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  2. Does anyone know what Suffolk County, New York fire districts run a paid dual Paramedic ambulance, rather than having a paramedic responding in a fly car?
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  5. Any new blood to this site would be helpful. I'm not sure how much of a response you will get but please post away to your heart's content. I'm looking forward to what you have. But please don't get discouraged at the lack of response to your posts as this site is not the same as it was 5 or so years ago.
  6. Hi my name is Chandra Nortelus I recently passed my NREMT and is currently working in the Bahamas as an Emt ... I live in the Bahamas and was recently affected by Hurricane cat 5 hurricane Dorian working through the storm trying to evacuate patients. 3 of my family members lost everything my car was under water my only transportation to and from work ... Any donations small or big will be accepted I'm calling on all my medic all around to lend a helping hand your donations will help my family and others.... thanking you in advance .EMT 4 Life... https://www.paypal.me/chandraemt is my PayPal where funds can be sent.. images of a few of my family members homes are in pics below
  7. Phillyrube

    FNG

    Hi everyone, can I come play? Retired medic and police officer, 40 years. Got lots of great advice and tips on the game.
  8. Hi Laurknee13 - I've seen that you have posted a couple of basic questions that honestly should have been answered in your EMT class. But since you are asking no - you should open the oxygen up to 15lpm for the BVM. Have you asked your instructor these questions?
  9. no - continue on to the h ospital - the AED can be put on while you are enroute to the hospital.
  10. What treatment is available if a patient has taken an ED med, then calls for assistance having chest pain? If you cannot administer nitro, what do you use?
  11. Anyone know of one in the San Antonio/Austin area?
  12. If a pt is going into cardiac arrest on an ambulance, should you pull over to put on the AED and analyze rhythm and then continue to hospital?
  13. When using a BVM on a patient with COPD, do you use 10-15 Lpm if they’re on a set amount of O2? For example, if the patient has written orders for 2 lpm of O2 through nasal cannula and you are needed to use a BVM, do you use 2 lpm on the BVM or 10-15 lpm?
  14. Hello All, I am currently a Nationally Registered EMT and a CO stat certified EMT. I am thinking about trying to find a change of scenery and head to NY for a while. Does anyone have any advice or knowledge on the process of getting my certs to transfer to NY? How long will it take? Is it guaranteed? Do I need to test again? I have started the research online. But I wanted to see if I could get any feedback from someone who has gone through the process or knows anything about it from personal experience. Thanks in advance!! Blue Skies, J
  15. Hi! My advice would be to do some research and figure out which agencies you would like to ride with, and then call their headquaters and ask for a ride. Most agencies (at least the ones that I work around) don't typically allow rides unless you are a student. But some make exceptions for visiting providers. Good luck! And enjoy your trip! Blue Skies, J
  16. Hi guys, my husband and I are both ALS Paramedics in Australia. We're coming to New Orleans for the EMS conference in October and then have a week in NYC. We'd love to organise a ride along with FDNY whilst we're there. Any ideas how we can do this? Any help greatly appreciated. Claire & Rick
  17. Almost every med EMS carries has the potential of abuse. I do prefer Fentanyl as a medic because of the short half life and by the time we arrive at the ED, the doctor can do a good assessment of the patient. If you won't use Fentanyl, what would be your drug of choice?
  18. Your best bet is to call the registry and ask them. They can tell you the best answer of all. Otherwise I would put it down under Ambulance Safety or Crew Resource Management. The worst they can say is that it's mis-categorized and they can let you know where it needs to go come relicensure time. You should get credit none-the-less but best bet is to contact them and ask them. Ruff
  19. so im a new medic im working on earning some ceu credits to stay ahead of the game. problem im having is lets say the ceu credit says NREMT - Operational Tasks", "NREMT - Preparatory" ok so i log on to nremt, click manage education, add the course and all that but when i go to add it to required category and this is all it says under operations ..... so where does it get assigned? there such specific categories with all of them i dont know how to enter them??? help!! maybe its simple and im over looking it but i dont know how to correctly enter my credits into categorizes Operations: 6.5 Hours At-Risk Populations 0/1 Hours Assigned Ambulance Safety 0/0.5 Hours Assigned Field Triage—Disasters/MCIs 0/1 Hours Assigned EMS Provider Hygiene, Safety, And Vaccinations 0/0.5 Hours Assigned EMS Culture Of Safety 0/0.5 Hours Assigned Pediatric Transport 0/0.5 Hours Assigned Crew Resource Management 0/1 Hours Assigned EMS Research 0/1 Hours Assigned Evidence Based Guidelines
  20. Kmedic82

    AHA BLS quiz app

    My AHA BLS quiz application was just released on Android. Check it out! https://play.google.com/store/apps/details?id=com.wBLSQuiz2019_9477418 View the full article
  21. Howdy texasmedic, I served in the Army National Guard for 6 years, starting off as a combat medic, eventually working my way up to a flight medic. I was never an EMT on the civilian side, as I joined the military to specifically become a medic. Recognizing that I very much enjoyed being a medic in the military, I decided to go back to school and get a paramedic degree. I have since held the title of paramedic in almost every capacity that you can think of, excluding fire. In regard to the contrast of military vs civilian training, as one could imagine, military training is more trauma and tactically focused than it is medically or low acuity. As we all know, trauma is easy. Furthermore, the initial training that is received follows NREMT-B standards and soldiers take the NREMT test. Then, follows the military portion/application (at least in the Army). By the time it's all completed, a normal 68W (aka combat medic) is about the level of an EMT-I. They are nowhere near the knowledge or skill set of a paramedic. Caveats to the aforementioned can include that if a medic was deployed, it is completely dependent on what their deployment was like in combination with what their providers would allow them to do in concerns to their obtained experience level. Additionally, depending on the provider once again, some medics may have gotten a little more knowledge and experience based upon their duty station. Also, if a soldier is to pursue further training and progress, such as aviation or special forces, that completely changes their experience level, as it is a requirement for those positions to obtain their paramedic. All of that make dollars? Feel free to ask further questions.
  22. 2,000 law suits and appeals have been pushed forward against Johnson and Johnson. The state of Oklahoma has started proceeding in regards to damages done to the state. As stated in the New York Times; ” Oklahoma had said it would need $17 billion to repair the damage done by the epidemic. About 6,000 Oklahomans have died from opioid overdoses since 2000, according to officials there.” It is about time some one has step forward and pursued dealers in this rich man drug war! View the full article
  23. There was a time I was burnt out. Well, that’s not exactly true. There was a time that every three months I was burnt to the core. I wanted to quit. I wanted to go to nursing school. Hell, I even put in an application to Fed Ex. Unfortunately, there was one time that my burn out led to injuring a patient. You see, I was burning the candle from all ends. I was going through a terrible separation with a woman who had two kids I cared for and adored. I was a supervisor of a shift that was falling apart. I worked nights, went to school during the day, and had to attend meetings in the mid afternoon (peak night shift sleep hours). I turned into the medic who would blow up about too many gloves being on the truck. Trash cans would fly across the bay floor after a mighty frustrated kick. Mop handles would shatter on the side of the ambulance like I was swinging a samurai sword. My off shift drinking was constant. My anger was out of control and would occasionally come out on a patient. My refusal numbers were rising and the end of the road was coming closer. One morning, my partner and I were called out to a patient complaining of abdominal pain. Before the call even came in, we were in the mood that this patient was going to be a refusal. We were both exhausted from outside life and had no intention of transporting. We were a dangerous crew that had lost all interest in their job. We wanted to be anywhere except on the ambulance. We arrived at the home of the patient and in all honesty, I barely remember the call. I am sure I talked her out of going. I probably made her feel stupid for calling 911. I probably took the anger of my personal life out on her. The only thing I remember was waking up in the afternoon to numerous missed calls from members of our upper leadership. The patient ended up have a ruptured appendix and was rushed to surgery after another crew, an hour after we left the residence, did their job and transported the patient. I was close to being fired. I was close to losing my license. I was having the biggest wake up call in not only my career, but my life. I hurt someone. Yes. She signed the refusal AMA form. But at what cost? And with how much encouragement? I like to share my mistakes for others to learn from. Burn out is dangerous. Burn out hurts patients. In the paper posted on Medium, the greatest cure for burn out is to regain the awe of your job, or life. “If this path to burn out is, as Aldous Huxley wrote, ‘a reducing valve’ of awareness, it’s awe that helps to open us back up. Dacher Keltner, a professior of psychology at the University of California, Berkeley, has shown that awe is tied directly to feeling of expansiveness, transcendence, and connection.” I was working too much OT and my personal life was falling apart. I had to make huge changes in my life, step down from positions, say no to projects, and budget my spending so I could say no to OT shifts. I stepped down as supervisor (surprisingly, I didn’t get demoted) and transferred myself to a county known to be strict. I wanted to remind myself why I not only got into the field, but to also get back to the basics of patient care. I was not taking care of people and most of all, I was not taking care of myself. My love for the job came with helping people. Where did my love for care go? My personal life was spiraling out of control and I was not feeding myself creatively. My tank for the awe was ran dry. “Awe doesn’t just shift the way we think, it changes our biology. According to a 2015 study in the journal Emotion, awe, more than any other positive feeling, is linked to lower loves of a molecule called Interleukin-6, which is associated with stress and inflammation.” The awe for the job came back when I chose to learn again. There is something to learn every shift. You just have to look for it. Even if I haven’t taken the chance to learn about something, I enjoy creating hilarious back stories for patient’s and their family. Everyone has a story. “Perspective allows me to see that ‘my’ world is tiny when compared to the actual world. I feel more open and energetic, and less burnt out.” It’s all about perspective and reminding myself why I got into the job in the first place. It’s the greatest way to help someone and it’s so damn interesting. Check out the article; “The natural cure for burnout is profound and utter awe” by Brad Stulberg on the site Medium. View the full article
  24. Kmedic82

    PALS

    My PALS study app went live today for Android. If you are getting ready to take PALS, check it out. https://play.google.com/store/apps/details?id=com.wPALSQuiz2019_9326200 PALS Study Quiz 2019 I am new to developing and plan on making more. I would like some constructive criticism!
  25. My PALS study app just went live for android. If you are preparing to take PALS, please check it out!

    PALS Quiz 2019

  26. Kmedic82

    PALS Study App

    My new PALS study app just went live today! If you are an android and getting ready to take PALS, check it out! https://play.google.com/store/apps/details?id=com.wPALSQuiz2019_9326200 View the full article
  27. Hey Defiant1 - if you are willing to move - our service is hiring EMT's, probably pays more than what you are making now. If you get in medic school you could easily pull in around 65000 a year and that's a conservative estimate after you get out of medic school. We are in a rural area of missouri - 55 miles south of Kansas city - running about 2000 calls a year. If you can get your missouri license and willing to move we can always use a good EMT who has aspirations to go to medic school. Hey Defiant1 - if you are willing to move - our service is hiring EMT's, probably pays more than what you are making now. If you get in medic school you could easily pull in around 65000 a year and that's a conservative estimate after you get out of medic school. We are in a rural area of missouri - 55 miles south of Kansas city - running about 2000 calls a year. If you can get your missouri license and willing to move we can always use a good EMT who has aspirations to go to medic school.
  28. Problem is, we've been told over and over that we are not doctors and the only way to determine if someone is truly having a medical emergency is to transport them to the ER for evaluation. Every medic I know is not willing to risk their licensure in order to buck the system and tell a patient that they don't qualify for a ambulance and they need to find another way to the hospital. They not in a million years want to be the test case for a patient who truly didn't need an ambulance yet that patient felt they needed one for that stubbed toe or small laceration or what not and the patient sue that ambulance service and the medic with the Case resting on "what training did that medic have to rule out that I wasn't truly having a medical emergency that didn't require an ambulance transport???" Because we all know that many ambulance services will drop that medic and not support him/her for turfing that patient off to a UBER or a taxi cab even if there was a policy or guideline or protocol that in all actuality supported the medic refusing transport but the ambulance service see's a loss of the legal case in both the court of law and the court of public appeal. The medic is the one who is going to lose out in the end. I'm not willing to risk my license just to turf a patient just to save my company a dollar or two policy/guideline/protocol or no and I don't think many of my colleagues will be willing to either.
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