reaper

Rid summed it all up. If you want to think like that, then drive a taxi!!. I tend to treat my pt's for what they have, not just run through the cookbook!!! :roll:

I like working dual medic trucks, just as much as the next guy. But, I am a strong opponent against all dual medic trucks! I don't forget where I started my career. I gained street knowledge as a emt, which made me a better medic. I do not want to work with a medic partner that has no experience working a truck. If you take away that area of experience, then you end up with crap medics. I think it is all up to the medic to make their emt the best they can be. take this person under your wing and teach them the knowledge that you have gained. All the medics on here that rag on emts, have forgotten where they came from. we all started at the bottom and worked our way up. Do your part for the future of EMS and be a teacher for the future ranks. And on that note. I don't like career emt's. I believe that we all need to advance our education. Starting off as a emt to gain experience is fine, as long as you are working your way to a medic career.

Follow all this sound advice. Especially about stretching. that will save your back the most. BTW, I can run 10-20 feet and I'm out of breath!!

You need A&P and MB. You need to understand how the body works and functions, to better understand your treatments. I hate medics that give meds, but can't tell me what that med is doing and how it is reacting.

Actually in FL, only a LEO can initiate a involuntary transport. But, most LEO's will take EMS's word that the pt needs to be treated.

"a lot of providers I've met have no interest and show only disdain for medical emergencies. Everyone wants to see an MVC or a stabbing. You can't choose which calls you receive." This is where the morons in the industry stand out. Only like cookbook trauma calls. I for one love medical calls, you actually have to use your brain to figure it out!!! :roll: As far as the original post. Next time say something to the crew. I don't like to get involved with another EMS crews business, but I will stand up and point out shady care in a heart beat! I have never had a refusal that I at least couldn't talk in to getting vitals and a monitor on them. You just have to use diplomacy and compassion on them ( Yes, some still do this)! :shock:

You also have to keep one thing in mind. For every 10 studies that say something is bad, there are ten studies that say it is the greatest thing in the world. Anyone can make a study work for them!!!

Alright guys and gals, Gonna be moving to N. Atlanta area in a few months. How is the services up there? How is the job market for medics there? Who is the best service up there to work for?? (preferably a 911 service) Thanks for the help!

U of Florida has a great BS degree in ems. It is a online course.

I have both scopes. the Ultrascope is a great scope for in the house. The DRG puretone is awsome in the truck. I have tried many different scopes and none have beaten the DRG for sound quality in the back of a truck. The gel ear pieces and the spiral core in the hose, really help keep outside noises out.

The last change in treatment that I have seen, is now showing constriction band use for Coral snake bites. All others stay the same as before.

If you want the best shears for EMS, check out these. http://www.ramseyoutdoor.com/products/bran...bid=SEASCISSORS They will out cut anything on the market, they are cheap and not to big. The guard on the blade comes off, so they will fit in all shear pockets.

MMA, Cedar Point is in Sandusky, Ohio. If you are a fan of Amusement parks, then you know that it is ranked the top Roller coaster park in the world!

We pad with rolled up towels or blankets, depending on the size of the pt. Yes, the padding goes between the pt and straps. Parachute strapping does not look like the pic of the 14' strapping, not as much clutter of straps covering pt.

Dust, I should have added that we do pad smaller pt on the sides. You want all voids filled. They are not strapped so tight, that it would cause harm. It is hard to explain on a computer screen. If I could show you, you would see the benefits of this procedure.

At least you get to work at the best park there is!

We use the three strap system. It is called "Parachute strapping" here. It is a little different from what was described. It takes two people less then 45 seconds to strap a pt to the board. But, when done, it is the best strapping there is. You can stand the board up, flip it over, turn it on it's side and the pt does not move. I work PRN for two other systems. One uses spider straps(which I think suck) and the other uses buckle straps, that clip to the pins on the board. This one really sucks! Both of these styles allow the pt to shift on the board. I hate to see someone turn a board on it's side(when a pt is vomiting) and see a Pt's body slide to the edge. While the head stays in place! From what I have seen, The 3 strap system is the only way to fully "Immobilize" a pt. Just my .02!

I got it!!!! Bubble wrap jump suites, with hoods! Will that make everyone feel safe? :roll: This is not considered a high risk job for no reason. Always be aware of what is going on around you and you will be as safe as you can get.

Like I said before, MOI!!! We must use common sense when treating any pt! :shock:

The only problem I see with makeing that clinical decsion is we open ourselves up to major malpractice suites, just like a DR. Imagine you decide that a pt doesn't need backboarded, then that pt ends up paralized. You get sued for the decsion and your livley hood is done! We don't get that now, because we BB anyone that meets MOI. It may be uncomfortable for the pt, but covers are butts. I have been on one for 8 hrs, and it sucked. But, I am walking right now, so I could care less how it felt then! :wink:

ACE, All three counties I work for carry mast pants. All three have protocols for the use of mast, for hip fx stabilization only???

That is how ACLS has it listed, but some MD don't feel like following AHA's protocols. AHA does studies on these drugs and changes the protocols when they see hard facts that it works better. Most MD's follow ACLS, to cover their butts. Some push the boundaries, but leave themselves open to liability!! All we can do is follow our protocols and hope for the best!

As said, it is not likely. My GF and I both work for different counties full time. But, we both work PT for a third county. They will not allow us to work a 24 shift together, but we do work 12 shifts together. We run ALS trucks at a MC race track. They prefer that we work this truck together. We work very well together and know what the other needs before hand. We are very good at traumas when together. But, I still would not want to be together full time. You do need a break from each other!!!!!

We have 6 new phillips. These things are state of the art. One of the best monitors, I have ever seen for street use. Phillips has outdone them all! :shock: