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Old 09-08-2009, 03:55 PM   #21
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Might also mention that Paramedics can not operate as anything but a Basic when not covered under protocols. A paramedic works under written protocols from a Doctor when he is at work. Some services will have protocols to cover them off duty, like Volunteer services and First Responder organizations, but not all. The majority of medics at a track day (not the ambulance) would legally be able to perform BLS only.
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Old 09-08-2009, 04:18 PM   #22
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Quote:
Originally Posted by tomLSTD View Post
After being a Paramedic for the last 20 years, I'd say that I don't care either way. Not a whole lot more a Paramedic can do that a EMT can't do other than intubation; and in the country (where most of these tracks are) a lot of the medical directors do those ALS cross-over skills where the EMT does do intubations or combi-tubes or even EGTA...

Most of the tracks contract with private or volunteer EMS providers, so the Paramedics you get are usually transfer medics anyway with little to no practical application of emergency experiences. That's one of the reasons my bosses like me to be around; and the CMRA has folks on staff that are EMT's as well. Not paid to be there in that capacity, but can certainly offer help to the ones that are paid to be there as a nice piece of mind.

There's been a few threads on this bbs about this topic, it's been hashed out before.

As far as what Brandt (CDill) is referring to I can't comment; but it's true that we (track day providers) pay the EMS, but we don't contract them- the tracks do that. There's a big difference. All of the tracks have a provider that they contract with, and LSTD has no input to that, we just tell 'em what we want. Maybe Ride Smart does it differently, but I doubt it- I guess Brandt will have to speak on that for Ride Smart.
Not talking bout just the skills(I can teach a monkey to do the skills)...as you know the knowledge that we obtain is far more than a basic....and you are right alot of these guys are transfer folks that do lack the 911 experience, but when push comes to shove.....well I am going to try not to give those guys a chance to work on me.
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Old 09-08-2009, 04:27 PM   #23
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Might also mention that Paramedics can not operate as anything but a Basic when not covered under protocols. A paramedic works under written protocols from a Doctor when he is at work. Some services will have protocols to cover them off duty, like Volunteer services and First Responder organizations, but not all. The majority of medics at a track day (not the ambulance) would legally be able to perform BLS only.
That's why they contract with a private or volunteer EMS most of the time. Cresson is the only one that is contracted to a track that is a 911 service and not volunteer 911 at any of the tracks we go to. That's how they "legally" provide ALS at track days.
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Not talking bout just the skills(I can teach a monkey to do the skills)...as you know the knowledge that we obtain is far more than a basic....and you are right alot of these guys are transfer folks that do lack the 911 experience, but when push comes to shove.....well I am going to try not to give those guys a chance to work on me.


Right on, I don't care if they staff Dr Duke at the track, I don't want to give anyone the chance either!

Brandt, like I mentioned, I don't know how Dave does it- but I know how it works for us. Maybe yall do it differently but we don't contract with the ambulance; we pay 'em, but we don't pick 'em.
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Old 09-08-2009, 04:53 PM   #24
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Im a Basic....I need a Job! DO I LOOK LIKE A MONKEY! FUGGER!
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Old 09-08-2009, 04:58 PM   #25
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Im a Basic....I need a Job! DO I LOOK LIKE A MONKEY! FUGGER!
If you're on a box at HFD (Home For the ----), then yeah, you're about as close to a monkey as they come!

j/k, yall do a wonderful job of gomer totin'.
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Old 09-08-2009, 05:11 PM   #26
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That aint no chit...GOMERs FTMFW.....

14YOBF: i need a pregnancy test!....
AMB51:And you called 911...BECAUSE........
14YOBF:You have to take me, I have INSURANCE..I have MEDICAID...and if I call You have to take me....I WANNA GO TO BEN TAUB or else Im gonna call your Supervisor and tell them you dont want to take me....
Amb 51 Fuuuuuuuk! They know the system!
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Old 09-08-2009, 05:14 PM   #27
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Quote:
Originally Posted by PYROBUG51 View Post
That aint no chit...GOMERs FTMFW.....

14YOBF: i need a pregnancy test!....
AMB51:And you called 911...BECAUSE........
14YOBF:You have to take me, I have INSURANCE..I have MEDICAID...and if I call You have to take me....I WANNA GO TO BEN TAUB or else Im gonna call your Supervisor and tell them you dont want to take me....
Amb 51 Fuuuuuuuk! They know the system!
i bet she had her bags packed too!!

i love trying to explain to folks that we ONLY transport to ER's, and they want to go to the doctors office.
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We need a subforum for bentgixxer's threads alone.
We'll call it Corpsefish and Horsenuts.
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Old 09-08-2009, 05:47 PM   #28
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Quote:
Originally Posted by PYROBUG51 View Post
That aint no chit...GOMERs FTMFW.....

14YOBF: i need a pregnancy test!....
AMB51:And you called 911...BECAUSE........
14YOBF:You have to take me, I have INSURANCE..I have MEDICAID...and if I call You have to take me....I WANNA GO TO BEN TAUB or else Im gonna call your Supervisor and tell them you dont want to take me....
Amb 51 Fuuuuuuuk! They know the system!
I think I made that call....
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Old 09-08-2009, 07:51 PM   #29
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I think I made that call....
I know I did... about 400 times in one year...
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Old 09-09-2009, 04:52 PM   #30
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at TWS (Texas World Speedway) the Hospital is only 5 mins away (maybe 10 min with traffic), people could drive themselves. The only hesitation I would have is if you get faster serivce at the ER by showing up on the bus vs walking into the waiting room. But somthing tells me if your not laid out on a board the ER will just drop you off anyway. Not sure though.

I started bringing directions to the nearest Hospital in my box with the rest of my track day gear. I've gone as far as doing a drive by to learn how to get there, for those that are'nt as easy to find. Last time I was at TWS (Texas World Speedway) I gave them to someone who wanted to follow their buddy who was in the Ambulance.

Having copies of the directions available at the registation desk would be helpful for some people (particularly if no insurance) who could drive selves or have a friend who can drive them.
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Old 09-09-2009, 05:00 PM   #31
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That is actually a very good idea, I'll start doing that myself.
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Old 09-09-2009, 05:49 PM   #32
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at TWS (Texas World Speedway) the Hospital is only 5 mins away (maybe 10 min with traffic), people could drive themselves. The only hesitation I would have is if you get faster serivce at the ER by showing up on the bus vs walking into the waiting room. But somthing tells me if your not laid out on a board the ER will just drop you off anyway. Not sure though.
A very popular misconception, it is untrue however. You WILL NOT be seen "faster" by showing up via ambulance.

I can't tell you the number of folks who believe that and get dropped off in the waiting room after the RN triages them. Most of the time I think it's kinda funny...

Taking yourself to the ER is always a good idea if you're able or have a friend that can drive you there. IMHO, the ambulance is for life threatening emergencies, not for "I need to be checked out" (that saying makes me cringe every time I've heard it) or for boo-boo finger, broken collar bone, sprained ankle... etc.

Now, if you have a fractured femur, hip, flail chest, sucking chest wound, hemi or full paralysis, etc, take the ride in the box, that's what it's there for. Also listen to the medics, if they tell you you NEED to go in the ambulance, chances are they're seeing/ hearing something they consider to be a problem necessitating ambulance transport for you.

Just use common sense.
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Old 09-09-2009, 08:41 PM   #33
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Good post,I like imformative reads
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Old 09-09-2009, 08:43 PM   #34
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Good post,I like imformative reads
sunny sunny sunny
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Old 09-09-2009, 08:48 PM   #35
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sunny sunny sunny
I'm home early and waiting for the misses to bring dinner home.I'm zoned out on the interweb.
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Old 09-09-2009, 08:55 PM   #36
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I'm home early and waiting for the misses to bring dinner home.I'm zoned out on the interweb.
YOU WANNA **** ON ME
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Old 09-10-2009, 07:02 AM   #37
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YOU WANNA **** ON ME
when did this thread turn ghey?
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Old 09-10-2009, 08:04 AM   #38
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Just an FYI to this thread (specifically to the event last Monday at TWS (Texas World Speedway)), the Ambulance service sends another ambulance to the track when another one leaves. However, that is based on availability. The company sends one if it's available or we have to wait for it to return. Apparently last Monday they were busy and 1 or 2 of the times we had to wait for them to come back.
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