Homepage / Administration & Leadership / You Make the Call - Exam Prep - Scenario 4
The Seizure Patient 500 – An EMS Race Crossover Podcast – Ep 116 – That’s Not Why we Have Cameras, Gary …for the head injury, PD on scene Crossover Podcast ep 113 – Middletown Ohio or Deathville USA? the Crossover Ep 112 – Are you a good hair boss or a bad hair boss? Stop Responding for Overdoses? Sign Me Up! Yup. Still Barfing I Heard You, She Heard You, the Baby Heard You Is there a Doctor on board? the Crossover Podcast – Ep 111 – Paramedic Perv Reporter Unclear of Aircraft EMS Operations The new rigs are here! the Crossover Show – Ep 110 – Do You Poop Where You Eat? What to do for an allergic reaction…or not The Last Shift of the Lost Cause The Crossover Show – ep 109 – Is that Cocaine or Anthrax? How to respond when your spouse tells you to be safe at work Always, In Service – EMS Week 2017 Lost Cause gets cocky FDIC 2017 – Structural Response to Aviation Incidents: Engine Company Operations I Got Lost Going to a Call – So I made sure everyone knew about it Crossover Podcast Ep 102 Mrs Happy Medic and Mike the Cop Arby’s Roast Beef Ad angers EMTs, not sure why Strippers and Cocaine watch – 2017 Seizures! Seizures Everywhere! Nothing is certain except death and taxes. I can help you with both What to do when the powers that be – just can’t. Episode 99 the Crossover Ep 98 – Off Duty and Fancy Free NO is Never Easy to Hear Ohio Cop vs Ambulance Crew Member on Video – Crossover Show Investigates! An MCI With Wings: Aviation Incidents EMS Today 2017 First in Ambulance MCI at EMS Today 2017 Crossover Show Learns How to Take a Joke To Haul or Not to Haul – Should the Complexity of a Refusal Influence Transport? Crossover Show – Ep 91 – ACLU cameras Tip of the Helmet – Bj’s Brewhouse the Crossover Show – Episode Eighty Eight Eminence Based Medicine If You Don’t Give Him Insulin He’s Going to Die Lost Cause Strikes Again the Crossover Podcast – Ep 85 – Florida Cry Baby “I Can’t Breathe!” you keep using those words… the Crossover Show – 84 – TN Bus Crash Happy 150th Anniversary San Francisco Fire Department! Thank You For Your Service? A Complete Secondary Assessment the Crossover Episode 81 – Let’s Talk Politics! Aircraft skids off runway, rescue task force ill equipped Crossover Show – Ep 79 – Do we need so much active shooter training? How to Ignore Everyone in the Room: Be an Intern Your Meme is Bad and You’re Not One of Us Anymore Goodbye tarps, I never loved you The Crossover Episode 76 – Flashback to the Beginning You found me how? Less CSI, More Columbo EMS Festival Standby – You can’t just park a car there the Crossover Show Ep 72 – Florida EMT photo game A&O vs able to make decisions Kilted to Kick Cancer Cops vs Firemen Writer calls for Medics to risk more in shootings, misses the target What’s with the French? the Crossover – Ep 69 – Twelve Ninety Désolé the Crossover Show – Ep 67 – Traffic Stops and Profiling Actually, Officer, No. It Really isn’t that hard to try When Patients Don’t Play by the Old Rules Letters in the File – Oklaloosa Selfies the Crossover Podcast – Ep 64 – Turning Passion into Retirement Why Pokemon GO is so much like EMS Us Against Us Apathy is worse than absence So Now I’m Back! Changes are a-comin’ The Sounds of Silence I know that feel, Bro TCS – Ep 59 – SHOOT HIM! CISD with OK GO part VI the Crossover – Ep 56 – Rooms for Shooting the Ballad of Big Dave the Crossover Episode 55 – Text me Bro Why vs How and Book vs Street A Mother’s Day Crossover Show Dear Valencia County Fire Chiefs Dear Random Township Fire Department at FDIC the Crossover Show – ep 50 – Revenge of the Vine Stars Strippers and Cocaine need your help Educational Standards in EMS Engine Company First Strike MCI – FDIC 2016 the Crossover Show – Ep 48 – What’s in your feed? Washing the Chief’s Car What Should I Do With This Knife? – The Crossover Ep 46 Firefighter Jokes Medical/Legal Advice, Google Style the Crossover Show – Episode 45 – Cop Vines and the Cajun John Wayne You Make the Call ebook Now Available To the Intern Who Froze the Crossover Show – Episode 44 – Day of Remembrance New at Uniform Stories – Raising Revenue

Administration & Leadership, Command & Leadership, EMS

You Make the Call – Exam Prep – Scenario 4

Scenario 4-

As the EMS supervisor on duty you have been dispatched to a report of CPR in progress to assist units enroute.

When you arrive on scene you are given a verbal report as follows:

“We found Mr um, Jones, or whatever here on the bed, all blue so we pulled him down and started CPR at 30-2, the AED is broken, so no luck there.  Our medic has gone for the tube I dunno, maybe three times now with no luck so we’re just bagging right now.  We got a student Medic on the ambulance so he’s going for a line, got a 22g.  I think we have it all dialed in here Captain.”

Cite specific protocol or policy deviations and your actions both on the scene and after patient care has concluded.

Related posts:

0 Comments

  1. Anonymous May 19, 2010 1:18 am

    “First off, if he was blue when you got here then somebody needs to check for lividity and rigor. Failing that, Engine Officer, why don’t you speak with the family and get demographic information, meds, history, and allergies, then meet us at the truck. Engine personnel, make sure the stretcher is set up and bring us a backboard. Ambulance senior medic, get your monitor and find out if we have a rhythm. Medic intern, good job on the IV, why don’t you push meds as dictated by the rhythm we find, then take over ventilation until we get in the truck. Then get another IV in a different site on the way in, preferably bigger than a 22. Ambulance junior medic/emt, take over CPR until the firefighters come back. And nobody leaves the ER until I talk to everyone. Yes, Engine, that means you’re following in.”*I take a quick look with the laryngoscope to see if there’s anything salvageable in the airway. If there is, I place an ET tube. If not, place a rescue airway or let the intern do it.**At the ER, speak with the attending physician privately to let him know that this code did not go according to policy or protocol, and that you are still gathering information and will follow up with him later. Then, when handover is complete, speak with both crews.*”Ok everyone, I don’t think it’s breaking news that this incident could have gone better. There are several policy and protocol issues that have to be addressed immediately. For starters, you’re all out of service until everyone onscene writes an incident report detailing your individual observations and actions from the time of dispatch until handover. Engine Officer and Engine Medic/EMT, you’ll need to include exactly what happened with your AED during the call, and why a problem or potential problem wasn’t discovered at the time of your truck check this morning. Whoever made ‘three or four’ attempts at intubation, I’ll be interested in reading why, exactly, you felt that was necessary when protocol clearly states that only two attempts are allowed onscene, and any further attempts are to take place enroute. Medic Intern, once your statement is complete you can go home for the day. Here’s my cellphone number, please have your clinical coordinator call me as soon as possible so we can discuss this event and your future placement. I’ve secured a conference room here at the hospital for us to use, here are your incident report forms, let’s head there now.” *Once the statements are collected, send the engine to wherever they need to go to get a new AED, send the ambulance to wherever they need to go to drop their intern off; both units can go back in service when completed. Write my own incident report. Review all statements with MY supervisor, suggest that s/he notify the department’s Medical Director (if there is one/if MD is involved in department affairs at all [you’d be surprised]) for a formal clinical review. When the intern’s clinical coordinator calls, review what you know of the incident, suggest that s/he also speak with the intern, and make arrangements for the intern to be placed with a different shift and crew.*

  2. CBEMT May 18, 2010 9:18 pm

    “First off, if he was blue when you got here then somebody needs to check for lividity and rigor. Failing that, Engine Officer, why don't you speak with the family and get demographic information, meds, history, and allergies, then meet us at the truck. Engine personnel, make sure the stretcher is set up and bring us a backboard. Ambulance senior medic, get your monitor and find out if we have a rhythm. Medic intern, good job on the IV, why don't you push meds as dictated by the rhythm we find, then take over ventilation until we get in the truck. Then get another IV in a different site on the way in, preferably bigger than a 22. Ambulance junior medic/emt, take over CPR until the firefighters come back. And nobody leaves the ER until I talk to everyone. Yes, Engine, that means you're following in.”

    *I take a quick look with the laryngoscope to see if there's anything salvageable in the airway. If there is, I place an ET tube. If not, place a rescue airway or let the intern do it.*

    *At the ER, speak with the attending physician privately to let him know that this code did not go according to policy or protocol, and that you are still gathering information and will follow up with him later. Then, when handover is complete, speak with both crews.*

    “Ok everyone, I don't think it's breaking news that this incident could have gone better. There are several policy and protocol issues that have to be addressed immediately. For starters, you're all out of service until everyone onscene writes an incident report detailing your individual observations and actions from the time of dispatch until handover. Engine Officer and Engine Medic/EMT, you'll need to include exactly what happened with your AED during the call, and why a problem or potential problem wasn't discovered at the time of your truck check this morning. Whoever made 'three or four' attempts at intubation, I'll be interested in reading why, exactly, you felt that was necessary when protocol clearly states that only two attempts are allowed onscene, and any further attempts are to take place enroute. Medic Intern, once your statement is complete you can go home for the day. Here's my cellphone number, please have your clinical coordinator call me as soon as possible so we can discuss this event and your future placement.

    I've secured a conference room here at the hospital for us to use, here are your incident report forms, let's head there now.”

    *Once the statements are collected, send the engine to wherever they need to go to get a new AED, send the ambulance to wherever they need to go to drop their intern off; both units can go back in service when completed. Write my own incident report. Review all statements with MY supervisor, suggest that s/he notify the department's Medical Director (if there is one/if MD is involved in department affairs at all [you'd be surprised]) for a formal clinical review. When the intern's clinical coordinator calls, review what you know of the incident, suggest that s/he also speak with the intern, and make arrangements for the intern to be placed with a different shift and crew.*

  3. Pingback: Nanotubes that Heal: Engineering Better Orthopedic Implants … | Enterprise Engineering Addict

  4. Firefighter/Paramedic May 19, 2010 10:08 pm

    I couldn't have said it better myself.

  5. Firefighter/Paramedic May 20, 2010 2:08 am

    I couldn't have said it better myself.

  6. Pingback: nynsucqa

Post a Comment

Your email address will not be published. Required fields are marked *

*