotion, LOTS of EMT remediation, but not termination and loss of pension. The BIG thing that needs to occur here is that HFD needs to find out HOW the system failed and fix the failure point. Is the failure point lack of training? Is the failure point unclear protocols? Is the failure point inability to communicate with the patient? I don't know. But I suspect the ACTUAL problem will probably not be fixed, the fire-fighter will get his pension back, and the other two medics will get reinstated once this 'quiets down'. But then again, I am a cynic (sp) who thinks the worst of everything. At least I always get pleasant surprises. =) Webb....ah, you all know what I am where I work by now. ________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 2, 2000 Report Share Posted August 2, 2000 I agree with Ron, but yet disagree. A professional, regardless of time in service must set the highest standards, not just professioanlly but personally. If you cannot maintain high standards in your personal life, then how can you maintain high standards in your professional life? Let's raise the bar. Sloan -via Grafenwohr, Germany - Re: [texasems-L] Update on Disturbing Case from Houston Everyone loses in this case. It never fails one screw up and everyone will pay. It's not fair, but that's the way it is. We are held to a higher standard by choice of our own. These things happen all the time in this country ,and shouldn't be rewarded with retirement . The medics still haven't had their appeal heard. Time will tell. This one just hopefully gave everyone a wake up call, and a strong message. The medics will get their fair hearing and day in court. Perhaps they will be proven innocent and perhaps not. Just ask yourself one question: " If it were your child what would you recommend happen to the people involved " ? Don't forget the other two case in which one was a child ,and one was and adult. If you were in a room with the medic, the family, and had to make a decision what would your decision be? What about the lawsuit you'll go through just because your the Chief with 3,300 employee's running 100,000's of calls a year. If this all becomes true, then what dollar figure would think the family should be compensated with? If it were Doe on the street would he have done anything? Would you have done anything? From the news reports the system is fine. All the policies and procedures were in place to deal with all the situations, and they just weren't followed. It appears the system is fine, but the policies have to be enforced. A 20 year veteran must set the highest standard. At last we are all human,and we make human mistakes. We all have to pay consequences for our actions, intentional or not. Ron Re: [texasems-L] Update on Disturbing Case from Houston Okay, the following is MY OPINION. It sounds as though the system failed. Unfortunatly the American response to failure is to fire/kill the failing person (killing currently being frowned upon it is generally firing), using said fired person as the 'scape goat', and closing the issue by claiming the situation as been corrected. *BUZZ* Not the right answer. Yes, if this guy screwed up big time he needs disciplinary action. But ONE failure in 20 years, come-on, that is NOT worth termination over. Maybe loss of wages, demotion, LOTS of EMT remediation, but not termination and loss of pension. The BIG thing that needs to occur here is that HFD needs to find out HOW the system failed and fix the failure point. Is the failure point lack of training? Is the failure point unclear protocols? Is the failure point inability to communicate with the patient? I don't know. But I suspect the ACTUAL problem will probably not be fixed, the fire-fighter will get his pension back, and the other two medics will get reinstated once this 'quiets down'. But then again, I am a cynic (sp) who thinks the worst of everything. At least I always get pleasant surprises. =) Webb....ah, you all know what I am where I work by now. ________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 3, 2000 Report Share Posted August 3, 2000 My post is geared toward the fact that there have been too many incidents or " mistakes " . Yes we should all be held accountable for our mistakes, but who is responsible when they occur this frequently. Is their QA/QI program failing? And sure what about the hospital end of this situation. They are the ones ultimately responsible for detecting these life-threatening illnesses. They probably also tunneled in in a stomach virus. These are my opinions based on the articles I have read. On Wed, 2 Aug 2000 09:34:52 -0500 " " writes: > The news report was the reason for firing was not following > department, and Medical Directors policy, protocol, SOP, which has > been long standing and well known. There is no City Manager. The > Chief is a fine man, and will be the first to step up the the > batters box for his personnel when they are right. No one can really > say what should happen unless your there in their shoes. We all can > be a Monday morning quarterback, but it doesn't change two people > are dead. Who did they talk to about getting help? Would you want a > captain to pay a price when he wasn't even informed? If he was and > he took care of the patient would that change what should happen to > the medic? It sounds like there are some post that want someone > else to pay the price for something they didn't do. I won't judge > since there is a internal, external, investigation, and civil > lawsuits. There may be criminal charges before it's over for all we > know. So anything I've said is just based on opinions from the news > articles I've read that may be all correct or all wrong. There is > still some families without their loved ones, who asked Emergency > Professionals for help. The families are grieving and HFD morale is > rock bottom. No winners, and we probably aren't helping on this > server. What I do support is their is a massive effort to get to the > truth and that DOES say allot for HFD, the Chief, TDH, the Medical > Director, countless others, and Texas regardless of what happens. > HFD is the finest Urban Dept in the Country. As large as they are > there will be mistakes, and people will pay a price. HFD is not > alone in this, since the Hospital did have the patient for a long > time. Is anyone looking into that? If so who? The media hasn't said > anything about their part,nor have you heard of any investigations. > I bet there are, but your not hearing it. > Ron > > Re: [texasems-L] Update on Disturbing Case from > Houston > > > > > > Okay, the following is MY OPINION. > > > > It sounds as though the system failed. Unfortunatly the > American > > response to > > failure is to fire/kill the failing person (killing currently > > being frowned > > upon it is generally firing), using said fired person as the > > 'scape goat', > > and closing the issue by claiming the situation as been > corrected. > > *BUZZ* > > Not the right answer. > > > > Yes, if this guy screwed up big time he needs disciplinary > action. > > But ONE > > failure in 20 years, come-on, that is NOT worth termination > over. > > Maybe loss > > of wages, demotion, LOTS of EMT remediation, but not > termination > > and loss of > > pension. > > > > The BIG thing that needs to occur here is that HFD needs to > find > > out HOW the > > system failed and fix the failure point. Is the failure point > lack > > of > > training? Is the failure point unclear protocols? Is the > failure > > point > > inability to communicate with the patient? I don't know. But I > > > suspect the > > ACTUAL problem will probably not be fixed, the fire-fighter > will > > get his > > pension back, and the other two medics will get reinstated > once > > this 'quiets > > down'. But then again, I am a cynic (sp) who thinks the worst > of > > everything. > > At least I always get pleasant surprises. =) > > > > Webb....ah, you all know what I am where I work by > now. > > > > > > > > > > ________________________________________________________________________ > > Get Your Private, Free E-mail from MSN Hotmail at > > http://www.hotmail.com > > > > > > > > ------------------------------------------------------------------------- > ----- > > > > > > > > > > ------------------------------------------------------------------------- > ----- > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2000 Report Share Posted August 4, 2000 Actually, now I see where FD went wrong. They are FF/EMTs, which means they are first responders. I don't believe a first responder has the authority to make a decision like the one made here. These are left to the paramedics, after the patient has received a full assessment. I don't believe most first responders see enough medical cases to where they can tell if something is life-threatening or not. As for a policy for walk-ins, request an ambulance and let them make the call. Sure as an EMT you can make your inital assessment, but request an ambulance and let them decide whether this pt need to go or not. And I am very curious to see why the newspaper hasn't reported about the hospitals treatment. He did spend almost 5 hours there. I dont think the FF is responsible for this kids death. Had he spent 5 hours going back and forth to the station and died at home, then yes. But he died at the hospital. I hope the attorneys see this side of the coin too. On Thu, 3 Aug 2000 09:53:58 -0500 salvador capuchino jr writes: > My post is geared toward the fact that there have been too many > incidents > or " mistakes " . Yes we should all be held accountable for our > mistakes, > but who is responsible when they occur this frequently. Is their > QA/QI > program failing? And sure what about the hospital end of this > situation. > They are the ones ultimately responsible for detecting these > life-threatening illnesses. They probably also tunneled in in a > stomach > virus. These are my opinions based on the articles I have read. > > On Wed, 2 Aug 2000 09:34:52 -0500 " " > writes: > > The news report was the reason for firing was not following > > department, and Medical Directors policy, protocol, SOP, which has > > > been long standing and well known. There is no City Manager. The > > Chief is a fine man, and will be the first to step up the the > > batters box for his personnel when they are right. No one can > really > > say what should happen unless your there in their shoes. We all > can > > be a Monday morning quarterback, but it doesn't change two people > > are dead. Who did they talk to about getting help? Would you want > a > > captain to pay a price when he wasn't even informed? If he was > and > > he took care of the patient would that change what should happen > to > > the medic? It sounds like there are some post that want someone > > else to pay the price for something they didn't do. I won't judge > > since there is a internal, external, investigation, and civil > > lawsuits. There may be criminal charges before it's over for all > we > > know. So anything I've said is just based on opinions from the > news > > articles I've read that may be all correct or all wrong. There is > > still some families without their loved ones, who asked Emergency > > > Professionals for help. The families are grieving and HFD morale > is > > rock bottom. No winners, and we probably aren't helping on this > > server. What I do support is their is a massive effort to get to > the > > truth and that DOES say allot for HFD, the Chief, TDH, the > Medical > > Director, countless others, and Texas regardless of what happens. > > HFD is the finest Urban Dept in the Country. As large as they are > > there will be mistakes, and people will pay a price. HFD is not > > alone in this, since the Hospital did have the patient for a long > > time. Is anyone looking into that? If so who? The media hasn't > said > > anything about their part,nor have you heard of any > investigations. > > I bet there are, but your not hearing it. > > Ron > > > > Re: [texasems-L] Update on Disturbing Case from > > Houston > > > > > > > > > Okay, the following is MY OPINION. > > > > > > It sounds as though the system failed. Unfortunatly the > > American > > > response to > > > failure is to fire/kill the failing person (killing > currently > > > being frowned > > > upon it is generally firing), using said fired person as the > > > > 'scape goat', > > > and closing the issue by claiming the situation as been > > corrected. > > > *BUZZ* > > > Not the right answer. > > > > > > Yes, if this guy screwed up big time he needs disciplinary > > action. > > > But ONE > > > failure in 20 years, come-on, that is NOT worth termination > > over. > > > Maybe loss > > > of wages, demotion, LOTS of EMT remediation, but not > > termination > > > and loss of > > > pension. > > > > > > The BIG thing that needs to occur here is that HFD needs to > > find > > > out HOW the > > > system failed and fix the failure point. Is the failure > point > > lack > > > of > > > training? Is the failure point unclear protocols? Is the > > failure > > > point > > > inability to communicate with the patient? I don't know. But > I > > > > > suspect the > > > ACTUAL problem will probably not be fixed, the fire-fighter > > will > > > get his > > > pension back, and the other two medics will get reinstated > > once > > > this 'quiets > > > down'. But then again, I am a cynic (sp) who thinks the > worst > > of > > > everything. > > > At least I always get pleasant surprises. =) > > > > > > Webb....ah, you all know what I am where I work by > > now. > > > > > > > > > > > > > > > > > ________________________________________________________________________ > > > Get Your Private, Free E-mail from MSN Hotmail at > > > http://www.hotmail.com > > > > > > > > > > > > > > ------------------------------------------------------------------------- > > ----- > > > > > > > > > > > > > > > > > ------------------------------------------------------------------------- > > ----- > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2000 Report Share Posted August 4, 2000 you're definitely correct in saying it is the ambulance crew's decision for transport or not, and yes they should've provided supportive care until they got an ambulance with a paramedic to make the command decision as to whether or not to transport; there are two things I feel we should keep in mind about this case. first, I don't know about every other emt training program, but when I went through we were taught and tested to recognize certain signs and symptoms associated with various forms of pathology, to include an aortic aneurysm. As to whether or not someone has had sufficient field experience, maybe this is just me, but I have never had a problem putting 2 and 2 together, and when in doubt transport. second, we're emt's and paramedics, not doctors, we can make a differential diagnosis, as in what we think it is, and treat it accordingly, but we cannot make a diagnosis, officially. The patient should have been transported, period, and let the doctor make the diagnosis, after all that's what they go to 8+ years of school for. I know there are many medics and healthcare folks out there that have had sufficient experience to feel comfortable making a decision as to what is wrong with the patient, but our scope of practice does not permit us to make the end result type decisions without a doctor. Lastly, every EMS and Fire service I've ever worked with always had one standard rule, any decision made by the patient, patient's guardians, or emt/paramedic not to transport has to be cleared by medical control. That should have been done and perhaps the biggest part of this situation could have been avoided or the physician online could have recognized it as an aortic aneurysm and ordered the medics to conduct treatment accordingly. Just my two bits. Jim, EMT-I, 91B18D salvador capuchino jr wrote: > Actually, now I see where FD went wrong. They are FF/EMTs, which means > they are first responders. I don't believe a first responder has the > authority to make a decision like the one made here. These are left to > the paramedics, after the patient has received a full assessment. I > don't believe most first responders see enough medical cases to where > they can tell if something is life-threatening or not. As for a policy > for walk-ins, request an ambulance and let them make the call. Sure as > an EMT you can make your inital assessment, but request an ambulance and > let them decide whether this pt need to go or not. And I am very curious > to see why the newspaper hasn't reported about the hospitals treatment. > He did spend almost 5 hours there. I dont think the FF is responsible > for this kids death. Had he spent 5 hours going back and forth to the > station and died at home, then yes. But he died at the hospital. I hope > the attorneys see this side of the coin too. > > On Thu, 3 Aug 2000 09:53:58 -0500 salvador capuchino jr > writes: > > My post is geared toward the fact that there have been too many > > incidents > > or " mistakes " . Yes we should all be held accountable for our > > mistakes, > > but who is responsible when they occur this frequently. Is their > > QA/QI > > program failing? And sure what about the hospital end of this > > situation. > > They are the ones ultimately responsible for detecting these > > life-threatening illnesses. They probably also tunneled in in a > > stomach > > virus. These are my opinions based on the articles I have read. > > > > On Wed, 2 Aug 2000 09:34:52 -0500 " " > > writes: > > > The news report was the reason for firing was not following > > > department, and Medical Directors policy, protocol, SOP, which has > > > > > been long standing and well known. There is no City Manager. The > > > Chief is a fine man, and will be the first to step up the the > > > batters box for his personnel when they are right. No one can > > really > > > say what should happen unless your there in their shoes. We all > > can > > > be a Monday morning quarterback, but it doesn't change two people > > > are dead. Who did they talk to about getting help? Would you want > > a > > > captain to pay a price when he wasn't even informed? If he was > > and > > > he took care of the patient would that change what should happen > > to > > > the medic? It sounds like there are some post that want someone > > > else to pay the price for something they didn't do. I won't judge > > > since there is a internal, external, investigation, and civil > > > lawsuits. There may be criminal charges before it's over for all > > we > > > know. So anything I've said is just based on opinions from the > > news > > > articles I've read that may be all correct or all wrong. There is > > > still some families without their loved ones, who asked Emergency > > > > > Professionals for help. The families are grieving and HFD morale > > is > > > rock bottom. No winners, and we probably aren't helping on this > > > server. What I do support is their is a massive effort to get to > > the > > > truth and that DOES say allot for HFD, the Chief, TDH, the > > Medical > > > Director, countless others, and Texas regardless of what happens. > > > HFD is the finest Urban Dept in the Country. As large as they are > > > there will be mistakes, and people will pay a price. HFD is not > > > alone in this, since the Hospital did have the patient for a long > > > time. Is anyone looking into that? If so who? The media hasn't > > said > > > anything about their part,nor have you heard of any > > investigations. > > > I bet there are, but your not hearing it. > > > Ron > > > > > > Re: [texasems-L] Update on Disturbing Case from > > > Houston > > > > > > > > > > > > Okay, the following is MY OPINION. > > > > > > > > It sounds as though the system failed. Unfortunatly the > > > American > > > > response to > > > > failure is to fire/kill the failing person (killing > > currently > > > > being frowned > > > > upon it is generally firing), using said fired person as the > > > > > > 'scape goat', > > > > and closing the issue by claiming the situation as been > > > corrected. > > > > *BUZZ* > > > > Not the right answer. > > > > > > > > Yes, if this guy screwed up big time he needs disciplinary > > > action. > > > > But ONE > > > > failure in 20 years, come-on, that is NOT worth termination > > > over. > > > > Maybe loss > > > > of wages, demotion, LOTS of EMT remediation, but not > > > termination > > > > and loss of > > > > pension. > > > > > > > > The BIG thing that needs to occur here is that HFD needs to > > > find > > > > out HOW the > > > > system failed and fix the failure point. Is the failure > > point > > > lack > > > > of > > > > training? Is the failure point unclear protocols? Is the > > > failure > > > > point > > > > inability to communicate with the patient? I don't know. But > > I > > > > > > > suspect the > > > > ACTUAL problem will probably not be fixed, the fire-fighter > > > will > > > > get his > > > > pension back, and the other two medics will get reinstated > > > once > > > > this 'quiets > > > > down'. But then again, I am a cynic (sp) who thinks the > > worst > > > of > > > > everything. > > > > At least I always get pleasant surprises. =) > > > > > > > > Webb....ah, you all know what I am where I work by > > > now. > > > > > > > > > > > > > > > > > > > > > > > > > ________________________________________________________________________ > > > > Get Your Private, Free E-mail from MSN Hotmail at > > > > http://www.hotmail.com > > > > > > > > > > > > > > > > > > > > > ------------------------------------------------------------------------- > > > ----- > > > > > > > > > > > > > > > > > > > > > > > > > ------------------------------------------------------------------------- > > > ----- > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2000 Report Share Posted August 4, 2000 No offense, but I doubt you would made an accurate diagnosis either -- or for that matter the physician online or a medic at the scene since the history given was that he had eaten a really BIG meal at Taco Bell earlier in the day and he was vomiting. . . maybe dx of food poisoning but not an aneurysm. Transport or no transport I think he would have been triaged on a wall bed for a while or in the waiting area. This is just a tough one to dx, treat and catch in time to save any patient with acute symptoms. The only thing that could have probably saved him is a very fast, good and lucky surgeon. Please note that I am not making light of a tragic situation. I just think it is very difficult to save the patient even when you KNOW you are dealing with an aortic aneurysm. Melody ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ first, I don't know about every other emt training program, but when I went through we were taught and tested to recognize certain signs and symptoms associated with various forms of pathology, to include an aortic aneurysm. As to whether or not someone has had sufficient field experience, maybe this is just me, but I have never had a problem putting 2 and 2 together, and when in doubt transport. . . . <<clip>> Lastly, every EMS and Fire service I've ever worked with always had one standard rule, any decision made by the patient, patient's guardians, or emt/paramedic not to transport has to be cleared by medical control. That should have been done and perhaps the biggest part of this situation could have been avoided or the physician online could have recognized it as an aortic aneurysm and ordered the medics to conduct treatment accordingly. Just my two bits. Jim, EMT-I, 91B18D Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2000 Report Share Posted August 4, 2000 No offense taken, I probably would have missed it by a long shot....but I still would've conferred with higher authority like medical direction. Considering also if mom and dad are saying something is not right, which I've had happen to me in the past with kids, even though it was not anything significant.....I would transport....simply because I feel that dispite my medical training and background...it is not my place in the civilian world as an EMS provider to make a confirmed diagnosis. Yes, I agree if that hospital is anything like some of the one's here in Dallas, he probably would've of ended up being triaged and put to the side, but at least I did my part fully, completely and to the best of my ability in what is allowed to me within the civilian community. As to what I would've done had the child presented himself to me in my ER on a military base, depends on my complete assessment and history taking from the child and parents. But, coulda, shoulda, woulda, doesn't matter it still happened and its sad. Both for the family and the providers involved, I'm just hoping something will be learned from this so that we can improve in our abilities and avoid similar incidents in the future. You make a 110% of a good point.....and you're probably right on the money, but as a primary provider both in the service and on a civilian ambulance, I always do my best to cover my bases before I make a command decision as to whether or not to treat or transport or both. thanks for your thoughts, be safe Jim, EMT-I, 91B18D m & m's wrote: > No offense, but I doubt you would made an accurate diagnosis either -- or > for that matter the physician online or a medic at the scene since the > history given was that he had eaten a really BIG meal at Taco Bell earlier > in the day and he was vomiting. . . maybe dx of food poisoning but not an > aneurysm. Transport or no transport I think he would have been triaged on > a wall bed for a while or in the waiting area. > > This is just a tough one to dx, treat and catch in time to save any patient > with acute symptoms. The only thing that could have probably saved him is a > very fast, good and lucky surgeon. > > Please note that I am not making light of a tragic situation. I just think > it is very difficult to save the patient even when you KNOW you are dealing > with an aortic aneurysm. > > Melody > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > first, I don't know about every other emt training program, but when I went > through we were taught and tested to recognize certain signs and symptoms > associated with various forms of pathology, to include an aortic aneurysm. > As to whether or not someone has had sufficient field experience, maybe > this > is just me, but I have never had a problem putting 2 and 2 together, and > when > in doubt transport. . . . > <<clip>> > Lastly, every EMS and Fire service I've ever worked with always had one > standard rule, any decision made by the patient, patient's guardians, or > emt/paramedic not to transport has to be cleared by medical control. That > should have been done and perhaps the biggest part of this situation could > have been avoided or the physician online could have recognized it as an > aortic aneurysm and ordered the medics to conduct treatment accordingly. > Just my two bits. > > Jim, EMT-I, 91B18D > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2000 Report Share Posted August 5, 2000 I guess I come from a slightly different system. There is no decision as to whether the patient is to be transported. When a patient requests transport, they are transported. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2000 Report Share Posted August 5, 2000 , To me this is the way that it should be. Unless, it is for something that does not require ambulance transport. Such as going for a doctors appointment and they are able to walk or they have other means of transportation. To some, yes we are nothing but a taxi as Mike pointed out. While giving a " taxi ride " to someone that does not need it, there might be someone else that really does need that ambulance. In some cases, other means of transportation would be fine. But for the two cases that are being talked about on here, to me, they should have both been taken by ambulance to the ER for evaluation by a physician. By turning pts away, are we providing good pt care? Are we providing good customer service to the community? Yes, these pts are our customers. Just my $0.02 worth WD RE: [texasems-L] Update on Disturbing Case from Houston > I guess I come from a slightly different system. There is no decision as to > whether the patient is to be transported. When a patient requests > transport, they are transported. > > > > > > > Quote Link to comment Share on other sites More sharing options...
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