The general rule of thumb now is only go lights and sirens to a hospital if the hospital can do something for the patient that you can’t in the amount of time you would save going lights and sirens over flow of traffic that will make a difference in the patient’s outcome.
On Thursday May 17, I will be participating as a speaker in the EMS Web Summit. Check out the link below for more information on this great event. Live registration is free. More information will follow. Here is a list of topics: EMS WEB FORUM TOPICS EMS Web Summit Registration
The first rule of medicine is “Do No Harm.” Lacking chest x-rays and the ability to do BNPs in the field, time and again, EMS (myself included) has done harm to our patients by giving patients we were certain were in CHF, Lasix when in truth they had sepsis or pneumonia.
When I tried to take the old Jamshidi needle out, it wouldn’t budge. I had bent it when I screwed it in. All the short four minutes to the hospital I spend trying to yank the dam thing out while a firefighter did CPR, and my rider squeezed the ambu-bag.
You slammed in two large bore IVs and had the fluid running fast and wide. Two 14’s was an A plus. A 14 and a 16 was good. Two 16’s was border line. Anything less was not worthy of the patch on your shoulder.