paramedicmike

I learned these blocks in a similar manner.

Brevi: are these yours? From your service? From your medical director? All five videos you've posted now have been from the same place.

I always thought it depended on whether or not the victim was standing on his/her head whilst getting shot. Am I wrong on this?

I had a discussion about this with a medical ethicist while in grad school. The conversation, from an ethics perspective, was pretty situational as you can probably imagine. The overall gist of it, however, was that if they refuse while awake and competent to make decisions that's one thing. The second that changes, though, it's a new ball game and you're essentially starting all over again like you didn't have anything.

Peruse as you like.

Link.

Congratulations!

Welcome.

1 - I'm not too sure about that. A couple colleges I was looking at does not say EMT-B is a requirement. They just want an interview, my SAT scores, and my grades from high school.

If you want to take the National Registry paramedic exam you need to be certified as an National Registry EMT-B first. As the National Registry paramedic exam is the certification exam to become a paramedic in many states (perhaps most at this point?) then you will need to be an EMT-B first regardless of what the college says.

More information about EMT certifications can be found here at the National Registry website and also at the State EMS website for your state.

1 - I can see the logic there. I just find it more time consuming being taken away from me becoming a medic. If I were to get my EMT-B cert will anything from that count towards the EMT-P cert? like somehow get certain things turned into credits for college?

What's going to be a bigger waste to you? Finding out after you've spend thousands of dollars and all that time in a paramedic class that you hate EMS? Or taking a step wise approach, being out a couple of hundred dollars (tops!) and about 150 hours worth of instructional time?

So far it seems the rest of your questions have been pretty accurately, and adequately, answered.

Enjoy the ride along.

A few thoughts:

Why has this story changed? First it was that the corpsman didn't want to go play in an avalanche prone area. Now it's that they have their annual training. Which is it? Two different stories here makes the content of the rest of what you've posted suspect. Given how you're dodging questions and providing additional information in a less than straightforward manner only raises more questions about just what is going on. We can't seem to figure it out from what you've posted. Your changing stories points to you not knowing, either.

Coincidentally, this could be why the State of Colorado EMS folks can't help you, either. If your approach to them has been anything like your approach to us then they're just as confused as we are.

The "if you haven't been there you just can't understand" attitude is telling. No, I am not former military. I do, however, have some pretty extensive experience dealing with the military and how they do things. What's funny is that the only people I have encountered who use this approach are the people who were never involved with the organization in question.

Your story just doesn't add up. If this is a legitimate training exercise then legitimate military resources should be involved. Follow your chain of command, or get your Marines to follow their chain of command, to get the resources and authorizations you need to do the job. The military will set your scope, limit your practice and provide the medical command oversight you'll need to do the job. If this is not a legitimate training exercise then you are operating as little more than a basic first-aider with no scope, a few band-aids and a cell phone to call for help. This answer has been presented to you several times, but multiple professionals, throughout this thread. What about it, specifically, is not to your satisfaction?

Lastly, that you do not like the responses you've been getting is not a lack of professionalism. You have been met with some reasonable skepticism, yes. Especially considering your changing tone and story. But nowhere in this discussion have you been treated less than professionally.

101

This still doesn't make sense.

Small unit or not, if this is official training then they should take the steps to have an official medical plan, including providers, either directly involved in, or readily available for, the training. If this is an official training mission and something happens with you there instead of a corpsman heads will roll.

If you guys are just going out as an off-duty weekend in the woods type thing then ERDoc already addressed the issue: basic first aid. If the Colorado DOH can't give you a straight answer there's probably a reason for that.

So you haven't really retired, have you? You've just stopped working EMS in favor of less back breaking work like snow removal.

Agreed with IslandEMT and Doc. Talk to your instructor then your state EMS agency. That will get you started in the right direction.

The video didn't go into a whole lot of depth about what they plan to do. So I don't think you missed too much in the way of logistics by not being able to see it.

100.

Too many questions. Not enough answers.

Real Genius. 1985.

Not through that site I don't. Let me poke around a bit.

Their contact information is on the bottom of every page I looked at on their website:

National Registry of Emergency Medical Technicians

Rocco V. Morando Building. 6610 Busch Blvd., P.O. Box 29233, Columbus, Ohio 43229

Phone: (614) 888-4484 Fax: (614) 888-8920 E-mail: webmaster@nremt.org

Understanding that it's an international call you might need to look into alternative methods of calling them (Google phone or the like). But they're they ones who will be able to answer your question. They will need to evaluate your education and make the determination if there is any way to transfer your education and/or experience.

For the record I have sent messages to NREMT at the email address listed above. It took a day or two but I did get a response. It is an account that is checked.

Welcome.

Your best course is to address your questions directly to National Registry. They will have to evaluate your qualifications and education and make a decision based on that.

Never treat his hypoglycemia at the station without transport.

I like this. Think s/he's hypoglycemic? Check a BGL and transport if low. Do that often enough and it'll raise an awful lot of questions.

Treating him without transport is simply enabling.

Agreed. However, there becomes a fine line between self treatment, individual treatment and assault especially if a BGL comes back normal. This goes back to your original words: "Medical assessment is key...". Just be wary so as to avoid legal troubles.

Wow. You're right. It doesn't seem like that long. But it has been.

If you haven't already start documenting these episodes immediately. Everything. From not checking his/her sugar to not eating to questionable behaviour. Write it all down. Time. Date. Episode.

Do you have the capacity to suspend this person? Based only on what you've written here, if you do have that capability, suspend him/her immediately pending a medical clearance. If this is medical in nature and you have enough documentation all pertaining to concerns regarding this individual's capacity to function safely then there shouldn't be any discrimination taking place. Confirm that, however, with your squad's legal counsel.

This person, at a minimum, needs medical clearance from an independent physician. Can you require a psychological clearance as well? A written contract for behaviour would be helpful but if s/he's not following his verbal agreements now it would need some serious oversight to ensure s/he is keeping up. Regular and routine follow ups would be needed for continued medical clearance. This person should not be allowed to complete a crew. Riding at least as a third person should be a minimum requirement.

What about the eating disorder has you concerned for this person's life?

Somehow I knew that's what you were going to say.

pg 99 :-}

How do you do that?!

Condolences to friends and family.

Nice story. But it's false.