Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 Thank you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 I must have missed that with my light speed document scanning.---Never said anything about retention though... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 I must have missed that with my light speed document scanning.---Never said anything about retention though... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 Dr. Mahon: As I understand it, the area inside 610 has a mix of the BLS ambulances and ALS squad units. Outside the loop, you'll see ALS ambulances. I'm not sure what Houston's dispatching protocols are. -Wes Ogilvie In a message dated 2/27/2006 7:50:02 PM Central Standard Time, kirkmahon@... writes: Wes, Thanks for the info. Are you saying that inside 610 all the boxes have EMTs only and thus nobody can get iv access unless an " ALS intercept " occurs. I am not sure I understand. Are there seperate boxes and what percentage? When I was in Houston over a decade ago they had a tiered response and would send out paramedics or EMT units depending. If that is the current system, then somehow the unconscious/not breathing part did not get translated into a paramedic response (think it use to be a " Level D " ). Kirk D. Mahon, MD, ABEM 6106 Keller Springs Rd Dallas, TX 75248 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 Dr. Mahon: As I understand it, the area inside 610 has a mix of the BLS ambulances and ALS squad units. Outside the loop, you'll see ALS ambulances. I'm not sure what Houston's dispatching protocols are. -Wes Ogilvie In a message dated 2/27/2006 7:50:02 PM Central Standard Time, kirkmahon@... writes: Wes, Thanks for the info. Are you saying that inside 610 all the boxes have EMTs only and thus nobody can get iv access unless an " ALS intercept " occurs. I am not sure I understand. Are there seperate boxes and what percentage? When I was in Houston over a decade ago they had a tiered response and would send out paramedics or EMT units depending. If that is the current system, then somehow the unconscious/not breathing part did not get translated into a paramedic response (think it use to be a " Level D " ). Kirk D. Mahon, MD, ABEM 6106 Keller Springs Rd Dallas, TX 75248 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 Dr. Mahon: As I understand it, the area inside 610 has a mix of the BLS ambulances and ALS squad units. Outside the loop, you'll see ALS ambulances. I'm not sure what Houston's dispatching protocols are. -Wes Ogilvie In a message dated 2/27/2006 7:50:02 PM Central Standard Time, kirkmahon@... writes: Wes, Thanks for the info. Are you saying that inside 610 all the boxes have EMTs only and thus nobody can get iv access unless an " ALS intercept " occurs. I am not sure I understand. Are there seperate boxes and what percentage? When I was in Houston over a decade ago they had a tiered response and would send out paramedics or EMT units depending. If that is the current system, then somehow the unconscious/not breathing part did not get translated into a paramedic response (think it use to be a " Level D " ). Kirk D. Mahon, MD, ABEM 6106 Keller Springs Rd Dallas, TX 75248 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 Doc My service runs only MICU trucks and we know where our equipment is located and how to use it. HE HE We do not place central lines but place E.J's and fast one's if needed. But it sounds like the truck you were on did not even have a a responsible basic on board. A good basic would know where all the equipment is located and how to lay it out if needed by a higher card. ExLngHrn@... wrote: Dr. Mahon -- Several of the Houston area services (not HFD) allow central line placement and other advanced interventions in their protocols. HFD has implemented a program where the ambulances inside 610 are staffed by EMTs and ALS intercept squads may back them up. -Wes Ogilvie, MPA, JD, EMT-B Austin, Texas Re: Hydrofluoric acid Central line in Houston? May I point out that when I called 911 for an MVA a couple years ago and reported a patient was unconscious and not breathing, I ended up going in the box and the provider (EMT?) was not even qualified to start an IV. I was shocked to be in one of the largest cities in the US, driving lights/sirens and had to direct the EMS personnel to where the appropriate supplies were located. Luckily, i had spent many shifts on the box in Houston in medical school so was able to manage the airway, iv etc... while EMS watched and we drove to Ben Taub... Kirk D. Mahon, MD, ABEM 6106 Keller Springs Rd Dallas, TX 75248 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 Doc My service runs only MICU trucks and we know where our equipment is located and how to use it. HE HE We do not place central lines but place E.J's and fast one's if needed. But it sounds like the truck you were on did not even have a a responsible basic on board. A good basic would know where all the equipment is located and how to lay it out if needed by a higher card. ExLngHrn@... wrote: Dr. Mahon -- Several of the Houston area services (not HFD) allow central line placement and other advanced interventions in their protocols. HFD has implemented a program where the ambulances inside 610 are staffed by EMTs and ALS intercept squads may back them up. -Wes Ogilvie, MPA, JD, EMT-B Austin, Texas Re: Hydrofluoric acid Central line in Houston? May I point out that when I called 911 for an MVA a couple years ago and reported a patient was unconscious and not breathing, I ended up going in the box and the provider (EMT?) was not even qualified to start an IV. I was shocked to be in one of the largest cities in the US, driving lights/sirens and had to direct the EMS personnel to where the appropriate supplies were located. Luckily, i had spent many shifts on the box in Houston in medical school so was able to manage the airway, iv etc... while EMS watched and we drove to Ben Taub... Kirk D. Mahon, MD, ABEM 6106 Keller Springs Rd Dallas, TX 75248 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 Doc My service runs only MICU trucks and we know where our equipment is located and how to use it. HE HE We do not place central lines but place E.J's and fast one's if needed. But it sounds like the truck you were on did not even have a a responsible basic on board. A good basic would know where all the equipment is located and how to lay it out if needed by a higher card. ExLngHrn@... wrote: Dr. Mahon -- Several of the Houston area services (not HFD) allow central line placement and other advanced interventions in their protocols. HFD has implemented a program where the ambulances inside 610 are staffed by EMTs and ALS intercept squads may back them up. -Wes Ogilvie, MPA, JD, EMT-B Austin, Texas Re: Hydrofluoric acid Central line in Houston? May I point out that when I called 911 for an MVA a couple years ago and reported a patient was unconscious and not breathing, I ended up going in the box and the provider (EMT?) was not even qualified to start an IV. I was shocked to be in one of the largest cities in the US, driving lights/sirens and had to direct the EMS personnel to where the appropriate supplies were located. Luckily, i had spent many shifts on the box in Houston in medical school so was able to manage the airway, iv etc... while EMS watched and we drove to Ben Taub... Kirk D. Mahon, MD, ABEM 6106 Keller Springs Rd Dallas, TX 75248 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 fremsdallas@... wrote: Please correct me if I am wrong, but does Houston FD not run a two tiered system? Most or all ambulances are staffed BLS with paramedic intercepts?? I thought that I read that somewhere once. Engine companies repond to life threatening calls. A BLS Ambulance and 2 Paramedic Squad respond on all. If it is a BLS transport, the Squad goes back in service. If ALS/MICU transport, the Squad follows to the hospital. There are a few (EMT-B and EMT-P) MICU units, but they are in peripheral stations (Clear Lake, Kingwood) Larry RN EMT-P Houston " The true soldier fights not because he hates what is in front of him, but because he loves what is behind him. " - GK Chesterton --------------------------------- Yahoo! Mail Bring photos to life! New PhotoMail makes sharing a breeze. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 fremsdallas@... wrote: Please correct me if I am wrong, but does Houston FD not run a two tiered system? Most or all ambulances are staffed BLS with paramedic intercepts?? I thought that I read that somewhere once. Engine companies repond to life threatening calls. A BLS Ambulance and 2 Paramedic Squad respond on all. If it is a BLS transport, the Squad goes back in service. If ALS/MICU transport, the Squad follows to the hospital. There are a few (EMT-B and EMT-P) MICU units, but they are in peripheral stations (Clear Lake, Kingwood) Larry RN EMT-P Houston " The true soldier fights not because he hates what is in front of him, but because he loves what is behind him. " - GK Chesterton --------------------------------- Yahoo! Mail Bring photos to life! New PhotoMail makes sharing a breeze. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 Wes, Thanks for the info. Are you saying that inside 610 all the boxes have EMTs only and thus nobody can get iv access unless an " ALS intercept " occurs. I am not sure I understand. Are there seperate boxes and what percentage? When I was in Houston over a decade ago they had a tiered response and would send out paramedics or EMT units depending. If that is the current system, then somehow the unconscious/not breathing part did not get translated into a paramedic response (think it use to be a " Level D " ). Kirk D. Mahon, MD, ABEM 6106 Keller Springs Rd Dallas, TX 75248 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 Wes, Thanks for the info. Are you saying that inside 610 all the boxes have EMTs only and thus nobody can get iv access unless an " ALS intercept " occurs. I am not sure I understand. Are there seperate boxes and what percentage? When I was in Houston over a decade ago they had a tiered response and would send out paramedics or EMT units depending. If that is the current system, then somehow the unconscious/not breathing part did not get translated into a paramedic response (think it use to be a " Level D " ). Kirk D. Mahon, MD, ABEM 6106 Keller Springs Rd Dallas, TX 75248 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 Wes, Thanks for the info. Are you saying that inside 610 all the boxes have EMTs only and thus nobody can get iv access unless an " ALS intercept " occurs. I am not sure I understand. Are there seperate boxes and what percentage? When I was in Houston over a decade ago they had a tiered response and would send out paramedics or EMT units depending. If that is the current system, then somehow the unconscious/not breathing part did not get translated into a paramedic response (think it use to be a " Level D " ). Kirk D. Mahon, MD, ABEM 6106 Keller Springs Rd Dallas, TX 75248 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 Rumor has it that Dallas Fire Rescue will be going ALL BASIC EMT soon. So no IVs there either. Anybody else heard this? Gene G. > Central line in Houston? > > May I point out that when I called 911 for an MVA a couple years ago and > reported a patient was unconscious and not breathing, I ended up going in > the box and the provider (EMT?) was not even qualified to start an IV. I > was shocked to be in one of the largest cities in the US, driving > lights/sirens and had to direct the EMS personnel to where the appropriate > supplies were located. Luckily, i had spent many shifts on the box in > Houston in medical school so was able to manage the airway, iv etc... while > EMS watched and we drove to Ben Taub... > > > Kirk D. Mahon, MD, ABEM > > 6106 Keller Springs Rd > Dallas, TX 75248 > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 Rumor has it that Dallas Fire Rescue will be going ALL BASIC EMT soon. So no IVs there either. Anybody else heard this? Gene G. > Central line in Houston? > > May I point out that when I called 911 for an MVA a couple years ago and > reported a patient was unconscious and not breathing, I ended up going in > the box and the provider (EMT?) was not even qualified to start an IV. I > was shocked to be in one of the largest cities in the US, driving > lights/sirens and had to direct the EMS personnel to where the appropriate > supplies were located. Luckily, i had spent many shifts on the box in > Houston in medical school so was able to manage the airway, iv etc... while > EMS watched and we drove to Ben Taub... > > > Kirk D. Mahon, MD, ABEM > > 6106 Keller Springs Rd > Dallas, TX 75248 > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 So, in Houston, a non-breathing patient is a BLS call? GG > fremsdallas@... wrote:  Please correct me if I am wrong, but does > Houston FD not run a two tiered system? Most or all ambulances are staffed BLS > with paramedic intercepts?? I > thought that I read that somewhere once. Engine companies repond to life > threatening calls. A BLS Ambulance and 2 Paramedic Squad respond on all. If it > is a BLS transport, the Squad goes back in service. If ALS/MICU transport, > the Squad follows to the hospital. There are a few (EMT-B and EMT-P) MICU > units, but they are in peripheral stations (Clear Lake, Kingwood) > >  Larry RN EMT-P >  Houston > > > > " The true soldier fights not because he hates what is in front of him, but > because he loves what is behind him. " - GK Chesterton > > >     > --------------------------------- > Yahoo! Mail > Bring photos to life! New PhotoMail makes sharing a breeze. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 So, in Houston, a non-breathing patient is a BLS call? GG > fremsdallas@... wrote:  Please correct me if I am wrong, but does > Houston FD not run a two tiered system? Most or all ambulances are staffed BLS > with paramedic intercepts?? I > thought that I read that somewhere once. Engine companies repond to life > threatening calls. A BLS Ambulance and 2 Paramedic Squad respond on all. If it > is a BLS transport, the Squad goes back in service. If ALS/MICU transport, > the Squad follows to the hospital. There are a few (EMT-B and EMT-P) MICU > units, but they are in peripheral stations (Clear Lake, Kingwood) > >  Larry RN EMT-P >  Houston > > > > " The true soldier fights not because he hates what is in front of him, but > because he loves what is behind him. " - GK Chesterton > > >     > --------------------------------- > Yahoo! Mail > Bring photos to life! New PhotoMail makes sharing a breeze. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 According to the HFD web site, they have 51 BLS Ambulances 14 Medic Ambulances 8 Dual Ambulances 15 Paramedic Squads Jack _____ From: [mailto: ] On Behalf Of ExLngHrn@... Sent: Monday, February 27, 2006 7:52 PM To: Subject: Re: Hydrofluoric acid Dr. Mahon: As I understand it, the area inside 610 has a mix of the BLS ambulances and ALS squad units. Outside the loop, you'll see ALS ambulances. I'm not sure what Houston's dispatching protocols are. -Wes Ogilvie In a message dated 2/27/2006 7:50:02 PM Central Standard Time, kirkmahon@... writes: Wes, Thanks for the info. Are you saying that inside 610 all the boxes have EMTs only and thus nobody can get iv access unless an " ALS intercept " occurs. I am not sure I understand. Are there seperate boxes and what percentage? When I was in Houston over a decade ago they had a tiered response and would send out paramedics or EMT units depending. If that is the current system, then somehow the unconscious/not breathing part did not get translated into a paramedic response (think it use to be a " Level D " ). Kirk D. Mahon, MD, ABEM 6106 Keller Springs Rd Dallas, TX 75248 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 Inner Loop, that would get a response from an Engine, a BLS ambulance, a Squad, and most likely an EMS Supervisor. Peripheral area would get an Engine, MICU ambulance and (maybe, more than not) an EMS Supervisor. They are also starting to implement ALS Engines, as well, on a limited basis. wegandy1938@... wrote: So, in Houston, a non-breathing patient is a BLS call? " The true soldier fights not because he hates what is in front of him, but because he loves what is behind him. " - GK Chesterton --------------------------------- Yahoo! Mail Use Photomail to share photos without annoying attachments. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2006 Report Share Posted February 27, 2006 Inner Loop, that would get a response from an Engine, a BLS ambulance, a Squad, and most likely an EMS Supervisor. Peripheral area would get an Engine, MICU ambulance and (maybe, more than not) an EMS Supervisor. They are also starting to implement ALS Engines, as well, on a limited basis. wegandy1938@... wrote: So, in Houston, a non-breathing patient is a BLS call? " The true soldier fights not because he hates what is in front of him, but because he loves what is behind him. " - GK Chesterton --------------------------------- Yahoo! Mail Use Photomail to share photos without annoying attachments. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2006 Report Share Posted February 28, 2006 Kenny, How long do you plan to live? LOL Gene In a message dated 2/28/06 12:57:07, kenneth.navarro@... writes: > >>> Rumor has it that Dallas Fire Rescue will be going ALL BASIC EMT > soon.  So no IVs there either.  Anybody else heard this? <<< > > I have heard this rumor also. As to the veracity, DFR along with most > of the BioTel system will be participating in several NIH sponsored > RCTs involving new IV fluids and advanced therapies. These are > scheduled to go on (and have been funded) for years. My prediction is > that you will not see an ALL BLS system in Dallas within my lifetime. > > Kenny Navarro > UT Southwestern Medical Center at Dallas > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2006 Report Share Posted February 28, 2006 Kenny, How long do you plan to live? LOL Gene In a message dated 2/28/06 12:57:07, kenneth.navarro@... writes: > >>> Rumor has it that Dallas Fire Rescue will be going ALL BASIC EMT > soon.  So no IVs there either.  Anybody else heard this? <<< > > I have heard this rumor also. As to the veracity, DFR along with most > of the BioTel system will be participating in several NIH sponsored > RCTs involving new IV fluids and advanced therapies. These are > scheduled to go on (and have been funded) for years. My prediction is > that you will not see an ALL BLS system in Dallas within my lifetime. > > Kenny Navarro > UT Southwestern Medical Center at Dallas > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2006 Report Share Posted February 28, 2006 >>> Rumor has it that Dallas Fire Rescue will be going ALL BASIC EMT soon. So no IVs there either. Anybody else heard this? <<< I have heard this rumor also. As to the veracity, DFR along with most of the BioTel system will be participating in several NIH sponsored RCTs involving new IV fluids and advanced therapies. These are scheduled to go on (and have been funded) for years. My prediction is that you will not see an ALL BLS system in Dallas within my lifetime. Kenny Navarro UT Southwestern Medical Center at Dallas Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 28, 2006 Report Share Posted February 28, 2006 No, and I doubt that the union would go for it... their paramedics make damn good overtime both at the fire department and at side jobs like hospitals, careflite, etc. Mike > > Rumor has it that Dallas Fire Rescue will be going ALL BASIC EMT soon. > So > no IVs there either. Anybody else heard this? > > Gene G. > > > > > Central line in Houston? > > > > May I point out that when I called 911 for an MVA a couple years ago and > > reported a patient was unconscious and not breathing, I ended up going > in > > the box and the provider (EMT?) was not even qualified to start an IV. I > > was shocked to be in one of the largest cities in the US, driving > > lights/sirens and had to direct the EMS personnel to where the > appropriate > > supplies were located. Luckily, i had spent many shifts on the box in > > Houston in medical school so was able to manage the airway, iv etc... > while > > EMS watched and we drove to Ben Taub... > > > > > > Kirk D. Mahon, MD, ABEM > > > > 6106 Keller Springs Rd > > Dallas, TX 75248 > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.