FF_EMT7

I think CPAP is definitely worth a trial, perhaps PEEP in your context. With such a disease process you are always open to issues, however I think that the use of CPAP would be worth the risk. I would definitely hold off on RSI until I have tried a less invasive route. Especially with the patient being elderly, we all know the risk of the patient never coming off the vent. I think we are all guilty of pulling the trigger on RSI a bit faster than we should in some cases, especially the elderly.

I would fight it and easily win . Police officer got no proof who was driving the vehicle. Register owner is not responsible for the action of the driver. So unless they could id the driver, it wasn't me driving will get ticket dismissed.

It is not worth the battle with you. Clearly you are not a very educated person, judging from you atrocious grammar.

Big deal, an ambulance still can't issue me a ticket unless cop witness it and pulls me over.. So basically it still a request.

Its funny you bring this up. A crew from my service a few weeks ago took this unruly driver's license plate down and gave it to PD, not 3 hours later they went to his house and issued him a ticket. From what i heard the driver was a lot like you and would not pull over and made it extremely difficult for the ambulance to proceed. PD in my area does not put up with ignorant drivers such as yourself.

Why don't you just get your NR Certification? It will make your life a whole lot easier.

Welcome Fellow New Hampshire EMT!

Rockingham also has the 911 contract for the city of Nashua, NH and the Town of Candia, NH; So they will not be totally out of the 911 business. Rockingham also happens to be owned by St. Joseph's Hospital in Nashua, so they are far from a small local service. All in all i was rather surprised AMR took over the contract as they are not very active in NH anymore, however i think most people knew that some big change was coming in Manchester.

Solution: get your Basic.

Many states have or are phasing out First Responders. If this is something you really enjoy, then i suggest you take the step to EMT-B.

Wow.. That is a little bit longer than it should take to intubate a patient from my experience. If the medic didn't feel comfortable he should have just dropped a combi or king. Just my own opinion of course.

Okay, if finally ready to start running rescue. However, I'm having trouble deciding on an agency. My options are as follow with the pros and cons as I know them. Any input would be much appreciated.

1.) Volunteer agency(local)- Pros: in my city so I know a lot of the area; once I'm registered as an EMT-I will be able to run on the zone car for my paramedic fields; huge agency meaning great opportunities for network; safer than some of the other cities in the area... Cons: takes longer to be released at each level than other areas; I've been told there is a lot of "red tape" but this has never been elaborated on; a lot of different stations to choose from making it a very difficult decision(each has it's own pros and cons); generally takes years to get a paid spot which can only be had at paramedic

2.) Neighboring city(still volunteer)- Pros: shorter time to be released on average; one is on the same safety level as my local; quicker time to actually running; I can self schedule my fields starting as soon as I'm affiliated... Cons- one city has more dangerous territory but quicker promotion to a paid spot with paramedic; unfamiliar territory; longer travel time to and from; EMT-Bs only run as third man

3.) Private transport company- Pros: paid beginning at EMT-B; good way to get into better paying hospital based jobs... Cons: hard to get a spot and could take a long time; pay's not great starting out and some say it's not worth it; no "street" experience in the process

I'm sure there's more I'm missing. I'm an EMT-B right now(still). I'm not sure when I'll be able to finish my EMT-I but I know I'll have to repeat fields and clinicals because I'm going to miss at least on semester. Any ideas?

I would definitely choose option 1. The reason is I chose that path and enjoyed it a ton! Other EMT friends of mine jumped at the paid transport services right away and hated it because they had no field action, while i was full of stories. Yes, volunteering may not be fun for all, but for me it was an amazing opportunity. It helped that i knew the area and saved me more than once, especially since not everything is on the map as we all wish it was. I got so much experience it opened up more doors for other amazing opportunities. As far as red tape goes that is pretty much everywhere. All i can say is if you do not like it, it's not the end of the world. You can try another option. That is just my experience. I am proudly still involved with the service.

Good Luck!