Comments on: Someone Failed… Is it the System? Everyday EMS Ethics http://lifeunderthelights.com/2009/09/someone-failed%e2%80%a6-is-it-the-system-everyday-ems-ethics/ This blog is about EMS, and one Paramedic's quest to make this the profession it deserves to be. Tue, 08 May 2012 01:39:00 +0000 hourly 1 http://wordpress.org/?v=3.3.2 By: Chase http://lifeunderthelights.com/2009/09/someone-failed%e2%80%a6-is-it-the-system-everyday-ems-ethics/comment-page-1/#comment-3288 Chase Thu, 10 Dec 2009 16:51:00 +0000 http://livingunderthelights9dev.wordpress.com/2009/09/29/someone-failed%e2%80%a6-is-it-the-system-everyday-ems-ethics#comment-3288 It seems that bunk beds are a staple furnishing in any home. They can do wonders in maximizing the floor space of a very small bedroom. The problem is, if you don't choose the right bunk bed, you may be putting your child's safety at risk. There have been a lot of reports of accidents resulting from improper set up or manufacturing of bunk beds and it always pays to be very careful in selecting one for your children. It seems that bunk beds are a staple furnishing in any home. They can do wonders in maximizing the floor space of a very small bedroom. The problem is, if you don’t choose the right bunk bed, you may be putting your child’s safety at risk. There have been a lot of reports of accidents resulting from improper set up or manufacturing of bunk beds and it always pays to be very careful in selecting one for your children.

]]> By: the observer http://lifeunderthelights.com/2009/09/someone-failed%e2%80%a6-is-it-the-system-everyday-ems-ethics/comment-page-1/#comment-273 the observer Wed, 30 Sep 2009 21:37:06 +0000 http://livingunderthelights9dev.wordpress.com/2009/09/29/someone-failed%e2%80%a6-is-it-the-system-everyday-ems-ethics#comment-273 Thank you for your thoughtful post. It would be easy to be really angry after being yanked out of a warm bed to take care of someone who should have not required your attention at that time. You were thinking about the event, the failure, and if anything could be done.<br /><br />You got me to thinking too and my thinkings turned into a blog entry:<br /><br />http://southkansascityobserver.blogspot.com/2009/09/80-20-rule-and-emergency-health-care.html<br /><br />Stay safe out there.<br /><br />A former EMT and present RN Thank you for your thoughtful post. It would be easy to be really angry after being yanked out of a warm bed to take care of someone who should have not required your attention at that time. You were thinking about the event, the failure, and if anything could be done.

You got me to thinking too and my thinkings turned into a blog entry:

http://southkansascityobserver.blogspot.com/2009/09/80-20-rule-and-emergency-health-care.html

Stay safe out there.

A former EMT and present RN

]]> By: medicblog999 http://lifeunderthelights.com/2009/09/someone-failed%e2%80%a6-is-it-the-system-everyday-ems-ethics/comment-page-1/#comment-272 medicblog999 Tue, 29 Sep 2009 21:51:59 +0000 http://livingunderthelights9dev.wordpress.com/2009/09/29/someone-failed%e2%80%a6-is-it-the-system-everyday-ems-ethics#comment-272 Heres my point of view buddy!<br /><br />It was a little long to put as a comment!<br /><br />http://medicblog999.wordpress.com/2009/09/29/the-frequent-customer/ Heres my point of view buddy!

It was a little long to put as a comment!

http://medicblog999.wordpress.com/2009/09/29/the-frequent-customer/

]]> By: The Happy Medic http://lifeunderthelights.com/2009/09/someone-failed%e2%80%a6-is-it-the-system-everyday-ems-ethics/comment-page-1/#comment-271 The Happy Medic Tue, 29 Sep 2009 18:15:42 +0000 http://livingunderthelights9dev.wordpress.com/2009/09/29/someone-failed%e2%80%a6-is-it-the-system-everyday-ems-ethics#comment-271 http://yourhappymedic.blogspot.com/2009/09/ems-fail-or-client-fail.html<br /><br />Hope you don't mind, CK. http://yourhappymedic.blogspot.com/2009/09/ems-fail-or-client-fail.html

Hope you don't mind, CK.

]]> By: The Happy Medic http://lifeunderthelights.com/2009/09/someone-failed%e2%80%a6-is-it-the-system-everyday-ems-ethics/comment-page-1/#comment-270 The Happy Medic Tue, 29 Sep 2009 16:49:30 +0000 http://livingunderthelights9dev.wordpress.com/2009/09/29/someone-failed%e2%80%a6-is-it-the-system-everyday-ems-ethics#comment-270 CK,<br />Rough night! To answer the question in your title, everyone failed. First and foremost the patient failed for thinking she can activate us whenever she wants. Personal responsibility is key. The family failed for going along with that same idea, the physician for practicing defensive medicine, the BLS crew for calling you to supplement their response and you for having to take her in.<br /><br />And the entire EMS community for not advancing ourselves into a position to end this kind of system abuse.<br /><br />I'll expand on this at HMHQ later today and see if we can get Medic999 into the discussion, but I wanted to point out one thing:<br />These folks ARE NOT receiving socialized healthcare, just free EMS. Socialized healthcare encourages preventative care and education at little or no cost to the patient, allows doctors to stop defaulting to having family call 911, inserts trained caregivers to the call centers and allows EMS to interact with the physician to co-ordinate appropriate care. Socialized healthcare puts all resources into the same basket, meaning we can immediately connect our regulars with the services to get them healthy.<br /><br />It is not a perfect system, as 999 will tell us, but if the problem is abuse because people can not afford their meds or a visit to the doc, a socialized system will help.<br />If the problem is people who don't care about themselves and don't take personal responsibility, there is no system imaginable that will help them.<br /><br />Just my first thoughts, hope tonight is quieter, HM CK,
Rough night! To answer the question in your title, everyone failed. First and foremost the patient failed for thinking she can activate us whenever she wants. Personal responsibility is key. The family failed for going along with that same idea, the physician for practicing defensive medicine, the BLS crew for calling you to supplement their response and you for having to take her in.

And the entire EMS community for not advancing ourselves into a position to end this kind of system abuse.

I'll expand on this at HMHQ later today and see if we can get Medic999 into the discussion, but I wanted to point out one thing:
These folks ARE NOT receiving socialized healthcare, just free EMS. Socialized healthcare encourages preventative care and education at little or no cost to the patient, allows doctors to stop defaulting to having family call 911, inserts trained caregivers to the call centers and allows EMS to interact with the physician to co-ordinate appropriate care. Socialized healthcare puts all resources into the same basket, meaning we can immediately connect our regulars with the services to get them healthy.

It is not a perfect system, as 999 will tell us, but if the problem is abuse because people can not afford their meds or a visit to the doc, a socialized system will help.
If the problem is people who don't care about themselves and don't take personal responsibility, there is no system imaginable that will help them.

Just my first thoughts, hope tonight is quieter, HM

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