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EMS49393 last won the day on September 4 2010

EMS49393 had the most liked content!

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About EMS49393

  • Birthday 04/25/1975

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  • Location
    Aberdeen, MD
  • Interests
    Medieval and Renaissance English history, reading, music, Guinness.

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  • Occupation
    Still a paramedic

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  1. I live and work in Maryland, in a county that is fairly heavily populated but does have some rural areas (not Colorado rural, mind you). My county is largely volunteer and is supplemented by some paid BLS and ALS providers, and I can assure you that it's not supplemented nearly enough. I was stationed on an ALS chase vehicle with a BLS partner. The partner is not a mandatory spot and they are often pulled from me to staff another opening. We have another ALS chase vehicle in the northern part of the county that is staffed with two ALS providers during the day and one ALS provider at night. Bot
  2. I've never had a policy in place for this anywhere I've worked. It's always been provider discretion. I will let parents of minor children, spouses of hospice patients, and foreign language translators in the back with me, in the captains chair, because it has both a shoulder and a lap restraint. That's only if they are under control and giving me a calm vibe. Aside from that, I'm not a big fan of family riding along in the front. I have actually had seemingly calm family members become panicked because they're only hearing part of what is going on in the back, and they're intermittently t
  3. I'm not reading this entire post right now but I'll still chime in. We have awesome quarters were I work. I do work a pretty busy station, but we are sort-of a combo department (it's a long story) and the volunteers do come out and ride the other ambulances pretty regularly. We work 12 hour shifts, 2 days, 2 nights, off for four. Several of us often swap in to 24 because of the cost of gas and our commute times. Personally, I love 24's, no matter how busy, because my drive is over 50 miles one way and takes me 75 minutes. My last job had great quarters as well. We weren't nearly as
  4. EMS49393


    I know you asked for basics and intermediates, but Maryland has universal state protocols, and it is an EMT-I/paramedic level drug. Pennsylvania also has fairly standard state protocols. They only recognize basic and paramedic. It is a paramedic level intervention in PA. It's paramedic only at MEMS in Little Rock, AR; St. John's EMS in Springfield, MO; and CoxHealth EMS in Springfield, MO. No EMT-I level in AR or MO.
  5. How do you know all this information about him? Has he told you that he has stopped taking his medication? Has he made other statements that indicate he is depressed and lost his will to live? I ask for this reason, if he told you, chances are he is looking for help and this is his way of asking. People that are committed to ending their life typically will not tell anyone before they take the final step. It's the ones that make the subtle remarks that you can truly help. I would definitely figure out who is the most appropriate person to tell and let them know the situation. Someti
  6. I have to do it as a requirement for my PCR. Honestly, I could care less about GCS. IMHO, we have too many little systems for determining a patients mental status when it's much easier to say "they're alert, oriented, with normal mentation" or "they're responsive to voice, garbled speech, no movement on the left side." Those are much better descriptions of what is going on then "en route with a 60 year old male, rule out CVA, GCS of 9 (maybe 10 or 11, who knows, his verbal doesn't fit any of the numbers)." The trauma bay here asks for a GCS breakdown, but it's the only place I've ever tr
  7. I'm not a big fan of feminists either. I think they do more harm then good for women's rights. There is a tactful way to approach and issue and attempt to get your point across. I liken feminists to the Malcolm X's and Louis Farrakhan of the civil rights movement. You're going to win more people over by appealing to the greater good of all people, not just "your people." And before you start all that "you're a racist" crap with me crotch, I happen to be a huge fan of Dr. King, which probably explains why I'm not a fan of Malcolm X. Two different people, two vastly different approaches
  8. I'm not reading this entire thread, but I am tossing in my opinion, for what it's worth, which isn't much. I'm female, and I generally HATE working with other women. Women make me crazy with their incessant chatter about their boyfriends and baby daddies and whatnot. I do not like the gossip, I do not like the catty crap, and if I don't feel like talking, I shouldn't have to talk. I've had several female partners through the years and of them, I could only stand one. Ironically, she was a lesbian and more masculine then most men I know. I hardly have any female friends. I'm just not d
  9. EMS49393

    NG Tubes

    I was taught how and to use them in paramedic school. They are within the guidelines for ALS providers in both Maryland and Pennsylvania, so I do make every effort to drop one when I intubate a patient. I'm pretty sure I'm the only medic I know that does place them.
  10. Good, this is how it should be. I can't count how many times the EMT's have tried to give me their number and take the call when the patient could benefit more if I transport. It's not always about life and death crap. Very few calls are life and death. They say it's a chest cold, and it could be pneumonia working on sepsis. They say it's just a little nausea/vomiting, and I say we should make them more comfortable with some zofran (because the act of retching hurts like hell). They'll tell me it's just a hip fracture, meanwhile Mrs. Doe is in some terrible pain and might like a little
  11. I have to throw my suggestion behind PL Customs as well. I've been in just about every possible kind of ambulance during my long career and for the money, the value, and most of all the service, PL was the best. It's pretty strange for me to say that because I was a pretty die hard fan of the Horton until one of my former companies took delivery of one of PL's ambulances. They converted me. Sounds like you're off to a great start. This is a long process, it's some serious brand of hard work, and it will wear you out. Good luck!
  12. I was bit by a German Sheppard when I was a little kid. I'm terrified of German Sheppards. I know a dog is mean because it was trained to be mean or its a stray and is trying to survive, but I still have trouble with that breed. If its a service dog I will make every accommodation to take them with us, regardless of the breed. So if I can put away my extreme and unnatural fear of the big dog, anyone else should be able to, especially in the case of a well-trained service related animal. My husband has actually transported patients with service dogs several times. He adds that most of
  13. I do NOT trust anyone at work. Ever. I haven't trusted anyone for years and I'm not about to start now. This is one way I protect myself. The second way is to do my job. Work is work. I'm competent, and I'm in charge, which is an advantage. I never bring my personal life to work. I do not do any social networking with anyone I work with. It might sound cold, but you don't crap where you eat. The person is already being watched. They have a big bulls-eye on them as it is. Do your job the best you can and document the job you have done. You're actually lucky that the management
  14. I wouldn't worry as much about the protocols for LMEMS as the morale. Those guys are terrifically unhappy. They're still bent over the merger, and several of the JCEMS guys have since moved on. Last I heard they had ridiculous overtime, super high call volume, and more burnt out medics than several large services combined. Not to mention, they didn't seem real jazzed up about the director that came in a few years ago under a cloud of 9/11 pomp and very little circumstance. You could look at Oldham County, Georgetown-Scott, or Shelby County EMS. They're all around better services. O
  15. A degree will always make you more marketable. If I have a choice between hiring a person with a degree or with the bare minimum, the degree will generally win out. Including the education, which you appear to need, it proves that you have the motivation to go above and beyond what is minimally required. Organizations generally like that, a lot. Not to bash you, but your posts are not very readable, and it's very hard to understand what you are trying to say. College English will help you in the arena. If a potential employer can not understand you, you will be bypassed. Lone, Dear, M
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