EMT/S31

So we have EMT-B's to do BLS skills EMT-P's to do ALS skills and, oh ya I remember we have EMT-I's to do some select ALS skills. Imagine that the National Registry already came up with a EMT level that can do a little of both ALS and BLS. Oh and for those Paramedics bitching about their pay, if you could be a little more professional at times the other medical professions would take you a little more seriously. I have seen paramedics spend an entire call trying to start a line, but never stop the bleeding, I have seen them take their shoes off and lay down on the bench while they were transporting a patient, oh and by the way these were full time private services that do a couple thousand calls a year. Needless to say their are just as many errors made by EMT-B's as EMT-p's. But getting back to my original point no EMT-B's should not be allowed to use LMA's and IO's. That is the why we created a mid level provider called the EMT-I who can do some ALS procedures like these.

You know you have a winner of a pt when your partner has to explain to them that a B/P cuff and Pulse Ox will not hurt him, and that the toilette bowl is not a source of fresh water.

Ah one of my favorite drugs D50. Well I cant say that I was taught to aspirate but I do see the reason for doing it. Although I would much rather check with a NaCl flush, we carry the predosed jets which would make this very difficult.

Really what you need to ask yourself is how much money you want to make. RN vs Paramedic, the RN takes home the big bucks $$ any day of the week. Also if you are trying to get onto a flight service you can get on a lot quicker as an RN then you can as a Paramedic. In the Northeast they look for 10+ years experience with Medics but only 3+ for RN's. So you have to look at all of your options and choose what is best for you.

Pulse Ox readings are used as a crutch for providers that cannot properly evaluate a pt. If their lips are blue I am betting that they are going to need oxygen. Pulse Ox is going out the doors in hospitals too. In acute care settings Co2 output is measured and is a better way of assessing how much oxygen the patient really needs.