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UMSTUDENT

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UMSTUDENT last won the day on December 27 2013

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  1. I'm torn on RSI, but typically believe it should be something that is part of the "universal paramedic toolbox." Why? I've watched so many dumb things happen to patients who truly needed it and where it wasn't available, e.g. head injured, clenched patient who has three paramedics desperately trying to nasally intubate as saturations drop below 80% with poor BVM compliance (with NPA placed). No matter which way you shake it, this patient is going to die if airway access is not achieved relatively quickly. We don't have RSI in my jurisdiction, but I have intubated both sedated (as part of r
  2. Is there anywhere I could read some good literature on New Zealand's system? Sounds pretty good.
  3. First, thanks for searching. I'm sure plenty of people are privately commending you for using the feature. Second, my EMS system is not progressive. Where I work the protocols are statewide and widely considered "conservative." I used to say "not progressive at all," but recently the state has made some leaps towards accepted practices like CPAP, nitrates for acute pulmonary edema, and now corticosteroids for asthma. None of these things are cutting edge, in fact I'd say they're really just the accepted standard of care, but it's an improvement from even 5-6 years ago when no amount of lit
  4. Anyone who refuses to recognize that the future of EMS is in preventative healthcare, treat and release, referral to alternate destinations, etc lacks vision. It is a matter of time before someone in this country realizes that there is this preexisting universal public tool to screen and filter out unnecessary medical cost: EMS. The real way to decrease health care cost is to stop people from using the service, or at least the most expensive services. Not accounting tricks, not raising the age for Medicare from 65 to 67, and certainly not Ryancare where we pawn one of the most successful s
  5. Big news, especially when it comes to parsing through future qualified medical directors. Very good news.
  6. More in Pennsylvania is messed up besides EMS. Everything is pretty much locally controlled. No economies of scale to provide adequate services. With the exception of a few large municipalities, most Pennsylvanians live in rural "Pennsyl-tuckey." Counties provide very few services with the exception of tax assessments, sheriff's departments (typically warrant serving agencies with little law enforcement responsibilities), and jails. Everything else is typically handled by local boroughs, townships, cities, etc. Most basic law originates in local magistrates, who like ALL justices (including th
  7. I think that EMS should have long ago been defined as a health care profession. Dust is right. True unification is impossible. There is a small contingent of our profession who adamantly opposes any other direction for the profession, and they're right. Those who agree with this vision need to step up to the plate. I feel that it is really going to take two things to make true progress: A) An organization that is well organized by smart, charismatic leaders who can clearly articulate the points we all know to be true. This organization may need to be borderline militant, choosing to dire
  8. My prayers are with them and their families. GOD be with them.
  9. Jwade, You're probably from one of the following: University of Maryland, Baltimore County-UMBC UPitt (my second choice) GW's old program before they cut the clinical portion. Western Carolina-WCU (excellent program. Buddy of mine graduate from here) Eastern Kentucky University of New Mexico University of Southern Alabama University of Texas Health Sciences University Central Washington University Loma Linda University Western Carolina and UMBC bicker back-and-forth about who started the first program, but there is some historical evidence to suggest that UMBC's started i
  10. Vent, I've obviously struck a chord. You've shown what you really think of the profession in general. You used my "sit in a room" figure of speech as an indication of what I believe nurses do. You talk about the "kid gloves" treatment of paramedic students. You yourself have no idea what you're talking about. Your experiences are from what? Late 80's...early 90's? Do you live in the Deep South or some impoverished area of this country where paramedic education is completed in trailers? Jeez man. Symbiotic and symbolic also have nothing to do with each other. Interesting as symbiosis
  11. Still a lot of nothing. Honestly Vent I'm not saying that a paramedic is even remotely qualified to be a nurse-there are obvious differences in roles and responsibilities. I'm saying that the educational deficits seem small to me. You've still failed to give me specific examples of when and where, in the entry level educational process, this occurs. I'm of the opinion that much of it is on-the-job or clinical related. Again, something I believe could be easily integrated into a quality paramedic education. I think your on the defense when I'm more on your side than you see. You seem to advo
  12. Vent, "Unless you have been through the RN or even RT program and have worked in that profession, you may not fully understand what they do or know." I'm still seeing a lot of "you wouldn't understand." I refuse to accept this excuse. Other professions have to justify why they exist and what it is they provide that is valuable. Nutrition? Maybe impliment a nutritionist guidelines, but you seriously want me to believe this? I have never encountered a patient in the hospital environment that didn't have a detailed nutritional plan developed by a registered dietitian for a specific
  13. Vent, Good response. I still feel like it comes with a bit of predetermined bias about what is and isn't taught in a good paramedic programs. My patient assessment class was almost 6 months long, Monday-Thursday. The majority of the class was taught by a combination of PAs and physicians. We were taught to do entire assessments of the entire body, not just from an EMS standpoint. There was a realization that many of our graduates may work in industrial settings or overseas. So yes, I do have training in recognizing and classifying ulcers. Yes, I was required to memorize cranial nerve exams
  14. These programs really are the infancy of what I think will inevitably become a standard career route for paramedics. The reality is that EMS education standards need to increase dramatically. Some political things need to happen too. One of the brightest, and I think future telling, developments I recently saw came from a proposed bill that was shot down in Maryland last year (I know, really). In an attempt to reign in the monopoly that is MSP aviation, a state senator introduced a bill that simultaneously created the first State Board of Paramedics. The bill specifically required that the boa
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