Guest guest Posted May 3, 2000 Report Share Posted May 3, 2000 I might be wrong, but aren't DFW, and Dallas Fire Department two separate entities all together. I attended to a Mass Casualty class where the Chief of DFW was a speaker, and let me tell you they have their Sh*t together when it comes to dealing with these situations. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2000 Report Share Posted May 3, 2000 In a message dated 5/3/00 6:48:46 PM Pacific Daylight Time, mreed@... writes: << Interestingly, after a plane crash at DFW years ago, several passengers *were* in fact transported by an airport bus who found the passengers walking off the airfield. This wasn't anything that DFW DPS did, it's just something that happened in all the chaos. Interestingly, this is one of the calls that I'd want as many firemen as possible around... the more adults per child (or firemen per patient), the better. Mike >> Interesting. You might be interested to know that in the DFW DPS triage plan, buses are utilized to carry the low priority " walking wounded " to the hospital. All officers at the airport are certified in one level of EMS, be it ECA, EMT, or Paramedic. When the bus is utilized to transport these minor injured people, an EMS perons (s) accompanies them to the hospital. They are not just turned over to a bus driver. This is all a part of the Mass Casualty Incident plan. , BS, LP Instructor Tyler Junior College EMS Professions Program As a matter of information, I will officially be retired on July 1 from the DFW Airport Dept. of Public Safety where I worked for over 13 years. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2000 Report Share Posted May 3, 2000 In a message dated 5/3/00 8:05:08 PM Pacific Daylight Time, ras119@... writes: << This is great. I was hoping to get some good input on this. Mr. , allow me to respond to your response... As for the wreck. I was not onscene and did not see the vehicle that the bus hit. I did however see the bus as it drove into CMC's ambulance bay. The front bumper, very large and of very heavy steel was infact bent upwards. Minimally, and most probably not of need of repair( I am not a mechanic). It is also true that emotions can distract from injuries. This is where a calm, proficient provider can weed through the masses in a controlled triage area, i.e., not in the bus surrounded by 60 other kids. This may have in fact happened but is out of my realm of knowledge. As to whom was notified, also out of my area of knowledge. We do know that we (yes I am an employee at CMC) were notified almost an hour before we received the bus. >> And my question is, Do you, the sender of this e-mail, have a name? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2000 Report Share Posted May 3, 2000 In a message dated 5/3/00 8:21:29 PM Pacific Daylight Time, snafu24m@... writes: << might be wrong, but aren't DFW, and Dallas Fire Department two separate entities all together. I attended to a Mass Casualty class where the Chief of DFW was a speaker, and let me tell you they have their Sh*t together when it comes to dealing with these situations. >> You are entirely correct. DFW Airport is an entity of its own. They have their own fire/police/EMS department, Dallas-Fort Worth Airport Department of Public Safety. The only common thing about DFW and Dallas is (1)the cities of Dallas and Ft. Worth own the airport and (2)both Dallas FD and DFW Airport DPS utilize the Biotel medical control system located at Parkland Hospital. And you are correct, DFW Airport does have their dookie together in handline MCI incidents. Retired DFW Aiport police officer, paramedic, firefighter Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2000 Report Share Posted May 3, 2000 I'd also like to have some " firewomen. " They could be lots of help. Don't mean to carp about political correctness, but let's hear it for the women in the fireservices and EMS. Gene Gandy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2000 Report Share Posted May 3, 2000 In a message dated 5/3/00 9:59:00 PM Pacific Daylight Time, wegandy@... writes: << I'd also like to have some " firewomen. " They could be lots of help. Don't mean to carp about political correctness, but let's hear it for the women in the fireservices and EMS. Gene Gandy >> Here, here!! WE need more women! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2000 Report Share Posted May 3, 2000 Interestingly, after a plane crash at DFW years ago, several passengers *were* in fact transported by an airport bus who found the passengers walking off the airfield. This wasn't anything that DFW DPS did, it's just something that happened in all the chaos. Interestingly, this is one of the calls that I'd want as many firemen as possible around... the more adults per child (or firemen per patient), the better. Mike re: dfd mci fiasco > Well put Mr. Sharp. Incidents such as these are great for training. If you > can't manage an incident of this size with minor injuries, how would one > expect that you can handle a severe one. DFD is probably the 2nd biggest > department in this state, should we expect that if a 727 crashes at Love > Field that they will have the pilot drive his damaged plane down to Parkland > to off load the passengers? > > ------------------------------------------------------------------------ > You have a voice mail message waiting for you at iHello.com: > http://click./1/3555/4/_/4981/_/957404065/ > ------------------------------------------------------------------------ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2000 Report Share Posted May 3, 2000 > In a message dated 5/3/00 8:05:08 PM Pacific Daylight Time, ras119@a... > writes: > > << This is great. I was hoping to get some good input on this. Mr. , > allow > me to respond to your response... > As for the wreck. I was not onscene and did not see the vehicle that the > bus > hit. I did however see the bus as it drove into CMC's ambulance bay. The > front bumper, very large and of very heavy steel was infact bent upwards. > Minimally, and most probably not of need of repair( I am not a mechanic). > It is also true that emotions can distract from injuries. This is where a > calm, proficient provider can weed through the masses in a controlled triage > area, i.e., not in the bus surrounded by 60 other kids. This may have in > fact happened but is out of my realm of knowledge. > As to whom was notified, also out of my area of knowledge. We do know that > we (yes I am an employee at CMC) were notified almost an hour before we > received the bus. >> > > > And my question is, Do you, the sender of this e-mail, have a name? > ===Good grief. Not purposely trying to hide anything here if that goes towards validity of my postings. Sincere Apologies, Rick Sokolnicki EMT-P Pedi-Tech R/M Arlington Children's Medical Center Dallas ERC > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2000 Report Share Posted May 4, 2000 busiest ped's er? only beacuse you count " First Care " , your clinic.. and by the way, you still hav'nt left your name, Goodman... >From: ras119@... >Reply-To: egroups >To: egroups >Subject: re: dfd mci fiasco >Date: Wed, 3 May 2000 23:04:22 EDT > >This is great. I was hoping to get some good input on this. Mr. , >allow >me to respond to your response... >As for the wreck. I was not onscene and did not see the vehicle that the >bus >hit. I did however see the bus as it drove into CMC's ambulance bay. The >front bumper, very large and of very heavy steel was infact bent upwards. >Minimally, and most probably not of need of repair( I am not a mechanic). >It is also true that emotions can distract from injuries. This is where a >calm, proficient provider can weed through the masses in a controlled >triage >area, i.e., not in the bus surrounded by 60 other kids. This may have in >fact happened but is out of my realm of knowledge. >As to whom was notified, also out of my area of knowledge. We do know that >we (yes I am an employee at CMC) were notified almost an hour before we >received the bus. >Again on the damage, one of the patients mentioned that the bus hit a car >stopped at an intersection. >ON the happenings at the hospital. It was a reminder that many things must >go on in the er environment. Actual patient care is just a fraction of the >goings on. >As far as the justification for sending all the patients to one place. You >will not ever convince me that that is a sane thing to do. It's never a >good >idea to overload any one place with patients no matter how minor the >injuries. Having been in this circumstance a few times in the field, a >very >strict protocol for tracking and identification of patients has to be >implemented here. It is also easy when you have the resources to contact >parents to allow them to make a decision. I know that is very hard to do, >but several parents arrived at CMC with only the knowledge that there was a >bus wreck and that their kid was at the hospital. >It is quite true that CMC can and did handle the problem efficiently. We >are >the busiest peds er in the nation for the 2nd year running with over 96 >thousand pt.s alone. >So instead of obtaining refusals, you just send everyone to the hospital? >That is the biggest pile of complete garbage I have ever heard. So very >lazy. Uninjured kids should have parents notified to make a decision. End >of story, if that is not possible, implied consent says you dump them on an >Er somewhere. Large numbers of bills will be generated for all of this. >Who >is gonna pay for all of that? >As for the bus, it was just odd for me to see. I wondered if maybe some >unknown brake system failure had caused this wreck. Was it investigated? >As for the patients reports, when I left the hospital at 3am this morning >there had not been 63 DFD patient reports delivered to the ERC. >As far as the triage comment goes, you really have no idea as too the >numbers >we see. Many things sit in our waiting room that aren't all that minor.... >But like I said, I wanted some input on this and expected some heated >reactions. Lets remember that overall everything went well. We are all >thankful that a busload of kids involved in a wreck wasn't so verymuch >worse. > It was also a good thing for the CMC staff to go through every now and >then. > They are usually frequent enough(unfortunately) that we do not actually >ever >have to practice this. ________________________________________________________________________ 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 May 4, 2000 Report Share Posted May 4, 2000 RICK?, Aw jeesh I was expecting some dufus medic from Dallas, But you? Et tu brutus? I can't wait till you bring me a pt. to Cook's.... Goodman > >Reply-To: egroups >To: egroups >Subject: Re: re: dfd mci fiasco >Date: Thu, 04 May 2000 06:45:10 CDT > >busiest ped's er? only beacuse you count " First Care " , your clinic.. and by >the way, you still hav'nt left your name, > Goodman... > > > >From: ras119@... > >Reply-To: egroups > >To: egroups > >Subject: re: dfd mci fiasco > >Date: Wed, 3 May 2000 23:04:22 EDT > > > >This is great. I was hoping to get some good input on this. Mr. , > >allow > >me to respond to your response... > >As for the wreck. I was not onscene and did not see the vehicle that the > >bus > >hit. I did however see the bus as it drove into CMC's ambulance bay. >The > >front bumper, very large and of very heavy steel was infact bent upwards. > >Minimally, and most probably not of need of repair( I am not a mechanic). > >It is also true that emotions can distract from injuries. This is where >a > >calm, proficient provider can weed through the masses in a controlled > >triage > >area, i.e., not in the bus surrounded by 60 other kids. This may have in > >fact happened but is out of my realm of knowledge. > >As to whom was notified, also out of my area of knowledge. We do know >that > >we (yes I am an employee at CMC) were notified almost an hour before we > >received the bus. > >Again on the damage, one of the patients mentioned that the bus hit a car > >stopped at an intersection. > >ON the happenings at the hospital. It was a reminder that many things >must > >go on in the er environment. Actual patient care is just a fraction of >the > >goings on. > >As far as the justification for sending all the patients to one place. >You > >will not ever convince me that that is a sane thing to do. It's never a > >good > >idea to overload any one place with patients no matter how minor the > >injuries. Having been in this circumstance a few times in the field, a > >very > >strict protocol for tracking and identification of patients has to be > >implemented here. It is also easy when you have the resources to contact > >parents to allow them to make a decision. I know that is very hard to >do, > >but several parents arrived at CMC with only the knowledge that there was >a > >bus wreck and that their kid was at the hospital. > >It is quite true that CMC can and did handle the problem efficiently. We > >are > >the busiest peds er in the nation for the 2nd year running with over 96 > >thousand pt.s alone. > >So instead of obtaining refusals, you just send everyone to the hospital? > >That is the biggest pile of complete garbage I have ever heard. So very > >lazy. Uninjured kids should have parents notified to make a decision. >End > >of story, if that is not possible, implied consent says you dump them on >an > >Er somewhere. Large numbers of bills will be generated for all of this. > >Who > >is gonna pay for all of that? > >As for the bus, it was just odd for me to see. I wondered if maybe some > >unknown brake system failure had caused this wreck. Was it investigated? > >As for the patients reports, when I left the hospital at 3am this morning > >there had not been 63 DFD patient reports delivered to the ERC. > >As far as the triage comment goes, you really have no idea as too the > >numbers > >we see. Many things sit in our waiting room that aren't all that >minor.... > >But like I said, I wanted some input on this and expected some heated > >reactions. Lets remember that overall everything went well. We are all > >thankful that a busload of kids involved in a wreck wasn't so verymuch > >worse. > > It was also a good thing for the CMC staff to go through every now and > >then. > > They are usually frequent enough(unfortunately) that we do not actually > >ever > >have to practice this. > >________________________________________________________________________ >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 May 4, 2000 Report Share Posted May 4, 2000 Knowing DFD yes they would. The things that DFD EMS get away with could close most other services? re: dfd mci fiasco >Well put Mr. Sharp. Incidents such as these are great for training. If you >can't manage an incident of this size with minor injuries, how would one >expect that you can handle a severe one. DFD is probably the 2nd biggest >department in this state, should we expect that if a 727 crashes at Love >Field that they will have the pilot drive his damaged plane down to Parkland >to off load the passengers? > >------------------------------------------------------------------------ >You have a voice mail message waiting for you at iHello.com: >http://click./1/3555/4/_/4981/_/957404065/ >------------------------------------------------------------------------ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2000 Report Share Posted May 4, 2000 Be realistic. Traffic in Dallas is bad enough without a 727 going down the freeway! Jay re: dfd mci fiasco Well put Mr. Sharp. Incidents such as these are great for training. If you can't manage an incident of this size with minor injuries, how would one expect that you can handle a severe one. DFD is probably the 2nd biggest department in this state, should we expect that if a 727 crashes at Love Field that they will have the pilot drive his damaged plane down to Parkland to off load the passengers? ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2000 Report Share Posted May 4, 2000 In a message dated Thu, 4 May 2000 10:07:45 AM Eastern Daylight Time, " Dave " writes: << They are indeed. Actually the biggest snafu with the first major crash at DFW occurred because of stupidity on the part of a major Dallas hospital. They always refused to participate in the disaster drills DFW held regularly, unlike the Tarrant County and other Dallas hospitals. As a result, when the you-know-what hit the fan (actually a big water tank was what they hit), we all did our jobs as the drills had prepared us. They loaded up most of their ER medical staff in a bus and rushed to DFW with a police escort, arriving just as the last living patient was being airlifted to their facility (where about half the casualties went). They were the ones who didn't follow the plan. They were the ones who didn't credit the paramedics with the ability to do the triage and handle the scene as we were trained. They were the ones who left their post in a critical time. Finally, they were the ones who blasted all the rest of us in a news interview several days later as having messed up the response. The response went very well, all things considered, their opinions notwithstanding, except for the job they were supposed to do. Shows ta go ya that incompetency doesn't always rest with the medics! Dave And just for your information, the team you are referring to is no longer asked to participate in the Lifesaver Drills held every 5 years at DFW. RAA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2000 Report Share Posted May 4, 2000 Shows ta go ya that size of the service does not equate automatically with competency. Dave re: dfd mci fiasco > Well put Mr. Sharp. Incidents such as these are great for training. If you > can't manage an incident of this size with minor injuries, how would one > expect that you can handle a severe one. DFD is probably the 2nd biggest > department in this state, should we expect that if a 727 crashes at Love > Field that they will have the pilot drive his damaged plane down to Parkland > to off load the passengers? > > ------------------------------------------------------------------------ > You have a voice mail message waiting for you at iHello.com: > http://click./1/3555/4/_/4981/_/957404065/ > ------------------------------------------------------------------------ > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2000 Report Share Posted May 4, 2000 They are indeed. Actually the biggest snafu with the first major crash at DFW occurred because of stupidity on the part of a major Dallas hospital. They always refused to participate in the disaster drills DFW held regularly, unlike the Tarrant County and other Dallas hospitals. As a result, when the you-know-what hit the fan (actually a big water tank was what they hit), we all did our jobs as the drills had prepared us. They loaded up most of their ER medical staff in a bus and rushed to DFW with a police escort, arriving just as the last living patient was being airlifted to their facility (where about half the casualties went). They were the ones who didn't follow the plan. They were the ones who didn't credit the paramedics with the ability to do the triage and handle the scene as we were trained. They were the ones who left their post in a critical time. Finally, they were the ones who blasted all the rest of us in a news interview several days later as having messed up the response. The response went very well, all things considered, their opinions notwithstanding, except for the job they were supposed to do. Shows ta go ya that incompetency doesn't always rest with the medics! Dave Re: re: dfd mci fiasco > I might be wrong, but aren't DFW, and Dallas Fire Department two separate > entities all together. I attended to a Mass Casualty class where the Chief of > DFW was a speaker, and let me tell you they have their Sh*t together when it > comes to dealing with these situations. > > ------------------------------------------------------------------------ > eGroups eLerts > It's Easy. It's Fun. Best of All, it's Free! > http://click./1/3863/4/_/4981/_/957410180/ > ------------------------------------------------------------------------ > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2000 Report Share Posted May 4, 2000 Comments inline... Mike re: dfd mci fiasco This is great. I was hoping to get some good input on this. Mr. , allow me to respond to your response... M> Okay, but call me Mike. We're all friends here... As for the wreck. I was not onscene and did not see the vehicle that the bus hit. I did however see the bus as it drove into CMC's ambulance bay. The front bumper, very large and of very heavy steel was infact bent upwards. Minimally, and most probably not of need of repair( I am not a mechanic). M> Okay, I'll accept that. It is also true that emotions can distract from injuries. This is where a calm, proficient provider can weed through the masses in a controlled triage area, i.e., not in the bus surrounded by 60 other kids. This may have in fact happened but is out of my realm of knowledge. M> I'd still have to believe though, that an ER area is a more controlled environment that's safer for the kids and staff than an intersection where an accident had just occured. As to whom was notified, also out of my area of knowledge. We do know that we (yes I am an employee at CMC) were notified almost an hour before we received the bus. M> Sounds like efficient notification to me. Biotel, right? [Note: No matter my views on the need for online medical control and the level of assistance/guidance it should provide, I've always found Biotel to be an efficient, professional system.] Again on the damage, one of the patients mentioned that the bus hit a car stopped at an intersection. ON the happenings at the hospital. It was a reminder that many things must go on in the er environment. Actual patient care is just a fraction of the goings on. As far as the justification for sending all the patients to one place. You will not ever convince me that that is a sane thing to do. M> I don't know - keeping them all together is a much, much easier logistical concern than separating them, especially if there's not enough school staff to track them all at different facilities and notify parents which facility to go to. DISD doesn't have the brightest staff in all cases. It's never a good idea to overload any one place with patients no matter how minor the injuries. M> I don't know that I'd call 60 patients of a minor/non-injured nature with an hour's notice an overload for a facility like CMC. Having been in this circumstance a few times in the field, a very strict protocol for tracking and identification of patients has to be implemented here. M> Agreed, and in DFD, that responsiblity would fall to scene command, most likely a Batallion Chief or Section Chief, and the EMS Duty Officer (780 series unit). It is also easy when you have the resources to contact parents to allow them to make a decision. M> I'd doubt that the resources existed. More than likely, the parents numbers were not with each child, requiring that information to come from the school, not the bus. Not a pretty thing. Fax machines are more prevalent in ER's than in chief's cars... and the school could fax over each child's emergency contact form. I know that is very hard to do, but several parents arrived at CMC with only the knowledge that there was a bus wreck and that their kid was at the hospital. M> Sounds like they got *enough* information, though the status of their child might not have been a bad thing (minor injuries). It is quite true that CMC can and did handle the problem efficiently. We are the busiest peds er in the nation for the 2nd year running with over 96 thousand pt.s alone. So instead of obtaining refusals, you just send everyone to the hospital? That is the biggest pile of complete garbage I have ever heard. So very lazy. Uninjured kids should have parents notified to make a decision. End of story, if that is not possible, implied consent says you dump them on an Er somewhere. M> Your last sentence hits it. If you can't get a refusal, implied consent says a child goes. Utilizing a single facility that can in fact handle it (an hour's notice implies that a decision to handle this case was made, again this is probably a BioTel led decision), using that facility and it alone minimizes the complications of tracking, notification and treatment (that medical team can not only evaluate single injuries, but " place " them against the group of injuries they see from the same wreck, very very valuable). Large numbers of bills will be generated for all of this. Who is gonna pay for all of that? M> Most likely, DISD will be paying. <g> As for the bus, it was just odd for me to see. I wondered if maybe some unknown brake system failure had caused this wreck. Was it investigated? M> I'm absolutely certain that the bus was safe. While DISD and DISDPD may not be the best at noticing these things, DPD isn't going to let a wounded bus leave the scene with kids in it. As for the patients reports, when I left the hospital at 3am this morning there had not been 63 DFD patient reports delivered to the ERC. M> I don't know how I'd track or respond to that one. As far as the triage comment goes, you really have no idea as too the numbers we see. Many things sit in our waiting room that aren't all that minor.... M> Actually, I do. I have firsthand knolwedge. I grew up areound the DFD system, I did a few rotations through CMC ER as an EMT Basic student at UTSWMC, and kept familiar when I worked campus security for UTSWMC, and still see CMC ER on occasion when I ride out with DFD. But like I said, I wanted some input on this and expected some heated reactions. Lets remember that overall everything went well. We are all thankful that a busload of kids involved in a wreck wasn't so verymuch worse. M> Agreed. Unfortunately, school bus wrecks are pretty prevalent in a particular school district down here... It was also a good thing for the CMC staff to go through every now and then. They are usually frequent enough(unfortunately) that we do not actually ever have to practice this. M> LOL, the way that came out was classic. I'm glad, however, that this isn't a new occurence for the staff. Mike ------------------------------------------------------------------------ Get paid for the stuff you know! Get answers for the stuff you don't. And get $10 to spend on the site! http://click./1/2200/4/_/4981/_/957409473/ ------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2000 Report Share Posted May 4, 2000 Yes, they are, and yes, they do. Mike Re: re: dfd mci fiasco > I might be wrong, but aren't DFW, and Dallas Fire Department two separate > entities all together. I attended to a Mass Casualty class where the Chief of > DFW was a speaker, and let me tell you they have their Sh*t together when it > comes to dealing with these situations. > > ------------------------------------------------------------------------ > eGroups eLerts > It's Easy. It's Fun. Best of All, it's Free! > http://click./1/3863/4/_/4981/_/957410180/ > ------------------------------------------------------------------------ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2000 Report Share Posted May 4, 2000 Sure, but this was an accidental deal, one where the bus driver just came across a group a patients very early on in a scene... Generally, DFW DPS is one of the best departments in the area. Funny how training does that. Mike Re: re: dfd mci fiasco > In a message dated 5/3/00 6:48:46 PM Pacific Daylight Time, mreed@... > writes: > > << Interestingly, after a plane crash at DFW years ago, several passengers > *were* in fact transported by an airport bus who found the passengers > walking off the airfield. This wasn't anything that DFW DPS did, it's just > something that happened in all the chaos. > > Interestingly, this is one of the calls that I'd want as many firemen as > possible around... the more adults per child (or firemen per patient), the > better. > > Mike >> > > > Interesting. You might be interested to know that in the DFW DPS triage > plan, buses are utilized to carry the low priority " walking wounded " to the > hospital. All officers at the airport are certified in one level of EMS, be > it ECA, EMT, or Paramedic. When the bus is utilized to transport these minor > injured people, an EMS perons (s) accompanies them to the hospital. They are > not just turned over to a bus driver. This is all a part of the Mass > Casualty Incident plan. > > , BS, LP > Instructor > Tyler Junior College > EMS Professions Program > > As a matter of information, I will officially be retired on July 1 from the > DFW Airport Dept. of Public Safety where I worked for over 13 years. > > ------------------------------------------------------------------------ > eLerts > It's Easy. It's Fun. Best of All, it's Free! > http://click./1/3864/4/_/4981/_/957412514/ > ------------------------------------------------------------------------ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2000 Report Share Posted May 4, 2000 Thanks, Rick! We all just like to know who we're talking to! Mike Re: re: dfd mci fiasco > > > In a message dated 5/3/00 8:05:08 PM Pacific Daylight Time, > ras119@a... > > writes: > > > > << This is great. I was hoping to get some good input on this. > Mr. , > > allow > > me to respond to your response... > > As for the wreck. I was not onscene and did not see the vehicle > that the > > bus > > hit. I did however see the bus as it drove into CMC's ambulance > bay. The > > front bumper, very large and of very heavy steel was infact bent > upwards. > > Minimally, and most probably not of need of repair( I am not a > mechanic). > > It is also true that emotions can distract from injuries. This is > where a > > calm, proficient provider can weed through the masses in a > controlled triage > > area, i.e., not in the bus surrounded by 60 other kids. This may > have in > > fact happened but is out of my realm of knowledge. > > As to whom was notified, also out of my area of knowledge. We do > know that > > we (yes I am an employee at CMC) were notified almost an hour > before we > > received the bus. >> > > > > > > And my question is, Do you, the sender of this e-mail, have a name? > > > ===Good grief. Not purposely trying to hide anything here if that > goes towards validity of my postings. > > Sincere Apologies, > > Rick Sokolnicki > EMT-P > Pedi-Tech > R/M Arlington > Children's Medical Center Dallas ERC > > > > > > > > ------------------------------------------------------------------------ > GET WHO WANTS TO BE A MILLIONAIRE FREE! GET THE OFFICIAL COMPANION > TO TELEVISION'S HOTTEST GAME SHOW PHENOMENON PLUS 5 MORE BOOKS FOR > $2. Click for details. > http://click./1/3014/4/_/4981/_/957413373/ > ------------------------------------------------------------------------ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2000 Report Share Posted May 4, 2000 Come on Gene, you know as well as I do that the women in the service are just as much " firemen " as the men are... Mike Re: re: dfd mci fiasco > I'd also like to have some " firewomen. " They could be lots of help. Don't > mean to carp about political correctness, but let's hear it for the women in > the fireservices and EMS. > > Gene Gandy > > ------------------------------------------------------------------------ > Get your money connected @ OnMoney.com - the first Web site that lets > you see and manage all of your finances all in one place. > http://click./1/3012/4/_/4981/_/957416289/ > ------------------------------------------------------------------------ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2000 Report Share Posted May 4, 2000 > RICK?, > >>>>Hey , What's been going on? Yes I started this whole mess. It think it's great the amount of input I have got from this. I'll have to post some more controversial stuff as i come across it. Oh and by the way, if you remember, our stats at children's are comprised of the numbers that are triaged. First care is a part of the ERC and will see only the garbage but still falls under our numbers. Last year first care with it's only eight beds saw more patients than the rest of the ER!! So sit back and be lazy out there in FTW where the nurses actually treat you like a human and a professional and leave us and the houskeeping staff to do all the slave labor at Children's....... Rick Sokolnicki EMT-P Pedi-Tech R/M Arlington (and we are staying in business) Children's Medical Center Dallas ERC (prone to much natural disaster) > Aw jeesh I was expecting some dufus medic from Dallas, But you? Et tu > brutus? I can't wait till you bring me a pt. to Cook's.... > Goodman > > > >From: " g.r. goodman " <medstar29@h...> > >Reply-To: egroups > >To: egroups > >Subject: Re: re: dfd mci fiasco > >Date: Thu, 04 May 2000 06:45:10 CDT > > > >busiest ped's er? only beacuse you count " First Care " , your clinic.. and by > >the way, you still hav'nt left your name, > > Goodman... > > > > > > >From: ras119@a... > > >Reply-To: egroups > > >To: egroups > > >Subject: re: dfd mci fiasco > > >Date: Wed, 3 May 2000 23:04:22 EDT > > > > > >This is great. I was hoping to get some good input on this. Mr. , > > >allow > > >me to respond to your response... > > >As for the wreck. I was not onscene and did not see the vehicle that the > > >bus > > >hit. I did however see the bus as it drove into CMC's ambulance bay. > >The > > >front bumper, very large and of very heavy steel was infact bent upwards. > > >Minimally, and most probably not of need of repair( I am not a mechanic). > > >It is also true that emotions can distract from injuries. This is where > >a > > >calm, proficient provider can weed through the masses in a controlled > > >triage > > >area, i.e., not in the bus surrounded by 60 other kids. This may have in > > >fact happened but is out of my realm of knowledge. > > >As to whom was notified, also out of my area of knowledge. We do know > >that > > >we (yes I am an employee at CMC) were notified almost an hour before we > > >received the bus. > > >Again on the damage, one of the patients mentioned that the bus hit a car > > >stopped at an intersection. > > >ON the happenings at the hospital. It was a reminder that many things > >must > > >go on in the er environment. Actual patient care is just a fraction of > >the > > >goings on. > > >As far as the justification for sending all the patients to one place. > >You > > >will not ever convince me that that is a sane thing to do. It's never a > > >good > > >idea to overload any one place with patients no matter how minor the > > >injuries. Having been in this circumstance a few times in the field, a > > >very > > >strict protocol for tracking and identification of patients has to be > > >implemented here. It is also easy when you have the resources to contact > > >parents to allow them to make a decision. I know that is very hard to > >do, > > >but several parents arrived at CMC with only the knowledge that there was > >a > > >bus wreck and that their kid was at the hospital. > > >It is quite true that CMC can and did handle the problem efficiently. We > > >are > > >the busiest peds er in the nation for the 2nd year running with over 96 > > >thousand pt.s alone. > > >So instead of obtaining refusals, you just send everyone to the hospital? > > >That is the biggest pile of complete garbage I have ever heard. So very > > >lazy. Uninjured kids should have parents notified to make a decision. > >End > > >of story, if that is not possible, implied consent says you dump them on > >an > > >Er somewhere. Large numbers of bills will be generated for all of this. > > >Who > > >is gonna pay for all of that? > > >As for the bus, it was just odd for me to see. I wondered if maybe some > > >unknown brake system failure had caused this wreck. Was it investigated? > > >As for the patients reports, when I left the hospital at 3am this morning > > >there had not been 63 DFD patient reports delivered to the ERC. > > >As far as the triage comment goes, you really have no idea as too the > > >numbers > > >we see. Many things sit in our waiting room that aren't all that > >minor.... > > >But like I said, I wanted some input on this and expected some heated > > >reactions. Lets remember that overall everything went well. We are all > > >thankful that a busload of kids involved in a wreck wasn't so verymuch > > >worse. > > > It was also a good thing for the CMC staff to go through every now and > > >then. > > > They are usually frequent enough(unfortunately) that we do not actually > > >ever > > >have to practice this. > > > >_____________________________________________________________________ ___ > >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 May 4, 2000 Report Share Posted May 4, 2000 Rick - great signature line. Mike re: dfd mci fiasco > > >Date: Wed, 3 May 2000 23:04:22 EDT > > > > > >This is great. I was hoping to get some good input on this. Mr. , > > >allow > > >me to respond to your response... > > >As for the wreck. I was not onscene and did not see the vehicle that the > > >bus > > >hit. I did however see the bus as it drove into CMC's ambulance bay. > >The > > >front bumper, very large and of very heavy steel was infact bent upwards. > > >Minimally, and most probably not of need of repair( I am not a mechanic). > > >It is also true that emotions can distract from injuries. This is where > >a > > >calm, proficient provider can weed through the masses in a controlled > > >triage > > >area, i.e., not in the bus surrounded by 60 other kids. This may have in > > >fact happened but is out of my realm of knowledge. > > >As to whom was notified, also out of my area of knowledge. We do know > >that > > >we (yes I am an employee at CMC) were notified almost an hour before we > > >received the bus. > > >Again on the damage, one of the patients mentioned that the bus hit a car > > >stopped at an intersection. > > >ON the happenings at the hospital. It was a reminder that many things > >must > > >go on in the er environment. Actual patient care is just a fraction of > >the > > >goings on. > > >As far as the justification for sending all the patients to one place. > >You > > >will not ever convince me that that is a sane thing to do. It's never a > > >good > > >idea to overload any one place with patients no matter how minor the > > >injuries. Having been in this circumstance a few times in the field, a > > >very > > >strict protocol for tracking and identification of patients has to be > > >implemented here. It is also easy when you have the resources to contact > > >parents to allow them to make a decision. I know that is very hard to > >do, > > >but several parents arrived at CMC with only the knowledge that there was > >a > > >bus wreck and that their kid was at the hospital. > > >It is quite true that CMC can and did handle the problem efficiently. We > > >are > > >the busiest peds er in the nation for the 2nd year running with over 96 > > >thousand pt.s alone. > > >So instead of obtaining refusals, you just send everyone to the hospital? > > >That is the biggest pile of complete garbage I have ever heard. So very > > >lazy. Uninjured kids should have parents notified to make a decision. > >End > > >of story, if that is not possible, implied consent says you dump them on > >an > > >Er somewhere. Large numbers of bills will be generated for all of this. > > >Who > > >is gonna pay for all of that? > > >As for the bus, it was just odd for me to see. I wondered if maybe some > > >unknown brake system failure had caused this wreck. Was it investigated? > > >As for the patients reports, when I left the hospital at 3am this morning > > >there had not been 63 DFD patient reports delivered to the ERC. > > >As far as the triage comment goes, you really have no idea as too the > > >numbers > > >we see. Many things sit in our waiting room that aren't all that > >minor.... > > >But like I said, I wanted some input on this and expected some heated > > >reactions. Lets remember that overall everything went well. We are all > > >thankful that a busload of kids involved in a wreck wasn't so verymuch > > >worse. > > > It was also a good thing for the CMC staff to go through every now and > > >then. > > > They are usually frequent enough(unfortunately) that we do not actually > > >ever > > >have to practice this. > > > >_____________________________________________________________________ ___ > >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 ------------------------------------------------------------------------ How about a flat, no-fee long distance rate of 6.7¢ per min. - or less? Join beMANY! Our huge buying group gives you rates which fall monthly, plus an extra $60 in FREE calls! http://click./1/3820/4/_/4981/_/957461987/ ------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2000 Report Share Posted May 4, 2000 Whose competency are you prodding hoss? Hope not mine. Quote Link to comment Share on other sites More sharing options...
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