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Showing content with the highest reputation since 01/28/2019 in Posts

  1. 1 point
    Good luck to you sir. I work flight in British Columbia, Canada and love the job. The US air ambulance safety record scares the living daylights out of me. Enough so I wouldn't be willing to work air ambulance in the US.
  2. 1 point
    Hey XRayMan, I hear where you are coming from but I'm not of the school of thought that we should have these in the ambulance. My reason, it's more stuff to put on a already overworked medic. Splint the injury as found, transport the patient to the hospital and let the hospital sort it out. I already have enough to do and enough to learn to not have to add X-ray tech/reader to my list of certs. Plus this will add a new level of billing and expertise that EMS is NOT equipped to tackle at this time. Heck we have enough time dealing with being called ambulance drivers, can you imagine our brains exploding when we get called ambulance xray machine drivers? Some of our peeps on this site (most are gone) would have a stroke and then we'd have to call the Strokulance to come get them. Who will get to bill the patient - the ambulance company, the medic who reads the x-ray initially, or the radiologist who does the final reading or all three? Is this an ALS or BLS skill? What happens if we read it wrong and the patient refuses based upon the incorrect reading and several days down the road the patient finds out that they have a actual fracture and needs surgery? who pays for the mis diagnoses? Lots of issues here. I vote NO
  3. 1 point
    Hello all I am jay and I’m a medic in ny in a busy municipality. And I have a question that I would like to pose to those who probably know more than me. I have been a medic for 3 years. And my question is do we have to transport a pt if it’s not an emergency. Or we deem it to not be an emergency. Are ems providers legally obligated to transport a pt if it’s a bs call. A little background is probably needed. We are a combo paid/volunteer agency. We only do 911. And we get probably 80-90% calls that don’t require an ambulance. Mostly from doctors offices for people who have trouble breathing or chest pain going on for months. Nothing acute. No distress and completely stable. And the town we are in is small most of these offices are less than 5 minutes from the hospital. I am curious if it’s legally appropriate to tell them they don’t need an ambulance and then have them transport via private vehicle. Or taxi,Uber,lyft. If any of you have any insight I’d greatly appreciate it. To be honest I’m not keen on making people do this. But we are overwhelmed and understaffed. And it affects the care of people who need a ambulance in a real emergency. So any help would be good. Thanks again and take care. Safe tour and silent pagers.
  4. 1 point
    Not new to the site just decided to make a new account because I haven't discussed this with anyone yet. I'm strongly considering a Change in careers. I'm currently a firefighter paramedic and worked as a firefighter emt prior to that. I'm young in my mid 20s, but I got hired very young. I used to love my job and couldn't believe I got paid to go to work; however lately it's really caused me a lot of anxiety and depression. From pediatric codes to burnt out partners I've hit a rough patch and I'm not completely convinced that i want to continue this job for 30 more years. I work in a very busy area. I'm considering moving south and attempting to get on a department that does not transport. I'm torn because I do like being a paramedic and I'm affraid I'll miss it. I graduated top of my class in the academy and have a strong resume. Kinda just lost at the moment. I've found myself jealous of friends that work the normal 9-5 and leave work at work. Anyone else gone through a similar thing during their career? Am I crazy to consider selling the house and moving somewhere cheaper and more relaxed? Should I consider leaving EMS in general for a different career path?
  5. 1 point
    I would be worried but not extremely worried. I would actually not be asking advice from a forum like this or from the internet at all, you should be talking to an attorney and seeing what he/she says. Good reputable attorney's often give 1 hour free consultations. Or do you have a friend who is an attorney who could advise you. I would continue on with your journey into Nursing or phsycianhood and follow what your attorney tells you to. The internet is a minefield of bad advice and please don't step into it without getting an attorney involved. did the investigator tell you why it's taken 2 years for them to get into this? This sounds like someone from your past is throwing stones and trying to see what will hit. did you have someone you pissed off way back at your old school that might have a old axe to grind??? Be honest with the investigator but only after you speak with the attorney. Do you see the underlying theme of my advice - don't do anything until you have talked to your attorney. I wish you the best.
  6. 1 point
    Yeah, I'm taking a video refresher course by Jon Puryear - learning a lot - I guess that's why they call it a refresher right. Just took ACLS last week - learned some good stuff Taking PHTLS wed and thusday of this week PALS soon Start date would be May 15th as that's the next orientation date. I should be all certed up by then. It also gives me time to keep working my part time consulting project and get some money to buy my EMS Gear that I'm going to need. nervous but ready.
  7. 1 point
    I had to respond, I think it's a record in thread resurrections. And Shitty advice to begin with from the original Necromancer.
  8. 1 point
    This I can't help but agree with but the thing I have to call into question is this, our pay already sucks big donkey balls and putting a loan payment on top of our responders already meager living(wages) could put some of them into deeper hock or debt. Do you also then embrace the programs that offer loan forgiveness (which almost no-one can qualify for - I know, I've tried to qualify for them) and saddle these providers for the next 20 years with payments that never ever ever ever ever seem to go away just so we as a profession can spout those hallowed words "our profession is a degreed profession" there is a great meme out there that shows two men side by side one guy it shows that he has student debt, a degree where it's hard to find a job and is in debt up to his eyeballs the other guy went to trade school, has no debt or minimal debt, got a trade, and just turned off the guy in the above sentences power. I know not a great analogy but I have 27K in student loans still after 12 years for a Masters in project management that I was given this really polished song and dance from Keller Graduate school of management that it would help me become a higher paid consultant but honestly it has not, I'm just paying 232.00 for the next 15 years.
  9. 1 point
    So question, what are the true benefits of having a degree? Not sniping but do medics truly need american history and other similar courses or can we build a EMS bachelors or Associates degree that focuses specifically on what medics(not talking about EMT's here) need to be successful. I cannot cut and paste the screenshots here but here is the Johnson county community college paramedic curriculum for AAS in Paramedic. here's the link - http://catalog.jccc.edu/degreecertificates/emergencymedicalscience/emergency-med-science-aas/ If this was the norm - then this might not be a bad framework but to add all the extra's such as history, and sociology courses - it sort of loses it's luster. just my 2 cents which is often worth less than 2 cents.
  10. 1 point
    This is an excellent question. I'd argue that we don't need to reinvent the wheel. I'd also argue that this will not be an overnight fix. It will take time and will require patience. As loathe as I am to make this comparison look at nursing. Nursing used to be a diploma or certification only educational program. Now it's at least an associates program. It some places nursing jobs are only available to BSN applicants. It didn't happen overnight for them. It won't happen overnight for us. For EMS I think NREMT has sort of started this process. Paramedic programs need to be accredited (as of 2013) by the Commission on Accreditation of Allied Health Programs. This is a good first step. It's been this way for six years now. The next step might be to require accreditation at a degree awarding institution by a certain date. Then require new those earning new certifications after a certain date hold at least an associates degree. It'll be a multi-step process undertaken over years to make the change. There will probably be some grandfathering in of older providers and/or a grace period during which providers will need to complete a bridge course of sorts (similar to the RN to BSN programs that are out there). There will be push back from old school EMS-ers (No degree is going to help me start that IV any better!) and fire departments (What do you mean our medic mill that pushes out paramedics from a condensed program only so they can ride an engine isn't good enough?). Like old school nurses and old school nursing diploma programs, they will lose. As to why there is a shortage in some areas you have to look at a larger picture. Is there a shortage of just EMS-ers? Or is there a shortage of everything else? RNs? Docs? PAs/NPs? Access to basic services? Why is that? In a lot of cases because it's rural and there's little incentive to undertake the effort. Stop relying on the volunteer aspect which, ultimately, cheapens us all and accurately value the services provided by educated EMS providers. Do this and I think you'll see a change in the shortage. (Maybe not fix entirely, but certainly lessen the shortage.) Under no circumstances am I arguing this will be easy. It won't be. There will be a lot of push back from a lot of entrenched special interests. Until we fix education, however, nothing will change. Fix education, align ourselves as legitimately educated, degreed, licensened *MEDICAL* providers and not some haphazard add on to another public safety agency, and every problem currently facing EMS will go away.
  11. 1 point
    I agree with Mike with a higher standard of education will come with more respect as a profession. With this I believe salaries will improve as well. I have an an AAS in Paramedic Technology, In the US that only really helps you in two states: Oregon where a degree is required to be a paramedic and Texas which leads to being licensed instead of Certified but you can work as a certified Paramedic. If you look at some international systems a lot have higher standards. For example in Canada where pay can be 2 to 3 times what it is here, just to become a Primary Care Paramedic, which is their equivalent to the US EMT-B it is required to obtain a 2 year degree once complete and after 3 years of experience they can move on to Advanced Care Paramedic which is an additional year of training. Places in New Zealand and Australia require a Bachelor Degree to obtain empoyment as a Paramedic.
  12. 1 point
    @paramedicmike , I do not disagree with you. But how does the process get started? If we require new EMTs to have degrees or to attend programs that require substantially more education and course work the industry risks a decline in new EMTs entering the profession. In many areas, there is a shortage of EMTs already. Thoughts?
  13. 1 point
    Oh here we go on this site. It's all over facebook - truly strong feelings about this subject. Let's keep it civil and factually appropriate - no emotions please. That's what has derailed most of the facebook threads - emotions and emotions don't make facts.
  14. 1 point
    I love that last line..."waiting to take a bite out of you, taking everything you have and giving nothing back." That is absolutely true.
  15. 1 point
    Tough problem but you are young and have time to work it out. Decide what is most important to you and your family and develop a strategy to improve your situation. The strategy may involve moving to a different area or gaining a new level of education and moving to a new career. Many years ago, I was an athletic trainer in the NFL and many thought I had it made but I was bored. I switched careers and went into nursing and the nurse anesthesia and couldn't be happier. I have lunch on occasion with some athletic trainer friends and they complain of low pay and long hours and I think: "Boy, isn't it nice to get time and a half for anything over 40 hours!" Point is, nobody can tell you what to do or how to do it. Figure out what you are passionate about and then pursue that dream. You may have some rocky moments but the end result will be worthwhile. Good luck. Spock May the tube (and future) be with you.
  16. 1 point
    Brother/Sister, I have done that. It's liberating but was terrifying at the time I did it. I left EMS for IT consulting and I was scared whitless. I remained at my EMS job part time but in the end, I mostly retired and have not been happier. Have you thought about finding work with a smaller rural service that is less busy yet provides patient care/transport/benefits of a small service? Sometimes a break is all you need. 6 months to do something different. Do you have the means just to travel the country? Trust me, EMS will not die without you working in it for a year or so!!!
  17. 1 point
    Don't give up on it. Are you somewhere stable? No PCS coming up? No looming deployments? Any local paramedic programs you could get in to?
  18. 1 point
    Is this an admissions essay? Do they give you any guidance as to what they're looking for? Along the lines of "I want to be an Army paramedic because..."? Or something completely different? You've got a lot of possibilities here. Write about an NCO you know/worked with (also a paramedic) who inspired you. Write about how you becoming a paramedic will better serve the needs of the Army. Write about how you becoming a paramedic will help you better represent the Army. Admissions essays suck. I'll be happy to never have to write another one ever again.
  19. 1 point
    Hot button topic that you might be acutely familiar with already. Post Traumatic Stress Disorder and Cumulative Stress Injury. Do a comparative analysis as well as statistics (that you can find) Or, how about Doctor Assisted euthanasia?
  20. 1 point
    We rolled on a drunk in public. Basically a "you go with the police or to the hospital case". When I tried to put a n/c on this guy, he swung at me so we restrained him for transport. When we got to the hospital, I was waiting with him, while my partner found out which bed he was going to and then he realized that I was a girl and decided to flirt with me by saying that he was so strong that he could get free from the restraints. He pulled and pulled on the wrist restraints until his dislodged the IV that the fire medics had placed and his blood went everywhere and of course he did not get himself free from the restraints! hahaha Patients can be really hilarious and I am looking forward to any really funny stories that anyone has.
  21. 0 points
    I am writing this in hope of feedback, I have a nephew that has passed the EMT class, he passed his practicals.. The problem now comes with the actual National Registry test. He has failed 4 times, the kid does legitimately have a learning disability and qualifies for special accommodations . As I am helping him fill out the papers I am not sure what to request. Other than more time maybe ? This is really heartbreaking to my family he worked so hard and knows the material, he just does not test good.. Thank You
  22. 0 points
    Thing about burnout is.. its a smoldering fire yearning to become a flashover. You may not notice it until you are in it, and by then you are helpless to stop it. You should take a break and by break I mean do something else for 5-10 years, and if you still want to do this, it will still be there. It will always be there, waiting to take a bite out of you, taking everything you have and giving nothing back.
  23. 0 points
    I agree with Ruff, Sometimes all you need is a break.This job can take a big toll on all of us at times. It'll all work out in the end. Perhaps maybe finding another option that you can see yourself doing for the long term while volunteering. Just another suggestion.
  24. 0 points
    Im in the Army, as a 68W ( Medic ) you are required to have EMT-B, but i have been given the opprotunity to write an essay to be considered to get my Paramedics liscence. Its a 6-month long course and only a few in our Battalion are being selected. Ideas for the essay??
  25. 0 points
    They didn't pick me, oh well. They picked the Senior Specialists that had been there longer which is understandable but thanks you guys so much. My 1SG was pretty happy with my essay and said it was only rank that kept me back.
  26. 0 points
    I'm with Mike, did they give you any guidelines?
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