Jump to content

Just Conent

Showing all content posted in for the last 365 days.

This stream auto-updates

  1. Earlier
  2. 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?
  3. I just read an article on FireRescue that said that San Antonio is looking to purchase an "armored medical vehicle" for the agency. What are your thoughts about armored vehicles? Is your department seeking one? https://www.firerescue1.com/fire-products/specialty-vehicles/articles/san-antonio-looking-to-buy-armored-ems-vehicle-for-fd-VVglt8cuZEedUfxi/?fbclid=IwAR2epvyNOsUJosfgJe98brOqc3OOv0Zwih3Iq_pWdKBh8XizR74enqOU3WI
  4. @yakc130 I agree that inconsistency is frustrating. I think a lot of the issue is the lack of a clear message from the local level to the president of The United States. The lack of leadership all around has created a monster that they cannot get back into the box.
  5. FireMedicChick your reply is top notch and makes an entire lot of sense to me, mainly when mentioning nasal cannula. Would it be honest to say that the usage of nasal cannula is usually recommended while the affected person has lots of mouth secretions like this website? What approximately using both nasal cannula AND oxygen masks? Is that even possible?
  6. Hello everyone, I have a question regarding law enforcement dealings with unresponsive patients at the scene. For background on myself, I successfully completed the EMT-B course at TEEX in College Station, Texas back in 2010, but never actually worked as an EMT. The training was a requirement for a contract in Iraq. So what are the rules regarding police moving an unresponsive patient that's in no imminent danger. I realize that some departments have EMT trained and licensed officers, but what I witnessed from the officers was complete incompetency at the least, or an attempt to cover their tr
  7. Back in 2004 the service I was with started with Panasonic Tough Books, but we only used it as our CAD Link and mapping device. When I came on to the service I'm at now, we started using them for E PCR and mapping. We switched from those to the Panasonic Toughbook CF18, which was just a tablet, that you could attach a key board to via a docking station. They weren't user friendly or all that tough given it's. We switched to the CF 33 Toughbook that has a detachable keyboard and we use it for all our documentation, CAD Link and mapping. They are user friendly and fairly tough. We had all our tr
  8. I love it when a plan comes together. The heart of the concept is minimizing cerebral oxygen demand while maintaining a sufficient cerebral perfusion pressure and flow for tissue oxygenation. Assuming an ICP of 20mmHg, it would take a MAP of 80mmHg to maintain a CPP of 60mmHg (I bet MAP guidelines for the management of TBI are suddenly making more sense). Some sedative/analgesic medications balance those considerations better than others. This brings in the concept of flow metabolic coupling (Propofol is particularly good at this as sedative agents go). Agent's with good flow metabolic couplin
  9. Hey, good research topic. our service does not do hypothermia because we are so far away from a STEMI/Cardiac center that there is a real possibility that the patient will begin the re-warming process before they get there. The only thing we even remotely do is cold packs to the axilla, groin, small of the back and behind the neck. Any further and we feel that we run the risk of doing more harm than good. Now if we have ROSC and put them in a helicopter from the scene, then we very often put cold packs in those places but thats only if the paramedic thinks of it. So to m
  10. That would fall more under the definition of emotional support animal. You would have to consult your agency's SOP regarding what to do with those. The agency I just left generally won't take them because the hospitals won't. We could only take service animals as defined by the ADA. BTW...a dementia patient should have a caretaker or family member who can answer those questions for you. Just be sure to stick to the same ADA allowable questions you would ask the patient.
  11. Yes, as the others have said, you need to be more specific. Find out what your supervisor means, with examples. I am mainly 911 service but have worked entertainment, mostly concerts and festivals. Without more info it's hard to guess what your boss is talking about.
  12. the agency I just left requires N95's only with suspected or confirmed Covids and just released a memo detailing a plan to sterilize and reuse. Other covid PPE consists of gown, bonnet, eye pro. Face shield for intubation. Surgical mask for all other cases. Surgical mask on patient if they tolerate it. My headache was my fellow providers. I have had partners not want to wear the surgical mask in the day room or in the truck as directed and fire isn't required to wear them at all. I pulled the pin and resigned. Volunteers here don't get the job protections that paid personnel do. If I beco
  13. Hello, everyone, Richard B the EMT here on an overdue visit. Hope you and your families have been safe from the CoViD 19, and you have not lost anyone from your teams. As I'm now almost 9 years being medically retired from the FDNY EMS, I'm relatively safe. None of my family, around the country, have been affected, but in the last month, I've lost at least 10 colleagues in the New York City "Tri-state" region, 3 of whom I used to work with, or under their supervision. You know the drill. If dispatch, or you and your partner(s) are the least suspicious of a call, not just the gloves
  14. Thanks everyone! I appreciate the feedback. It's tough enough to feel comfortable in knowing what to do in a critical emergency, worse to have to juggle conflicting standards of care. But what's really worse is the feeling that it leaves us vulnerable to lawsuits if things go south. I could imagine a lawyer saying, "Mr. EMT, please read here, from the AOSS textbook, the standard in the field, about whether to provide O2 at 95% saturation. And, yet did you provide O2 anyway against this guidance? And let me ask the expert, is it possible unnecessary O2 administration could cause O2 to
  15. This is a dead topic, the original poster never came back and gave us more info. Cell phones on a call are a NO NO. Don't even pull em out unless they are provided by your service. Here are my reasons and I only have a couple 1. They make you look stupid - like you cannot even stay off your phone for the length of a EMS Call. 2. Your EMS Agency should be providing equipment for you to communicate to the hospitals and other agencies, NOT you. Your phone is your property not your companies - unless they want to pay part of your cell phone bill. 3. If you are on any
  16. It would be nice to get hazard pay, but many services, especially those that are tax based, would lose money and have to cut services. Corporate services could afford it, but would prefer not to pay it and would cut hours first. But, in answer to your question, it truly depends on where the heck you're working. NYC EMS, Chicago, LA, St Louis and other hard hit cities deserve it. Pay them!! Washing your hands would help curb the spread but so does the social distancing and the stay at home orders (which many in my town seem to think does not apply to them!). When I started EMS in 20
  17. Hello folks! Stay safe!

  18. Hey folks! This is Don. Jess apparently had a brain aneurysm from the past surgeries she had from the complications of our son's birth. Her and I was not together and I have been through my own issues. Last time I saw her and our son was 2011. She passed 3 days after her 31st birthday. I remember on her 2nd surgery the surgeon told her she would not live past 30...…. Anybody want to talk please IM me here or catch me on twitter. https://twitter.com/DonaldJr1977 Thank you all and May God Bless You!
  19. MD2EMS

    MDtoEMS

    Good morning all, I graduated from medical school and entered general surgery residency. Long story short, I became more and more burnt out to the point that I left residency. I saw surgeons spending less and less time with patients (and their own families) and more and more time with administrative BS. anyway, great field but wasn’t for me. I’ve been on a strange path since and currently teaching anatomy and physiology for a nursing program. I miss the thrill of caring for sick and critical patients and am considering becoming an EMT or paramedic. This idea is brand new an
  20. San Mateo seemed to have a comparatively more advanced and exciting system than CoCo or Sonoma, for AMR. And, of course, no system is perfect, it's always a work in progress. But I get excited to hear about systems interested in progress, rather than profits. That's interesting that you wound up out here the way you did. Most tend to deal with what the area has to offer or drive mad commutes. I'm no different. I came out to do an internship at Prevention Point Pittsburgh to finish a bachelor in public health and was just really impressed by all Pittsburgh had to offer, in term of how liva
  21. I've gotten an ad looking for staff to work there FT temporary. The rate was quite eye opening. Also got one looking for people to work in Detroit.
  22. In 2014 I got ticketed for a dui but never charged for it. I was parked in my neighborhood and got caught with alcohol in my car and since I was 17 (minor) there was a zero tolerance policy. I drank very little. I was below 0.08. Very low. I moved literally an “inch” so it counted as a dui. It eventually got expunged from my criminal record, but if you look at my DMV record it shows that my license was suspended. I tried applying for uber and they declined me so now I’m worried I cannot become an EMT because of this “suspension” on my driving record. Is there any hope for me?
  23. Yes, time off, vacation, sick time, holidays all banked in one bucket.
  24. From what I know of the US system I would suggest getting your RN and doing some form of Paramedic bridging program. Take that with a grain of salt however as I've come up through the Canadian system where working your way to the Critical Care Paramedic (CCP) level is the best way to gain entry to air ambulance work (1 year PCP education, 2 year ACP education, 2 year CCP education). As you can see the path is roughly 5 years of post secondary paramedic education in Canada, which you'll find is markedly different from the US path.
  1. Load more activity
×
×
  • Create New...