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This topic just FRIES MY A$$......I work for the non-profit ALS provider in central Michigan. We all see it on youtube or see it in person during our travels into other cities and states. EMS providers transporting NLT patients P-1 (lights and siren). It`s just plain BS! Or is it just a "local thing we do"? We had better have a good reason to transport P-1 and have it WELL documented. LT ONLY! In the past year, I have transported P-1, 9 times. 7 were full arrests that we were still working (shockable rhythms) and 2 traumas.

How is it done in your areas? P-1 transport just so "we can get backin service"?

Am I just a butt-munch for getting so mad about this?

We dispatch EVERYTHING P-2 untill more info is obtained by MedCom. We either upgrade to P-1 or downgrade to P-3. In dangerous weather situations, the DRIVER or PASSANGER (medic or basic) in the unit can decide to downgrade due to weather. If it`s not safe, IT`S NOT SAFE.

I worked EMS in OH when I was a younin....so many years ago, for a BLS provider. After 19 years as a transportation manager I have returned to EMS. It blows my mind that there is next to NO driver training in our industry. I had to do monthly driver training for my commercial drivers.

CDL`s for fire apparatus?? HELL yes is the GVW of the vehicle requires a CDL, the operator should have one. BUT, for Fire / EMS personnell, states should wave the fee. JUST TRAIN THESE MEN AND WOMEN who operate these vehicles.

OK, I went off a bit there, sorry. Driving is my biggest "pet peeve" in the industry. Give some of these folks lights and sirens, they think they own the world. Then we say "how sad" when "IT" happens.......

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fireman1049.....


Oh, don`t get me wrong. School zones and school busses dropping kids off with lights on are my A#1 piss me offer. You have to know Ashley. This place is in the middle of NOWHERE. They guys were busting ass, lights and sirens in their own cars and trucks to the hall at 5 AM in the summer. NOBODY was out, hell, nobody was awake in that village at 5 AM. I totally understand the law and how it pertains to us. My thing is, they have the lights, electric siren, Q and air horn going NONSTOP solid burst before they were even out of the hall door. He stayed on the airhorn solid, NO breaks, until he was out of earshot. I don`t know how he held air up for that long. Then I might hit on their radio traffic. OMG......I know most of the guys and gals on this department. They are very gung ho about volunteering, for that I have NO problem. But, and there is ALWAS a but, they put themselves in route to the hall, then AT the hall, then ON a piece of apparatus, then in route with that pieces`s ID number (221 in route with 222 onboard with 3).....OK, Brian, they know 221 is in route. You just called out at the hall, they know you are in the truck. Multiply that by the 3 other guys on that pice and then the 10 others that go on other pieces. With ALL the same traffic. Central can`t get a word in edgewise. It`s comical if it wasn`t so dangerous. Central has tried to update the call or even tried to put out other calls but can`t because all of this "in route to (fill in the blanks) was covering them".....The rescue I`m on, first in route tells central "central 74 in route to 12345 smith rd"......the next units to respond go direct to the first unit...."74 78 in route"....simple

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Hey Jeff, i will trade u the seabelt problem for a county dispatch problem.. LOL..

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Get this bro. At work we were given a memo this week. We can no longer call for rescue or fire in one of the counties were service. "Central dispatch will dispatch rescue or fire to medical calls if they deem it nessesary". A call changes from the time central 911 takes the call and passes it on to medcom. Yet, all we can do is update central on pt condition, we cannot request rescue be dispatched. YET, the 4 townships the rescue that I volunteer for is bitching that we are not going on rescue runs. WTF?....talk to central then...lol...One twp went as far as say, why do we even have a rescue if they don`t respond?....can`t say I don`t agree with him. Why have us if central won`t dispatch us. How many chit calls have you been on when you could have REALLY used extra hands? We`re 2 man crews on EMS (my day, well, night job...lol..) Sometimes we NEED rescue help. 450 lb CHF`er in a trailer NOT breathing. OK, how do we bag, extricate safely, place on a backboard (because we`ll be pushing and blowing soon) and get him to the truck with 2 people? That run took 6 of us....sigh...

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That's unbelievable! Ya, why have the rescue if it's not being used. It shouldn't be up to the dispatcher to figure whether a rescue of FD is needed there. They are to dispatch, not make on scene decisions. WOW! What's next, they're going to tell you how to run a code? Thepurpose to have rescue is to respond. My saying; "Better to have them and not need them rather than need them and not have them".
Sometimes all you can do is just shake your head and hope someone wakes up, pulls their head out of that dark little olace where the sun doesn't shine and smell reality.
I don't care what they say...if I call for rescue, it's they're job to send rescue without question.
wow.

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We had an arrest the other day. PD was on scene doing great CPR but the gal was a DNR. We got on scene, called med control and the doc said to go ahead and call it. The family was allin agreement. We thanked the LEO`s for being there and helping. Waited for the funeral home to get there to take her. The LEO`s and I carried all of our various equipment out, so I thought. After we cleared, we realized I left a bag there. No harm, one of the LEO`s called central. Medcom told me to tx central and I did. She told me what happened and said the LEO would meet me after his funeral traffic detail. Then she says.....who the F would get buried on Holloween anyhow!?!........My reply to her was......I bet the gal that arrested this morning on that run didn`t plan to die on holloween. She got quiet. The troops from the post in our county hardly talk to central anymore. Centralgets snotty on the radio with them and questions them about road decisions. Get this, there is a car dealer with a maniquen on the roof. It`s been there for like 6 years. It sits on the edge of the roof and is wavinging. Central puts out a call to this troop.....1413 go to blah blah car dealer on Alger Rd, my caller says there is a man running around on then roof and the caller knows the dealer is closed.....he says, it`s a maniquen and it`s been there forever.....she goes back to him....MY CALLER says it`s a person and you need to go check it out!........He comes back to her, I love this troop......Oh, I`m there now, it`s the same maniquen, your caller is WRONG...I`m clear, give me a complaint number.....LOL...

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Wow, you too??? I'll go back to our self-dispatch anyday! Our county 911 sucks! Too bad the days of the desk sergeant are in the past. :(

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No shit. The other night, then other crew in our county had a full arrest. Ben tried to ask for fire for lift and extrication assistance. The chick at central didn`t even acknowledge his radio traffic. WTF? It`s in the small city where I live. The local FD "doesn`t do rescue" and there is NO rescue at all covering the largest municipality in the county. Finally, 2 LEO`s on scene called for FD. This was how she dispatched them......I shit you not, and it was 30 minutes AFTER the EMS crew was on scene...."Alma fire go into service, police have a full arrest at 333 Blah Blah Street, MMR is in route Police need help".....WTF? Maybe central is gettin antsy for their own job. Our MedCom has been contacted by several counties to the north to actually take over central dispatch for their counties. MedCom is state of the art, kick ass equipment and very good EMD`s. They already do all the 911 dispatching for a couple counties up north, I`m sure for a better budget that having a stand alone system in the county.

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