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EMS 20/20

The Correct Way to do Things Wrong

EMS 20/20

Christopher M Pfingsten

Critical Care, Police, Paramedic School, Nremt, Ems, Education, Fire Fighter, Health & Fitness, Medical Science, Nurse, Ambulance, Rn, Life Sciences, Doctor, Study, Health, Emergency Room, Paramedics, Wellness, Registered Nurse, Exam, Paramedic, Case Study, Emergency Medical System, Transport, Science, Er, Emergency, Medicine, Hems, Medical, Courses, Emt

4.6775 Ratings

🗓️ 10 June 2020

⏱️ 44 minutes

🧾️ Download transcript

Summary

Spencer and Chris pick a part a call where a tube stays in place longer than it should and the crew doesn't stay in place long enough. An end tidal of 0 and a load-and-go code 99? Someone messed up... or did they?

Transcript

Click on a timestamp to play from that location

0:00.0

You are listening to EMS 2020, a podcast hosted by Spencer Oliver and myself, Chris Finkston.

0:19.9

We are paramedics with quite a bit of experience,

0:22.8

ranging from flight paramedicine to ground transportation to even some volunteer work as well.

0:28.3

EMS 2020 reviews scenarios based on actual out-of-hospital medical scenes. Portions of the scenarios

0:33.0

are altered to protect the privacy of those involved and to present educational opportunities to the listener.

0:44.5

Hey, welcome to EMS 2020. Chris, question for you. Yeah, go ahead, man. Let's say you're listening

0:51.1

to a radio report in the ambulance. Okay. And you hear,

0:55.1

you over here while you're waiting your turn to give report, you hear a crew come in, Code 3,

1:01.0

and they say, we have the patient intubated, but their end title is zero. Thoughts. Well, first

1:09.9

of all, my patience for this crew is directly related to

1:12.5

how quickly I need to give my report. Because I will cut them off if I am five minutes out

1:16.9

with an air facility transfer. I don't care. I got to get this done. Because I'll tell you,

1:21.6

I've been to enough ERs where you could be five minutes away and a code three comes in and you get

1:26.0

there and they're like, you didn't give report. I'm like, yeah, but things. Yeah, you should be important. No, I would think it's not,

1:33.1

I would think the patient's entirely not innovated with an entitle of zero. Where are we, Rhode Island?

1:40.6

I would go, no, you have a really short and really wide oral gastric tube. That is what you have.

1:45.5

You don't have, you don't have an innovation. Nice. Yeah. No, that would be my thought exactly too.

1:54.1

And probably everybody's thought. But stand by one. Oh, shit. Let me give you, let me give you the call.

2:02.6

Okay.

2:03.2

So, I'm in.

2:04.5

A fire based EMS medic, excuse me, a fire based EMS medic unit.

2:09.5

So basically an ambulance is dispatched to an ambulance driven by firefighters.

...

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