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Great, so we get a fire-fighter/paramedic that hasnt run an ALS call since October that shows up on a full blown CHF patient but since he hasnt put a stethascope to a patients chest in 4-5 months he thinks its COPD and gives the patient epi and albuterol. Now the patient gets to wait for 30 minutes while fire-medic floods his lungs with pulmonary edema until ambulance-paramedic, who actually runs calls, shows up to fix it....only its too late. Better yet, how about the patient in respiratory failure who requires intubation. Fire-Medic shows up and hasn't pulled out his laryngoscope since his OR clinicals and intubates the esophagus. 30 minutes is a long time to go without a patent airway. Right? And if L.A. County is so great, why is their intubation success stats at almost half of what kern county is? Why is it that L.A. removed pediatric intubation from their scope of practice....oh yea because their success rate was far from exceptional. I wonder what the difference is between...
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