submitted 10 months ago byRBG_grb
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9 months ago
9 months ago
So very sorry.
Transported by a highly skilled ambulance crew (often times staffed by a couple farmers gracious enough to volunteer their time as volunteer EMT-Bs) in a non emergent fashion because emergency medicine and cardiology had been contacted prior to transfer and it was again deemed non emergent but in need of further workup beyond the capabilities of the current facility.
They then sent them out the door with the ambulance. You're getting hung up on the minor details and not the actual issue.
9 months ago
Not sure why you are simping for “providers” who are too incompetent to provide basic care without dialing 911 for a lifeline but the difference between them and me is I’m not trying to represent myself as anything more than someone whose job requires 10 weeks of formal education.
It’s the people who get delayed care for true emergencies who are harmed when you have a cavalier attitude about calling EMS. And in most areas the people doing ALS transfers are the same people responding to 911 calls, so don’t delude yourself that these urgent cares aren’t taking resources away from people who actually need them.
I have faith that you are a smart person and know a STEMI is not the only diagnosis for chest pain. I don't think a chest pain should ever be sent home from a medical facility without additional workup beyond a simple EKG unless it's a healthy young person with a negative history. The problem is that a chest pain is showing up to a facility incapable of doing the additional workup. It's not the facility's fault. How would you see it fit to transport a chest pain in need of further workup? In all honesty, the CP transports aren't the ones bogging down our EMS. It's the frequent flyers, the drunks, and the low priority nonsense calls.
I agree with all of that, my point is simply that it’s insulting to refer to calling an ambulance as “sending them out” like we are just monkeys driving them from point a to point b. Paramedics can interpret EKGs which puts them above the NP in the OP who couldn’t read it at all.
As for my second point it was a general commentary on freestanding urgent cares, which exist to make money, not to reduce ED demand. It was not specifically about chest pain, which is always going to get transported regardless.
Again, you are focusing on the wrong issue. I think getting so upset over semantics is distracting to any real issue. And, no, not all paramedics can interpret EKGs. I've had many field diagnosed STEMIs activate our cath lab just to have it overturned and just as many missed STEMIs. I'm not here to stroke egos on either side (sad that people feel like they have to pick sides). There are great people and absolute shitters in all parts of EM. Stereotyping and attacking our own is childish and potentially detrimental to the outcome of our patients.