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Summit

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Posts posted by Summit

    Please give your comments.........

    in General EMS Discussion

    Posted

    The majority of people here are problem solving adults so it isn't in everyone's nature to whine to the bossman every time they have a problem. We wouldn't be very good at our jobs if "cry for help at the first sign of adversity" was the general EMS personality type.

    Warnings will be used as a weapon? No... of course not. :wink:

    Shhh CO... public kritik des admin ist verboten. It must be done in private so it can be more conveniently ignored. Standby for thread deletion...

    "Thank you for your input." :roll:

    Dealing with rural EMS

    in General EMS Discussion

    Posted

    Several years ago, EMS systems had a "trading places" program. Basically, small rural areas would send their medics into the metro area and the metro would send their medics into the rural area.

    The rural area medics was able to practice their skills, and see a different side of short transport & high volume of calls. Where the metro medics had a different experience of long transport times and having to expand their education & skills for the additional medications and procedures. They also found out it was not less stressful as they had thought awaiting a call, but a change in pace did do them good. Both learned to appreciate each others positions.

    Maybe this program could be re-instituted again, and expand our professional growth.

    Be safe,

    Ridryder 911

    Actually I've been trying to advocate that around here for basics as well as medics. Nobody is listening much...

    I never knew such a program actually existed in the past. I think it's a really good idea.

    How did you handle your first lost?

    in Burnout, Stress, & Health

    Posted

    my first patient to die on happened early for me. i was 8 days into my first job. we were taking a patient to the city for surgery she was 90 had a DNR. i was driving my first time in the city had no idea where the hospital was so my partner had to jump up front every now and then to give me directions. i missed a turn and she ended up dying before we got her to her room. i was in the hall blamming myself when i partner came up to me put his hand on my shoulder and said "do you know why she died?" i thought he was going to reassure me that the missed turn didn't have anything to do with it and she was old next words out of his mouth "because you missed that turn"

    they were old, dying, had no DNR... thats why the lady died. the turn was irrelevant.

    New Madrid Fault Line.... are we ready? (GDG)

    in General EMS Discussion

    Posted

    they are currently replacing the original reactor with what they call a "pebble plant" (not sure what the details are).

    Pebble bed reactors are a modern reactor des even safer than US BWR and PWR. I don't know what design you guys have (just hope its not RBMK) but pebble bed is better, safer, and easier to deal with. Kudos to South Africa for embracing safer more efficient technology (and that will put you ahead of the US nuclear power industry who is still fighting NIMBY for nationally mandated storage sites from 20 years ago!).

    your opinion on a manditory 2 year degree for paramedic

    in Education and Training

    Posted

    'advanced EMT' [not sure what you mean by advanced - EMT-I maybe? Our EMT-I's tube and start lines.

    "AEMT" or whatever you want to call it (just plain old EMT) replaces EMT-B and EMT-I.

    Would have a national scope and training for:

    Skills (above and beyond what basics do with possibility of standing order or most/all):

    IV/SC

    BGL

    Sellik

    Nebs

    CPAP

    Combitube

    3-Lead Monitoring (no interp)

    Formulary:

    O2

    NO

    Albuterol

    Atrovent

    Atropine/2Pam Autoinjector

    Epinephrine SC

    Diphenhydramine

    Naxalone

    Glucose

    Charcol

    ASA (anaglesic and for CP)

    NTG

    Glucagon

    D50

    D5W

    LR

    NS

    More advanced assesment. Etc.

    your opinion on a manditory 2 year degree for paramedic

    in Education and Training

    Posted

    I present the 72 semester hour AS Advanced EMT: (I was nice and made it four full semesters)

    Semester I

    English Comp I 3hr

    College Algebra 4hr

    Biology I /w lab 5hr

    Chemistry I /w lab 5hr

    Medical Terminology 3hr

    20hrs

    Semester II

    A&P I /w lab 5hr

    General Pyschology 3hr

    Public Speaking 3hr

    Physics I Algebra based /w lab 4hr

    Nutrition 3hr

    18hrs

    Semester III

    A&P II /w lab 4hr

    Pharmacology 3hr

    EMT Didadtic 5hr

    EMT Practical 6hr

    18hr

    Semester IV

    Pathophysiology 4hr

    IV Therapy 2hr (compressed at the beginning)

    Basic EKG 2hr (compressed at the beginning)

    EMT Hospital Clinicals 5hr (after IV/EKG)

    EMT PreHospital Clinicals 5hr (after Hospital)

    18hr

    Clinicals would be 200hrs.

    That first semester will suck without AP credit... but it is guaranteed to weed out the riff-raff.

    Course crediting:

    Algebra - Test out

    AP A&P I&II min score 9 cumulative (5 on one, 4 or 5 on othe other)

    AP Bio minimum 4

    AP Chem minimum 4

    AP English minimum 4

    AP Physics (B exam 4) (C exam 3)

    *puts on flame proof suit* (but before you flame me too hard I do have 13/18 of those classes, I'm a Basic)

    Trauma Care

    in Patient Care

    Posted

    Paramedics are more knowledgable. There is no question about that. If the statistics show this makes them more apt to stay and play on calls that warrant a load and go regardless of level, then send BLS. I haven't had that problem with ALS, but I could definately see that being a problem.

    Depending on the system, especially tiered systems and systems that partner basics with paramedics or use FF/EMTs for first response, you see ALS mostly just doing ALS... so they are rockin the ALS but rusty on some parts of BLS.

    BLS ony does BLS because that's what BLS's job is. Consequently, BLS is well practiced at BLS.

    You aren't going to convince me that just being a paramedic makes one on average more effective at backboarding or taking a pulse or putting a nonrebreather on a pt.

    How is more education goin to help a paramedic hold c-spine?

    The last fifteen or so trauma pts I've seen (far back as my tired mind is remembering these last two months), ALS showed but pretty much let me run the entire show because thre was nothing ALS for them to do (except they gave some pain meds in two cases). If they'd seen me do somethin incorrectly of course they would have stepped in, but so would another BLS provider.

    Of course, my opinion is slightly skewed by the fact that around here IV's are BLS skill (I can also combitube).

    Evolution

    in General EMS Discussion

    Posted

    I didn't mean to sound as if I chose Christianity on Pascal's wager.
    If you were thinking I was implying that, I assure you I was not. I was merely making an observation on the construct that vs-eh present.
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