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  1. Yes, I think Just Plain Ruff's advice is a good starting place. This is a question neither you nor any of us can answer until you (and we) understand what he means. In preparing for that conversation (or evaluating it later), you would be well-advised in my opinion to review the closely related but very different concepts of compassion and empathy. they are different but related. Like so many things in life and especially in EMS, too much of even a very good thing, can become a bad thing. Using compassion as an example, it is a good thing to calm a worried, excited, and ill patien
  2. Medic511 here. I have been a member here for a long time but not very active as a poster. Your question lit a fire under me today because of a local issue here that I had, in almost 20 years as an EMT and Medic,yet actually to see stated in writing. The manager of ALS EMS in this county yesterday actually sent out a memo/email that says we should save for reuse N95 masks and gowns unless they are visibly contaminated by blood or poop. I understand that it seems that our country or its government has been remiss in stockpiling an adequate reserve of PPE. But this seems to me like an ou
  3. I am a National Registry Medic certified in Florida and will soon be moving to the general vicinity of Jacksonville, Florida, due to the relocation of my significant other. I understand that Jax city and Duval county are combined and EMS is fire-based. Other than that, I am sadly naive about what agencies provide what EMS in the area, what continuing education opportunities may be available, and such things, in neighboring counties like Nassau, Clay, St Johns, and Putnam. Any info would be appreciated. Thanks.
  4. The surprising answer is, when the "medic" works for the National Park Service. Being a federal agency, the NPS does not feel that it is necessary to have their EMS personnel be licensed or certified in any state and they just rely on National Registry status. But things get really confusing because the National Park Service's official title for NREMT-I's is "Park Medic." (NPS RM-51 at Section 6.3.5) So, when dealing with the National Park Service, it's necessary to remember that their "medics" aren't paramedics at all. The Park Service does, however, call NREMT-P's "Paramedics." So.
  5. NIBP stands for Non-Invasive Blood Pressure. That is, as opposed to an intra-arterial transducer placed inside the artery by an MD such as used in the ICU, CCU, etc. Manual BPs are also NIBPs. So, ALL EMS BPs are NIBP but they can be machine or manual. (The button on the machine often says NIBP).
  6. From my perspective, we are really looking at a combination of ideal/textbook on the one hand and practical/in-the-field on the other hand. "Best" is meaningless until defined: most accurate under all conditions is one thing and which is in the patient's best interest in the existing circumstances may be quite different. So, you have to know, IMHO, if the call is a trauma with major MOI on the one hand or a probably minor medical with a not-likely-life-threatening NOI on the other. I don't think that a properly taken BP over a loose (neither really tight nor really bulky) shirt or blouse
  7. I have been an AHA CPR Instructor for years but only recently am I teaching with new department and I now need to provide "disposable" supplies which includes a new one-way valve for each student along with a mask (ideally, the BVM type without the B&V!). What is the least expensive reliable source of supply? Thanks for suggestions.
  8. Leener77 makes an EXCELLENT point here. The quality of care that the patient gets in the bad depends at least as much upon the skill of the driver as upon the skill of the attendant(s) in the back. The best damn medic in the world can't do the best job possible when they are having to hold on and are fighting to avoid being thrown about in the back. Leener77 makes an excellent and most valuable part of the "care team."
  9. From a "liability potential" (as well as from a good-of-society) point of view, that is a REALLY bad policy. It shows an abuse of discretion. Failing to use any judgment is the worst case of bad judgment. Lights & siren ("running code") always increases the risk to ambulance personnel and the general public. Therefore, running code to ALL calls amounts to taking risks without reason. "Code" response should be used only when, based upon information actually available at the time, it seems reasonable that the added risks of running code are outweighed by the patient's circumstances.
  10. That's certainly true, but neither is providing ambulance transport. If the Feds want to be be involved in clearly local issues like EMS transport, then they should certainly be willing to provide other, clearly less-local functions within healthcare, like universal healthcare. Of course, I guess "emergency transport" is a lot "sexier" than boring old primary healthcare. That's EXACTLY my point. Transport IS immediately available by local ambulance. Always has been. Seems the NPS and the citizens they serve would be better served by the Park using its limited resources to perform
  11. Thanks for all the input. This is NOT a case in which the Park necessarily provides better or quicker care. Response times are about the same, depending on where in the Park the calls are and where the Rangers are in the Park when paged. The town limit and the Park boundary are the same line, so it is NOT that our EMS comes from the hospital -- quite the opposite, it's more like a straight line with the hospital at one end, the Park at the other end, and us touching the Park but between the Park and the hospital. I guess it's a political issue but it is so contrary to what the Founding
  12. Not if the military base ambulance is transporting military personnel but if the base ambulance began transporting non-military patients from auto accidents that occur on a State Road that just happens to pass through the base, then, yes, I would. Are you aware of any other National Parks that transport sick/injured visitors for pay?
  13. I am hoping that someone may have some information (or at least research suggestions). I work for a small, rural EMS organization in a western state and our town is adjacent to a National Park. In years past, when a visitor was injured or became ill inside the National Park, we always did the transport to the nearest hospital (about 40 miles away). Transporting patients out of the National Park was about 50% of our annual call volume and revenue. Now, the National Park has purchased a new ambulance and is transporting injured and ill visitors in-house and, we are told, billing the patients
  14. I agree with the others that your IV and EKG skills (while GREAT to have) are less important in terms of being well prepared for medic school. I think that some form of A&P would be a really big help, and would in effect get you off to a running start rather than bogged down early on. Personally, I would get a "programmed learning" medical terminology book and really learn those latin and greek roots and suffixes. A couple weeks of hard work on that will make learning the A&P that you will need in medic school MUCH easier. (Note I said "medic" school not "medical" school!) A "pr
  15. EVOC (emergency vehicle operator course) is a US-DOT curriculum course and, as taught in Fla anyway, is more or less two days, one day (or evening) in the classroom, then another day on a driving course. I think the concept of a "course" was good but much of what is taught does not translate into safe or patient-helpful skills. You learn how to check fluid levels, tires, etc. Stuff that most adults know anyway. You also learn some of the physics behind vehicle dynamics, like coefficient of fraction between tires and wet versus dry concrete, etc. You learn how to back up, and follow a marsh
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