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Prmedc last won the day on January 6 2011

Prmedc had the most liked content!

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About Prmedc

  • Birthday 08/11/1987

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  • Location
    West Plains
  • Interests
    Tech, medicine, radio

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  1. Recently, I switched from working in a small town of ~12,000 with <10 min transport times to a rural area with extended transport times. It's around 30 minutes to our nearest hospital, and at least an hour (depending on location in county) to the nearest hospitals with PCI, neuro, trauma, etc. capabilities. One thing I've noticed is that my scene times have increased for most patients without an absolutely time critical diagnosis. Previously, I would average 10-15 minutes (IV, O2, monitor - meds enroute) on a scene and now it's 15 - 25 minutes. I tended to think the opposite would be
  2. Taking it in February for first recert - should be fun.
  3. Interesting points! If the patient is alert and oriented, I tend to offer them several options, then the reasons that I believe one of the options is more likely than the others. I understand your point - however, the reason I attempt to form field diagnoses is because I believe I render better patient care with that as my goal. I don't necessarily tell the patient more than they need to know to feel reassured that they are receiving appropriate care. To me, "field diagnosis" means the underlying condition that I am treating. Obviously, I could screw up and treat a pneumoni
  4. How do you work on improving your assessments? As a relatively new medic, I find myself fighting the urge to jump to conclusions prior to completing a full assessment. Usually I find myself recalling several useful questions or assessment techniques post - call that would have helped to rule in or rule out my field diagnosis. I tend to be correct but would like to be performing thorough assessments on every patient. I also tend to form a field diagnosis way too early in the call, which just exposes me to confirmation bias pitfalls. I've been using a Lippincott Signs and Symptoms guide
  5. Absolutely. Currently I'm focusing on expanding my anatomy knowledge and cardiac interpretation skills, as well as airway. I'm accumulating a small medical library and also working on my diagnostic abilities as well. I've found focused goals with concrete results (better 12/15 lead interpretation, shorter scene times, etc.) tend to motivate me more than simply reading through a book.
  6. We had a call a couple of years ago to the local ED for "Male Patient, abdominal pain, requests transport to Big City ED" (about one hundred miles away). We arrived to find one of our local "cruisers" sitting outside the ED door in his electric wheelchair. Apparently the patient had been placed on antibiotics, didn't feel that was sufficient treatment (aka no pain meds), signed AMA and called us. The ED staff side of the story included the patient ripping out his IV and trailing the saline bag out the door. Patient refused to sign Hospital Bypass or ABN form, so we wheeled him back to his r
  7. As demonstrated by the crushing weight of student debt that doctors possess. I agree with you that having a college degree in addition to a paramedic's license can't hurt, and in most cases is helpful. However, is it really better (from a medical knowledge standpoint) to go from pass/fail minimum grades per test to requiring only a C average? Be that as it may, current paramedic degrees only tack freshman classes onto the DOT curriculum and clinicals. Ergo, a complete rewrite of the college EMS degrees (to a more science based curriculum) currently offered would be needed to do some good.
  8. Just to comment on the "two year degree" buzzphrase: I moved to a state that required a two year degree (generally through community colleges) to become a paramedic, specifically because I believed that the additional education would make me a more "well rounded" provider of medical care. I found a medic population full of drug users, fired law enforcement, and just plain incompetents. All of whom possessed a two year degree and multiple student loans. Needless to say, I got the hell out of there and went to a well recommended technical school. No two year degree, although I did receive
  9. We are a public "third service" covering West Plains and the southern half of the county - St. Johns covers the northeast portion of the county. We have several employees that work for both services. As for the "new medic" bit, I guess the answer would be both, lol. I've only been licensed for eight months. Sent from my ADR6300 using Tapatalk
  10. The problem with a place that has overtime "always available" is that the temptation to throw you in there the first week will be overwhelming. You're much less likely to get a comprehensive orientation if you're working the truck the same day you get hired (ironically, to cut down on OT costs). As a new EMT, you need that orientation (especially the driving component, since that's not generally covered in EMT classes). Most "good" companies will be fully staffed with little overtime. The companies with lots of OT have high turnover rates, and increased stress on the remaining staff.
  11. Hey everybody - New paramedic working for rural service in Missouri. My interests lie in EMS and critical care, looking forwards to taking CCEMTP in July and FP-C eventually. I tend to be a lurker, but it looks like you all have some decent discussions going. Take care, Prmedc
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