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Everything posted by asrnj77

  1. Well you kind of answered your own question. The 120 hours is likely the minimum required by your state. They never factor in study time or prep time as it varies with the individual. You also increased the amount of clinicals and ride alongs. Like many professions a lot is learned on the job. A police officer is not proficient right out of the academy. They learn the basics in the academy and the "real" police work in the field just like a new EMT. You get the base line training in school and NR and many states have determined that 120hrs is enough base info for that skill set. This could be
  2. Yeah I have reached out to some people. I may just have to buckle down and stop being lazy I need to spend some time with the 'ole powerpoint. I have taken practically every "tacti-kool" course out there. Some great, some not so great. This is more geared for operator/buddy aide. TQ, QuikClot, Sucking Chestwound, Airway control...
  3. Certainly tragic and to be so young....I believe part of it is the allure that private contractors can present. I mean a local firefighter in Arkansas vs. private contractor in Iraq? Maybe 5 times the salary? Many also believe they will be safe because they will stay "on base". Certainly there is danger abound and safety can't be taken for granted. Especially over there
  4. So I'm having problems locating a "train-the-trainer" type course. Basically I've been tasked with teaching my agency a 1-2 day "tactical first responder" course. I have a lot of ideas in my head but I would prefer to have somebody authorize me to use their instructional materials. I didn't want to make a powerpoint that is pieced together from other people's potentially copyrighted material. A lot of tactical medic companies aren't in the business of producing instructors but I have no intentions of teaching to anybody outside of my agency. I have been to CONTOMS, OEMS, CMAST, TCCC and Wilder
  5. Bang out one of those EMT-W that includes NR-Basic cert with a resume friendly Wilderness attachment (resume friendly debatable). They take a couple of weeks and you camp around the woods while getting the cert. With your experience I wouldn't sweat a basic course at all... [web:7492d10974]http://www.nols.edu/wmi/courses/wemt.shtml[/web:7492d10974] You can google more classes. I would avoid NY personally because they don't recognize National Registry and it makes transfering that much more difficult
  6. Well you are right about the change in stance but I think it goes against what you are saying. The traditional method for facing a threat was the weaver stance which is basically blading yourself with your dominant foot back. They found that this opens the weak side arm pit (as you mentioned) to gsw. The new stance is to face the threat directly so your body armor can provide it's maximum level of effectiveness. The vests can be bought off ebay for relatively cheap. Sure they have expiration dates but they have found that a lot of the expiration dates are like those on medications....you can e
  7. Paramedic Shortage Eased Interesting article about how the metro DC area is recruiting medics. Even in some of the more rural jurisdictions starting pay can be 57k. I especially like when they call the paramedics "field doctors". Also keep in mind that I/99's and P's are called Paramedics in DC and Northern Virginia and the term refers to both in the article.
  8. The card issue is irrelevant. As mentioned before, they have ground medical control. So you put the little headset on and speak with the md on the ground. They can't see what your little card says and the situation now calls for somebody to do what they are able to. If you tell the doctor that you are an EMT-B and don't know how to start a line but you think this person is having a stroke, then the doctor will authorize you to perform whatever they are comfortable with on their medical license. This may be 02 by non-rebreather and monitor. You can't expect a flight attendant to say "oh I see t
  9. How did this nurse know that he was "just drunk"? Did the nurse expect you to do labs on the scene? Unconscious patient....sounds like you did everything right. I guess you could have left him knocked out and come back the next to pick up the body when he aspirates vomit. A bac of .25 is a solid buzz but everybody is different...I label this guy a buzz kill for making them call 911
  10. This is taken from the association of national park ranger newsletter - just thought it was relevant... "EMS Clinicals and Ride-Alongs — Unlike full-time EMTs and paramedics, most ranger/EMTs do not treat patients every day they go to work. Some work at parks that are busy year-round, such as Great Smoky Mountains and Shenandoah, and see their share of sick and injured people. But often, the ranger/EMT is able to transfer patient care to ambulance personnel within five minutes of arriving on scene. Plus, they frequently bear scene safety, traffic direction and accident investigation resp
  11. IMHO...starting lines is not very difficult....I've seen junkies on the street that can get IV access in their own neck....even in paramedic school you practice on some manikin arms then each other and then during clinicals in your rotations. Why not have Basics in rural areas that can quickly give d50 or narcan? Maybe the pharmacology isn't all there but if there was ever a case for cookbook medicine here it is - "He took three bags of heroin and now he is blue" Also in the Army NREMT-B's are trained in I/O access during CMAST. It's about an hours worth of training. This isn't going to
  12. if for some reason the link doesn't work..just go manual www.cottage-grove.org/ems.htm
  13. Cottage Grove, Minnesota read above...
  14. IMHO....people like to start IVs because they feel like they are getting more or using their advanced medical training I feel that oral rehydration is the better way to go unless you can't keep it down...if you need vitamins drink some gookinaid or 50/50 gatorade h20 blend...
  15. Something to consider...of course a ballistic vest can save your life but they also add an intense amount of trapped body heat so if you are a "hot" person expect to be 20 degrees warmer. (bear extra notice smelly/sweaty people) If you don't get it properly fitted it will ride up and choke you when you sit down or pinch your armpits. Puncture/stab resistant vests commonly used by correctional officers are hotter/thicker/less mobile than traditional vests. Again, it's a decision. If you want protection it's an excellent option but like everything else it has it's ups and downs. Lastly vests
  16. www.aecare911.org is associates in emergency care's website. They are listed in Dustdevil's post as being certified in MD but actually teach their classes in Northern Virginia. It's a 6 month class offered twice a year for $2000. Check the website for more info
  17. If you would like to feel 100% at ease just pop into your local district attorneys office and ask them if the station would be justified in having a camera aimed at firefighter's beds or other areas where changing clothing is expected. I expect they will nearly pass out at the the mere thought that this may be occurring and quickly (and behind closed doors) confirm with the Fire Chief that this has not/will not occur. The last thing they want to hear is a government employee bringing up an issue that could cost the gov twice their annual budget. I don't know about your area but we can go to
  18. I believe everything is BLS...I know that throws people off but you may have just gone over the time limit like you said and therein lies the solution. Just memorize everything on the sheet and practice with a classmate and stopwatch. http://www.nremt.org/downloads/Patient%20Trauma.pdf
  19. That's good that NY is higher but last time I was in Manhattan at TGI Fridays a sandwich was $21.50 and $7.15 an hour is still less than 15k a year
  20. The federal minimum wage will go up by $2.10 but over two years. Many states are higher. I'm not sure of the cost of living in your area but if you were/are making a little above minimum wage then that means you are making roughly $12,000 a year (without OT), full time which is at the poverty level. Of cousre nobody goes into EMS for the money but that is very low (at least to me). Would you make more money in the government sector? At least the benefits have to be better 3 step increase is scheduled as follows: $5.85 - Summer of 2007 $6.55 - Summer of 2008 $7.25 - Summer of 2009
  21. A slight twist to this topic although it is in the realm of public safety....in my old police department we had a fridge in the back where we would store confiscated (unopened of course) beer from minors, etc. When we got off shift we could take whatever we wanted for consumption when we got home. So of course you couldn't drink on duty but you could certainly store it there. They trusted that the officer would be reasonable and drink it off duty. I saw in some posts people were shocked that they might have alcohol at a station for other purposes. I suppose they trust their employees/membe
  22. Figured I'd throw my 2 cents in here...as a wearer of a pump I know that it works in a basal/bolus mode. The basal mode is preset to your preferred settings - say maybe .9 units per hour delivered in a small drop maybe every three minutes. When preparing to eat you give an appropriate bolus - many pumps have a safety feature that won't let you give more than 16 units at a time. So perhaps it is possible that the pump has malfunctioned and is continually pushing insulin (never had this happen) and you would need to end/cancel/disconnect. But the minute amount of basal insulin that they are rece
  23. unoriginal is my whole point - this stuff happens First of all I thought your OPSEC (perhaps PERSEC would be better) would get a kick out of this : http://www.aetv.com/dallas_swat/dswat_meet_teams.jsp Second of all, in addition to running active shooter drills (thankfully haven't had a real one) I have taken TC3, CMAST, and the other cool acronym courses and what applies for the military in Iraq is not the same as what American SWAT teams are doing. As Doczilla said the majority of care is preventative and dealing with minor injuries. But if a situation does arise the same medic can h
  24. Not sure why you think he needs the intense OPSEC...they also printed the name of his supervisor. SWAT team members are not undercover detectives (usually) so having their names in the paper probably isn't giving away much. Other than now the local hoodlums will pop the trunk of his crown vic in the driveway and take his AR, MP5, body armor and 50 mags I also saw that you said you don't see a paramedic doing ALS duties until the scene is secured. Well I believe that is the point of the tactical medic. They get some training in team movement, safety, and accept the risk of working in a host
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