Saturday July 31, 2010

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  • Letters

    Paramedics gave proper care to patient

    I am writing to provide some further information to balance an article from March 16 whereby a family member of a patient claimed that the care provided by BC Ambulance Service (BCAS) paramedics during a call in Kamloops on the weekend was “dangerously inadequate.”

    BCAS responded to this call with two ambulances and four paramedics – one Advanced Care Paramedic crew and one Primary Care Paramedic crew. The fire department/first responders were also notified but the Advanced Care Paramedic crew were the first to arrive on scene in about five minutes.

    The BCAS Emergency Medical Dispatcher remained on the phone with the caller, following correct protocol, until the paramedics were on scene to continually assess the patient’s condition, provide instructions for bystanders and reassure the caller that the ambulance was on the way.

    BCAS reviewed the response and determined that paramedics conducted a thorough on-scene patient assessment, followed appropriate protocols and provided proper care and treatment during this call. The patient was stable while in BCAS’ care and was transported routine, on a non-emergency basis, to hospital. A change in the patient’s condition was noted just prior to arrival at the hospital and paramedics communicated this to hospital personnel. Further details regarding the specifics are not appropriate for this venue and would require consent from the patient.

    BCAS is committed to providing high quality emergency medical care to patients and takes all complaints about our service and the professionalism of our paramedics seriously. To date, BCAS has not received a formal complaint about this call, but we would be happy to provide a more detailed response to the complainant in the media with the appropriate consent.

    I appreciate the opportunity to provide further information regarding the service and care that was provided during this call.

    LARRY JACKSON

    Executive Director, Interior

    BC Ambulance Service


    Comments

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    citizenbc says...

    Our Advanced Life Support paramedics are very experienced and educated practitioners. When these individuals are on scene, you can put your trust in their judgment. In this case, they very likely decided that a potent drug with potentially serious reactions like epinephrine was not indicated at the time. Let's not cast judgment on these individuals unless we know all the details.

    Posted on March 24, 2010 @ 10:03 pm PST | Report post to Editor | 3553170 

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    DoubleDave says...

    Because epi pens have side effects, especially for oler people. Epi is not a harmless drug. This was an older woman, who is at risk for heart attack or stroke which are two of the very real side effects of epi for a older people. So the paramedic needs to weigh the risk versus benefit. If she can walk and talk, which she admits she was able to do, then there is no need to suject her to the risks of epi in an environment like an ambulance. She could talk which means her airway was patent. She could walk which means her blood pressure was adequate. Nothing wrong with the protocol. Nothing wrong with watchful transport. The woman survived with no issues. The system worked for her and she should be writing a thank-you card rather than a complaint letter.

    Emergency medicine doesn't always look pretty, which is why people sometimes feel like they are being slighted. But in the eyes of those who do it, you are either dying and need intervention now, or you aren't dying and you can wait. Sounds mean, but its the way it has to work unfortunately. They were obviously correct to wait since she lived.

    Posted on March 24, 2010 @ 5:02 pm PST | Report post to Editor | 3545591 

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    Grouchy says...

    We don't know all the facts yet Irem22. It has been my experience that our ambulance people are caring and professional people no matter what the situation and deserve a chance to be heard.

    Posted on March 20, 2010 @ 9:21 am PST | Report post to Editor | 3509389 

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    lrem22 says...

    If they followed all the protocal, then why does this woman feel she was mistreated. A wheelchair into the hospital, why not the stretcher? It doesn't take a medical degree notice the obvious signs of a allergic reaction so if the busses are equipped with Epi-pens then why didn't they use it? Perhaps the protocal needs to be looked at.

    Posted on March 20, 2010 @ 7:29 am PST | Report post to Editor | 3509358 

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