SANDMEDIC

Thanks Bieber for the reply but still looking for other opinions and wishes.

178 views I know there some items you wish you had or glad you have.

We are looking at the ZOLL Rescue net system for our EPCR's

Would like so see availability of system to use and iPad

Emergency lights on the vehicles? Different brands. Which ones seem to be more eye catching

Federal Q2B with additional Howler siren and Grover stutter air horns

Zico Oxygen tank lift system

Zoll X Series with all the toys

Medication fridge mounted onboard Any good manufacturers.

So I have been tasked with assisting a new EMS service startup company in small metro city serving roughly 95,000.

What I am looking for is input from everyone on operations, pay, dispatch, equipment as if money is no object.

What we have determined thus far:

3 ambulances staffed 24/7

2 backup ambulances

3 stations (new build) with Plymovent exhaust.

3 man crew (2 EMTs/ 1 paramedic)

ABC Kelly shift

1 shift supervisor (ALS Equipped vehicle)

Ambulances will be a Medium Duty Freightliner chassis.(meeting the new NFPA standard)

2 backup ambulances smaller Type I/ II

Supervisor vehicle: F350 4x4 Crew cab

Paramedic pay starting @ $54K

EMT pay $40K

Paid CDL, Critical Care Paramedic, EVOC/ CEVO, AMLS and Child Safety Seat Technician training

Written, practical, physical agility and DOT Medical

$8,000 relocation and hiring preference to those residing in the service area.

The management is looking at streamlined operations without all the brass. Their thinking is they want to get rid of the revolving door and retain employees. They want each employees involved in the decision making that takes place. Their goal is to make EMS a long term career.

Uniforms are Class A which I am not a fan of but it does look professional. I guess.

OK folks now it is your turn. Tell me your wish list and what would be the perfect EMS model?

Equipment, lessons learned, crew make-up, shifts, pay, etc.

Appreciate all responses.

Thinking of moving to Pennsylvania. Can anyone give some insight as to some great agencies to work and actually pay decent? Looking at the Williamsport, PA area. How are the private agencies such as Transcare? Any information would be the greatest. Please private message if concerned about backlash. Thank you all for your time.

Consider causes of such a rhythm.

1. Electrolyte imbalance.

2. Fever/ recent illness/ surgery.

Verify no signs/ symptoms

Weakness-Fatigue-dizziness-etc

If Medical control received the 12 Lead see what the Doc thinks. After all that's why some carry that fancy ECG transmission monitor for these days. (Amongst other reasons of course)

Not sure I would toy around with immediate cardioversion, although Amiodarone (150mg over 10 minutes) would be my choice if I had to choose an aggressive route.

Would definitely like to see the 12 lead.

Oxygen, rapid transport and being ready & aware of any changes in the 12 lead or patient status. I would discretely place the Multi-function pads.

My 2 Cents

Anyone know the six points on the EMS Star of Life?

In a clockwise rotation starting from 12 o'clock position.

1.Detection – The first rescuers on the scene, usually untrained civilians or those involved in the incident, observe the scene, understand the problem, identify the dangers to themselves and the others, and take appropriate measures to ensure their safety on the scene (environmental, electricity, chemicals, radiation, etc.).

2.Reporting – The call for professional help is made and dispatch is connected with the victims, providing emergency medical dispatch.

3.Response – The first rescuers provide first aid and immediate care to the extent of their capabilities.

4.On scene care – The EMS personnel arrive and provide immediate care to the extent of their capabilities on-scene.

5.Care in Transit – The EMS personnel proceed to transfer the patient to a hospital via an ambulance or helicopter for specialized care. They provide medical care during the transportation.

6.Transfer to Definitive care – Appropriate specialized care is provided at the hospital.

What is the snake thing in the middle?

*Rod of Asclepius- Ancient Greek symbol of healing.

1970's Movie which starred Bill Cosby, Raquel Welch, and Harvey Keitel about competing ambulance services.

*Mother, Jugs and Speed.

Who invented the cardiac defibrillator?

*Johns Hopkins University, Dr. William Bennett Kouwenhoven developed the cardiac defibrillator.

What year was the first life saved by defibrillation?

*In 1947, Dr. Claude S. Beck successfully used defibrillation therapy and saved the first human life, a child 14 years whom was undergoing cardiac surgery for a heart defect.

Still used by some services, what year did the Physio-Control Lifepak 5 make its debut?

*Lifepak 5--weighing just 18 pounds--was introduced at the annual meeting of the American College of Cardiology in February 1976.

Since EMS week is approaching.

Anyone know the six points on the EMS Star of Life?

What is the snake thing in the middle?

1970's Movie which starred Bill Cosby, Raquel Welch, and Harvey Keitel about competing ambulance services.

Who invented the cardiac defibrillator?

What year was the first life saved by defibrillation?

Still used by some services, what year did the Physio-Control Lifepak 5 make its debut?

Congratulations RUFF!

Girls are a whole different world.. They just get away with more when Dad's around.. as my two girls always do.

Take care!

Wow I wouldn't mind that schedule.

Sounds like a great schedule and I think you're a good one to present it, as it may confuse some.

Where do I sign up. LOL Hint Hint! I am patiently waiting for that call.

Good to see you back Ruff..

Take care,

Phil

WOW!

I am just blown away. Even Mexico has Paramedics!

Maybe they need a new lawyer.

What's next for Columbus, Ohio.. "Mother, Jugs and Speed"

Steely Dan- "Reeling in the years"

Okay this is a pretty extensive list. I have been gathering for quite a while.

www.multileadmedics.com *****

www.medtrng.com ***

www.emsaction.com

www.911-tv.com

www.12leadecg.com ***

www.smartmedic.com **

www.traumamedic.com*****

www.emsresource.com

www.emsjane.com

www.Itrauma.org

www.skillstat.com

www.anesoft.com

www.acid-base.com

www.theresqshop.com

www.trauma.org

www.capnography.com

www.innerbody.com

www.kathywhite.com

www.airwaycam.com

www.airwayeducation.com

www.rescueexams.com

www.microbiologybytes.com

www.cvphysiology.com

Well that should do it for a while. Let me know if you are having difficulty in a specific area. I do apologize in advance in case some sites no longer function.

Hope this helps.

Danny's Song- Loggins & Messina "even though we ain't got money..I'm so in love with you honey.."

It's a rare classic

:shock: I hear there is an agency outside St Louis, Missouri in which you rotate monthly to three different jobs. Paramedic one month, Police Officer the next and then firefighter for the third and final month.

Apparently they are one of the highest paid agencies in St Louis County.

Talk about a pain to stay on top of everything.

Wow, decisions decisions.

1. Dean Martin- Greatest Hits

2. Hot Club of Cowtown- Best of Hot Club of Cowtown

3. Don Williams- Greatest Hits

Might see if I could borrow FireDoc's Lynyrd Skynyrd album.

Thanks for clearing that up for us.

I wasn't aware of the particulars, it is surely on my radar for obtaining next year.

Would like to compile a list of classes available to Paramedic/ EMT's for continuing education purposes.

So here's where I need your help. Please add any classes that you know of.

Please post the full name of the course as well.

I was wondering of all the classes available, which would you say are worth it.

Here is my list to date, some I plan on taking but others are FYI.

Some have been left out like PALS and PEPP, ACLS as most of us know them well.

ACLS-EP Advanced Cardiac Life Support-Experienced Provider

EP-C- Emergency Pediatric Care

ABLS- Advanced Burn Life Support

AHMLS- Advanced HazMat Life Support

FRT- Farm Rescue Technician

AMLS- Advanced Medical Life Support

BDLS- Basic Disaster Life Support

ATLS- Advanced Trauma Life Support (Audit)

STABLE-Sugar, Temperature, Airway, Blood pressure, Lab work, and Emotional support. (Neonatal)

OBSTAT- High Risk OB transport

CCEMT-P- Critical Care Emergency Medical Transport Program-UMBC (I STAND CORRECTED)

FP-C- Flight Paramedic Certification

GEMS- Geriatric EMS

ITLS- International Trauma Life Support (Formerly known as BTLS)

NRP- Neonatal Resuscitation

EVOC- Emergency Vehicle Operators Course

OK so what else is available out there in the world of EMS.

Here's the link if anyone is curious. It should interesting to see what will happen, although I do not see anything about demotion of those that are current Nationally Registered Paramedics.

It does appear they have reduced the amount of pages to 42.

http://www.nhtsa.gov/staticfiles/DOT/NHTSA...es/EMSScope.pdf

I am anxious to see what others are feeling, thoughts etc.

So back in 2004 when this was still under development, I read the proposal and from what me and others interpreted was this:

In 2010 when this in implemented "All" paramedics national or state certified will be classified as "Advanced Emergency Medical Responder" with a few skills taken away. With more education those designated as such can obtain their Paramedic certification and get the skills "BACK" we all have been practicing all these years, and no additional "new" or more advanced skills, just the same old skills.

Now PLEASE hear me out this was 4 years ago when this was all being drawn up and have yet to look over the NHTSA guidelines, so this may have all settled down a bit.

I just don't see how making people whom have been Paramedics for years be reclassified and taking skills away unless they get more education to get their "Paramedic" title back.

I can see a lot of Paramedics tapping out of the EMS business to do other things. Unless they are going to pay more for paramedics than the current pay rate.

Excelsior RN program is looking more interesting to me now.

Could someone who knows what is going on or someone who has the time to go read the 200 page guidelines from the NHTSA and let us all know WTF. :?:

Take care.

I'll pass. You all know what devices and training are available these days to improve safety.

Figure it out...I obviously can't win.

:roll:

Oh brother.. yeah the comment wasn't supposed to be offensive. If you would like I have plenty of comments about Canadians.

I was simply making a point there are so many other things to make ambulances safe, they must have it all. Well it's great to hear they have it making life safety top notch in which all ambulance services around the around the world should idolize.

Oh, we bow to the queen.

Take it easy..

ah!

Berkeley shift schedule, which is: 24 hours on, 24 hours off, 24 hours on, 24 hours off, 24 hours on, four days off. Then the schedule repeats.

Kelly shift schedule, which is: 24 hours on 48 off, then the cycle repeats.

There are many variations in the Kelly schedule.

After repeating that cycle seven times, there is six days off in row. (again many variations).

Just another cheaply made pair of pants made in China.

I'll stick with Fechheimer or Elbeco which still has most of their uniform pants made in the U.S.A.

Buy American or go home!

Ok, so I see a Very large Southern Missouri Hospital is hiring paramedics for 10.75 an hour. Are they kidding?

Those of you curious it is posted in the jobs section.

Those that work there let me know how it is. Are you still carring a "thumper" and Lifepak 5?

Just curious if the equipment is as out dated as the pay.

I can only imagine what they pay EMT-basics.

I am sure it's not those that work there. It's the bean counters in the 10 story building next door.

Sheesh!

If I ever get around to getting my strapping and backboard system patented it will revolutionize the spinal stabilization system.

It takes about 30-45 seconds from start to finish.

Not looking to make a fortune but it will make things a lot easier for everyone.

No more velcro!!

It's called the "The RIB" Rapid Intervention Board"

Who knows what will come of it. There's a lot of trials coming for it.