https://www.emtcity.com/discover/EMT City - All ActivityenThat stretcher height clearance on the ambulance can definitely sneak up on you if you're shorter. Focusing on overhead presses, shoulder strength, and working on proper leverage or foot positioning makes a huge difference for the retest. AMR PAT Tips and Experience Video This video provides a helpful personal walkthrough and practical tips for tackling the physical ability test successfully.Wed, 12 Aug 2026 08:12:54 +0000Finally some exciting fights announced. Do you guys think there will be any upsets in the prelims? UfcWed, 24 Jun 2026 04:19:18 +0000I agree 1000%. It has infuriated me for years now how they are literally dumbing down EMS. Here in Hawaii they took our 18 month program for Paramedics and shortened it to 11 months. They made the cardiology and pharmacology sections “self study” and cut an entire rotation of internship out. It’s almost impossible to fail the program. One student had failed some rotations but then passed anyway by the instructor. After many years of frustration I finally understand why they are doing it. They want the fire department to take over EMS here across the state, and making the training easier and shorter will make it easier for the fire department to get their guys through training. Guidelines for care will Be shorter and easier to follow. They recently forced Pulsara on to the ambulances and made it mandatory to use. Only a fire based system has the extra people on scene to sit and type into a device and take pictures. They are also discontinuing our prehospital ability to transmit 12 lead EKGs which significantly reduces time to the cath lab. Even worse, we are now limited to 10mph over the posted speed limit when responding to and transporting patients. This will nearly double the time it takes to get someone to definitive care. All of this while taking away medications and skills needed by the medics for their patients. We have a broken system here in Hawaii that needs to be fixed but the department of health has zero interest in it and those running it are unqualified and refuse to take any input. We have zero voice on the national level and decisions are all made based on the bottom line while patients suffer and die. Meanwhile fire departments have seemingly bottomless bags of money and support from local, state, and federal government. Fire based EMS is NOT the gold standard and does NOT fix the issues, even if they all try to convince everyone that it is. EMS is not just a ride to the hospital. We are abused by the public, and many stakeholders and treated like taxis. We need to fix it and save our profession.Tue, 02 Jun 2026 20:02:17 +0000gas chamber exhaust is permanent for thousands of years (since 1945)Mon, 01 Jun 2026 02:06:34 +0000i just did today, i got a 76. my class of 14 took it, only four people passed. the next chance is in two weeks i believe. it was a hard test, medical was my weak spot. i cant say any one section you should hammer home but make sure you are confident in obstetrics/neonatal, i saw a great many questions on that, as well as cpr, ventilations and airway. you got this! (if you haven't taken it yet)Fri, 29 May 2026 06:26:40 +0000Older with more aches and pains doing transfers. 🤮 Patients are getting fatter and fatter. Seems like most start out at about 275-300 lbs.Fri, 01 May 2026 15:05:32 +0000Blowing up my inbox today! I just let my EMT-B lapse. Haven’t used it in 3-4 years, and didn’t do any CE in the last two. Probably a good thing there isn’t. Can’t imagine what these kids today would be doing with it. 😂😂😂😂Wed, 29 Apr 2026 21:43:19 +0000Semi retired. Forgot this account was still active.Wed, 29 Apr 2026 16:53:17 +0000Not a Medical Director anymore, just running an EMS fellowship and teaching the fellows how to be medical directors.Wed, 29 Apr 2026 16:43:31 +0000I come around rarely no longer in fire or EMS but still buff it and send out an emergency alertsWed, 29 Apr 2026 16:36:34 +0000Yup. Still around... Left EMS about 10 years ago to go and teach Nursing at a community college here in the Netherlands. Hi to all the golden oldies... CarlWed, 29 Apr 2026 14:47:52 +0000I'm still around. Just about to hit 11 years as an ED nurse at my level 1 trauma center, work nights as a charge nurse. Still love emergency medicine though I joke it's kinda like Stockholm syndrome at this point lol.Wed, 29 Apr 2026 14:40:19 +0000Yo. I'm back. I'm an EMS medical director in a "big" city and an ED doc, so living the dream. How y'all been?Wed, 29 Apr 2026 14:10:29 +0000I'm still around, not doing much with ems anymore these days, I taught for a number of year but now not bedside nursing anymore.Tue, 28 Apr 2026 21:23:19 +0000Been a long time! Hi all!Tue, 28 Apr 2026 21:19:00 +0000Wow , been like 15 plus years ….. still here just haven’t been onTue, 28 Apr 2026 20:59:42 +0000As others have mentioned, every state has its own regulations, as does every hospital. I can give you some insight into work for an EMT as an ED Tech vs. EMS: my son is an EMT(B) and found a great job as an ED tech in a busy hospital. There they trained him how to do IVs and was just selected to be trained on ultrasound-guided IV insertion for the hard sticks. He does splinting, EKGs, straight blood sticks, and occasionally urinary caths, so his scope of practice as a B is in *some* ways wider than when he was riding the bus. His salary is roughly the same as when working EMS; his benefit package is a bit better. Hours are better; three 12 hour shifts weekly vs. 24 hours every three days. The pacing and physicality of the work is surprisingly similar - instead of hauling Strykers with bariatrics through fields he sprints over with a Lucas to help with compressions when a code is called on a medsurg floor. He says it is nice having MD-level care right there, all the time, when things go deep south, and an hierarchy that appreciates his work, although he misses some of MacGyvering of field work. He definitely has enjoyed a better dating life surrounded by 75% female nurses in the ED than by 85% male coworkers in EMS, but misses some of the guy-bonding in EMS. Opportunities as a hospital ED tech vary by both state and by hospital policy, but at least in rural Virginia ED techs are in short supply and are a welcome addition to the ED team.Fri, 17 Apr 2026 16:23:10 +0000*blowing dust off my account* Poking in. Is there not a chat room anywhere anymore?Wed, 15 Apr 2026 21:42:39 +0000Does anyone have any experience or knowledge of transferring from Nremt to NJ ems? And is there a way to fill out and submit the EMS 64 document online?Tue, 14 Apr 2026 23:18:05 +0000Rat is back. I couldn't get a link to get into rat115, so I had to start a new name. 🤫 TonyaSun, 22 Mar 2026 21:48:12 +0000I haven't been on the City in a l-o-n-g time. Because of cardiac issues, I've been out of the EMS field since late 2021. I'm going back to school and am working one a research paper for one of my classes. I'm working on a paper about access to mental health care for first responders. If you would be willing to take this research questionnaire, please follow the link below. https://docs.google.com/forms/d/e/1FAIpQLSeF7gFjwT655fUu_YCwz_gndgl6S8XE794f5eOVuz2IwvZ5nA/viewform?usp=header Thank you! TonyaSun, 22 Mar 2026 21:38:40 +0000For all the older folks on here.... It's rat. I lost my login info under rat115, so I had to change my name. How's everyone?Sun, 22 Mar 2026 21:34:48 +0000Massachusetts just passed a law that EMT’s A’s and Medics can no longer work in a hospital (except a hospital based EMS service) or in a walk in clinic/doctors office. You can not do private hire events like football games or set medics unless you are on payroll and assigned by your service that is a MA Licensed EMS service or Fire department. So look at the state laws before trying to work in an ER clinical setting.Wed, 04 Mar 2026 20:26:08 +0000Yup the OG “Medic One” still here since 2005. Good old days with Dust, we had some great online chats and the old days of video chatWed, 04 Mar 2026 19:52:39 +0000Still here.Wed, 04 Mar 2026 12:23:33 +0000