Quicksilver
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Posts posted by Quicksilver
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I agree the BP, which could be that way everyday for the last month, isn't stable. Though I was called here for the back pain, my other findings are, in some respect, of more concern.
Be honest with him about the ER trip, whether it is with us or his daughter.
If the BP was 130/85, no, I probably would let him sign the refusal, tell him to call if he changes his mind and wish him well.
I'm guessing here but I might think about doing the Miami Stroke Test
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I'd like to see some of the questions posted right here.
why not? could start a good discussion.
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Has he taken anything for it (ASA, etc.) does he have an ice/hot pack on it.
What part of his back hurts the worse and 1/10 pain scale.
Can he sit up (I want another BP when / if he does)
Pupils?
I just started to study EKG, so I don't know if a 12 lead is a good next step.
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I took it about 4 months ago and it was easy. (BLS version) they also ask you about 10 what would you/have you done in this or that situation type questions. Basically, if you can't pass this test you wouldn't have passed either your EMT course or NREMT
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I'll at least answer your question.
I work for a nation wide private ambulance service, Rural Metro.
EMT-I 32K
EMT-P 53K
Mostly 12 hour shifts, switching over to 24 hours in the coming months. Working 911 you may get down time, working non emergency we got very little down time in the 24 hours.
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The question is, should EMS systems also be running non-emergency, invalid transports that do not require medical attention? Should they be separate industries? Should states even be requiring that such transfer ambulances be staffed with EMS certified personnel and equipment? Shouldn't customers have a choice? If I have absolutely no acute medical condition that requires any medical attention or assessment, but just need somebody to carry my decrepit old arse home, shouldn't I have a whole yellow pages full of options.....
......look past your little ambulance and look at the big picture here. This is a question that may very well determine the future of EMS in this country. Will EMS continue to identify itself with non-medical transfer services just for a few extra Medicare bucks, resulting in us forever being called horizontal taxi services? Or should we maybe decide to take our name literally and declare that EMS is exactly what it says: EMERGENCY MEDICAL SERVICE? Words mean something. To be strutting around with our patches under everybody's nose and declaring ourselves to be an essential, lifesaving emergency service, yet spending more than half of our time doing nothing more than giving people non-emergency, non-medical transportation is living a lie. It's time to get serious about our primary purpose and specialise in what we claim to do best.
Having worked for a transport company and a 911 service, I couldn't agree more, or could I have actually stated this as well as Dust has.
Allow me to give you +5
The entire post is worth quoting so people read it more than once, and then think.
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This question was brought to you by just 1 of the 17,000 emtcity members, please don't hold it against the rest of us. :roll:
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if it is not what you expected, what did you expect. My first semester was basically a repeat of first responder. you have to start at the beginning. ems is not all blood and guts.
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I should stop while I am +5 with Dust.
All good advise, and yes, it makes sense to forgo the medic and move onto the RN if the ER is the end goal.
I've spoken with both "A" and "B" and a few people in the ems system I respect. Most everyone agrees on "B". Like Dust mentioned, it is the lure of the trauma drama, the calls that make the news, that seems so sexy. My rational mind tells me that closer to home paying more is a better option. I can alway get a county job to run the true 911 calls. Which I am in the midst of doing.
Thanks for your input.
I'll keep my +5 close by incase I say something stupid later and get docked -10
I've seen it happen
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I dont see the benefit to company A. What's the decision here?
I am afraid tht I won't be able to utilize me skills as often in the more predictable emergency transport business then in the less predictable city environment
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this post is from a long time reader of emtcity and a newly certified EMT-I
I have been offered seveal jobs and looking for input from those with experience.
I have tried to weigh out the options between the private services, but I don't know if I am comparing apples to apples.
Salary. company "A" pays 28K company "B" 35K
okay that's apples - apples
Driving distance to work
"A" 60 miles (I live in the mountains) "B" 30- 40
Experience
"A" over night shift in busy county known for its crime rate and population
"B" hospital to hospital or nursing home/skilled living facility
both jobs are going to keep me busy and patient contact at each will be high volume.
I am looking to go onto medic school within a year and see myself working in an ER five years down the road.
I'd like to hear the thoughts of those who wish, I'd name the companies if that helps, and hope to spur on a discussion for the many newbies in here as to what is looked at as important for those new to the industry.
peace
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I just took the EMT-I test on monday 07/02 stopped at 85
my two friends where stopped at 82 and 87
we all passed!!!!!
Now the real lessons begin
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this is a site we use that simulates the CBT written test. You might need to get some log in info or sign up, our teacher gave us a password so...
www.emscat.com
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How is she sitting, upright, lots of pillows, any different then how she was sitting when the DIB started?
:arrow:
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I know you said scenarios, but questions are questions, some of the scenarios on the test are there just to overload you with information about a patient and then ask you what BSI you should have on.
Here are a couple that I've found useful.
http://www.alaskaems.org/quiz/mother.htm
http://www.prenhall.com/emtachieve/
NOT FREE)
http://www.emt-national-training.com/amember/signup.php
best of luck!
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You said yes/no questions didn't you, I am paying attention.
I would get some paper and a pen and ask him if he feel if he could write down answers for me.
Q) Do you feel okay?
Q) Do you have any allergies?
if nodding yes can you write them down for me...
Q)Are you taking any meds
again please write them down and when you last took them
Q)Did you have anything to eat while at them bar?
more writing..
Q) Did/do you have a headache?
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SAMPLE / OPQRST please
Cinn. Stroke Test to check R/L side differance
Someone else please get baseline vitals. Thanks
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So far, they have been the best company I have worked for in 15 years.I've worked for AMR for five years. They suck.
2 posts, 2 hours apart, 2 differant opinions. I will tell you their stock (symbol EMS) had been doing great this year, from about 14 when I got in up to a high around 26
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NEONATE (adjective NEONATAL): a newborn, especially within the first four weeks after birth.
Neonate:
An infant aged 1 month or less.
An infant or baby is an extremely young person. The term "infant" derives from the Latin word in-fans, meaning "unable to speak." There is no exact definition for infancy. Quite often babies are called infants until they reach the age of one. However, babies are traditionally called "toddlers" when they start to walk whether or not they have reached their first birthday. Daycares with an "infant room" providing care will call all their children in the infant room "infants" even if they are older than a year and/or walking; they will sometimes use the term "walking infant". Babies at this stage are referred to as "wobblers".
"Infant" is also a legal term with the meaning of minor[1]; that is, any child under the age of legal adulthood. A human infant less than a month old is a newborn infant or a neonate[2]. The term "newborn" includes premature infants and postmature infants, as well as full term newborns.
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I live my ROCKY FirstMed's from Galls ( I found they were cheaper on line then in catalog)
and the Galls website has good reviews which I found usefull.
Rocky® FirstMed™ Duty Boots
When your job exposes you to blood or dangerous chemicals this 8" boot helps keep you safe.
FirstMed™ lining protects against blood, gasoline, battery acids and hydraulic fluids
Black full grain leather upper
Rubber outsole
Comfortable, breathable insole
Fiberglass shank
If I for some odd reason I decided I needed shin guards I would buy these
http://www.sportsauthority.com/product/ind...rentPage=family
Though I don't think they protect against blood!!
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:shock:
I just started reading about this in our new EMT-I book and until further notice I am still trying to understand it.
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For my EMT-I class we have to take 100, 200, 700, and 800 and then there was one for extra credit 346
Anyhow what I would suggest at least for 100 & 200 if print out the test questions, print out the summary and start from there, reading those 100 pages online will burn your eyes out first of all and second it takes like 3+ hours which you could get throught the summary and test in an hour or so. 700 & 800 are different. I know that our EMT book also covers a good deal of the info you;ll find in 100 & 200.
EMS "bunker" type gear.
in General EMS Discussion
Posted
I wouldn't mind waking up in the middle of the night and throwing these things on.