Just Plain Ruff

So who's on your group? Do you have field providers in your group, not to be contentious, but you know the people who are actually in the trenches who deal with this every single day and are forced to improvise and often are left to pick up the pieces when their improvisation turn tragic. Without the proper tools and when we are forced to improvise, when something goes wrong, we are the ones who are hung out to dry because we are not given the tools to properly do our jobs. So are their field providers in your group? and if NOT, why NOT? and not that is not meant to be argumentative, but just a SMH moment if true.

Might have been one of those hanging stretcher ambucab setups that somehow still exist out there.

Brandon, you are bringing a welcome bit of education to this forum sir, please continue to do so. Pediatric transport and care is something that is woefully undertaught and underdone in our industry imho. Please continue to provide insight and education, this is really good stuff. thank you

Actually, this tidbit of information does not surprise me in the least. Let me ask one question, if you put a car seat on a ambulance stretcher, secure it to the stretcher, does that qualify as providing a car seat in the ambulance? Do you provide the same level of securitysafe transport to that pediatric patient compared to a properly secured/installed car seat in a automobile?

which one are you referring to? I sort of rmember the one you are referring to but I cannot think of it. Was it the one where he asked for all the funny stories we had in the field?

I've been in the field and out of the field for over 20 years. I have enough stories for 2-3 books. Why should those of us with this many stories that are our own give you ours? I'm just curious. But I do wish you the best. If you do write this and make it a e-book make sure you don't price it too high.

How many pages is this book? is it a in the hand book or is it a e-book?

Mike, absolutely not, in my opinion, cost should not be a consideration and that is why I'm a complete and total advocate of these membership plans that many helicopter services have but then again, when many of the helicopter flights are proven to be non-medically necessary(i have many that I know of personally in my years in EMS) some of those membership plans do not cover those flights. My family is covered by two plans. one for the eastern portion of my state and the other for the southern. We go to both areas on a semi regular basis and those areas are covered by completely different helicopter services.

yes, discretion is a very very good option. But one issue is this, patients often don't have a choice, they get what they get. Not really any other industry is this way. Not saying thats a bad thing but in most other industries we have the ability to say, I don't like your price so I'm going with option B - unless you - option A can drop your price to meet option B's price. In my area the Helicopter service LifeFlight Eagle has a membership plan, for 65 bucks a year, it covers your entire family. They take what your insurance pays and then the membership plan pays the rest. you don't see a bill. unfortunately, you cannot go retroactive and get it after the fact. So unless you have it, you are on the hook for a possible 40K bill. It is up to us as providers on many occasions to use discretion and only call the helicopter when it's truly needed and not because the person has a membership plan (yes I've seen this happen countless times) or call them because the local small town hospital doesn't have a orthopedic surgeon and the patient has an isolated knee injury (yes I saw this as well - the medic didn't want to drive the 65 miles to the nearest ortho surgeon so she flew the patient). The patient got stuck with the entire 35k bill because the entire flight was denied. Even the membership plans have their denials. so as providers it's incumbent upon us to use the helicopters diligently and correctly.

Thoughts, discussion Right or wrong? https://www.ems1.com/air-medical-transport/articles/227698048-Is-affordable-air-ambulance-transport-a-right/?NewsletterID=&utm_source=iContact&utm_medium=email&utm_content=Exclusives1LeftTitle&utm_campaign=EMS1Member&cub_id=usr_rYgxvJiMpoxX5g7Z

Accelerated EMT courses you get out of them what you put in them. Why the hurry? Why waste time - just go this route - https://www.emtfiretraining.com/emt-b-course.php zero to hero in less than 30 seconds. One of their requirements Safely administer medications (the student should safely, and while performing all steps of each procedure, properly administer medications at least 15 times to live patients) Let's hope they are live patients - can't give meds to dead patients.

apparantly no one from nashville. I guess I will spend time on Music row sightseeing alone. what a way to be bored. I hope Nashville BBQ is good.

fire away, we love questions.

Been to Seattle, it's a great city, but too liberal for me. ha ha but I really enjoyed my visit to Bremerton when I was working at Cerner. US Naval Base Bremerton brings back some really fond memories. Not a single person from Nashville?

the original link is gone.

i will be in Nashville from April 17 thru April 20th. If anyone wants to grab dinner on the 18 or 19th let me know. Ruffmeister Paramedic

First you should reach out to the National Registry of EMT's I believe the website is www.nremtp.org but I could be off on that. find out what it takes to get your NREMTP for the states. Email to them is returned if you go that route. then find whatever state you are looking to move to and look at their bureau of EMS website or whoever governs their EMS. Find out from that state what it takes to get your license in that state. Next, begin the process of getting licensure in that state. Not much help but hopefully it pushes you to the right places. By the way one big caveat on this question your BEST information will come directly from the NREMT and the respective states. you can rely on information from this site for a lot of things but when it comes to your livelihood, NOTHING is better than speaking directly to the people in those orgs. Trust me, it will save you time, money and possibly heart ache if you rely only on information received from this forum or another facebook forum you might be asking this in. Not bashing any information you get from non-sanctioned sites but I've been there before and I only wish that I had talked to the people in the know rather than relied on info from internet experts. Again not bashing any of the people here, we're good people.

where do you want to work? What overseas do you mean?

have you done any research on this at all? Dr. Google is your friend, a simple "how to become a paramedic in australia" netted me lots of information. I suggest you do the same. I don't know much about Paramedics in Australia but there are several aussie medics here but I don't know how active they are on this forum. Several quesitons 1. Why do you want to be a paramedic in Australia - 2. Are you prepared to move to Australia and work there? I don't believe paramedic is a essential job anymore so you would have to go through all the rigamorole of getting immigration status and you probably would not get it. It's called Right to Work and these are the requirements to be qualified: an Australian citizen: a birth certificate, citizenship certificate or current passport is proof of eligibility. a permanent resident of Australia or New Zealand citizen who has entered Australia on a valid passport: you are allowed to stay and work in Australiawithout restriction. 3. Their jobs aren't much different than medics in the states but the do go to more school if I remember right. Good luck if you are serious about this quest you are on.

Why Sweden? Why Sweden? What education do you have now? I think you would be better served by getting educated in Sweden if that's where you want to move. I'm not sure of their education requirements but I would think they would require a longer education period that what we have here. Would hate for you to get your paramedic here and then Sweden come back and say "Sorry Charlie, you don't have enough education so you need to start over" Here are some helpful links that were very very easy to find if you used Dr. Google. https://www.thelocal.se/discuss/index.php?showtopic=11839?showtopic=11839 This site says you ahve to get a nursing program done first and then add a year of paramedic on top of it. http://www.studyinstockholm.se/university/the-swedish-red-cross-university-college/ And if you think you are going to get a free educaiton in Sweden, according to my understanding, you have to be a citizen of Sweden to get the free schooling. I could be wrong but I'm probably not according to a couple of websites I visited. 14K for a years program if what I'm seeing. but again, I could be wrong. So why Sweden?

How quickly a call can go from routine to all hell breaking loose is this one. I dont' have all the particulars but it sounds like they were caught completely off guard. RIP to the EMT's famly and the FDNY family. Prayers for speedy recovery of the injured medic.

I gotta say, I miss Julia's wit

Yeah, when I read this, Mike's comment about Julia was the first thing that popped into my head. "It's good you want to be an emt, maybe a latte and a couple of general courses will make you a great person for wanting to become a emt"

Ok, so you run 120K calls a year with 30 people, you guys must get your butts handed to you on a regular basis. That's 328 calls a day. Are you sure your call volume numbers are right? that makes 13 calls an hour. did you mean to type 12000 calls a year and not 120,000??? Or do you staff 30 people a day? that would make a difference. NOt busting your balls on your numbers but jeesh that's a lot of calls. I think KC Mo runs about 80 thousand a year and they staff 35 ambulances a day I think and maybe more. But to your question Why not promote EMS to the local scouting organizations and I'm not just saying Boy Scouts of America, look to the Trail LIfe USA and the American Heritage Girls as well as Girl Scouts. We are having a huge camp out on April 1st and we are bringing in the local police, fire and helicopter for a PR event.

Ok, so what is VN? is that vocational nurse? So you won't get your emt in a month at reputable programs - but if you move to Seattle, you can make 15 an hour. Yeah I k now that was snarky. and I don't know of any other medical program that you can get out of in a month and make 15 per hour. They just dont make that kind of medical program. I could be wrong but I'm probably not. But anyhow, Are you just going to EMT school to get to 15 per hour and if you are, then you aren't doing this for the right reasons. But with that being said, what are you going to do during the time you are in school learning to be an EMT financial wise? You have to work right, what are you doing right now and how much are you making. is there any way you can pick up an extra job until your wife gets out of school and then you can get your education started. You may have to delay your time in getting your emt until she get's out of school and support your family. EMT school will still be there I assure you, California is a EMT mill in and among itself, my understanding is that you can't throw a rock out of a BLS ambulance without hitting a EMT school. Good luck in making some hard decisions in the near future.