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spenac

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Everything posted by spenac

  1. Don't know anything about these: http://en.ecgpedia.org/ http://www.ecgcourse.com/course_overview.cfm http://www.corexcel.com/ecg/introduction.ecg.course.htm?gclid=CPDH1unA76YCFddA2godMDlCEA http://library.med.utah.edu/kw/ecg/
  2. Bad choice not to carry both. Morphine is cheaper but neither is expensive. You need to look at the actual benefits to patients and you will find it is best to have both.
  3. It is a ploy to make fire look good and EMS contract look bad. Then they can throw the numbers out and take over EMS. Don't fall for it. Get involved and get your people to fight this delay plan that hurts patients and makes fire look good.
  4. Yeah we've seen just how good they do at regulating EMS.
  5. Send akflightmedic a PM he is very knowledgeable about the subject. He may seem like a jerk but I assure you his answer will be accurate.
  6. If they ever make one with a forum search feature I would make it a required piece of equipment for all new people.
  7. From wiki: Chinese Chi (length) (尺) , a traditional Chinese unit of length ("Chinese foot"), approximately 1/3 of a meter Chi (mythology) (螭), a dragon in Chinese mythology Ch'i or qi (氣), "life-force" in Chinese culture Chi (instrument) (篪), an ancient Chinese transverse flute Greek Chi (letter), the Greek letter (uppercase Χ, lowercase χ); Japanese Chi (kana), a Japanese kana 地, Japanese character ‎for Earth other Chi River, Thailand Chi, a god in Igbo mythology in science A probability distribution in mathematics: Chi distribution Chi-square distribution Chi site, a DNA sequence that serves as a recombination hot spot Creatinine height ratio in fiction and popular culture Chi (magazine), an Italian magazine Chi (Chobits), a character in Chobits media Chi, a character in Chi's Sweet Home media "Chi", a song by Korn from Life Is Peachy
  8. Nope Chicago is not in your original post read it and reread it. You were given great advise but appear to only want your ears tickled. So I will lie to you so you will be happy. Every emt-b gets rich, the only question is how rich will be based on if they only want to work 10 days a month or 15 days a month. Now are you happy since I told you what you wanted to hear even though it is wrong?
  9. I disagree with you and Dwayne in this case. Patient refused medical care. Patient was competent. Refusing to comply with orders in this case had nothing to do with violating ones morals. This had to do with refusing to do the job the OP accepted money to do. Based on claims this was a moral decision then it allows one to justify ignoring a patients request to not be given a medicine or other treatment. Doing what I said by talking to the patient and explaining why you feel their choice is the wrong choice is one thing but forcing your beliefs on a competent patient is wrong.
  10. First I did not read all comments as no time so if others already addressed this sorry. You were wrong. A patient can tell you no to any procedure or even all procedures and just have you transport. You should have taken this patient it was your responsibility. You protect yourself by explaining the risks to the patient then documenting your explanation and the patients refusal to listen but that the patient was competent. The patient hired your service thus it could be said they hired you for a taxi ride and it was your job to comply with the patients wishes. I would have written you up if not terminated you for refusal to comply with your job description. Be grateful that you are being given a second chance. Learn from it. Communicate with the patient then document the communications. A grown competent person can decide to take the risks, it is not your place to decide what is acceptable for them.
  11. See the link to my thread on page 1 of this discussion. In that topic I posted some high quality scrubs as a uniform suggestion. I hate being made to look like a cop rather than a medical professional.
  12. Because many of my patients would run away thinking I was border patrol.
  13. Pecos does look sharp but you'll sweat bad during the summer 110* + temps in those dark colors.
  14. For your reading pleasure an old discussion. http://www.emtcity.com/index.php/topic/9276-design-a-distinct-uniform-to-identify-professional-ems/page__p__123000__hl__%2Bdesign+%2Buniform__fromsearch__1#entry123000
  15. The easiest way is to just research online for service protocols. Just type in various city names with EMS protocol and you can find many examples. Here to get you started are 3. http://www.lubbockems.org/file_library http://www.mchd-tx.org/clinical/documents/USEAUG2010PROTOCOLREV8-2010.pdf http://www.wakegov.com/NR/rdonlyres/3BD4E0B0-1A9C-40FC-A73B-A622A332CCAD/0/WakeCounty2010ClinicalOperatingGuidelines.pdf
  16. He's Canadian so all levels are Paramedic. Sounds like he's at the entry level which still has much more education than the USA emt.
  17. In theory that is true but in reality not all people are good teachers. You could take even many highly educated doctors that could not teach a basic class not because they do not know the material but because they are not teachers. Unless you mean they could go up and read the slides, but I'm sure that's not what you mean.
  18. The drug list is dependant on the school. Some teach fewer than 40 drugs others require over 100 detailed knowledge with basic ideal of many more. If you have not done so yet take a good A&P class as when you understand what areas a med works on it is easier to recall the details. Also most of the drugs that schools study are contained in the workbook for the Paramedic textbook you will use. Don't rely on those cards though as they are not nearly detailed enough. Do research on each drug. A search of this forum will reveal many ideals towards studying your drugs.
  19. LOL I won the shortest Paramedic course award. But actually is good to revisit and see if the newbies can help us redesign.
  20. Some services do the above. Why do you fight progress? Why are you against patients getting better care? That is what you are saying by saying don't get anymore education and new patient care equipment because reimbursements won't increase. I would venture to say if we actually had a reputation as medical care providers rather than taxi drivers reimbursements would increase.
  21. spenac

    I have a blog!

    How am I supposed to read there are no pictures? But on a serious note I'll try and check it out as I have more time.
  22. Is there such thing as a speechless female?

  23. Excellent article. Thanks for posting it. I am pushing to add it to our ambulances as well.
  24. Hate to hear about these events happening. I hope it turns out ok and all recover. My thoughts are with all that knew these individuals. It still hurts to read about wrecks and crashes involving EMS as the STAT Air Ambulance fixed wing that took the lives of many including my close friend in July is still to fresh.
  25. http://ambulancedriverfiles.com/2007/06/sex-relationships-and-the-cardiac-conduction-system/
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