Me: knock knock
Joann: HAHAHHAHAHAHAAH
Me: I didn’t tell the joke yet
Joann: ??
Online Med Phone: RING A LING A LING
YOU GUESSED IT, TODAY WE’RE TALKING ONLINE MEDICAL CONTROL
I think certainly one of the most confusing/daunting moments of intern year was when the online medical control phone rang. i’d think why was it ringing? how was it ringing? who do they want to speak to? who has land lines any more?
I’d often pick up the phone and go about things as if I were speaking to a regular patient, not realizing that this was a call with a specific purpose. But one day, admittedly far too late in my residency, it occurred to me that these calls had a purpose. These people were calling for specific things!
Now that I’d determined the task at hand, I just had to sort out what needed to be done. And then*** POOF ***
Someone introduced me to the
NYC REMSCO (http://www.nycremsco.org/). What is that you ask
Well it just so happens that these paramedics are generally calling with protocols in mind and this handy dandy little file has all the protocols and pathways that they could be asking!
so what you do is you go to that little link there, then you go to the protocols section in the menu --> then you dip into the als protocols and wa-lah. now you have all the protocols and questions that they may be looking for. admittedly theres also a binder near the phone with these protocols but i find the website the easiest way to keep up.
BUT, BUT, BUT WHAT ABOUT THE OTHER SECTIONS!?!
Cool your horses with the caps lock bro. What you need to to do is stop and listen to the questions. Really once you have the pathways you’re looking at RMAS in which you’re assessing capacity generally and orders to terminate resuscitation.
I hope this has cleaned up the thinking for you.
Happy Tuesday,
Besitos.
böb