swn919

I saw that, the final project looks kind of rough. Was it in fact?

I am looking at becoming a Texas EMS Instructor. I am going to be unable to attend the EMS conference this year, and from what I can tell most people go there to obtain certification. I have see a few online places such as Techpro Services offer an EMS instructor course, and I know that the State will accept "Methods of Teaching" along with a written test at a regional field office. I am not opposed to taking this test. My question is for the current Texas EMS Instructors, and it is two fold. How did you meet the education requirements for EMS Instructor? Are there any "Methods of Teaching" course still approved by DSHS? Thanks swn919

I am about to renew my NREMT-P. My question is other then the refresher course completion certificate , CPR, and ACLS do I have to send in the 24 CE certificates with the application, or do I only need to submit those should an audit come up?

We are a Texas hospital based 911 service that bills using the part B protocol. My question is are you allowed to bill for individual supplies i.e. IV caths, 02 masks, drugs? If you are where can I find information on that?

Thanks for your reply, the state is Texas.

I was recently named Director of a small rural 911 hospital based service, with the directive of turning around our abysmal collection rates. I understand when/why Medicare pays and does not pay. However, alot of the staff here does not. I was wondering if you guys/gals know of a QA form that deals with Medicare/caid requirements? If you dont I would still be interested in any QA forms you might be willing to allow me to use... Thanks Scott "swn919"

No those are credit hours, so to get 128 credit hours it would take a full time student taking 12 hours a semester around 4 years to complete. This would include summer sessions

Hello guys and gals, I currently have my Paramedic with an A.A.S. I am currently looking for input on any online EMS/Management programs. Are there any that are actually feasible to complete with all parts of the course online?

This is strictly a fact finding post, I hope that this post can stay civil. To start I have no opinion on the matter that I am about to ask on. I don’t do this, but if you do I say more power to you. Once again please keep this civil. Is there or isn’t there any federal laws stating one way or the other that EMTs/Paramedics can or cannot carry guns while on duty? More specifically are there any laws in Texas that relate to the matter? The question has come up several times in the area(Texas) that I work in, some people say it’s not legal (but fail to provide proof), some people say it is legal( but once again fail to provide proof). So what I am looking for is proof one way or the other. Once again it does not affect me because I don’t carry a gun and if I wanted to I could afford the gun. So if you have any information please let me know. Thanks

1. I wouldn't say routinely only if something looks out of whack. 2. No, I was not until I googled it thanks for pointing me to something new, and usefull 3. Unfortunately, no 4. BBB, yes the rest no 5. Yes same order each time to make sure I don't miss any thing. 6. Familiar enough to interpret each one except Wellen's

I guess what my main question is. If you don't do the traditional refresher, you are required to take CEs from the Manditory subgroup and from the flex subgroup... If you take the traditional refresher is there and rhyme or reason to the CEs other then no more then 12 hours from any one subgroup?

Ok, yeah that is what I got as well. I pulled this from the NREMT website: 1. Refresher Complete an approved DOT National Standard EMT-Paramedic Refresher 48 hours 2. Additional Continuing Education Hours Additional EMS related Continuing education 24 hours REQUIREMENTS 4. CPR Certification NOTE: A total of 72 hours of EMS education is required to re-register. Requirements for re-registration are listed below. Hours from the above courses can be applied hour for hour with no maximum: Advanced Trauma Life Support, Refresher Course Instruction, and Wilderness EMS Training. Courses That Cannot Be Applied Towards Additional Continuing Education Hours: Clinical Rotations, CPR, First Responder Course, Home Study Programs, Instructor Courses, Management/Leadership Courses, Performance of Duty, Preceptor Hours, Serving as a skill examiner, and Volunteer time with agencies. To obtain locations for continuing education, contact your state EMS office or local EMS training center. Thank you for your commitment to re-registering your certification. NREMT certification gives you recognized credibility across the nation, and demonstrates your desire to serve the public with the highest of standards. Your certification will continue to serve you well during the course of your EMS career. Paramedic Re-registration Requirements 3. ACLS Submission of approved ACLS equivalent to current AHA Guidelines for CPR and ECC. Credential must be current through March 31. Verification may be in the form of a card or certificate. The Paramedic refresher course can be completed through two different options: (1) Traditional refresher course Completion of an approved 48 hour DOT National Standard Paramedic Refresher or CECBEMS approved refersher course. (2) Continuing education topical hours Paramedic refresher may be completed by continuing education* and must include both mandatory and flexible content. See the reverse side for more information. Submission of approved CPR credential for the professional rescuer. Credential must be current through the March 31. Verification may be in the form of an instructor’s signature on the re-registration form or copies of both sides of a current card. The following are maximum hours per course that can be applied towards Additional Continuing Education hours:  A maximum number of 12 hours can be applied from any one topic area.  A maximum number of 16 hours can be applied from each of the following courses: • ABLS • PALS • ACLS • PEPP • AMLS • PHTLS • BTLS • PPC • NALS • AE  A maximum number of 12 hours can be applied from each of the following courses: Teaching CPR • Emergency Driving • Dispatch Training.  A maximum number of 12 hours can be applied from Distributive Education towards this section and must be state or CECBEMS approved. College Courses The following are maximum hours per college course that can be applied towards additional continuing education hours:  A maximum number of 12 hours can be applied from: • Anatomy • Pharmacology • Cellular Biology • Physiology • Chemistry • Psychology • Microbiology

Ok, I have a question. This will be my first time to recert, as a Paramedic for NREMT. I have taken a traditional 48-hour refresher course, this would leave me with 24-hours of CEs to get. ACLS can count for as many as 16 hours, I'm guessing that because my ACLS with just be the refresher course, it will only count for 8 hours(?). That would leave me with 16 hours of CEs left to do. So with that said, and if I'm correct I can take 16 hours from any CEs sub-group correct? Thanks, Scott

Ok did some digging and I found this stuff: Aortic Aneurysm- Many cases of aortic aneurysm have a normal arterial pressure According to Williamson4 blood pressure tends to be higher in cases of simple aortic dilatation than in cases in which a distinct aneurysm is present A pressure difference 5 to 20 mm in the two arms is very commonly found and occurs in about the same proportion of cases whether the innominate artery is actually involved or not. Differences amounting to 30 mm or more occur in about one third of the cases and indicate aneurysm rather than simple dilatation or mediastiual tumor which latter causes inequality of tension somewhat less frequently than does aneurysm Small inequalities of pressure are of little practical diagnostic value Unilateral differences of 10 mm in the two arms without any constancy as to the side occurred in 20 per cent of 36 cases studied by Phipps1. The administration of potassium iodide or the injection of sterilized gelatin which often relieves pain has no effect on arterial tension2. Unilateral pressure differences may also be encountered in arteriosclerosis in hemiplegia and in cases of cervical rib In the last named condition lowering of the arm sometimes produces a demonstrable decrease in the pulse-pressure. 4 Lancet, November 30, 1907 1 Boston Med and Surg., Jour 1915 cIxxiii 476 2 Mackinuon M,: Arterial Pressure in Thoracic Aneurysms, British Med. Jour., October 4, 1913. Sorry for the poor grammer only way I could get it to copy over. If you want to read it for your self go here: Blood Pressure-By George William Norris on page 245-246 The Peripheral Arteries.—The pulse in the vessels beyond the aneurysm b delayed. Hence the two radial pulses may exhibit differences in time. The volume of the pulse beyond the aneurysm is lessened, and in aneurysm of the abdominal aorta or the femorals it may be obliterated. Such differences as these will not only point to the existence of thoracic aneurysm, but also its seat. Thus, if there be dilatation of the transverse arch with no implication of the innominate, the pulse at the right wrist is strong and almost simultaneous with the cardiac impulse, while that on the left side is small, weak, and delayed. If the reverse be true with respect to the pulse, then the aneurysm may be near or involve the innominate. O. K. Williamson has found a marked difference in the blood-pressure of the two arms in cases of thoracic aneurysm, a variation of more than 20 mm. Hg. being in favor of aneurysm. A Text-book of the practice of medicine By James Meschter Anderson Pg. 704 Take these for what they are worth they do of course come from books published in the 1920s. I did find newer books that spoke on this but they are copyrighted and I could not access them.

Ok this is for Texas people. First can you tell me the steps for becoming a certified EMS instructor, I looked on the state EMS site but could not find any information other then you need to take a DSHS approved course or methods of teaching. With that being said is a method of teaching class available online?