Many of them often converse with other voters and may be less likely to support your next Fire or EMS levy if we don't meet their self-defined needs. First of all, there is no mandate in our protocol that everybody must be transported. Although red light and siren accidents are far and away the most legally risky EMS situation, non transport ROC calls ranks next. Child bearing aged females with abdominal pain. Also a normal monitor strip is of NO HELP in proving presence or absence of heart related chest pain.
Monitors are good to determine rhythms only.
Hyperventilation may be ok if symptoms totally resolved while on scene. A good guideline also is to be a maximizer, not a minimizer. Part of the risk of our businesses that we see so much nonsense that we become cynical, jaded, and the truly sick patient may be missed. In conclusion, be extremely careful with ROC calls and strongly encourage transport of the above patient complaints. Clarence is a nationally known dynamic speaker who is sure to entertain you and provide some very useful information about scene safety.