Re: Help with research project

[Guest guest]

YOU HAVEAN iPAD?????????????????????//////

I hate you.

Anyway I hope you plan on sharing the data

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant

LNMolino@...

(Cell Phone)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

In a message dated 7/14/2010 4:41:33 P.M. Central Daylight Time,

wes.ogilvie@... writes:

All,

I'm in the early stages of researching a project possibly involving

telephone triage and definitely examining the possibility of referral of

nonacute

patients to alternative transport other than EMS ambulances. I'm looking

for any literature as well as cases and anecdotal experiences.

I'd sincerely appreciate your help. Off-list replies are welcomed.

Wes Ogilvie, MPA, JD, NREMT-P/Lic.P.

Austin, Texas

Sent from my iPad

------------------------------------

Visit our website at www.paramedicine.com

[Guest guest]

Well I hope you have better responses than I did when I suggested that when a

Paramedic found a non acute patient to deny transport by ambulance but assist

them getting other rides or direct them to proper resources. Your ideal seems

much more risky to me as strictly making decision based on phone conversation

with no actual exam. I saw an ad for a hospital in Odessa trying to get people

to call a hot line before coming to ER, not sure how it is working though but

might be a starting point.

Renny Spencer

>

> All,

>

> I'm in the early stages of researching a project possibly involving telephone

triage and definitely examining the possibility of referral of nonacute patients

to alternative transport other than EMS ambulances. I'm looking for any

literature as well as cases and anecdotal experiences.

>

> I'd sincerely appreciate your help. Off-list replies are welcomed.

>

> Wes Ogilvie, MPA, JD, NREMT-P/Lic.P.

> Austin, Texas

>

> Sent from my iPad

>

[Guest guest]

HMO have had nurse lines fir years.

Louis N. Molino, Sr. CET

FF/NREMT/FSI/EMSI

Typed by my fingers on my iPhone.

Please excuse any typos.

(Cell)

LNMolino@...

> Well I hope you have better responses than I did when I suggested

> that when a Paramedic found a non acute patient to deny transport by

> ambulance but assist them getting other rides or direct them to

> proper resources. Your ideal seems much more risky to me as strictly

> making decision based on phone conversation with no actual exam. I

> saw an ad for a hospital in Odessa trying to get people to call a

> hot line before coming to ER, not sure how it is working though but

> might be a starting point.

>

> Renny Spencer

>

>

> >

> > All,

> >

> > I'm in the early stages of researching a project possibly

> involving telephone triage and definitely examining the possibility

> of referral of nonacute patients to alternative transport other than

> EMS ambulances. I'm looking for any literature as well as cases and

> anecdotal experiences.

> >

> > I'd sincerely appreciate your help. Off-list replies are welcomed.

> >

> > Wes Ogilvie, MPA, JD, NREMT-P/Lic.P.

> > Austin, Texas

> >

> > Sent from my iPad

> >

>

>

[Guest guest]

It's a similar but intrinsically different concept. The default " unknown "

end-point for nurse telephone triage is " Call 911 and go to a local emergency

department. " That's the -starting- point for what Wes is talking about,

obviously. I think that studies in this direction are important, so I am hopeful

(if not confident) that it can go forward.

I think one of the first things I would try would be to ask the caller if they

need an ambulance or just other transportation to the hospital. I wonder how

many people would take up the alternate transportation instead of the ambulance

ride, even if it was just a contracted taxi service. The first limitation to

this is that the abusers will still go for a cabulance ride, while Grandpa

having an MI might elect for the taxi--exactly the opposite of intended.

Austin

> HMO have had nurse lines fir years.

>

> Louis N. Molino, Sr. CET

> FF/NREMT/FSI/EMSI

> Typed by my fingers on my iPhone.

> Please excuse any typos.

> (Cell)

> LNMolino@...

>

>

>

>> Well I hope you have better responses than I did when I suggested

>> that when a Paramedic found a non acute patient to deny transport by

>> ambulance but assist them getting other rides or direct them to

>> proper resources. Your ideal seems much more risky to me as strictly

>> making decision based on phone conversation with no actual exam. I

>> saw an ad for a hospital in Odessa trying to get people to call a

>> hot line before coming to ER, not sure how it is working though but

>> might be a starting point.

>>

>> Renny Spencer

>>

>>

>>>

>>> All,

>>>

>>> I'm in the early stages of researching a project possibly

>> involving telephone triage and definitely examining the possibility

>> of referral of nonacute patients to alternative transport other than

>> EMS ambulances. I'm looking for any literature as well as cases and

>> anecdotal experiences.

>>>

>>> I'd sincerely appreciate your help. Off-list replies are welcomed.

>>>

>>> Wes Ogilvie, MPA, JD, NREMT-P/Lic.P.

>>> Austin, Texas

>>>

>>> Sent from my iPad

>>>

>>

>>

>

>

>