Re: Next scenario - 1/29/2000

[Guest guest]

Since this really happened, I'll tell you a little more. I knew this guy,

and since I was the only paramedic in town and the only lawyer, and went to

school with him, I just said to my EMT, " Git the stretcher, O2 an the

monitor. We're goin to the hospital. " He said, " No I ain't. " I said, " The

hell you ain't. " His boy said, " Daddy you do what Gene tells you. " Bout

that time he threw up, and my EMT came out of the bay with the truck, I

opened the doors and pulled out the stretcher, rolled it over to the truck,

adjusted the height, put the head up and said, " Now slide your ass over here

on this bed, " and grabbed him by the bib overalls and in 15 seconds he was

there. Rolled him into the truck and we took off. Whole thing took 3

minutes. One thing I learned about working in the country was not to f***

around at the scene. Our little bunch of volunteers became one of the lowest

scene-time services you'll ever see, and we learned you can do almost

everything enroute. (Codes are different, and I'll address them another

time.).

On the subject of tough ranchers, I knew a guy who got his arm pulled off in

a haybaler, tied some baling twine around it and drove himself 100 miles to

Dallas to Baylor and walked into the ER. I later used to help him work

cattle, and he could get on a horse with one arm quicker than I could with

two, and once I visited him and found him overhauling the transmission of his

D9 Cat by himself!

GG

In a message dated 1/29/2000 20:06:02 Central Standard Time,

dfluffy01@... writes:

Gene,

Sounds to me like the guy needs a RLD (real live doctor) not a Paramedic. I

would encourage the patient to let us check him out (v/s, then work up to a

12-lead). I would let the patient know that this is no charge (as said

earlier, this is a BIG deal to people on a limited income) unless there is a

charge, then I would contact a supervisor to make it no charge. If the guy

absolutely refuses (I have had this happen). I would explain that I need him

to sign a refusal of service form (paraphrase the form to " when you die, we

can't get sued, this gets their attention. I would also offer to let him or

his son call his doctor from the station phone so that they/I can tell him

what is going on and we can ask his advice (this has worked several times to

save a life). The thing to emphasize here is that most farmers/ranchers/oil

field hands are " tough " and don't want to go to the doctor/hospital for

something as " minor as this " (guys I have seen a rancher walk in on

comminuted femur fracture...and yes, I do mean WALK) the role playing should

be FUN!

Webb

PS: Got on the bunker gear, let fly the flames.

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Subject: [texasems-L] Re: Next scenario - 1/29/2000

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