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  1. We have a no lifting policy over here in the UK and all of our vehicles now have stretchers which do not have to be lifted at all. We have a combination of powered stretchers from Stryker and those with a foot pump from Ferno. If you don't want to go to the expense of fitting a tail lift ($15,000) to your ambulances, you can go for the cheaper option which is an electric wedge ramp ($5000) or even cheaper still a portaramp ($600) which folds up manually and is hydraulically assisted so it can be operated with one hand. Even taxis over here have them now for wheelchair access so it amazes me
  2. We have the option to thrombolyse CVAs although it is done in hospital in most areas. A 12 lead is essential for stroke treatment pathways, so you are possibly being asked for one in order to aid later treatment. You may also wish to rule out co-existing pathologies. Just because they have had a CVA does not mean they don't also have other problems as well.
  3. I use a fantastic invention called a 'book' titled the BNF which includes every licensed medicine in the UK. It is free if you know a friendly pharmacist or you can buy them for £40. Can't see the need for these electronic gadgets and the like, if it has a battery then it can fail! I also find the PDA style applications cumbersome and time consuming when with the book I can just turn to the right page in seconds.
  4. Having worked as a civilian paramedic attached to the military (Royal Marine Commandos) I have been taught MARCH which in my opinion is a far more useful method than ABC of approaching a casualty. ABC means nothing if your casualty is bleeding out and what is the point in compressing the chest if all you are doing is pumping blood out of the wound? As civilian EMS is shaped, guided and in fact based on military medicine it is highly likely that this will become mainstream EMS practice. We wouldn't have EMS if it wasn't for the military battlefield medical care of Napolean and more recently
  5. If it helps, I don't know anyone who has ever failed an EMT-B and you should have seen some of the degenerates on my class (Texas) who couldn't even string a sentence together yet they passed EMT-B without any dramas. When some of them practiced their skills you could almost a banjo in the background! Don't worry, and don't cram!
  6. As I read this I'm glad I work in the UK. We don't have protocols and we don't work under a physician's licence. We have the freedom and education to selectively immobilize. The only way to 'clear' a c spine is radiologicaly as has already been said. We do however apply canadian rules to decide whether to immobilize. The official stance is, immobilize everyone where the mechanism of injury suggests an insult to the c spine and then remove the immobilization if CCR indicates no injury. When I worked in Western Australia, we did not carry back boards or KEDs on the ambulances. This was due to
  7. EMT-B can be done in two weeks, nothing wrong with that. EMT-P can be done in 3 months straight after EMT-B but that's another can of worms altogether! I don't know much about the US military but I am sure a colleague told me the US Army funded his Paramedic training for him. He just had to sign up for another 3 years or something like that.
  8. The guy clearly has some kind of psychoses and is illegally in possession of various narcotics. I don't know the specifics of US law but in Australia a Poisons permit was required to possess morphine/fentanyl etc and in the UK we require a controlled drugs licence. I am sure that doctors are required to register for a narcotics licence in order to legally possess it so there must be some legislation that controls EMS workers. This guy admits in his opening statement that he has no medical training and is not even trained to use a pulse oximeter yet he carries all of this equipment, some of
  9. That Doctor wouldn't be a certain Dr Crippin would it? Old subject I know but it raises an interesting point, GPs are refusing to work because patients have the flu.
  10. Autonomy vs Protocols, Education vs Training this is what happens when you man the equipment instead of equipping the man!
  11. We don't need it, all our PCRs meet the UK minimum data set so we only need to tick boxes and it's all done.
  12. It is hard to post objectively without attacking what seems to be a very stupid person who seems to completely misunderstand an EMS system he has very little experience in. Our MPDS categorises calls in one of three categories, A (life threatening) B (serious) and C (neither serious or life threatening. Only A and B calls get a lights and sirens response, purely and simply because we cannot rely on information from the caller as being reliable enough to determine the seriousness of the patient's condition. Numerous studies have shown that the information provided by the caller is unrelia
  13. Therein lies one of the differences between our EMS systems. Yours runs dangerously long shifts which endanger the lives and safety of the crews and patients (see various US case law regarding patient safety and long shifts) whereas ours protects the rights of the worker whilst limiting the duration of shifts and providing rest periods in order to improve patient safety. 0.5mg can look a heck of a lot like 5mg when you are tired and haven't slept for 24 hours! We are entitled to a rest period and we require one in order to function safely and effectively. Doctors have realised this and n
  14. I am a Paramedic in the UK and you really need to live or work here within the EMS system to understand the meal break issue. Imagine working for 12 hours solid with no opportunity to rest or take a break, with no food, drink or being able to use the toilet. We are entitled by law to a protected rest period, this falls under the Working Time Directive and Driving Hours legislation. If we are on a break then we only have a legal duty to respond in line with our employment contracts. Where I currently work we are required to respond in our break period but if we do then we get paid £20
  15. Thanks for the replies, I am looking for a State who will reciprocate my UK and Australian training so that I don't have to sit an expensive and time consuming NREMT process. Those who insist on NREMT have simply said no so I'm hoping the others will reciprocate and allow me to challenge the State exam. NY is a firm no, they said they will recognise out of state but not out of country training.
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