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paramedicmike last won the day on July 19

paramedicmike had the most liked content!

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About paramedicmike

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    Pragmatist, Resident Cynic

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  1. Mike, my point wasn't along the lines of fire truck driver vs ambulance driver vs police car driver. It wasn't even disparaging as far as being a driver at all. It was more along the line of the perceived air of superiority demonstrated by the comment implying that driving a fire truck gets OP there first, before the ambulance, therefore somehow that's better.
  2. If NR told you a 24 hour refresher plus written and skills testing was all you needed to renew then go with what NR told you. Despite your concern that EMT class is double what your EMR required that's still less time than many places require for a license to cut hair. A bad haircut never killed anyone. Ambulance crashes have killed people. Poor care, improper care and negligent care have certainly contributed to the death of people. You sound hesitant about additional training because of the time commitment. Why? Why do you feel it necessary to note that you're a fire truck driver getting to scenes before an ambulance? Why is your service so short sighted and financially irresponsible to roll a $500K piece of equipment when that money could be spent on up to five ambulances thereby saving the suppression pieces for actual suppression work?
  3. Yes, you do deserve it. You deserve it for a variety of reasons not the least of which is that if you had actually done the research you claim to have done you'd recognize how the quoted statement demonstrates that you have no idea what you're talking about. Take your attempts at free advertising elsewhere, please. That you specifically mentioned that the other place requires a minimum number of posts before you can post freely points to your attempt at as much free advertising as you can get. Admin has already intervened in this thread. If he's interested in you advertising he'll respond to your queries. Otherwise, please, just knock it off.
  4. Without knowing specifics as to your situation please consider working with a trainer. A good, reputable trainer will listen to what your needs/goals are and will be able to tailor a workout to achieve that goal. They'll do so safely while attempting to minimize your risk for injury. Some of the physically toughest providers I've worked with have been smaller women like yourself. You can do it. It's just a matter of getting it done and not quitting on the physical gains you'll make while prepping for the test.
  5. Welcome. Unless you can pull a few extra inches of height out of your legs you're left with pretty much one option: continue working out. Do test rules not allow you to lift above your shoulders?
  6. Reversal concerns aside the care will be the same. Support the airway and ventilations. Monitor. Titrate narcan to ventilatory effort or at least try to. Transport.
  7. Welcome. What kind of information are you looking for that would be different from any other opioid overdose? They're opioid analgesics. Treat an overdose like you would any other opioid overdose. Fentanyl was our go-to analgesic at my flight gig. I use fentanyl all the time in my ER gig. It's great for pain control without the hemodynamic hit. It's also good for procedural sedation with a little versed.
  8. Welcome.
  9. Welcome. This site may be helpful to you in finding an accredited paramedic program. It looks like there are three in Montana. You'll have to do the research as to their EMT-B offerings or if they'll accept your state certification for the paramedic portion of the training. Find a program that offers at least an associate's degree. We are a profession. If EMS wants to be taken seriously then it needs to take its education seriously.
  10. Welcome. Not entirely sure what you're asking. Are you wondering if you should work a person who died in bed, is still warm because the blankets were pulled up to the chin, is pulseless and apneic, has asystole confirmed in three leads and has noticeable lividity just because they're still warm?
  11. Interesting approach. I can see small boluses to help get things moving. I would've gone to CPAP and considered norepi for this as well as I, too, am not sure of the CPAP contraindication for this patient. The lasix puzzles me. I'm not sure I'm following the thought process involved with that. I don't know that this is really a case of too much fluid so much as it is fluid in the wrong places.
  12. Welcome. That's an excellent question to ask the WY Office of EMS. They will be your best resource.
  13. The six most dangerous words in the English language: "We've always done it that way."
  14. At least here in the States it would require a hefty paradigm shift in order for this to happen. Insurance would have to get on board. Doctor's offices and urgent care centers would have to get on board. There would have to be a change in the education of those staffing the ambulances to safely make the determination of where best to take the patient. Not saying it couldn't happen. Not saying it won't happen. It's just gonna take a while to get there.
  15. Welcome.