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Showing content with the highest reputation since 08/24/2018 in all areas

  1. 4 points
    Hey everyone! Glad I found you all, from what I've gathered from some brief browsing, this seems like a good place to get advice on the world of EMS! So, I'd thought I'd just directly ask this community some on my questions, as I'm a little on the fence about pursuing EMT and Paramedic Should I become an EMS student and eventually an EMT? Also, will my age hinder me greatly? What are the challenges of studying to be an EMT that I should be aware of? If you're concerned about the emotional and mental strain of the job, but know it is a challenge you want to try and overcome, should you think twice? Sorry for all the big questions, any answers or advice you could give me would really be appreciated! Thanks in advance!
  2. 4 points
    Should I become an EMS student and eventually an EMT? As many discussed, what are your intentions? If you have to ask.. probably not. This is really tying to be a profession. My advice is to go to academic studies and obtain your general education. You will need them no matter what you decide to do. Also, will my age hinder me greatly? Yes!.. Most professional services require minimum of 21 years of age for insurance (unless self insured) .. I have seen many of requiring up to the age of 23. Again, this is a profession. What are the challenges of studying to be an EMT that I should be aware of? It is nothing like you see on television. Usually, there are several hours of boredom with few minutes of terror! Studying basic EMT is simple, it is set at at a 10-12'th grade reading level. Repetitive practice will allow you to master the basic skills. Again, as you master other academic courses such as anatomy, chemistry, English, Psychology, EMT course will be a breeze. If you're concerned about the emotional and mental strain of the job, but know it is a challenge you want to try and overcome, should you think twice? There is an emotional factor that we are now seeing more than ever. Not everyone is emotionally stable enough to handle the hum-drum of EMS and the abuse calls. If your looking for a high adrenaline job, chances are EMS is not what your looking for. I used to say age is not a factor, but I regret saying that. I believe the nature of our business is being able to understand the whole business of EMS. That we are there for patients (not vice/versa) and the 3' o-clock for grandma being lonely is just as important as that truama call... grieving parents or the new widow of the spouse of 65 years.... and yes, it's also a business. To provide care but also make money.... It's not that younger members can't but research has proven that many do not mature until early twentys. I ask you... What's the hurry? Really.... EMS will be there for you, if you do make a rational and educated answer. It's much better than entering only to never really enter it or leave it in 3-4 years, before one has obtained true experience Good luck, R/r 911
  3. 4 points
    Welcome. Direct questions are some of the best questions to ask. Why beat around the bush? I don't know. Should you? What do you think? Are you up for it? Do you want it? As Clutzy said the only person who can answer this is you. How old are you? The challenges are different for everybody. They largely depend on you, who you are, your background and your motivations. Do you second guess other decisions in your life based on similar concerns? EMT class and being an EMT or paramedic isn't the only challenge people face that brings with it emotional or mental strain. How do you face these other challenges? Your answer to how you face those challenges will help you decide if you're up to this challenge. You're welcome.
  4. 3 points
    Should I become an EMS student and eventually an EMT? This is totally up to you. I took my EMT-Basic class when I was a senior in High School (not part of school but rather a class through the fire department). It was tough. I started the class at 17 and graduated at 18. Was it tough for a 17 year old kid? Yes. I enjoyed the class but you better make sure that EMS is what you want to do. I knew I wanted to eventually be a medic. It took me 12 years to eventually hit that goal. Was it worth it? Yes. I was grateful that I had the experience I did when I was in medic school. I think it helped me alot. I suggest taking a basic class and then getting your feet wet. This way you can decide if EMS is truly what you want to do. I have seen students come and go and I have seen many of them brand new EMTs with no experience that quit because they realized it isn't all daiseys and roses. Just being honest. Also, will my age hinder me greatly? It can. I was 18, but as stated before, more and more services are requiring you to be 21 because of insurance purposes. You should look into your area. What are the challenges of studying to be an EMT that I should be aware of? You learn really fast that this is real life. What you see in the Hollywood is not what EMS is. Many times you run a code, the person dies. I have had one save in my career. The rest have died. Thats how life is. Diseases are VERY real. HIV, Hep-c, Hep-B, all of that.....yes it is real and yes you could be exposed. Get an accidental needle poke and you suddenly realize how scary it can be waiting test results. Class is serious. Yes, we all goof and have fun but you are learning how to save someone or help them when they are in need. If you use improper skills you that can be the difference between life or death. Don't think you can just breeze through it. You need to study and you need to know your stuff. Do NOT get cocky!!! You may think you know it all but there is a difference between book smarts and street smarts. It is my personal pet peeve to have students come in that think they know it all. You are there to LEARN, not to prove how much you know. Sorry if it sounds harsh but I don't sugar coat it. EMS is not a sugar coated profession. If you're concerned about the emotional and mental strain of the job, but know it is a challenge you want to try and overcome, should you think twice? If you question your personal abilities you need to really put thought into this profession. Yes, there have been calls that have gotten to me. It happens. As I said above it is not all roses and daiseys. But also know that there are services that are available to help you deal with some of the stress. I have found that talking with the person on the call with me helps me if I doubt something I did. If I am with a basic, we discuss the call or even go talk to the doctor to get some input. You need to be able to have positive coping skills. Going to the bar and getting drunk it not healthy. Make sure to have a hobby that you enjoy. I found that my photography is a great way of coping with the stress of work at times. If you find that you can't handle the consistant stress then you should get out. I am not trying to be mean so don't take what is above personally. I had someone tell me pretty much what I told you when I was wondering about getting into EMS. I am glad she did. I walked into this profession knowing that it was going to be tough. I love what I do and I am very happy in EMS. There are some lessons that you have to learn the hard way but they can make you a good EMT or medic if you learn from your mistakes. Ash
  5. 2 points
    So Tyler and I met about 5 years ago at the hotel restaurant that he was staying at in the D.C. Area. I was living in Baltimore and he was travelling in for a National red cross training gig. So we meet up for a marathon chat session. He walks over and I'm thinking Man what a presence. He tells me "I hope I can fit in there" meaning the booth. I said "if I can so can you brother" and he did fit. We had a great laugh at our girth's expense.(I do know that 3 years ago he sent me a picture of him in a train car in a booth where he was fitting with room to spare and he said "remember the booth at the hotel?") We had drinks, a great steak, laughs at the cities most reverent members expense(Dust, Ace, Dwayne, Mike, Eydawn, some others I cannot remember), he told me that he was going to marry that lovely woman in his life, I talked to him about my SUCK's donkey balls job where he told me to quit if I didn't like it and stop bitching(I quit 6 weeks later) and everything in between. He told me something that I remember well, he said that Life only happens once, it happens to the best of us and you just have to grab it and hope that it treats you kindly. Tyler was always available to me, I could call him and he would answer, he called me a couple of times with personal and job related issues and we always had each others backs. Tyler, you will be missed - you were a true friend, if I was able I'd be at your funeral but trust me when I say, I'll be there in spirit to ride that supply logistics train one last time with you to heaven because heaven doesn't get resupplied by just any silly amateur, they need a pro and they picked you my friend. Stay the course, we got it down here, your job is done on Earth, it's only beginning upstairs. Ruff
  6. 2 points
    I believe he was 28, and the wedding was to be next year. I'll check with Jennifer (his fiancé) to see if I can get an address to send cards and such to. She is trying to put together a memorial for him. When I know more, I'll pass it on....
  7. 2 points
    Thank you all for responding! To answer your questions, I'm turning 18 next month, and graduating high school this June. I really appreciate all the advice! Thank you by the way, Clutzy, for mentioning the human aspect. It's reassuring to hear that what makes the most difference to the patients is being able to connect with them Few more questions if you all could answer them, What's the Brady Book? What can I get a head start on that will help me through tough classes like A&P? Thanks again everyone!!
  8. 2 points
    It depends on the services in your area. Are they welcome to your age? My 19 year old daughter got her certification last Tuesday.
  9. 2 points
    I just finished my EMT course after graduating HS. As far as learning the information, the tests were a piece of cake( at least the ones my teacher gave us) but I still studied my butt off because I knew that all the information will count at some point. I don't know how long your course will be but they cram in a lot if info in a short amount of time and most of the people there would just study what they needed to pass the test, we didn't even go through the whole book. I made sure that I read the whole book and researched EVERY thing that was discussed in class. I was one of the youngest in the class but by the end of the semester people were asking me to run their scenarios and quiz them (teaching someone else something is the best way to learn and remember it!) I still have to take the written exam but I have a good bit experience on an ambulance and I don't find that my age hinders me much. As long as you are willing to learn and ask question no one really cares how old you are. If you decide to go for it, make some connections with the older more experienced people in the class. Demonstrate to your instructors that you really want to learn and always volunteer to do things and they will see that and help you more than the kids playing on their phone in the corner. I was lucky enough to know someone that has been in EMS for a while so I keep in touch with him discuss everything I am confused with. Hope that helps
  10. 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.
  11. 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?
  12. 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.
  13. 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.
  14. 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.
  15. 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.
  16. 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.
  17. 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.
  18. 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.
  19. 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?
  20. 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.
  21. 1 point
    Aux États-Unis, le niveau de sophistication médicale de l'ambulance ne peut pas prendre en charge de telles entités de diagnostic avancées. De nombreuses fois, nous ne pouvion s pas traiter ce que nous avons trouvé avec ces appareils de toute façon.
  22. 1 point
    Hi All, Some of you may remember me as ‘Timmy’, the annoying and overly enthusiastic 16 year old cadet from Australia. It’s definitely been a number of years since I’ve been on here but I’ve gown up, done a few university degrees and working in the real world now – thanks to the support of some people on here, back in the day. I recognise a few names from all those years ago, hopefully I can get in touch with a few of you.
  23. 1 point
  24. 1 point
    Been away for four long years. For some reason, an email popped up and reminded me of the site. I totally forgot about EMTcity! I'm back and plan on checking in more often.
  25. 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.
  26. 1 point
    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.
  27. 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.
  28. 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!!!
  29. 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?
  30. 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.
  31. 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?
  32. 1 point
    I think the thing that is being lost in this whole discussion is that no one is saying that you can't display a confederate flag, although that is what many people are turning it into. The real issue is whether a government facility should be displaying the flag and personally I feel the answer is no. Imagine the outrage if some state capital started flying the Nazi flag or the ISIS flag. Personally, I'm not sure why anyone would want to fly it when it represent treason and sedition against the country.
  33. 1 point
    Should I become an EMS student and eventually an EMT? You, grasshopper, are the only one capable of answering this question. It is not for total strangers to tell you yes or no. My question for you would be: Why do you want to get into EMS? Also, will my age hinder me greatly? Depends...what is your age? What are the challenges of studying to be an EMT that I should be aware of? Should you begin the course, remember always that what your are learning is the MINIMUM amount of information you need to enter the field of EMS. EMS is an ever changing field and you will never learn it and should always be open to learning from trusted sources....textbooks are still screaming "high flow oxygen" for everything despite the fact that this can be detrimental....don't take one person or one sources word on anything...research and become knowledgeable.... If you're concerned about the emotional and mental strain of the job, but know it is a challenge you want to try and overcome, should you think twice? ?? Not sure I understand this question completely. The job can be emotional, we see things people were never meant to see and we are sometimes thrown into the middle of complete chaos and expected to come out the other side with a smile on our faces but if you have a support system and a healthy view of life, you can and will get thru most anything this profession throws at you. It's best to always remember that "It's their emergency, not yours" and although some calls will stay with you a lifetime, they are not your life. You have to have a balance.... Advice: Not sure of your age but human to human relationships and a willingness to help people and understanding them will get you a long way in EMS. If you cannot relate to people face to face then you are going to have a tough time in EMS. We are with people in what they consider to be the worst moment of their lives and if we cannot interact with them on their level then we are already behind the eight ball. I've seen EMT's and Medics that can recite the Brady book backwards and forwards without missing a procedure. I've seen EMT's and Medics that can rattle off all the algorithms for every cardiac case or medical case thrown at them that can't look a person in the eye and connect with them on a human level that are out of the field in less than two years.....sometimes (well maybe even 85% of the time) EMS is not saving lives and being the hero...it's just plain being human and drawing on some knowledge and nifty toys and medicine to lower a blood pressure, calm a frantic asthma patient, or splint a broken leg and then just letting that patient know that you are there........
  34. 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
  35. 0 points
    So let’s say you have a priority one trauma patient with open fractures to the radius & ulna plus tibia & fibula plus free fluid in the abdomen. The patient’s vital signs are BP 100/60, HR 120 ST, RR 24, Spo2 95% on 2 LPM. The patients pain is 10 on a scale of 1-10. The ED that is transferring the patient has hung a unit of blood and gave orders for 0.1 mg/kg of Ketamine for pain. Plus 4 mg of Zofran IV x1 dose. This made the patient comfortable, but 1 hour into a 3 hour transport the pain returned. The medical command physician is contacted, but refused to treat the patients pain. What do you do?
  36. 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.
  37. 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??
  38. 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.
  39. 0 points
    I'm with Mike, did they give you any guidelines?
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