- Sunday September, 28 2014 @ 01:33Nature: Medical EmergencyCity:Salisbury
- Sunday September, 28 2014 @ 01:07Nature: Medical EmergencyCity:Salisbury
- Saturday September, 27 2014 @ 23:58Nature: Medical EmergencyCity:Salisbury
- Saturday September, 27 2014 @ 23:05Nature: Medical EmergencyCity:Salisbury
- Saturday September, 27 2014 @ 21:49Nature: Medical EmergencyCity:Salisbury
- Saturday September, 27 2014 @ 21:46Nature: Medical EmergencyCity:Salisbury
- Saturday September, 27 2014 @ 20:02Nature: Medical EmergencyCity:Salisbury
- Saturday September, 27 2014 @ 19:12Nature: Medical EmergencyCity:Salisbury
- Saturday September, 27 2014 @ 17:55Nature: Medical EmergencyCity:Salisbury
- Saturday September, 27 2014 @ 17:29Nature: Medical EmergencyCity:Salisbury
- Saturday September, 27 2014 @ 16:43 Nature: Vehicle Accident w/InjuriesAddress: Mill St & W Main St Salisbury, MD 21801
- Saturday September, 27 2014 @ 16:43 Nature: Vehicle Accident w/InjuriesAddress: Mill St & W Main St Salisbury, MD 21801
- Saturday September, 27 2014 @ 16:02Nature: Medical EmergencyCity:Salisbury
- Saturday September, 27 2014 @ 15:58Nature: Medical EmergencyCity:Salisbury
- Saturday September, 27 2014 @ 15:19Nature: Medical EmergencyCity:Salisbury
- Saturday September, 27 2014 @ 14:29Nature: Medical EmergencyCity:Salisbury
- Saturday September, 27 2014 @ 12:13Nature: Medical EmergencyCity:Salisbury
- Saturday September, 27 2014 @ 11:54 Nature: Vehicle Accident w/InjuriesAddress: N Park Dr & E Main St
- Salisbury, MD 21801
- Saturday September, 27 2014 @ 11:37Nature: Medical EmergencyCity:Salisbury
- Saturday September, 27 2014 @ 10:48Nature: Medical EmergencyCity:Salisbury
- Saturday September, 27 2014 @ 03:51Nature: Medical EmergencyCity:Salisbury
- Saturday September, 27 2014 @ 03:51Nature: Medical EmergencyCity:Salisbury
- Saturday September, 27 2014 @ 03:19Nature: Medical EmergencyCity:Salisbury
- Saturday September, 27 2014 @ 02:28Nature: Medical EmergencyCity:Salisbury
- Saturday September, 27 2014 @ 01:08Nature: Medical EmergencyCity:Salisbury
- Saturday September, 27 2014 @ 00:17Nature: Medical EmergencyCity:Salisbury
- Saturday September, 27 2014 @ 00:17Nature: Medical EmergencyCity:[Ems
17 comments:
All of these ambulance calls and Central just announced that Ambulances 16 and 2 are listed out of service again. Those ambulances are fairly new and shouldn't be out of service so much. Rick Hoppes should be fired for dereliction of duties because these ambulances are always out of service and this leaves the Salisbury Community at risk. Do you remember when someone died on Old Ocean City Road last week and they sent a fire truck to wait for an ambulance from Hebron to respond. Oh, I guess fire trucks really don't to save lives when they provide EMS.
How is it Hoppes' fault? These ambulances are junk and most of it is warranty stuff.
Hey Dumb Dumb are you really that stupid??
That call was a cardiac arrest. The fire trucks are certified ALS with a paramedic on them. They have all the equipment and drugs necessary to run a cardiac arrest. There is absolutely NOTHING a hospital can do for a cardiac arrest that a paramedic with proper ALS equipment can not do. 90-95% of all cardiac arrest patients die right there. The state of Maryland (as well as the rest of the country) has done all the research and studies that have proven that cardiac arrest codes have a better success rate if it is done on scene instead of attempting to transport to the hospital.
Don't make comments if you don't have a clue what you are talking about.
So the paramedic on the fire truck resuscitates (or not) the victim. What then? Do they throw him/her in the bed of the truck on top of the hoses? Do they put them in the cab, sitting upright? Seems to me there needs to be an ambulance with stretcher capability somewhere in all this.
There does need to be an ambulance on the scene to transport the patient. This was not what the issue was. An ambulance had been dispatched to the scene as well. Hebron (A5) had been dispatched. If you actually know what you are listening to when you all listen to the scanner then you would know that if an ambulance crew marks up as "A5" then it is only staffed as a BLS (EMT only) unit. It it has a paramedic on board then it will mark up as "paramedic A5". The BLS A5 was rerouted to a lessor severity call and paramedic B3 (Fruitland) was rerouted to the cardiac arrest. Mean while a Salisbury fire truck, with ALS supplies and paramedic on board had already been dispatched and was in route to the scene. The issue I was addressing in my comment is that so many had a problem with a fire truck being dispatched to a cardiac arrest. I think the explanation I have given here pretty much sums up why a fire truck was dispatched.
Oh then to clear up the "(or not)" part of your response. Maryland EMS protocol has a section for TOR, termination of resuscitation. This is for in the field practice. To summarize the protocol, it states that once EMS initiates resuscitation efforts, if within 15 minutes of those resuscitation efforts there is no change in the patients condition then the EMS personel on scene is to contact medical control (PRMC ER physician) via a recorded med radio, relay all information and request permission to terminate resuscitative efforts. 99% of the time the ER physician gives the ok and the patient is pronounced dead. Then EMS personel are to contact central and request a M.E. (Medical Examiner) and PD to the scene. Once either PD or the M.E. arrives, the scene is then handed over to them, command is terminated and all units go back in service. This patient will never be transported to the hospital, either their body is picted up and transported to Baltimore for an autopsy or taken to a funeral parlor for final wishes perpetration.
To all of these commenters , I don't know of any doctors who respond to these calls. Known of these guys are doctors , even though they think they are.
Anonymous said...
That call was a cardiac arrest. The fire trucks are certified ALS with a paramedic on them. They have all the equipment and drugs necessary to run a cardiac arrest. There is absolutely NOTHING a hospital can do for a cardiac arrest that a paramedic with proper ALS equipment can not do. 90-95% of all cardiac arrest patients die right there. The state of Maryland (as well as the rest of the country) has done all the research and studies that have proven that cardiac arrest codes have a better success rate if it is done on scene instead of attempting to transport to the hospital.
Don't make comments if you don't have a clue what you are talking about.
September 28, 2014 at 3:39 PM
Not all fire trucks have a paramedic on them so quit your damn lying. Those paramedics need to be staffing ambulances and not fire trucks. No wonder people are dying in Salisbury. You people have it all wrong. Bunch of Wannabe's.
Anonymous said...
So the paramedic on the fire truck resuscitates (or not) the victim. What then? Do they throw him/her in the bed of the truck on top of the hoses? Do they put them in the cab, sitting upright? Seems to me there needs to be an ambulance with stretcher capability somewhere in all this.
September 28, 2014 at 4:57 PM
BINGO!!
Anonymous said...
There does need to be an ambulance on the scene to transport the patient. This was not what the issue was. An ambulance had been dispatched to the scene as well. Hebron (A5) had been dispatched. If you actually know what you are listening to when you all listen to the scanner then you would know that if an ambulance crew marks up as "A5" then it is only staffed as a BLS (EMT only) unit. It it has a paramedic on board then it will mark up as "paramedic A5". The BLS A5 was rerouted to a lessor severity call and paramedic B3 (Fruitland) was rerouted to the cardiac arrest. Mean while a Salisbury fire truck, with ALS supplies and paramedic on board had already been dispatched and was in route to the scene. The issue I was addressing in my comment is that so many had a problem with a fire truck being dispatched to a cardiac arrest. I think the explanation I have given here pretty much sums up why a fire truck was dispatched.
September 28, 2014 at 6:56 PM
All Salisbury needed was 2 (Two) Paramedic ambulance staffed and dispatched appropriately to the call then you would not have needed a fire truck and a Fruitland or Hebron ambulance to the cardiac arrest. Obviously there is a touch of mismanagement going on in the Salisbury Fire Department.
Anonymous said...
Oh then to clear up the "(or not)" part of your response. Maryland EMS protocol has a section for TOR, termination of resuscitation. This is for in the field practice. To summarize the protocol, it states that once EMS initiates resuscitation efforts, if within 15 minutes of those resuscitation efforts there is no change in the patients condition then the EMS personel on scene is to contact medical control (PRMC ER physician) via a recorded med radio, relay all information and request permission to terminate resuscitative efforts. 99% of the time the ER physician gives the ok and the patient is pronounced dead. Then EMS personel are to contact central and request a M.E. (Medical Examiner) and PD to the scene. Once either PD or the M.E. arrives, the scene is then handed over to them, command is terminated and all units go back in service. This patient will never be transported to the hospital, either their body is picted up and transported to Baltimore for an autopsy or taken to a funeral parlor for final wishes perpetration.
September 28, 2014 at 7:07 PM
These uneducated Turd Burglars from the Salisbury Fire Department trying to justify paid jobs for paid firemen. Your grammar and spelling is horrible. That's why you will only be a farmin all your life.
Anonymous said...
Oh then to clear up the "(or not)" part of your response. Maryland EMS protocol has a section for TOR, termination of resuscitation. This is for in the field practice. To summarize the protocol, it states that once EMS initiates resuscitation efforts, if within 15 minutes of those resuscitation efforts there is no change in the patients condition then the EMS personel on scene is to contact medical control (PRMC ER physician) via a recorded med radio, relay all information and request permission to terminate resuscitative efforts. 99% of the time the ER physician gives the ok and the patient is pronounced dead. Then EMS personel are to contact central and request a M.E. (Medical Examiner) and PD to the scene. Once either PD or the M.E. arrives, the scene is then handed over to them, command is terminated and all units go back in service. This patient will never be transported to the hospital, either their body is picted up and transported to Baltimore for an autopsy or taken to a funeral parlor for final wishes perpetration.
September 28, 2014 at 7:07 PM
"99% of the time the ER physician gives the ok and the patient is pronounced dead."
Where did you get that statistic? You play like you know it all so please tell me where you got that statistic? What happens the other 1% of the time? Cite your source please.
Also you never start a sentence with a number.
"funeral parlor"
WTH is a funeral parlor?
How many times did you watch Ladder 49 and Backdraft? I bet they are you favorite movies!!
Every single paid Staffed fire engine or fire truck out of Salisbury does in fact have a paramedic on them. The volunteer side is another story.
For the call in question all of the Salisbury ambulances (only 2 in service at that particular time) were already on a call.
Actually I am a paramedic (FF as well) with a BS in emergency services management, and a minor in microbiology, over 150 college credits with a 3.93GPA. I do not and have never worked for Salisbury. All of these comments where typed from my phone so yes I've "fat fingered" some of the words. I can admit that I suck at spelling, but off the top of your head could you explain to me the inatropic, chromatropic, and dromatropic effects on the heart. Yeah I didn't think so.
Funeral home, funeral parlor, and mortuary are businesses that provide burial services. Look it up, it just another name for the same business. That's sad that you didn't know that.
I am a paramedic, I did pull the 99% from my own experiences. ER physicans do not want you bringing a dead patient to the ER. It becomes a waste if resources while they are there. Through studies and research it has also been proven that leaving the body in place (in the home) helps the family with the greiving process.
I don't know everything no. However I certainly know more about the Fire & EMS service than the greater majority of the people who constantly post their asinine comments on this blog site.
I challenge you to find an error in what I have posted.
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