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djcokely

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  • Location
    Los Angeles, CA
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    ice hockey, mountain bikes, ski, body surf, watching tv, getting paid to sleep
  1. WHERE TO START? IN ORDER I GUESS...i DONT KNOW WHERE YOU WORK HAVE WORKED BUT THE ONLY THING THE PARAMEDIC HAS TO "PECK ON" IS THE EMT BECAUSE MOSTLY, WHERE I AM FROM M.D'S PECK ON US. IT IS NOT A GOD COMPLEX BY ANY MEANS WHAT SO EVER. I HATE THAT TERM. THE REASON IT IS THERE IS BECAUSE THE DIFF. BETWEEN AN EMT B AND AN EMT P IS SO BIG. I AM ALL FOR INCREASING THE AMOUNT OF CLASSROOM TIME FOR EMT B'S AND MAKING IV PLACEMENT WITH NS OR LR A NATIONAL STANDARD AS WELL AS GLUCAGON, NARCAN (ANY ROUTE), CHARCOAL (AFTER ONLINE MEDICAL DIRECTION), ALBUTEROL COMBIVENT VIA NEB, NITRO, AND HOLD
  2. who cares? we are not going to fix the junkie and we are not going to make them one. give them the happy juice. In terms of just using narcs as a diservice to our patients? that is stupid. getting them to the hospital is fixing the pain, not usually anything we can do about it. besdies what do they do at the ER anyway, give pain control until they can find out or fix the cause. Pre hospital patients are under medicated? What a shock. The 1 - 10 scale is crap. Go online and look up some objective signs of pain. Hypertension, tachycardia, shivvering, bitting teeth. I know I a
  3. I dont know what you are all arguing about. There is obviouslly a border line SVT ST AFIB that goes into a Bigeminy with it looks like Multifocal PVC's some sort of ectopy (cant tell because of the quality)....Whatever, this is clearly a case of treat the patient not the monitor. That is my 2 cents, we could sit here all day and say well maybe its a 1st degree Sinus tach. whatever those "junctional beats" are conversion beats subsequent to the PVC, the heart beat after a PVC pretty much has the right to be whatever it wants to be. Treat the Patient, not the monitor. Unless thing
  4. In most Large Urban EMS settings where an agency has a high call volume and has the ability to "ship" a patient through a BLS ambulance (e.g. LA COUNTY FIRE ALS SQUADS and BLS AMBULANCES...just like Jonny and Roy on EMERGENCY) I think you are going to have a total lack of pain control. If they are stable enough for Morphine (only pain rx LA county has) the medics are going to ship it with the BLS ambulance and not follow up. If it is a major enough trauma or meets "follow up criteria" then they are going to come but because we dont have fentanyl then there is gong to be no pain control. I
  5. 40mg of expired Lasix in a really a hole medics coffee while he wasnt looking... had no idea why he was peeing all day long. then there was the morbidly obese medic. this guy was so fat that the steering wheel would constantally rub against his belly when he drove and he had a permanent rash from it. we are talking 5 to 6 hundred pounds. nobody knew how he passed a medical. he was not a nice guy so...we took pictures of two of us standing in his pants (with room to spare I might add) and put them up in his locker and all over the station...the best part was he continued to make fun of f
  6. True Story from Santa Monica, California: Small medium sized city 5 engine companies, 1 truck and rescue, 1 BC. 2 ALS Squads. There are also 1 ALS Ambulance and 2 BLS ambulance, provided by AMR. One of the BLS units (Rescue 74) was out on a BLS run and then a reported structure fire was dispatched to basically all of the Fire Units as the caller said there was smoke pushing through the top floors: Engine 3: "Engine 3 is on-scene at 2835 Santa Monica, with a size - up". Dispathc: "Roger Engine 3 go ahead". Engine 3: - out of breath - "Engine 3 on scene 2835 SM, 2 story commercial b
  7. I realize that speaking from the point of view from someone who has a B.S. in Psychobiology it is easy for me to say that I think Paramedicine should be a 4 year degree. I recognize that is simply not possible right now. The sad fact is that we need medics desperately and one way to keep them as a source of cheap labor is to not require any type of degree. While one can go to nursing school and just get an R.N, they can make so much more by getting thier BSN. Their really is not that option for Paramedics. A paramedic can get a BS or a BA but not in Paramedicine and therefore the pay scal
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