ncmedic309

Actually, the hospitals in our area can put us on diversion regardless of the patient's personal preference... We have 7 hospitals in the county, 4 are owned by one healthcare system and the other 3 are owned by another healthcare system. They simply divert the patient to one of their sister hospitals. The patient may not get their preference of location, but they can still remain in the same healthcare system and be seen at another facility...so legally they can go on diversion and refuse to accept a patient...

It's actually quite common now that we are having to "redistribute" certain patients away from one of our main hospitals to some of the outlying sister hospitals. This usually applies to medical patients, peds and traumas are usually not affected by the redistribution procedures...

I don't have a problem with giving any patient a fighting chance, but I tend to agree. If it's a traumatic arrest it should be pronounced in the field.

I'm still not impressed with the patch...they could do better...

"87% Dixie. Do you still use Confederate money?"

Don't delay transport just to get a line, I never start a line sitting still...

I agree, it's not the same, but it's a hundred times better than tubing a airway dummy, you can't deny that. The two biggest problems I see with AAM is patient positioning and proper use of the laryngoscope blade. Both of those can be properly addressed and taught in an OR rotation, your not going to find a much better con-ed environment anywhere else...

It's the lack of continuing education in advanced airway management. The initial training for most paramedics is adequate, but in most places your AAM con-ed consists of tubing airway dummies, how helpful is that? There are services out there that require their paramedics to do so many successful intubations in an OR setting each year, but the number of services that actually require that are fairly slim. I'm willing to bet that the number of successful intubations in those services are much better than services that don't offer that type of con-ed experience. If there isn't more efficient training for paramedics, things like this will continue to happen. If it continues to head this direction, they are going to start teaching paramedics just to insert a BIAD and be happy with it, who wants that to happen?

I know for a fact that at least 5 have left over the last year and are currently attending either PA or medical school, however I think that number is slightly higher. We've had several that have completed school within the last 5 years and are currently working as PAs or MDs. We employee roughly about 250 full-time field EMTs/Paramedics, you do the math...

You can call BS on it if you like, but your wrong. Believe it or not, we've had more people leave to head to PA or medical school than to head to the fire department, and a couple more that are currently waiting pending acceptance to a school of their choice. Come check out the stats for yourself... Just to clarify...I'm speaking of mainly paramedics...we have had a few EMTs leave for PA or medical school..

If that's the case here, then I must be oblivious to it all. We have a few people that come and go with the main intent of being on the fire department, but most are just basic EMTs and they are in and out as soon as they can get through the hiring process with FD. It's very rare that I see the same with a paramedic, most who choose to do it, do it for a career and hang out a while, and usually when they leave, it's because they are heading to PA or medical school...

To answer the question by the original poster... They want to take over EMS because they are putting themselves out of business. Take a look at the technology that's came along with fire prevention over the years, they are rapidly decreasing the amount of "fire related" runs that they make each year. It's costing them money in the long run and they need to make up for it somewhere, that's when they look at doing EMS. The saddest part of it is, a lot of fire departments do a half ass job at running EMS at best, so instead of doing a good job, they do just enough to get by and put that money in their pocket. It's a recipe for disaster either way you look at it...

I disagree, most paramedics want to be fireman? I think it's fair to say that a small number of paramedics would rather be fireman, but not most. Hell, I don't have any desire to be a hose monkey...

Always pull the skin tight, it sometimes makes it difficult to see the vein but it beats having the skin bunch up on the top of the hand (or anywhere) as your trying to advance that catheter, talk about some pain...

My apologies...I'll try to keep it clean...didn't mean any harm or "wrong interpretation" of my comments... :?

LMAO! Didn't see that one coming...that's pretty nasty...

You might want to check out some of the videos on this site: http://www.ebaumsworld.com/ Not sure if they have everything your looking for or not, but they have some good clips none the less...

You are a Black Coffee At your best, you are: low maintenance, friendly, and adaptable At your worst, you are: cheap and angsty You drink coffee when: you can get your hands on it Your caffeine addiction level: high What Kind of Coffee Are You? http://www.blogthings.com/whatkindofcoffeeareyouquiz/

Don't be a freaking retard dude :roll: , the eye candy is old enough, if you haven't been to an amusement park lately, there is plenty of "eye candy" of legal age (lots of them being MILFS!)...go check it out, your missing a lot...

I'd take that post...sounds like it's going to be a good summer for you... 8)

How could I forget about all the eye candy? There's plenty of it around every day...never a dull moment! =P~

My first paid job as an EMT was at an amusement park. I had a great time, you see a wide variety of things. The majority of the patients you pretty much treat and release, but you get some good calls at the same time. Lot's of medicals, every now and then you might have a decent trauma, you deal with a lot of pediatrics, and you get lots of good experience. It's a good place for a new EMT to get their feet wet and learn some things about the job. Good luck with it, you should find it enjoyable.

Usually after a couple weeks of orientation your on the truck with an FTO. Your time with an FTO can vary from a few weeks to a couple months depending on your progress.

You can practice the best scene safety techniques but yet, it won't guarantee you a thing... I picked up a patient from the airport one afternoon. He was very intoxicated and had missed his flight. He stumbled around and fell over and bystanders called EMS. He was very cooperative with us the entire time, never gave a hint of violence (yet he is intoxicated, so always expect the unexpected). Enroute to the ED he decides he wants off the cot and out of the truck going down the highway. I tried explaining to him that it wasn't going to work that way and he didn't like it. He decided to take a swing at me and from that point it was on. He wailed on me on my partner for a few brief seconds before we got him "under control". It was one of the worst mistakes that dude could have made, but he didn't make it out of my truck, and he got much more than he ever bargained for. You just have to remember that even the most routine of calls can get out of control in a hurry, even when you haven't had any hints or precursors of trouble to come, you got to always be prepared for anything and everything.

Why would you advance yourself and your partner into a ball of flames? A great way to get yourself killed in a hurry....