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  1. Last week
  2. It's not new. It't been happening since we started in the late 90's when we started this.
  3. I am new here and I have respect for EMT people and their issues, both from the patients and medical professionals. IMO, EMTs are de facto nurses and doctors. Since I am ill with genetic form of Degenerative SpinoCerebellar (Ataxia), Epilepsy and BiPolar with Mania. Because of these issues and the primacy of medical intervention , I think it would be cool to discuss these matters, no only from medical people but patients also. Excuse my poor grammar and I am a brat. Daughter of a doctor.
  4. I feel badly for you. And I hope you can find some resolution and a good outcome.
  5. I am not an EMT but I do respect the craft, BUT I do not agree with all the stuff. Like AMA, Informed Consent and autonomy.
  6. There is a caveat to treatment called 'Informed Consent'. If I break a wrist then I could assert myself calmly and do the 'AMA' thing. And if transported certainly no clothes would be off or cut away. Nor in the ER either. I am an 18-year-old female who knows her rights. I am a high risk person with Epilepsy and Ataxia (Degenerative Spinocerebellar type). I am always skating on thin ice but where I can, I assert myself. Everything in context.
  7. Earlier
  8. Good grief I only saw this now. Heartbreaking.
  9. Thank you so much for your reply. And yes. I contacted a lawyer and he pretty much said the same thing. He said the board doesn't involve them selves with stuff from schools, they simply don't have the time. Also that he thinks someone just sent to them all of a sudden. I have an i dea of who. I just got hired at a hospital and they heard about what i'm trying to do and they don't like that i'm advancing and doing it so fast. No he didnt say why it took 2 years, he suspects its someone from my past that like you said is throwing atones and has an axe to grind. He specializes in med board lit and says in his years of practice he has never heard of a situation like mine and thinks it's ridiculous.
  10. Hi All Im a paramedic with years of experience in fire, flight and third service. I’ve been out of the field for a few years and am relocating to Jacksonville Florida. I’d love a little part time or volunteer work, to keep my skills sharp and maintain my license. I don’t care much about pay, I have a great full time job. What I really want is a place I can run calls either EMS or CCT (I’m FP-C Certified) and am open to driving. A huge plus would be a service that takes part in disaster relief so I can help in tropical storm situations. Any recommendations would be really appreciated,
  11. Where did you get the idea that he was looking to become a managing editor?
  12. Allegience just moved into my town, Crossroads about 15 minutes from my town. I'm trying to find out more about them in the event I need to look for another part-time gig. Are there any current or former employees in here that can give me the lowdown on them? The area of operation is Southeast Texas.
  13. Hey Riblett, you might be better served to look to Facebook on this rather than here. this sites sort of dead now. No offense to this site but it it what it is.
  14. Well I'm not sure how my new job will want my narrative. It's been 9 years since I wrote one and I'm getting back into the swing of things starting May 15th. But my reports when I used to write them were hand written on a paper report form. yeah, it was before computers got in our way of writing reports and before we had to tick off all those legal mumbo jumbo boxes to make the bean counters happy. So I'll give you a idea of what my narrative was like. Remember this was a long time ago so I'm sure others have better ways of doing things now. But I can tell you, my narratives never pulled me into court. 1st paragraph - What happened - why you were called, what you found, what bystanders said, what patient said, what you observed. etc patient exam/assessment - the formatting of this site makes it hard to put it all down line by line but here goes Heent(head, ears, eyes, nose, throat); Neck; Chest; Lungs; Heart; Back; Abdomen; Pelvis; Gi/GU; Extrems; Neuro/GCS/RTS/ (all of these go on their own lines with what your exam findings are) What is your Impression/Impact - what did you really decide is wrong with this patient - they say we don't diagnose but we really do. So don't be afraid to say if they are having chest pain to say chest pain or if their 12 lead shows elevation in II, III and AVF to say that. What is your impression or suspicions. And now your treatment - Number them sequentially - from when you got there to when you dropped them off at the hospital - make sure you put down if they got better or if they got worse. Don't be afraid to say that if your treatment made them worse - say it because sometimes your treatments make them worse. Sometimes your treatment like Synchronize cardioversion causes them to go into v-fib. that makes them worse. Or you give them Lidocaine to a paced rhythm (honestly I didn't see the pacer spikes- really i didnt' and you nearly code them) put that in the report. (man I felt like crap on that one - but I was a brand new medic and I learn from my mistakes and teach from those mistakes). That's all I got. Oh yeah there's one more thing - there is a very obscure book out there, if you can find it, buy it and never let it go - I did and the person lost it. It's called "The Missing Protocol-A Legally Defensible Report" by Denise Graham It doesn't tell you how to write a report but it does tell you how to write a report that will keep you out of court if you do it correctly. It's out of print so I'm not sure if you can find it, I haven't been able to find it. May the person who lost my copy be crapped upon by a thousand camels with IBS and C-diff. I hope this helped.
  15. Ok, heres what I purchased today from Amazon shears BONTIME Trauma Shears - Premium Quality EMT Shears, Stainless Steel Bandage Scissors for Medical, First Aid, ER, Nurse, Doctor, 7-Inch(2- Pack, boots - already have non-steel toed boots. I think I can wait a while to purchase those if ever. I never needed them when I was practicing prior to leaving so I'm hedging my bets that I won't need them now. pen light - https://www.amazon.com/gp/product/B07N1G7179/ref=ppx_yo_dt_b_asin_title_o02_s00?ie=UTF8&psc=1 Belt - going to purchase the belt when I get my pants Already have my field guide - have purchased already I think that's what a guy with a few years under his belt in the field actually needs. any other suggestions that won't make me look like a total dumbass???? One other thing, after digging through my storage boxes, I found my Littman Cardiology II stethoscope that I've had since 1992. The only thing I need to purchase is new earpieces as there is a hole in one of them The replacement earpieces will be here tomorrow.
  16. I want to add to my post Fentanyl is a great drug. It can be used on most anyone. I've used it from 2 year olds to 80 year olds and probably older but I can't remember. I don't remember a patient ask me personally to give them fentanyl, but remember I've been out of the field full time for 9 years, (part time for several), but I've been asked to give patients dilaupid(yeah I know it's spelled wrong) more times than I have fingers and toes. There is abuse potential in a lot of stuff we give. Hell there's abuse potential in flexeril as well, that's what a friend of mine was hooked on and what eventually killed him in an over dose when he took an entire bottle (90) pills because he was just tired of livin and wanted out. So I do not believe we should get rid of fentanyl just because it's the soup du jour of the addicts this year and last. 10 years ago, I believe diluadid was the soup du jour of addicts in my emergency room. It's what they asked for by name. Who knows what will be on the menu in 3-5 years from now. But for goodness sake, don't take a tool out of our arsenal because a small subset of the population have made it their drug of choice to abuse and kill themselves with. That would be I believe foolish and a knee jerk reaction, but then again, it's what we in america are known for, knee jerk reactions to a problem without finding a solution first.
  17. Yes I agree that this sounds like a real situation. And yes there is a lot missing. Would like the original poster to return to give more information. If this is his loved one that would be very helpful to know. If he's searching for answers to why paramedics or emt's did this or that and this might go to court for malpractice, he's not really going to get any information from us to possibly hang those medics out to dry as that is what the court system is for and that's what the expert witnesses get paid big bucks to do. I don't expect the OP to return but I would like him/her to do so in order for us to understand more of what they are wanting us to answer.
  18. I had to respond, I think it's a record in thread resurrections. And Shitty advice to begin with from the original Necromancer.
  19. Me being "Captain Obvious" here, take the situation to human resources, or at least to the immediate supervisors. Document all complaints, times, dates, the usual deal. If possible, address the issues to a female supervisor, so she might be more comfortable, even as the men working with her are uncomfortable. Running around in her underwear sounds like...well...inviting trouble. Not knowing the indivividual, could she be trying to trap some or all male colleagues into a sexual harassment lawsuit? Or even a lesbian coworker, in a similar lawsuit? When she's on the road, is she at least a competent EMT or Paramedic, or driver? If not, perhaps she's trying to keep those who could fire her off balance, with threat of a lawsuit. Again, as the Captain, her actions are behavior of an unacceptable nature. Keep the City informed as to outcome of this investigation/situation.
  20. A paramedic education never ends. Every scene, every patient, every signs and symptoms, every intervention is a test. A chance to demonstrate how much they know and how much more they have to learn. As paramedics, we are required to be generalists across many specialties. Every time paramedics respond to extreme cases, from emergency births, road crashes, through various medical emergencies. Some paramedics abseil down cliffs or out of helicopters to get to their patients. Becoming a paramedic is the highest level of pre-hospital certification. Along with that level of certification comes the responsibility of helping people in need. Nevertheless, despite the best training and preparation for their roles, paramedics also experience loss of life, grief, and tragedies that are simply a part of life and the kind of work they do. The work can be exhausting, demanding, and difficult, especially when having to work on an irregular or rotating shift. The training and experiences help prepare them to make a difference to victims of heart attacks, blocked airways, traumatic injuries, childbirth, drownings, or care for those with a diabetic emergency or seizures etc. When you call an ambulance, you place your trust in the skills and abilities of the paramedics who attend, on what could be the worst day of your life. they have to carry the burden of the public’s trust, knowing that people’s lives are literally in our hands. Paramedics are able to sort the dangerous from the non-dangerous, ensuring vulnerable patients are presented to an emergency department without taking every single complaint they see and overloading the hospital system. This accuracy and balance is very important, and requires a significant investment in training and support. Okhegwai Timothy manager at medicsng.com or follow us on facebook Medics Nigeria
  21. Hello! My name is Becca Horton, and I'm currently a senior at Roanoke College in Virginia as well as an EMT. As a part of my final thesis, I am conducting research on EMS experiences and personality attributes. The study consists on an online survey that should only take about 10 minutes to complete. The study has been approved by the Roanoke College Institutional Review Board. The information from the surveys will prove beneficial for the entirety of the EMS community as a whole. The link is below. Thank you for your help! https://roanoke.co1.qualtrics.com/jfe/form/SV_3JdOwd2cTUQBgj3?fbclid=IwAR12vNgykj9bc6LzesOgI0nYMr2o_3II0DeHp2cCLu4ljgXYHXDB27_YKdc
  22. I agree. I was flabbergasted at what my pain management doctor did an how he treated this patient I brought to him. that is why I reported him with his refusal to treat the patient initially. thank goodness he relented and treated her appropriately in the end and I have to admit that she was treated very very appropriately and tolerated a very rough ride back to our facility with minimal pain as he wrote orders for pain relief on the trip. If she began to exhibit any pain on the trip back she had orders for meds.
  23. I've been in for thirty years and don't have a degree. I started out as a jolly voli FF who went on to get his EMT-A and then finally his P-card. When I was working overseas, I met a lot (more than a dozen) people who went to overseas schools and obtained their paramedic "degree" who could quote ad nauseum from their P books, but when it came to actually doing hands on in the field, they couldn't do sh*t. There were even some who didn't even know how to change the regulator on a D tank. Some of these guys went to Aussie universities. Some came here. I even had one "degreed" medic asking me how to operate an EZ-IO in the middle of a code. This was after I had already asked him previously if he had any questions about anything. Granted, these were foreign medics, and not US medics. But they left a very bad taste in my mouth for anyone who feels that a degree makes them better than me and my education through the School of the Street. I'm sure that, just like anything else nowadays, a requirement will come out making a degree a requirement. It will somehow translate into a good thing for someone. I don't think that it will for those cash-strapped cities that have a majority of of their population on welfare and don't have the economic base to afford a degreed staff, or the rural areas that have no cash base due to being farming areas that have no major industrial tax base. You get away from the urban areas, and the majority of the services are volunteer or paid-on-call. How could they afford these people? The money needs to come from somewhere. How do you pay more, if you can't even afford the basics. Literally. Just my old, crotchety, non-degreed, two cents worth. 😉😎
  24. It is pretty easy to get started. You need to take an instructor class, buy the video's and manikins. Once all this is completed you are all set. For manikins depending where you get you instructor training you may be able to rent them to start. All this can be done for less then a $1000.
  25. This is simply a survey for a college class of mine. I'd appreciate it if you go through and respond to it. It's part of a research portion of a paper. The following link is the Google Forms survey. https://docs.google.com/forms/d/e/1FAIpQLSdhfi204oxOQkP1g43a09WVTajws7imwgzh_8wCjPW08MfySA/viewform?usp=pp_url
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