occsafmedic

Two problems with the survey- anybody who has been doing this long time is generally highly versed in the protocols, and seeing bazillions of similar cases, is likely to drop back to experience-- I might look up a protocol for a zebra, but I damn well better be able to recognize horse beats FAST-- yes, I have a cheat sheet in the drug box, but after doing this damn near to 30 years, I don't need a cookbook approach-- sense and experience are far more valuable--

One of the big problems with cookbook approaches-- they will often lead you in the wrong direction-- where the voice of experience warns you when something else is going on-- you GOTTA look at mechanisms of injury-- which often ratchets up the type of care provided

BLS since 75

ALS since 84

plus Navy ALS from 75 to 99

But what about nasty, sprawling, urban centres like NYC, where a great many people have never even driven or owned a car in their lives? What happens when they suddenly take a job driving an ambulance, fire truck, bus, police car, or anything else all day long for a living? Sure, they may be thirty years old, but they have zero driving experience. Seems to me like this would be a problem up there, no matter how much EVOC you give them.

They DON'T drive-- they fail EVOC, wash out of the Academy, and go on to other things-- or, they listen to their instructors, get together, split the rental cost of a 24' box truck, and practice, practice, practice-- and maybe, then they can pass. It's a NYC requirement-- u must pass EVOC to drive, and you must be capable of driving (with certain exclusions) in order to be an BEMS employee.

Since I'm in a hotbed of terrorism (NYC), I have no problem with reporting suspicions-- we know full well that Hamas, Hezbollah and a myriad of other known terrorist entities operate here freely-- it's a bit of a dichotomy to stay on the right side of HIPAA, but not insurmountable.