asrnj77

Actually though it is nothing like the LPN and RN comparison. The requirement to be an ALS unit in Virginia (and Washington DC) is I/99. It is cheaper and quicker to instruct EMS employees and volunteers in I/99 as opposed to paramedic. ( Agree with it or not) Of course they encourage paramedic training but do not require it. Also as far as I know all paramedic schools around here train you as an I/99 first and you have to pass the NR exam before continuing to paramedic. In my county/city all ALS units are called "medics" regardless of whether they are I/99 or EMT-P. If memory serves me correctly, Arlington County can run an ALS unit with just I/99's

Then why not get your paramedic cert in FL and come up to NJ with a NR-EMT/P and challenge it? I know NJ has been talking about getting on board with I/99's but right now its either basic or paramedic...

Anybody else from VA feel free to chime in here :wink: But here is something I found for Alexandria, VA..I don't agree with calling I/99's "paramedics" however they are known as "medics" in Virginia "All Fire Department paramedics are required to maintain certifications that maintain their ability to perform state-of-the-art out-of-hospital care. Each paramedic is certified at the Virginia Emergency Medical Technician-Cardiac level (EMT-I/99) at a minimum and the majority are certified as a Nationally Registered Paramedic(NREMT-P). In addition, all paramedics are certified in American Heart Association Basic (BLS) and Advanced Cardiac Life Support (ACLS), Pediatric Life Support (PALS), Basic Trauma Life Support (BTLS), and Pediatric Basic Trauma Life Support (PBTLS). Continuing medical education is provided for all EMS providers through the Fire Department Training Academy. Most of this education is supervised by medical specialists, such as nurses and physicians, from nearby hospitals."

Yeah but EMT-I/85 and EMT-I/99 are night and day...I can't see a place saying that you could take NR for 99 based upon their 85 level of instruction. That seems like a First Responder instructor saying that you could take EMT-B because they taught a few extra things...its many more hours of instruction and clinicals...in Virginia you can practice as a Paramedic with an I/99 (just need to call medical control a little more) so if you had the option to get I/99 I would do it...just curious how your system works....

Not sure if this was already discussed but this has been big news for the Tactical EMS market....CONTOMS is good but as an 18D you would no benefit so much from the course...you have probably already "been there done that" Former Officer Charged With Transferring Explosive Prank Involving Flash-Bang Grenades Caused Serious Injury POSTED: 6:08 pm CDT July 18, 2006 UPDATED: 6:22 pm CDT July 18, 2006 HOUSTON -- A former officer faced federal charges Tuesday after a prank ended in serious injury, the KPRC Local 2 Troubleshooters reported. Seven police officers were indicted in connection with a prank involving a SWAT team flash-bang grenade. Charles Malouf Jr. is accused of providing dozens of the grenades, some of which were used in dangerous practical jokes, officials said. Investigators said Malouf took the flash bangs when his old police force shut down in north Texas. The grenades ended up with the Cypress Creek EMS tactical team, the station reported. One flash bang was set off under a Hempstead officer's patrol car as a practical joke, officials said, and a month later, another grenade blew off a man's foot at a party. Monday night, Hempstead city council grilled Police Chief Glenn Smith for giving badges to all seven Cy-Creek tactical medics, making them officers as well as medics. He has suspended the officers, which is a significant portion of his total patrol manpower. The officers were indicted in Montgomery County earlier this month, accused of trying to cover up the party injury. Malouf was overheard in the courtroom saying he did not know it was a federal crime to possess the flash bangs, and no one told him it was illegal to give the grenades to the Cy-Creek medics, the station reported. He was charged with illegally transferring an explosive device. Malouf waived his right to a grand jury, which means his case moves directly toward trial. If he's convicted, he could get probation or up to 10 years in federal prison.

Yes, I too work with many military medics/personnel. The 91W (combat medic) will soon change again to 68W (I think in October). TC3 (Tactical Combat Casualty Care has also changed and is now CMAST - Combat Medic Advanced Skills Training). Either way a combat medic is only NR as an EMT-B. The 18D (Special Forces Medics) get NREMT-P plus they do a lot of PA type stuff and even veterinary medicine (all this and more in 52 weeks! I was under the impression that the SEALS use IDC from the Navy. The only service that I know of that has everybody certified as a paramedic is Air Force PJ's, but then again their main job is CSAR.I guess all the Special Forces Medics from the various services are NREMT-P with additional training that wouldn't always transfer to the civilian world. Still would be cool to know, though... This started about training right? If you scrap and dig you can find money for nearly anything. They have grants for children of Fire/EMS employees, if you are a minority, or if you just happen to be at the right place at the right time. :wink:

Essentially ABC's but with more emphasis on stopping the bleeding....I'm really open to any ideas. These people will not be "certified" to be medical operators. Its just knowledge for them should something happen in the field and they need to help themselves/others until further aid arrives.

Hi, I was asked by my department to create some sort of lesson plan to teach our police officers basic ems. Those attending will primarily be from Tactical/SOD Units. I was thinking GSW treatments, use of QuikClot, Israeli Bandages, and maybe using a King Airway. Anybody have any other ideas? I was thinking this class might be 2-3 days. Does anybody have any lesson plans that might be associated with this? Any help is appreciated... This is not going to be a tactical medic class....this is primiarily for non-medical personal to self-aid and buddy aid.

[Now for cost. My hospital pays $1.10 for an endo tube, $8 for a disposable LMA, $14 for a King LT-D (the D is for disposable), about $200 for a reusable LMA, and about $600 for an intubating LMA. We are pushing the King because we want to go to an all disposable system and frankly the disposable LMA's are harder to place than the reusable LMA's. ] I agree that the King LT-D is great. The military still loves the combitube. However if your hospital is getting King LT-D's for $14.00 they are getting a great deal. www.narrescue.com charges the government $55.00 and has the retail on them at $67.00