Aaron Florin

Retweets and likes do not constitute endorsement.

[Aaron Florin @AaronFlorin]

@theHappyMedic Don’t make me turn this twitter around

[Aaron Florin @AaronFlorin]

@Skepticscalpel “Hot oil pizza”? Deep fried?

[Aaron Florin @AaronFlorin]

I have an EMS joke but it’s not essential

[Dr. Glaucomflecken @DGlaucomflecken]

I'll be talking about a little heart trouble I ran into recently and how it informed by TikTok decision making

[Dennis L. Rubin @ChiefRubin]

All Incidents (small & large) should get start correctly every single time (W/ Brief Initial Report; Proper Apparatus Placement, Water Supply & Ladder Positions to get underway). If we start off by being well managed & under control, the incident will likely end successfully.

[Bryan Glezerson @BryanGlezerson]

@medicalaxioms But this is how we ask patients. We don’t ask them “do you deny using methamphetamines?”. It’s okay to ask a question one way and record the result in different words. To the man with MS, “What happens when you take a hot shower?”
“Patient described Uhthoff’s phenomenon”

[Medical Axioms @medicalaxioms]

Making omniscient judgments about the validity or falsehood of a patient’s history presumes your god-like mastery of The Truth in The Universe.

[Aaron Florin @AaronFlorin]

@theHappyMedic Not a good idea.

[Danny Hughes @DeltaHotel830]

Communicating with patients who lipread whilst wearing a mask.. I hope you find this useful! 🙂😷🚑 #Communication #Inclusion #PatientCare #Paramedic @Google #LiveTranscribeApp #COVID19 #TeamSECAmb

[Aaron Florin @AaronFlorin]

@sl1pg8r @PR3SIDENT _________ is the same in English and Korean

[Aaron Florin @AaronFlorin]

@hp_ems @jon_kavanagh @CMSGov EMS prob: benefit of responding to perceived med emerg, r/o life threats, facilitating same-day visit or priv transport to urgent care is not measurable.

[High Performance EMS @hp_ems]

@AaronFlorin @jon_kavanagh @CMSGov There is always a struggle to show the value one provides beyond the cost they incur. Problem is that often the value is not directly to the payor of our services.

[Aaron Florin @AaronFlorin]

@hp_ems @CMSGov I was reacting to the idea of changing terminology. (W/O equating MD & paramedic) even if pt chooses not to accept MD’s Tx plan, the MD is reimbursed for the visit.

[Aaron Florin @AaronFlorin]

@hp_ems @jon_kavanagh @CMSGov That’s going to be a tough sell. CMS’s goal is to save money. Goal achieved by not paying EMS for what’s a public service and historically never billed.

[High Performance EMS @hp_ems]

@jon_kavanagh @AaronFlorin @CMSGov ...or is it CMS refusing to reimburse the interaction!

[Aaron Florin @AaronFlorin]

@jon_kavanagh @hp_ems @CMSGov @MaineEMS Couldn’t agree more.

[Jon Kavanagh @jon_kavanagh]

@AaronFlorin @hp_ems @CMSGov Gotcha. @MaineEMS used to have Paramedic-initiated refusals but it looks like they did away with them.

But, getting the right care to the patient at the right time is an important part of improving the system... non-emergency response, non-emergency care/follow-up, etc.

[High Performance EMS @hp_ems]

@AaronFlorin @CMSGov I guess my point was that it is not necessarily a negative encounter that is wholly based on whether we transport or not. It's the difference of a mindset (and reimbursement focus rather than tx focus.)

[Aaron Florin @AaronFlorin]

@jon_kavanagh @hp_ems @CMSGov I was referring to the patient refusing. Otherwise that’s abandonment. I am not aware of anywhere that allows paramedics to refuse transport (outside of extreme circumstances).