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  2. Hi everyone! With the latest update to the, the mobile version of the site acts like an app on your phone. To add EMT city to your phones home screen, follow the directions below: iPhone: Launch Safari on your ‌iPhone‌ or ‌iPad‌. Navigate to emtcity.com. Tap the Share icon (the square with an arrow pointing out of it) at the bottom of the screen. Scroll down to the list of actions and tap Add to Home Screen. (If you don't see the action, scroll to the bottom and tap Edit Actions, then tap Add next to the Add to Home Screen action. After that, you'll be able to select it from the Share Sheet.) Android Launch “Chrome” app. Open emtcity.com. Tap the menu icon (3 dots in upper right-hand corner) and tap Add to homescreen. You’ll be able to enter a name for the shortcut and then Chrome will add it to your home screen. Hopefully this will promote new posts and new activity on the site.
  3. Hypothetical or not - this is a terrible idea - plain and simple. No matter how many times we run the same addict, we still took an oath and it's part of the job - we go to help the person. We don't put the same parameters on the person who is 400 pounds (due to very poor diet) who we go get every week or 3 x a week at home and transport to the hospital We don't put the same parameters on the elderly person who is living at home who pushes the button on their medic alert device We don't put the same parameters on the drunk who continues to fall down and passes out do we We don't put the same parameters on the diabetic who refuses to take their insulin or medication but still continues to eat mcdonalds or every time you go to their house you find a huge bag of Haribo gold gummi bears and a case of coca cola. I learned long ago that "It's not my emergency, I'm not paid to get my panties in a bunch because I B Bangin" overdosed again for the 36th time in Heroin alley and I've got to put on my "Supermedic" hat to go save his life again. My service pays me to go and put a IV catheter in his vein, dump a little bit of narcan in his body and wake him up again and have him sign the refusal so he can go do this again for the next crew. A good friend of mine in sunday school was teaching and he had a wonderful class topic called "My response is my responsibility" and in the end, how I respond to this situation dictates how I deal with I B Bangin's condition and I choose to treat him like I would treat my own family member who overdosed on heroin - Im going to do everything in my power to bring him back from the dead and let him see his next fix. I'm not here to pass judgement, I'm here to work. If anyone reading this falls into the "3 strikes and your out" mentality that seems to be slowly pervasively moving into EMS, then honestly, get the Fuck out of EMS, you don't belong here, your thinking SUCKS Big donkey balls. And if your service is beginning to think like that then as a very very valued member of this forum (DustDevil god rest his soul) used to say "Your service Sucks" and that I agree with.
  4. I have heard of many U S jurisdictions considering 3 strike rule implementation. Unfortunately, 3 strikers, and the full run of frequent flyers, are a part of the job. I didn't like those calls when I was still working, either, but some of that is actually our bread and butter. Everyone would be a PTSD case, if all we handled were multiple alarm fires, 20 car pileups, and planes into apartment buildings, in the course of a workweek. Just administer the Narcan to effect, get them breathing again. Restrain them as nessesary as per your regional accepted policies, and transport. NEVER slam the entire amount of Narcan, as that's when they're going to really become agitated, and they'll attack anyone and everyone who, in their muddled AMS state, they associate with the ruining of their high!
  5. nick72

    3 times rule

    I realize that. I was speaking hypothetically.
  6. Watch how quickly you as an individual, as well as your EMS agency, get sued by the family of the 3 strikes patient, when said patient dies. You and agency will be charged with "Failure to act", under malpractice. It could mean your certification or license revocation, as well as the state Department of Health closing down the agency. This would be the potential results, were this to follow what I believe are New York State DoH rules and regulations. I'm going on memory, as I'm now retired 10 years. Addendum: Would you refuse a frequent flyer who calls for help due to more than 3 times, due to their Angina condition? An uncontrolled diabetic? An asthma patient?
  7. We've all encountered drug addicts needing EMS. A lot of the time they need Narcan. A lot of the time we have to put them in restraints and risk our lives because they are combative. I have had discussions with EMS personnel who advocate a "3 times rule." If you OD on drugs and require EMS, we will help you 3 times. But if you ever drink or drug again to the point of needing EMS after 3 times, we will refuse to help you. After all, there are SO many innocent people who require EMS because of natural health issues, why should we continue to render aid to combative drug addicts who don't even value their OWN lives, let alone yours? What's your opinion?
  8. This company appears to have the contract. They provided a link to the company website. Looks like a decent sized company that does government contract work as a specialty. The open position was to start 20 May in Denver. I received an email prior to the start date, and another one after the start date. I can't believe that they couldn't fill the position.
  9. I wonder if it's some contract contingency kind of thing. I've run into a few of those. They don't actually *have* the contract yet but want to make sure they have a crew so they can hit the ground running if they are awarded it.
  10. So I got another email from a visiting nurse type organization offering the same set-up. They quoted a salary, but they don't say how long the contracted trip is for. It's very tempting.
  11. Yeah, I think you dodged a bulllet on this one. Keep on keeping on.
  12. Agree. My employer requires the usual FEMA NIMS certs, plus a hazmat cert to be able to deploy and do vaccinations. I don't understand how a private company can skirt the Federal requirements. Fortunately, I have gone ahead and said, "thanks, but no thanks for now" to them.
  13. Seems like they are trying to get a batch of people into their network without having to get the required items required for FEMA. You would think they would do it the other way around but what do I know, seems strange. I don't think I would want to work for a group that I don't know when I'm going to get the call for a job and then have such a short window of time to get the req's complete. What if I get a job notice that I could accept but don't have the time on that specific date to get all that stuff done. I'd be skeptical of this group.
  14. I received an email recently directly from a private company to do FEMA covid vaccinations. Supposedly they will offer me jobs within 50 miles of where I live. But there are some odd requirements. They only want copies of all of my certs and my DL. No actual job application. I did finally find out that once they accept you, they notify you of a position by text. You have two hours to respond and accept it. After doing that, you have 12 hours to complete a slew of online requirements like FEMA paperwork, classes, I-9 form, and finally their application form to work for them. The company that I received the email from is a physical therapy company. Just seems kind of odd, and sketchy. Can anyone chime in with any experiences that they may have had? Thanks.
  15. Kmedic82

    The Sodium Trap

    An excellent read by FOAMFrat. An introduction to fluid resuscitation and cautions there of. https://www.foamfratblog.com/post/the-sodium-trap?fbclid=IwAR2dwx-AvRSw8gBB1GyPpl_Rwp2c-HeAc3-k6wkmxZ5jTFIioAjA9jSmrfY_aem_AcRQYH3b3e3NdPGZHu20QhrQnf7RGfqFKEh7PwwGIFcvOALtfrFuWkUV2uvPLy3exw9EHKNaxVvuCFKp1IMEiB2WHZSMmKFHfHCkdFHKwweZSw View the full article
  16. This podcast is a panel discussion from providers in Australia. Their EMS sounds like light years ahead of where I work. They utilize blood products, plasma, and can activate a trauma OR. It’s amazing to hear what other places are doing. Especially when you feel lost in your own career and wish to see your service progress. Please give it a listen and tell me what you think! TLDR (or didn’t listen): lives can be saved if all departments work together! RAGE Podcast – Resuscitology: Bleeding Patients View the full article
  17. Advanced airways in EMS are in heated debate today. There are two extremes. Give it or cut it. Some medical directors are granting crews RSI (rapid sequence intubation) in the field. While others are cutting intubation as a whole and utilizing devices like the iGel. There are so many combinations of medications you can use for induction in a chemically assisted intubation. The one that was recently brought to my attention was Ketamine. Ketamine has been a wonder drug in EMS. It has been beneficial in taking down the giant muscled bound tweeker that’s fighting a gaggle of police officers. It is excellent in pain management. But, as an induction agent in intubation it has been scrutinized highly as there is a lot of complications that come with a wonder drug. This paper discusses some of those complications. Ketamine lost in the unfair fight against RSI. There were too many variables including spontaneous breathing and vomiting. Take a look for yourself! Click to access Driver-Ketamine-Only.pdf View the full article
  18. I took a break from ems back before COVID, but recently just got hired as a paramedic by the DOD. Obviously COVID is still rampant but calls still have to be ran.
  19. Just got an email from the City of Pittsburgh saying that I can sign up to take the "Civil Service performance examination for Paramedic". (I applied around half a year ago.) What is this exam? Is it math? Is it body mechanics? Is it about city codes? Is it everything? I haven't been able to find anything about it online. Anybody have an idea?
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