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No standing orders for pain control on interfacility transport? I'm going to channel Dust a bit here: Your agency sucks. What kind of advocacy did you attempt for your patient? How many times did you call to ask? If you weren't pestering them for orders every five minutes why weren't you? What was the reasoning of the doc in question to deny your request and to provide such short term pain management before the onset of transport? What does it matter if the doc in question is not a fan of ketamine? So many questions.
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Sounds like pretty poor planning / insight from the ED to not have a plan for additional analgeisa but is also something you should have considered and addressed prior to the transfer. Anyways, if I was in your situation I would have considered calling back the doc, putting them on speaker phone so they can explain to the pt their rationale for withholding additional analgesia and allowing the pt to remain in significant pain
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Does your agency require PALS or PEPP or other pediatric course? Does your agency have pediatric equipment?
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Well here is the problem. The ED wrote orders for a one time dose of Ketamine & Zofran with orders to contact Medical Command for additional orders. The problem is the transport was 3 hours long. The Medical Command Dr was young & not a fan of Ketamine. There are no standing orders for pain management for inter facility transports.
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Échographie cardiaque dans les ambulances catégories A
NabilEMT03 replied to NabilEMT03's topic in Equiqment and Apparatus
Oui c est plus top l échographie cardiaque confirme souvant le temponnade ou péricardite...mortelles -
Échographie cardiaque dans les ambulances catégories A
Off Label replied to NabilEMT03's topic in Equiqment and Apparatus
Aux États-Unis, le niveau de sophistication médicale de l'ambulance ne peut pas prendre en charge de telles entités de diagnostic avancées. De nombreuses fois, nous ne pouvion s pas traiter ce que nous avons trouvé avec ces appareils de toute façon. -
Without the order, I guess you don't treat the pain. I wouldn't give an order for pain with what you've given here...what was the report to the doc?
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What are your treatment guidelines with regards to pain?
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Échographie cardiaque dans les ambulances catégories A
NabilEMT03 posted a topic in Equiqment and Apparatus
Pourquoi la présence d'une appareil d'ecographie n'est pas obligatoire ??aussi des appareil Troponine Test.???? -
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So let’s say you have a priority one trauma patient with open fractures to the radius & ulna plus tibia & fibula plus free fluid in the abdomen. The patient’s vital signs are BP 100/60, HR 120 ST, RR 24, Spo2 95% on 2 LPM. The patients pain is 10 on a scale of 1-10. The ED that is transferring the patient has hung a unit of blood and gave orders for 0.1 mg/kg of Ketamine for pain. Plus 4 mg of Zofran IV x1 dose. This made the patient comfortable, but 1 hour into a 3 hour transport the pain returned. The medical command physician is contacted, but refused to treat the patients pain. What do you do?
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Lifestar Chicago is hiring Flight Paramedics! APPLY ONLINE AT https://bit.ly/2BJjgKV Job Details Description Responsible for providing high quality pre-hospital advanced life support including assessment, triage, and treatment utilizing standards and guidelines established by Air Methods Community Based Services (CBS) Medical Director(s). You’ll be responsible for carrying out the mission and goals of Air Methods CBS assuring that safety remains the highest priority throughout the transport continuum. Essential Functions and Responsibilities: Provides pre-hospital advanced life support care from the initial contact until patient care is relinquished to the accepting medical facility; maintains thorough patient care documentation. Practices within his/her scope of practice as defined by the states regulating each base and Air Methods CBS. Maintains competency in knowledge and psychomotor skills by participating in ongoing laboratory and clinical experiences. Communicates educational needs to the Medical Base Supervisor and Medical Education Coordinator. Maintains documentation of required licensure, certifications, continuing education, aviation and safety training, OSHA and HIPAA training, clinical rotations, and advanced procedures. Attends minimum of six educational programs per year pertinent to his/her practice. Knowledgeable in use and routine maintenance of all equipment and supplies used by Air Methods CBS. Responsible for reporting medical equipment failures and taking initial steps to insure repair of equipment as directed. Maintains adequate supplies onboard aircraft to deliver patient care. Keeps aircraft clean and orderly to insure rapid response to all transport requests. Participates in patient and referring institution follow-up and planned outreach marketing and education activities. Functions as a medical flight member by attending pre-mission briefings and mission debriefings and completes necessary documentation. Assists in pre-mission liftoff checklist and assists pilot as requested, i.e., radio, navigational, and visual observation activities. Complies with safety standards to assure safety of self, medical personnel, patient, and equipment. Conducts aircraft safety briefings as needed. Serves as a flight resource to neonatal/pediatric personnel when transporting specialty patients by helicopter. Performs advanced skills and procedures as approved by Air Methods CBS Medical Director(s). Serves as a role model, educator and clinical resource. Participates regularly in departmental activities, projects and committees (to include research and publishing opportunities). Maintains awareness of current issues related to pre-hospital care through participation in professional activities, i.e., national, state legislative--elected or appointed. Other Duties as assigned. Education & Experience High school diploma or general education degree (GED) and at least three years’ related experience and/or training; or equivalent combination of education and experience Minimum three (3) years’ recent experience in a busy 911 system Previous critical care transport and flight experience preferred Skills Skills as required to practice as a paramedic as defined by assigned state scope of practice and advanced practice skills as defined by Medical Director(s) and Medical Standards. Maintains positive interpersonal relationships with colleagues, EMS representatives, hospitals and the public while executing strong interpersonal skills and a high degree of collaboration at all levels Demonstrates high critical thinking and reasoning skills and strong attention to detail while working in a fast paced environment that requires ability to prioritize and multi-task Ability to work a flexible schedule including 24 hour shifts, overtime, and an on-call rotation Dependable and self-motivated while working in a frequently changing environment. Excellent communication and presentation skills, both written and verbal Computer Skills Proficient with Microsoft Suite, including Word, Excel, PowerPoint and Outlook Certificates, Licenses, Registrations Registered EMT-P licensed in state(s) served National Certification may be required to meet state licensure requirements Specialty certification: (FP-C or CCP-C) required within two (2) years of hire Current certifications in Healthcare Provider BLS/CPR; ACLS; PALS or equivalent (AHA courses if state or county required) and advanced provider ITLS or PHTLS (if state or country required) Advance trauma course: one (1) of the following is acceptable: TNCC, ATLS/ATCN, TNATC or CAMTS-approved advanced trauma course prior ro completion of third-rider status (Please note advanced skills lab must accompany all of the above mentioned advanced trauma courses) NRP certification prior ro completion of third-rider status NIMS Training IS 100, 200, 700, 800 and HazMat upon hire Air Methods is an EEO/AA employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Qualifications Education Required High School or better. Licenses & Certifications Required Drivers License Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.
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EMT program University of Alberta - Augustana Faculty
Just Plain Ruff replied to PayneLess's topic in Canada
Dust would have a field day with this one - but Dust is no longer here - so I'll take a stab DO NOT LISTEN OR TAKE THE ABOVE CRAPPY QUOTED ADVICE read why below!!!!!!! Papers Wizard is a Horrible suggestion. The website says that they will write your paper for you by professional writers but their website doesn't even have a professional writer proofread the crap that they put out on their own website. For example Every sentence below has at least one spelling or grammatical error except the last sentence. You should be ashamed of yourself for suggesting that people use this shithole of a site to do their schoolwork. This is the same type of shitty program that used to send catalogs to people or advertise in the back of popular mechanics back when I went to college and you could buy pre-written essays for 10bucks a page. Before they had the online programs that checked for plagiarism, which I bet each of the papers you get from these bright stars has been bought and sold more than once or twice and is on record in those plagiarism site. MartinSuperBoy - I don't really know who you are but your advice to use this site is horrible and goes against the spirit of this site. You are going to get Coal in your stocking this year and I hope that no one on this thread goes to the site you recommended and uses the service because you have given shitty advice to use this crappy internet "zero to hero writing" service. Terrible advice. -
Yes the degree will be your issue. Most of the companies that I have worked with will not talk with you unless you have the degree. I'm not sure why. If you can do the job without the degree then why do you need a degree.
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Hmm. Sounds interesting. I honestly don't know with the company that I'm working for what they do. I'll ask around.
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EMT program University of Alberta - Augustana Faculty
MartinSuperBoy replied to PayneLess's topic in Canada
I also have heard different negative things about this program but I think that this program is a very cool program but there are problems with doing homework that can be solved by the site - PapersWizard that proposes writing essays for students and writing research papers for students who are studying on this program and for students who are studying not for this program but for all students for all schoolchildren and for people who are engaged in writing papers! -
Start with an EMT basic class and go on more ride-alongs. I took first responder and EMT-B when I was in High School and really loved the challenge which got me to where I am now. But I will say this, you get out of it what you put into it. We all start somewhere. Best of luck
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have you thought about working QA/QI. For my agency it is integrated into our regular work but I know that for some larger agencies it is its own position. No more hefting people around. Plus the good insight from the years of experience makes for great case reviews for education.
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I was here back in the day. Had to make a new profile. Miss this place.
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Do you perhaps deal with physicians from outside of North America? Other parts of the world use different descriptors for the same condition ("fitting" is a common descriptor in many places for what we would call a seizure in North America).
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I know the feeling. A little more than a decade ago I started here as an EMR (EMT - B equivalent for the US folks). Now I've done an additional 5 years of post secondary along the way and work as a Critical Care Paramedic responding to the sickest folks in the province of BC by air/land/water. Funny how the more you know, the less you feel like you know.
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Not sure, but most likely it would be EMS. Healthcare second. My apparent issue is that I don't have any degrees in anything. All I have is experience, and that seems to be an issue. People want to deal with folks who have diplomas and degrees, but not necessarily any experience.
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What kind of consulting do you want to do? Healthcare EMS computer? Let me know If it's healthcare - I have info that I can share with you. You can reach me directly at ruffems@gmail.com
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Twenty eight years in and I'm thinking that I've finally gotten to the point where I need to find something else. I'm tired of slinging these whales around. Actually, my back is telling me this. 😋 Anyone doing this? How did you start? Are you working for someone, or did you start your own business? What kind of experience has it required? I can't think of anything else to do. I'd really hate to just abandon all this time and experience that I have when someone else may be able to make use of it.
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Good afternoon everyone! My name is Brad, I am a representative of USA Supplied. I am on here to learn a bit more about the EMS field and to possibly learn more about becoming certified while extending the reach of our products that are designed by and for First Responders. I am excited to meet everyone here and to learn as much as I can about the medical field during my visit! Thank you for your time in reading this!
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I wear an apple watch in the ER and a g-shock when I'm in the field. I have worn the apple watch a few times in the field but it wasn't the best option. In the ER I love my apple watch because i have a stop watch easily accessible and I am not distracted by my phone in patient rooms. In the field I just want something durable that can withstand me smashing it against concrete and I can dunk in bleach when I get blood on it.
