climbermedic
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Posts posted by climbermedic
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I work in a suburb of Philly as well (who knows, possibly the same system as you) and I find that pt treatment on scene vs. enroute vs. transport only tends to depend on a lot of factors. Pt condition, scene factors, partner, etc. I will say that this particular system can be pretty high volume at times and covering your own local is a high priority. It's your patient, your treatment/interventions and your chart, treat your patients as you see fit, and if that's a problem for your partner/mentor then it's their patient.
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I guess most employers provide the training. Some do require that you have it though. Guess that'll help narrow the selection a bit...
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Hi Folks! I'm curious how many of you took, are taking, or are teaching courses at the EMTB-P level that include EVOC. I recently completed a Paramedic Degree program that did not include EVOC. However, I am finding that some (very few, actually) employers require it as a prerequisite for employment. Seems like a relatively short and easy component to squeeze into courses that last a year or longer like most degree level Paramedic training. Weigh in!!!
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Can anyone tell me the process or why increased PaCO2 causes pulmonary vasoconstriction? This would be in the instance of COPD causing cor pulmonale and right sided heart failure...
Thanks :?
In brain injuries increased PaCO2 causes vasodilation correct?
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Hi Folks!
I'm in my 2nd semester of Medic school up here on the beautiful Kenai Peninsula in Alaska. This is actually my 2nd semester of core Paramedicine, I have been knocking out GER's for a couple of semesters on a part-time status. We are currently in the middle of studying Medical Emergencies and I recently got my butt kicked by Cardiology. There are a couple of unique challenges facing the P-med student in rural AK:
1) The local hospital does their best to help with clinical time, but doesn't have super high volume so we travel 3 hours to Anchorage 2-3 times per month for clinicals
2) To complete an internship, we travel to the "lower 48" and spend around 6 weeks riding full time with a service that agrees to precept us in exchange for free labor
3) It's gorgeous here, and I have to try extra hard to buckle down and study instead of going hiking, climbing, fishing, hunting, mtn biking, snowboarding, etc.
I am definitely enjoying P-med school and Alaska. While there are always things a student might change about their program, instructors, classmates, etc., I feel that this has been an overall positive experience so far and I have actually come to enjoy the challenges and uniqueness of this program. If there are any folks out there that have opinions, or advice regarding making it through school I always welcome them. I am especially interested in hearing from other medics in rural areas that have had to travel for their internships.
Why do urban EMS fear on-site treatment?
in General EMS Discussion
Posted
Upon rereading your original post, I realized that I misunderstood a bit. I have no firsthand experience with Philly but I work with a few former Philly medics. The overriding factor in Philly seems to be call volume. I've heard that 20+ calls a shift is not uncommon. I think that type of volume is, no doubt, a recipe for burnout and I can see how it might influence patient care. I recently heard about a study that showed Philly's call volume far exceeds burnout levels. I guess until I've been exposed to that type of environment (as you obviously already have) you can't possibly make a judgement. I like being able to stabilize a patient on scene or enroute. I have had several patients that have presented stable and changed condition enroute. I guess that has much to do with being a new medic with a still developing sense of clinical judgement. Good luck to you in your new endevor.