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backinboston

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About backinboston

  • Birthday 01/19/1985

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    Boston, MA
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    Snowboarding, surfing, Paramedicine, Firefighting, Hockey, working out, the beach
  1. Your placement was probably fine... What you need to do is hook up a compression bag around your fluid bag, or if you dont have one, grab a BP cuff and inflate it until the IV runs -boston
  2. Ive been using the IO pre hospital for about three years now, with great success when it is needed First, your checking your patency when you push your prefilled NS flush, and it should go in pritty easy Second, if your gona hang a bag , and i reccomend it, you need to put a compression bag (if you dont have one pump up a BP cuff) around the NS bag. Third, why would you remove the IO? Keep it in and leave it set up for the hospital to use when you get there. They are great tools and if your using the IO, you should not be able to obtain IV access. Finally, the patient isnt really g
  3. Taking away pediatric intrubations would be a really poor move. There is really no true justification to do it. Anyone that has access to a tube should know when and where to intubate. I agree that intubating a pedi should be a last resort but at just that, without that last resort we may see an increse in motality. Anyone that says we need to take away ETT due to lack of tubes is looking as lazy people. If you dont tube atleast 10 people a year, you should be talking to your medical director about getting into the OR to re-up your skills. We need to take it upon ourselves to keep up our s
  4. "or some random computer skills class probably does not make you a better paramedic," Sorry you did not say in the long run, however... I think even in the short scheme of things it really does make you a better medic Like I said before a good medic brings strong knowledge and transfers it to their actions. I think if you wanted to go get a bachelor in business, it would create higher thinking and thus a better medic as opposed to just the minimum certificate program. Coupled with experience, if its for you... you will succeed
  5. I feel like there are a lot of different ways it will work... At my 911 medic job.... We work two 24hr shifts 1als truck 1 bls truck in each city. Personally I work Sun/Wed and it works out great At my 911 fire/medic job... We work 10hr days 14hr nights 4 days a week on a rotating schedual. Each of them really work well.
  6. I have to disagree with the last poster. Taking the degree program absolutly makes you a better medic. Higher education is something we can all benefit from. That random "computer class" will only benefit you in the coming years as PCR's move to computers and 12leads/EKG are sent to computers to increase our ability to recognize dysrythmias. I am so sick of new medics that just do the minimum and think they are strong medics because they can establish Iv's and sink tubes. People, these are Monkey skills that even bucketheads can do. These do not make you a good medic. A good medic knows
  7. I couldnt agree more, EZ IO is the forefront but the BIG would be great as a backup that is rarely used. I have had my share of IO's that did not make it deep enough in the bone, however, never had the second shot not make it. If i have to go for a second shot ud better be damn sure im gona make it work. Has anyone ever tried it into the humerous? I have been toying with the idea in my head lately but havnt met anyone that has also tried it. Im curious, but at the same time kinda hesitant....
  8. It doesnt matter if your state is NR or not. Its great to keep your options open. It will make it a lot easier if you in the future decide to move because even if the state your going to doesnt accept the NR, they may allow you to transfer your licence in easier by skipping their practical if you have it. This is all from experience, I never thought id need it eaither, but it really came in handy
  9. If you take a look at most patients meds now days you will find it is quite common to have Calcium Channel blockers and Beta blockers combind. You treat this patient with cardizem although she is not showing the cookbook style S/S because your lucky she is in a compensating state. You TREAT this afib, slow down the rate and monitor there reaction. your job is to know these things and take care of the best interests of the patient. If you want to just know they have an IRR HR that is fast and want to just drive to the hospital with O2 on then pick up a BLS shift. Personally, I have Cardiz
  10. we have terbutaline as a med control option but I have found it takes 10-15mins usually to start to work on that locked up tight patient. I have Mag in our standing orders and will usually go with 2grams in a 250cc bag wide open and have had excellent results. Usually throw on a combineb while its going in. Ive had impressive turn around prior to arrivial at the hospital.
  11. doin the old stare of life.... it will go away with continued experience... but like stated eairlyer... if it continues to happen after a few interventive efforts... maybe its time for the im not sure if this is right for you talk.
  12. To the original poster.... If you are going to be a new medic and want to work for Boston EMS... although much less appealing, I highly recommend you find a Private that has some good 911 shifts in the area (there are ample options) to work for on the side. Boston EMS will not be promoting any new medics to their ranks without putting in your time. Working there BLS trucks will get you great experience and allow you to prove yourself to others but without developing and keeping your skills up it will be an unattainable goal. From what Ive heard, there are a lot of BLS Boston EMS personal t
  13. To use amiodarone you are supposed to have two lines going and one dediacted for amiodarone because it can crystalize up. Last time I checked crystals going into the blood stream are frowned upon.
  14. 10 year smoker here.... I "want" to quit, but what would I do while I write up my PCR? I think it has to be overcome mentally to move on to other avenues. However, I have heard rave reviews about chantex, but maybe someone could write about how long it lasts and if anyones had any relapse with it. It sounds great, but sometimes it just sounds too good, and we all know where that old saying takes us.
  15. Congrats! I think if you were able to pass all the stations without a retest then the actual written shouldn't be a problem for you. I take my tests in about a month or two and am more worried about the skills test. Something about having boston EMS testers watching my every move that makes my hands shake a little. The written is nothing but a pick the worst of all the evils and go with your first intuition. You can do it, and good luck!
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