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ccmedoc last won the day on January 22 2010

ccmedoc had the most liked content!

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About ccmedoc

  • Birthday 05/07/1972

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    Summerville, South Carolina

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  1. I am going to agree with chbare. You can bring up your concern as a concern, but be prepared to back it up with documentation, preferably from the text or outline they are teaching from. Nursing Professors and instructors do not like to be challenged, certainly in front of the class. You would be best served by bringing it up quietly on break or after class. I think most professors would be open minded if it were brought up as a concern rather than an outright challenge to their credentials; and that is what it would be seen as most likely if you spoke out in class. Like was said, I don
  2. Yeah, get the Medical director to sign (or representative) and either the same or a training officer to check the requisite boxes. You can be certified as competent by chart review, clinical stations, etc. as determined by the training staff. Most times they know you enough to just sign off (I would hope ) This is the only way I can keep NREMT cert as I do not have enough time to accumulate 72 CEU and nursing does not cross over.. The letter you get for recert should explain it, as does the website.. On a side note..interesting how little things actually have changed around here..t
  3. Get the pre-requisites done for nursing school at university. Get accepted to a School of Nursing, then you can become a military on graduation with a commission. See here for starters Online, accelerated, transition, or ADN programs are not going to cut the mustard though. You need to find a good accredited University and attend a BSN program. It is a good career and, at your age, you can retire from the military into a very nice civilian job.
  4. How about this then... A little boost for our medic students: What is this rhythm interpretation? Rate: 80 Rhythm: Regularly irregular PR Interval: Variable (getting longer or shorter before drop? Consistent?) QRS: yes P waves: Yes Hint(in my estimation)...PR intervals..... The interpretation is up to you folks...
  5. I recertify every two years by taking the test and having my paperwork signed..thats it. I have done it this way for years, as we have little in the way of CEU or re-training classes in the areas I have been in. Apply for testing online, set date, pass test (usually know w/in 48 hrs), get paperwork signed, and your done.. The test is not getting any harder, I can tell you that..LOL I used to take the test every so often to monitor test difficulty for my students, now at least I seem to benefit from the 45 min of time invested..(I'm a slow test taker)
  6. Kila make a good scope for beginning. You can hear without worrying about taping the sprague together (The tubes rub but they can be had for $15.00) ADC also makes a very nice scope..price just marginally less than Littman. Sprague is a fine piece if you just take your time and learn. The kila site
  7. here is a decent article [re]examining the use of tourniquet in civilian practice.. Doyle, G.S., & Taillac, P.P. (2008). Tourniquets: a review of current use with proposals for expanded prehospital use. Prehospital Emergency Care, 12(2), 241-257.
  8. Still....curious and amused..........

  9. This whole "debate" thread could have been shortened with this post, however, most wont realize the wisdom until they have seen the difference between the medic mill and the CC education. The courses in red are much more important than most realize in the understanding of your prospective patients and their reasons for calling you. I believe some more respected diploma programs, some based in hospitals or CC, have additional requirements for college level algebra, A/P, and psychology. Don't underestimate their value to you or your patients. These classes have their place..
  10. Not that it wouldn't be indicated, but what she did wasn't appropriate here..RSI with inline stabilization and ORAL intubation..See the cords and pass the tube..that's all. I guess I was saying "HER" RSI was questionable. I am not a big fan of nasal intubations in general, and performing one here is way off base in this scenario. I understand some would not think to align the neck initially, but to splint in the the lateral facing position would be most difficult to secure, and I think you would get dinged on arrival to the ED for sure..Airway is priority...and sandbags are a no-no..
  11. With all due respect, this is very old school thinking and has no merit. Any evidence that being a basic for three years makes a better medic? Does being an intermediate first make a better medic? I never worked as a basic, and I think it is very individual as the the benefits of working as a basic or EMT-I for a number of years first. I , for one, think it is a waste of time. As far as the Paramedic/Nurse thing, This is an argument that doesn't need to be going on. CCRN as a Paramedic is as perfect as you can get without going NP or Physician IMHO. With the requirements to attain this cert
  12. I think splinting in position found is ludicrous. Positioning to inline with gentle traction applied during rotation should be allowed. I stress 'Gentle', and cease rotation if 'any' resistance is met...I think airway management would be very difficult with the positioning of this patient as laying, even with the Crich crowd. I think this treatment was OK..The RSI was questionable, nasal intubation after the fall from height and obvious impact of the head. Basal skull FX a thought??? I would hate to intubate the cranial vault....This was a bad decision. -IMHO....
  13. Get the BLS, LALS and the paramedic flycar. Transport patient 1 and patient 3 together with the Basic truck and paramedic attending to level one center ALS. transport patients 4 and 5 together basic on the LALS truck to probably the same facility. transport patient 2 basic from the described assessment. Was this a problem in the real world?? The priority patient is the pregnant woman IMHO...28-30 weeks I am assuming...months is not something would be interested in as describing a pregnant woman, you should get used to speaking in terms of weeks. Not sure what orders online woul
  14. With the JVD, why is IV access not possible. E.J. is a viable option. Unless you have experience with PICC lines, I would suggest you stay away from this option. EJ is not a last option, it is a very good primary option for IV access..
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