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	<title>Comments on: No Spinning Lights For YOU!</title>
	<atom:link href="http://www.epmonthly.com/whitecoat/2009/10/no-spinning-lights-for-you/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.epmonthly.com/whitecoat/2009/10/no-spinning-lights-for-you/</link>
	<description>A blog from inside the emergency department</description>
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		<title>By: brett</title>
		<link>http://www.epmonthly.com/whitecoat/2009/10/no-spinning-lights-for-you/#comment-14455</link>
		<dc:creator>brett</dc:creator>
		<pubDate>Sun, 01 Nov 2009 05:22:14 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3643#comment-14455</guid>
		<description><![CDATA[...........and who would pay this person?]]></description>
		<content:encoded><![CDATA[<p>&#8230;&#8230;&#8230;..and who would pay this person?</p>
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		<title>By: Sarah</title>
		<link>http://www.epmonthly.com/whitecoat/2009/10/no-spinning-lights-for-you/#comment-14453</link>
		<dc:creator>Sarah</dc:creator>
		<pubDate>Sat, 31 Oct 2009 19:08:02 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3643#comment-14453</guid>
		<description><![CDATA[Brenda, the EMT-B or paramedics actually already perform a medical evaluation when 911 is called.  Not all medical evaluations need to be performed under the supervision of a physician - and I say this as a physician.  Some do, but some don&#039;t.  

There are a lot of morons in the world, and for some reason they seem to seek out the health care system more often.  Ambulances are used as taxis in many parts of the country.

I think this is a great idea to try out - I&#039;m sure there will be kinks, but I&#039;m glad someone is doing it!!!]]></description>
		<content:encoded><![CDATA[<p>Brenda, the EMT-B or paramedics actually already perform a medical evaluation when 911 is called.  Not all medical evaluations need to be performed under the supervision of a physician &#8211; and I say this as a physician.  Some do, but some don&#8217;t.  </p>
<p>There are a lot of morons in the world, and for some reason they seem to seek out the health care system more often.  Ambulances are used as taxis in many parts of the country.</p>
<p>I think this is a great idea to try out &#8211; I&#8217;m sure there will be kinks, but I&#8217;m glad someone is doing it!!!</p>
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		<title>By: woody</title>
		<link>http://www.epmonthly.com/whitecoat/2009/10/no-spinning-lights-for-you/#comment-14451</link>
		<dc:creator>woody</dc:creator>
		<pubDate>Sat, 31 Oct 2009 16:38:58 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3643#comment-14451</guid>
		<description><![CDATA[not sure i agree with that...liabilty and malpractice are much higher for physicians and midlevels...not to mention ems personnel are generally better at triage...]]></description>
		<content:encoded><![CDATA[<p>not sure i agree with that&#8230;liabilty and malpractice are much higher for physicians and midlevels&#8230;not to mention ems personnel are generally better at triage&#8230;</p>
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		<title>By: Amy</title>
		<link>http://www.epmonthly.com/whitecoat/2009/10/no-spinning-lights-for-you/#comment-14388</link>
		<dc:creator>Amy</dc:creator>
		<pubDate>Thu, 29 Oct 2009 03:23:07 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3643#comment-14388</guid>
		<description><![CDATA[I know that in Germany, EMS and physicians work together much more closely.  I don&#039;t know if there are physicians on every ambulance, but they are much more readily available in the field.]]></description>
		<content:encoded><![CDATA[<p>I know that in Germany, EMS and physicians work together much more closely.  I don&#8217;t know if there are physicians on every ambulance, but they are much more readily available in the field.</p>
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		<title>By: Brenda Helverson</title>
		<link>http://www.epmonthly.com/whitecoat/2009/10/no-spinning-lights-for-you/#comment-14387</link>
		<dc:creator>Brenda Helverson</dc:creator>
		<pubDate>Thu, 29 Oct 2009 03:04:10 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3643#comment-14387</guid>
		<description><![CDATA[This is a very bad idea.  Medical evaluations should be performed or under the direct supervision of a licensed physician.  This policy is a lawsuit waiting to happen.]]></description>
		<content:encoded><![CDATA[<p>This is a very bad idea.  Medical evaluations should be performed or under the direct supervision of a licensed physician.  This policy is a lawsuit waiting to happen.</p>
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		<title>By: Jim</title>
		<link>http://www.epmonthly.com/whitecoat/2009/10/no-spinning-lights-for-you/#comment-14384</link>
		<dc:creator>Jim</dc:creator>
		<pubDate>Thu, 29 Oct 2009 00:34:28 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3643#comment-14384</guid>
		<description><![CDATA[13 years ago when I was in Okinawa it was my understanding on the mainland the Japanese would have physicians on their ambulances.  They would show up with all the equipment and resuscitate the patient.  Then they&#039;d have to find a hospital to accept the patient.  God help us if we did this here - it would make the current fun-filled game of &quot;take my transfer, please&quot; seem like child&#039;s play.]]></description>
		<content:encoded><![CDATA[<p>13 years ago when I was in Okinawa it was my understanding on the mainland the Japanese would have physicians on their ambulances.  They would show up with all the equipment and resuscitate the patient.  Then they&#8217;d have to find a hospital to accept the patient.  God help us if we did this here &#8211; it would make the current fun-filled game of &#8220;take my transfer, please&#8221; seem like child&#8217;s play.</p>
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		<title>By: SeaSpray</title>
		<link>http://www.epmonthly.com/whitecoat/2009/10/no-spinning-lights-for-you/#comment-14383</link>
		<dc:creator>SeaSpray</dc:creator>
		<pubDate>Wed, 28 Oct 2009 22:04:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3643#comment-14383</guid>
		<description><![CDATA[Hope the taxi drivers have their flu shot!

It sounds like a good idea.  Too bad they can&#039;t do it everywhere when *obviously* not an emergent call... so they are free to pick up the serious ones.

And too bad more people don&#039;t realize how they are abusing the system.

Whatever happened to using logic and common sense?]]></description>
		<content:encoded><![CDATA[<p>Hope the taxi drivers have their flu shot!</p>
<p>It sounds like a good idea.  Too bad they can&#8217;t do it everywhere when *obviously* not an emergent call&#8230; so they are free to pick up the serious ones.</p>
<p>And too bad more people don&#8217;t realize how they are abusing the system.</p>
<p>Whatever happened to using logic and common sense?</p>
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		<title>By: Gardenqueen</title>
		<link>http://www.epmonthly.com/whitecoat/2009/10/no-spinning-lights-for-you/#comment-14382</link>
		<dc:creator>Gardenqueen</dc:creator>
		<pubDate>Wed, 28 Oct 2009 20:57:31 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3643#comment-14382</guid>
		<description><![CDATA[It sounds like a reasonable response.]]></description>
		<content:encoded><![CDATA[<p>It sounds like a reasonable response.</p>
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		<title>By: Gardenqueen</title>
		<link>http://www.epmonthly.com/whitecoat/2009/10/no-spinning-lights-for-you/#comment-14381</link>
		<dc:creator>Gardenqueen</dc:creator>
		<pubDate>Wed, 28 Oct 2009 20:28:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3643#comment-14381</guid>
		<description><![CDATA[Seems sensible to me.]]></description>
		<content:encoded><![CDATA[<p>Seems sensible to me.</p>
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		<title>By: Jason</title>
		<link>http://www.epmonthly.com/whitecoat/2009/10/no-spinning-lights-for-you/#comment-14373</link>
		<dc:creator>Jason</dc:creator>
		<pubDate>Wed, 28 Oct 2009 17:39:06 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3643#comment-14373</guid>
		<description><![CDATA[There&#039;s two sides to this coin; one is as stated. The other, though, is EMS refusing transport to someone that needs to be transported, and the providers not recognizing that (as I was a paramedic for 9 years, I can say this: why does someone become a paramedic? Because EMT is too hard to spell!).

I may have found a utopia, though - where I am now, people don&#039;t ask/beg/demand for drugs or a bus ticket, apologize for coming in with a sore throat on a Sunday morning, and, when I asked the boss about Press-Ganey, he said (sincerely), &quot;What&#039;s that?&quot; And this is not a &quot;rich&quot; area - in fact, it&#039;s the poorest in the state.]]></description>
		<content:encoded><![CDATA[<p>There&#8217;s two sides to this coin; one is as stated. The other, though, is EMS refusing transport to someone that needs to be transported, and the providers not recognizing that (as I was a paramedic for 9 years, I can say this: why does someone become a paramedic? Because EMT is too hard to spell!).</p>
<p>I may have found a utopia, though &#8211; where I am now, people don&#8217;t ask/beg/demand for drugs or a bus ticket, apologize for coming in with a sore throat on a Sunday morning, and, when I asked the boss about Press-Ganey, he said (sincerely), &#8220;What&#8217;s that?&#8221; And this is not a &#8220;rich&#8221; area &#8211; in fact, it&#8217;s the poorest in the state.</p>
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