There really is a dizzying array of stuff we can do to get ourselves in legal hot water in EMS. I was considering a few this afternoon and I got this idea.
I’ll say what they did; you tell me what they did wrong. Sound like fun? I agree. Let’s begin.
Here are all the possible answers:
- Sounds OK to me
Jot your answers down on a scrap of paper. I’ll be back on Thursday with my answers and the rationale behind them.
1 ) An ambulance crew arrives on scene of a heart attack patient and discovers that their oxygen tank is empty. The patient endures the first twelve minutes of care, including being carried down three flights of stairs, without oxygen. He arrests enroute to the hospital.
2 ) An EMT administers a dose of nitroglycerin to a patient having chest pain and the patient has a precipitous drop in blood pressure.
3 ) A paramedic supervisor arrives on scene of an auto accident and finds two non-life threatening injuries. While waiting for a BLS crew to arrive he hears a call for a cardiac arrest near-by. With the sight of the BLS crew in the distance he jumps in his vehicle and heads for the other call.
4 ) An EMT splints a fractured wrist in the field incorrectly. The patient, a well known concert pianist, suffers nerve damage and permanent numbness in three fingers.
5 ) EMT’s respond to a man having abdominal pain in a snow storm. The ambulance is unable to travel up the street in the snow. They contact dispatch and request the man walk to the ambulance. When he is unable to do so, they leave.
6 ) An ambulance crew leaves an elderly female in her wheel-chair in her nursing home room. She is restrained with a waist belt. They give a hand-off report to the nursing home staff and depart. When the nursing home staff check on her 15 minutes later she has slid from the chair and strangled to death in the belt.
7 ) An EMT wearing her uniform, on the way home from a shift, witnesses a car accident in front of her. It looks serious. She is tired and the first due ambulance is probably minutes away. She calls the accident in on her cell phone and continues home without stopping.
8 ) A dispatcher takes a call for a patient with difficulty breathing and then rushes on to several other callers. In his rush, he forgets to dispatch an ambulance to the respiratory patient. When the family calls back 20 minutes later, the patient is in cardiac arrest.
9 ) A lucid, oriented, appropriate patient tells an EMT that he does not want any assistance of any kind for his abdominal pain. The EMT lays a caring hand on the patients shoulder and says, “Why not just let us look at you?”
10 ) The same patient says, “Get your hands off me and leave me alone, I’m fine.” The EMT steps back, looks the patient directly in the eyes, crosses his arms and sternly says, “Look, we can do this the easy way or the hard way.”
OK have at it: If you want to be bold, feel free to put your answers in the comments section and see how you fair against everyone else. But no peaking until you’ve finished answering for yourself! good luck.
Just want to read more stuff? Here: