Jump to content

firemedic37

Members
  • Content Count

    115
  • Joined

  • Last visited

Community Reputation

9 Neutral

4 Followers

About firemedic37

  • Birthday April 12

Profile Information

  • Gender
    Male
  • Location
    SE Iowa

Previous Fields

  • Occupation
    Critical Care Flight Paramedic

Recent Profile Visitors

7,846 profile views
  1. In my area there is the thought that any ventilator will be fine for interfacility transfers, however we all know that they all work differently. One service that used to have a T-Bird vent decided to replace it with four Autovents (not sure which model). So now their medical director doesn't let them do interfacility and they are for CPAP and codes only for transport to the hospital. I think this is what is going to happen around here, Autovents are for 911 only. I have seen way too many services using them on respiratory failure patients interfacility and usually the pt deteriorates rapidly.
  2. These are just my personal views and anyone could argue the other way.
  3. First and foremost Illinois is not a Registry state so they most likely won't have a AEMT course. They do however have EMT-B, EMT-I and EMT-P courses. Very few of their programs will allow you to take the NREMT Exam since they are not accredited. The EMT-B in Illinois varies a lot from one system to the next. Some allow EMT-B's to given SL Nitro, Albuterol, Glucagon and get this intubate pt's! But yet they can't acquire a 12-lead or start an IV. I would really think about going to another State if at all possible to get a better program that will allow you to take the NREMT exam.
  4. First and foremost your Instructor, they can see or may already know your weak points. If they had let you test before they thought you were really ready then shame on them! However if you did great in class and passed everything just fine then perhaps it was more your anxiety than not knowing what to do. Remember to slow down and take your time, most of the time the student over thinks their response and therefore answers it wrong. Remember to keep it simple and walk through the call as you answer these questions. You may also benefit from taking the Fisdap comprehensive exam before a
  5. If you plan on going back to Germany it seems that the best plan would to be study there. However if you are dead set on coming to the States to get your Paramedic there are many programs that teach strictly EMS and are not in combination to firefighter training. I think throughout the States you will find independent (strictly EMS nothing else) EMS services that are either hospital, private or municipal. If your goal is to be a Paramedic with clinical skills perhaps a hospital based ambulance would be the best option. One where you still run emergency (911) calls and then sticks around to
  6. From the NREMT: Typically, persons interested in EMS must be 18 years of age, take and pass an EMT education course, and not have a criminal background. EMT courses are taught in a variety of settings throughout the United States. All US Army and Air Force “medics,” are EMTs. The location of courses can be found by contacting State EMS Offices, found on our website. The EMT course requires about a semester of education to complete. However there are state requirements. In Iowa you only have to be 17 y/o, there is no requirement for GED or Diploma. You just can't and I repeat can't get
  7. Don't have pictures but this is what we got: Service A - Private Rural Service 2012 Chevy 4500 Lifeline Type III 2009 Ford E-450 Medtec Type III Service B - Hospital Based Service 2012 Chevy 3500 Medtec Type III 2008 Chevy 3500 AEV Type II 2002 Ford E-350 Lifeline Type III Service C - Fixed Wing Service Cessna 402 Cessna Citation I Cessna Citation SII LearJet 35A
  8. Pushing the wrong drug is probably one of the biggest mistakes I have seen medics make. I think it is a lack of field supervision and the medics thinking that they know it all since they graduated Paramedic school and passed their exams or have been a paramedic for "X" years. I have had at least three new medics and even a "seasoned" one push the wrong (or concentration/route) drug over just the last year and half. If in doubt look it up to see the right medication, dose, route and administration time. Forgetting to put the pt on O2 in the rig and your portable runs out and you wonder why
  9. I remember back five years ago that we used only Valium and Etomidate for sedation to "knock" down the pt so we could intubate them. We soon realized that this was not working very well and decided to go full pledge RSI and the result speak for themselves. My "cocktail" varies depending where I am at. In the hospital it is Versed, Fentanyl and Succs and continued with Propofol and Fentanyl. In the field it is Versed, Fentanyl and Vec since we don't carry Succs on the trucks and continued with Versed and Fentanyl. A few years ago I would tell you to keep them paralyzed but if they are prope
  10. It is always a good idea to get some EMT experience before entering the Paramedic program, I think it makes it a lot easier since you have seen and used a lot of the equipment prior to class. Volunteering is a great way to learn and gain experience in EMS. I obtained my EMT while I was still in High School and was volunteering for the local Fire Department and Ambulance Service as an EMT. I found employment at a young age as an EMT (18 y/o) and later as a Paramedic (20 y/o). The service that I volunteer on only states that you have to be 21 years of age to drive, doesn't apply to working i
  11. BLS - Oxygen, ASA, Oral Glucose, Epi-Pen (Adult and Jr) ALS - Lactated Ringers, Normal Saline, Adenosine, Amiodarone, Albuterol, Atropine, Benadryl, Calcium Gluconate, Dextrose, Dopamine, Epinephrine (1:1,000 & 1:10,000), Etomidate, Fentanyl, Geodon, Glucagon, Lasix, Lorazepam, Magnesium Sulfate, Metoprolol, Midazolam, Morphine, Narcan, Nitroglycerin (SL and IV), Oxytocn, Romazicon, Sodium Bicarb, Thiamin, Valium, Vecuronium, Verapamil, Zofran These are the medications that our Medical Director requires us to carry in our rigs. We are allowed to transport and administer many more m
  12. Just got done going looking at a Demers Sprinter and WOW! is what pops into my head! Personally I have only seen them from the outside and usually a AEV model and everyone talks about how much they hate them. So of course that's what everyone at work hears and they didn't want anything to do with them so they always got pushed away, until this time around. We started looking for a new ambulance and the committee got cut from four people to two. I have served on the last two and was asked (more like told) once again to be on the committee. So we finally found one and just one Sprinter Demo
  13. As the subject states I have been away from this site way too long. I have been so busy with family and work I kind of forgot about all of my peers on here. But I am going to try and make regular visits to you all once again. Since the last time I really was here and posted a lot has changed. I have gotten married and had a daughter which has been great. Also have furthered my career by getting my Critical Care Paramedic and working my way up to fixed-wing Critical Care Flight Paramedic. All of the hard work and dedication has paid off and now I have something to show everyone that has hel
  14. coming back after being gone for way too long!

×
×
  • Create New...