Comments on: Escambia County Names New EMS Manager

By: SueB

SueB — Sat, 01 May 2021 11:40:16 +0000

Mr “T” – get with all these good people providing good advice to help you and the entire staff.

By: Billy

Billy — Fri, 30 Apr 2021 03:13:32 +0000

Good luck to the new chief. By the petty back and forth here, I’d hate to see what you’ll have to deal with on a daily basis. It is evident the local emergency medical community (including ED) is toxic. Hope it doesn’t affect those your caring for.. DNH/DKH

By: Well

Well — Thu, 29 Apr 2021 22:47:24 +0000

@ Heywood
Ummm, definitely not.

By: Dr. Rayme Edler

Dr. Rayme Edler — Thu, 29 Apr 2021 22:13:43 +0000

Hey ER nurse who receives patients from ECEMS…. please be advised that not all of the ambulances are staffed with an ALS provider. EMTs cannot start an IV and sometimes lights and sirens with diesel fuel might be the treatment of choice for someone who requires an emergency ambulance in order to seek definitive treatment in a hospital. Unfortunately there is a national shortage of paramedics who can provide the therapy you are requesting. I don’t think your patient who is vomiting “profusely” would be as comfortable in a cab and I doubt the cab driver would appreciate your recommendation because I’m sure the cab would go out of service if it was contaminated with that much vomit. Also, I have yet to see a cab driver standby waiting for a patient they dropped off to see if they will be discharged. I’m not sure what ER you work in but we do have District 1 EMS meetings. All of the hospitals in Escambia and Santa Rosa County have been notified by ECEMS and AMR that BLS care may be the only available option. You can get updates regarding these meetings from your management. I would hope as an emergency provider you understand and are prepared and capable to start an IV when your hospital should be adequately staffed with ALS providers upon arrival of any emergency ambulance. Please feel free to reach out to me directly if you have any questions or concerns regarding prehospital patient care with ECEMS.
Sincerely,
Dr. Edler
Medical Director Escambia County

By: Heywood Jablomee

Heywood Jablomee — Thu, 29 Apr 2021 21:56:31 +0000

Hmmm. I thought ER Nurses could start IV’s. Matter of fact I’ve seen them do it (albeit after blowing two or three veins first, good luck hitting it bumping down a road in the back of an ambulance). Your comment is petty and without merit. There are MUCH bigger fish to fry at EMS. How bout you treat your patients with the symptoms they present with and stop airing your little gripes here. The place for that is with EMS supervision with specific details on specific cases.

By: Nod

Nod — Thu, 29 Apr 2021 21:33:25 +0000

Just curious, How much does this position pay?

By: ER Nurse who receives patients from ECEMS

ER Nurse who receives patients from ECEMS — Thu, 29 Apr 2021 20:21:34 +0000

Hey, David… Could you please tell your crews to start an IV on a patient every once in a while? If your crew picks up a patient complaining of nausea, vomiting and abdominal pain for the past week and they’re vomiting profusely on scene, I feel like it would be appropriate for your crew to start an IV at least. Otherwise I’ll start advising patients to just call a cab. It’s cheaper than an ambulance bill, and the cab will at least drive them back home after I discharge them.

By: Gavin price

Gavin price — Thu, 29 Apr 2021 20:09:37 +0000

Six months!

By: It's such a good feeling...

It's such a good feeling... — Thu, 29 Apr 2021 19:38:26 +0000

Good luck with that….

By: Buck

Buck — Thu, 29 Apr 2021 19:04:13 +0000

Having retired with over 40 years in EMS and Dispatch, I wish you luck. We were once the best in the state, if not the southeast, but it ain’t what it used to be!