NYCEMS9115

1) Energy: The ability to arrive at work with positive energy to get the job done is significant. While everyone has a bad day from time to time, the individual with an exceptional energy level stands out. Able to transition through some challenges but performances stand out. 2) Motivation: The motivation to succeed despite obstacles is important. Surviving adversity and recovering from them. Life changing obstacles do not hinder progression of performance. Motivation supports high energy level and vice versa. 3) Big picture: The ability to maintain a realistic big picture while taking care of today's job tasks is critical. Remain open to new opportunities and actively pursued new assignments. Realized that today is but a "snapshot" in time, and that the big picture spans years. 4) Flexibility: In addition to being motivated and having the energy to go the extra mile, remained flexible. This was essential to personal and professional success. Adapting to new situations will lead to personal and professional success. 5) Passion: Early recognition for a passion for healthcare will transition an EMT and paramedic to develop a passion for education. Passions for success is formulated through experiences and education. This was taken & modified from an article in EMS Magazine: http://www.emsworld.com/web/online/Education/Five-Traits-You-Need-to-Get-to-the-Top/5$10484 Please continue to reinvent yourselves. Stagnation is not progression. The old saying, "Times have changed" is so true. To succeed, one must change the ways which has not been successful. Of course this is all just conjecture...

Just a tad off topic but relevant. LGBTs who suck face and grope each other in front of children gets a punch in the face(s) but watching this in the library, where children do congregate, on the computer is protected by the Constitution. If you're inappropriate, you need to be spoken with. Inappropriate behaviors are not limited to just LGBTs. We can all behave inappropriately but civilized beings talk out frustrations. They do not punch one another in the face because one didn't like what one did. Violence is reserved for self, including love one's, defense and preservation. Not unless you're the U.S. Government or some members of society and on the City. Of course this is all just conjecture...

All who died on Saturday 5/21/11 were saved. Guess all who I know were not saved, were not wanted by God. I had a SCA in the tombs (jail); we worked him up and the MD agreed with us to pronounce in tombs. The patient was in there for rape and murder with a previous conviction of manslaughter. Are you telling me, this guy was saved?!? Saved from rotting in a cell... Edited for grammar....

It is tough for the student to know what he/she should do. Many of us are saying to report it to the Instructor and I agree but we have to remember how it was when we were in school. I've been an EMT since 95 and a Paramedic since 98; so no one can intimidate me. Not to say I am not humble and can not accept criticism. Because I can. However, insult and disrespect will not fly...

Race doesn't change your treatment but outside EMS/PHC, it is important to note the race. Noting not necessarily documenting. We as Practitioners ask and document many things that may seem inappropriate. We ask for reason of Emergency Activation. A big Why, What, When, Where, & How. Past Medical, Social, & Surgical Histories. We even include a Working, Family, & Educational History. Medications current and past with compliance habits. Last solid and fluid intake. Events leading to. Recent illness. Travel outside the Country. Names of Physicians. Last Hospitalizations and Diagnosis. Recurrence of symptoms. Over the counter remedies. Illicit drug use. Use of Erectile Dysfunction medications. Physical level of activity. Last bowel movement and how was it. Plus, anything else that may be bothersome. We ask all this to formulate a Diagnosis with the help of Physical Examination and Tests. We all do this but no one questions this method of assessment. The reason why we ask is to get a better understanding so the right health plan regiment can be introduced. Race and Ethnic Culture are part of this assessment not racism and discrimination. As some have stated it is when documenting one's race...

http://m.ems1.com/ems-management/articles/1048053-Paramedic-found-guilty-in-Calif-drug-tampering-case/ For Providers with Drug Addictions, please seek help. It is out there for you. Speak with your Employer before you get caught up with something you can't get out of.

He was the SFG fan at the LAD game who was attacked and beaten by cowardly people after the game. It was during MLB Opening Day. He has laid in a coma ever since. There had been no arrests until now... http://m.ems1.com/news/1048938-Report-Police-arrest-suspect-in-Stow-beating Judgment Day 5/21/11 came for them...

Would like to know why you guys there treat dizziness or is it a nausea and vomiting Protocol? Why Benzodiazepines? Upstate NY/Lower Hudson Valley we give Phenergan for the nausea associated with ACS. We can give it for just GI and CNS N/V. Phergan is a Medical control Option for us.

It's never too late to start another career. 39 isn't old. We all have to work until 67 (it will be 69 soon), so you'll have to work another 28 to 30 years. EMS (EMT-B/I/P) is a great Profession and the Degree route you're taking is a good route. Are you close to Bawston (Damn you Pats, Celtics, and Sox)? Correspond with Boston EMS; they can guide you to the direction to the Bachelor's in Paramedics/Emergency Management. Also, they have a very good EMS, if you wanted to work there or do ride-alongs. Plus, with your long Law Enforcement background; with the B.S. and the Paramedic, you can be a Director of a City OEM or one on the State and Federal Level. There is so many options. Of course the EMT-B is just the first step of the many floors of the Emergency Services Industry... Good Luck...

Please do. I like to hear about EMS in other Regions of the World....

We have similar issues in NYC. Private vs Municipal 911 vs Hospital 911 vs Private 911. All this started in 1999/2000; where a Private Ambulance Service was grant permission to run 911 in NYC through Hospitals who at the time did not have EMS Ambulances but these Hospitals had a contractual agreement with this certain Private Ambulance. Plus, the Owner/CEO of this certain Private Ambulance Service was a voting member in NYC REMSCO, the governing body with oversees EMS with the confines of NYC; where the NYS EMS allocated EMS Coordinator is the Chief of FDNY EMS, who is the NYC REMSCO Liaison to NYS EMS. The Private Ambulance CEO was a large campaign contributor to the NYC Mayor, America's Mayor after 9/11, and to many of the NYC Council Members. The CEO was the Member at Large of the American Ambulance Association. This certain Private Ambulance allow provided these Hospitals who did not have EMS; free Ambulances with the Hospital's Logo on the Ambulances, where there was promises of patient steering to their Hospital. Lastly, this certain Private Ambulance had merged with a larger Private Ambulance Service in 2002/2003 which is own by a big Banking Corporation. So, NYC EMS is technically privatized even though FDNY runs EMS in NYC and NYC REMSCO oversees EMS in NYC; this is all on paper because it must be run by a non for profit organization but who's profiting on this? Of course this is a paraphrase of the truth. I do have intimate knowledge of all this.

If you choose to document the race, it's fine. If you choose not to document the race, it's fine too. The only reason race is pertinent in the healthcare setting is that certain race are prone to certain diseases. Response to certain care or social interactions may vary. Believe and behavior systems are different. If the NYS PCRs had more room to document, some can document more of what they find on scene without using a Continuation Form. Unlike many other healthcare studies, EMT does go into health differences in cultures. If it's just a class lecture, the EMS Provider would be lucky. In Nursing, it is a semester class and it is very interesting. Things we do in American culture is not appropriate in other cultures. It shows you to understand and appreciate other culture's similarity and differences from your's. Of course this is all just conjecture...

In NYC, they're proposing big changes in our Pediatric Protocols. As for difficulties in drawing the right amount for pediatrics and neonates, it can be difficult unless you round it up to the nearest whole number and/or to the nearest 5 or 0. If you want to accurately dose the patient; you need to use a IV Pump.

Just wanted to know more about this AREMT. It is, what it is; a chop-shop or a progressing organization. Thanks...

http://www.aremt.com.au/Index.php http://www.iarcedu.com/default.aspx http://www.acpet.edu.au/ It seems like it's a growing organization. It has affiliations with 14 Countries including the UK, Germany, Saudi Arabia, and South Korea. Can I judge on the validity of this organization or what Penthrox says? I can't. I've never heard of AREMT nor am I familiar with EMS outside my Lower Hudson Valley of NY and NYC. That's why I ask, share, and research. Of course this is all conjecture...

Congratulations...

Such a complex service...

http://www.emsworld.com/print/EMS-World/Hold-the-Coroner/1$16900 This article backed a conference I just attended on 5/15 at the FDNY Academy. Interesting concepts. I would love to see a large scale trial on this...

The Green Pants Days... http://m.youtube.com/watch?gl=US&hl=en&client=mv-google&v=HT04UJOWgpk

http://www.emsworld.com/online/article.jsp?siteSection=1&id=17081 Please lock the doors (make sure key is in hand) as you exit the vehicle. Criminals have no code. Auto theft does not discriminate. If the crew locked the doors: then this guy has some nerve but many people do.

http://m.youtube.com/watch?gl=US&hl=en&client=mv-google&v=gtiIXuIPdKU

http://www.nyc.gov/html/fdny/html/community/ems_overview_042607.shtml

Either way. You want to work as an EMT before taking the Paramedic or jump right into the Paramedic with no experience. Most will tell you to wait. I think you should work for a year or two; then take the Paramedic. http://everydayemstips.com/EverydayEMSTipsEdition1.pdf There's so much you have not accomplished or experienced. The Paramedic is not the next step from EMT; it's not even a few steps, it's more like many floors apart. It would be like saying the MD is just a step from Paramedic. Well it's not. The requirements for EMT is very small in comparison to the Paramedic. Not to burst your bubble but the way you're going at things; it seems like you think it's a walk in the park. Good luck.

http://emsseo.com/2011/01/free-ems-downloads/

Free EMS Study Tips and Guides. There is also a big A&P download... You can have it saved on your phone or computer; print it out into a booklet. Thinking ahead is great but you have to get the basics and prerequisites before you can continue... The CCEMTP requires you to be working for sometime as a Paramedic... Good luck... http://emsseo.com/2011/01/free-ems-downloads/