FormerEMSLT297

The other thing you can do if they tell you officially that you are done is Collect unemployment.

This is the exact reason that NYC-EMS eliminated the part time paramedic training program in the late 1980's in favor of a full time class. In NYC-EMS, they had a bunch of EMT's going to medic school 6-10 but working day work on an ambulance. Invariably they would get late calls, or stuck for mandatory OT or some other BS. When the cried to their LT's that they were due in medic school, they were told, "yeah but I've got a vacancy to fill." People were burning out,.... The bottom line is ,, go to medic school full time, and devote yoursefl to studying, when you are done, you can reapply, or go work somewhere else.... The only other option you have is to work, midnights, that way, you get off @ 0600, even if you get a late job, you still have time to go home, sleep, and get to medic school in a timely fashion. Sounds to me like you dont have much or a choice, your bosses have plenty of medics and obviously they do not care about your education, they are worried about clearing the calls. Where ever you go, dont expect much sympathy, operational priorities trump your education, which is importmant to you, but not your bosses, dispatchers, supervisors, etc. Good luck, FormerEMSLT297 and full time paramedic student graduate.

When I visited La in my tic buff years, I not only visited the LA County Station 127? or I think 127 which was the fire station that they videoed for Emergency, but I also went out to Catalina Island and went diving in the kelp beds. It was one of the best dives i ever went on. But sadly it was like Dec. Jan. and even with a wet suit, the water was cold with a capital C....

We recently had a call of a hiker who got lost in the woods for a period of 8 days, he suffered a fall of about 25 feet of a rock face and was found stranded there with multiple injuries. He was obviously very dehydrated, shriveled up skin, warm dry to touch, cracked lips, etc. He had several lacerations, a FX femur, and several abrasion/ minor lacerations to the head. It is known based on his back country permit, that he was in to woods for 7-8 days without food or water. He fell into a stream and told rescuers he occasionally drank water from the stream. V/S BP 150/80 HP 130 HR 18 PO2 97 %. Obviously we boarded collared him, high con O2, I.V. But my question is: Rapid rehydration? KVO rehydration or something in between. Will rapid rehydration "Shock his kidneys" too much, or maybe save him if he is on the brink of renal failure.? If anyone has any good factual articles on the subject please post them up. Thanks

Welcome to the City. In Maryland they no longer recognize I 85, and the I 99 is recognized as MD CRT (Cardiac Rescue Technician) They can perform almost all the ALS skills, except for Nasal Intubation, RSI, and a few things they have to call for vs. standing orders.. But as someone else suggested, why not just go full P, and that would give you a lot more options. I'm not 100% but I think VA also does not recognize I 85, but they do rec, I 99 for reciprocity. Whatever you decide good luck,

Sorry for the double psot, a "debug error" came up and I didnt think it got posted. A thousand pardons.

Cos, I have to disagree with you on this point. I worked in a service that did a high number of intercepts, and as MEDICS, I never, nor do I know of any of my partner EMT-Ps ever chastizing an EMT, for not calling for a medic intercept, actually, it was quite the opposite, they would call us inappropriately for medic intercept, when it would actually delay the patients arrival at the ER and there was not much ALS to be done except maybe I.V., EKG and transport. Just my 2 cents.

Cos, I have to disagree with you on this point. I worked in a service that did a high number of intercepts, and as MEDICS, I never, nor do I know of any of my partner EMT-Ps ever chastizing an EMT, for not calling for a medic intercept, actually, it was quite the opposite, they would call us inappropriately for medic intercept, when it would actually delay the patients arrival at the ER and there was not much ALS to be done except maybe I.V., EKG and transport. Just my 2 cents.

I think that is is important for instructors to stay current in the field, especially so that they can relate real world anecdotes to the class. Having said that I don't think they have to ride the medic unit every day, but once a week or so would be nice. That being said, I have had several "instructors " that were cookbook medics and didnt know the first thing about the way things really shake out on the street.

110% correct. What were the medics going to do, watch the patients B/P drop even further.... ALL Trauma is BLS load and go,, worry about ALS en route to the hospital unless there is an airway issue...

I also concur with the almighty DUSTDEVIL,, your title is misleading and "training" will probably not fix it,,, you need supervision, oversight, and strong senior people to do mentoring..... I am also curious about your agency medical director, why is he allowing this to go on??????? All the providers practice under his license, all he has to do is say STOP; I will not underwrite this anymore, and that will FORCE the agency to fix to problem. or fire the medical director LOL. Good luck, sounds like you will need it.

Heah Coyotemedic,, seems like your EMS system is like MANY others in this country BROKE. So, how do you fix it? There are no easy answers, but I will proffer a few. 1. Field supervision. Having experienced medics responding on calls, and conducting what you call peer review is one. 2. medics ride for what did you say?? 5 or 10 ALS calls, before they are cut loose.???? That is simply not enough to be a MEDIC in charge.. What if the 5 or 10 "ALS" calls are simple traumas, where they put a line in and EKG and transport, or what if they only involve a hypoglycemic patient that gets D-50 and awakens.?... is this medic now capable or comfortable with running a mega code from hell, or dealing with a Pneumo-hemo, or massive MI ??? probably not. I NYC, where they ride with 2 medics on the truck, and the medic course involves like 400-500 hours of clinical ER, OR and Medic unit time, they still do not let new medics work with each other until the document 960 Hours, (6 months) of working on a medic unit with a senior person. Now I'm not saying you have to get that draconian, but it seems like something needs to get tightened up. Just out of curiosity, what does your agency medical director have to say about all this ???????????? Let us know how this works out.

I too am confused, do you want to be a medic because you think the police will pay ouy more, or are you looking to change over to medic full time, or is your comment about being paid "jack squat" more about you can't afford the medic training out of your own pocket, Enquiring minds want to know.

O.K. you want an answer HERE it is: I got into EMS over 23 years ago. At the time I became an EMT, New York State did not recognize NR... so, what did I need it for. a year later i became an AEMT-3 (equal to NREEMT-I/85) and again ,,,, N.Y. does not recognize so why bother. a couple of years after that became an EMT-P. I was offered the Registry during my class, I think they wanted like 75 0or $100. for the testing.. but once again NY does not recognize, NR. So why spend $100. for NR when NYS does not recognize it. After thinking about moving south to FLA. or MD where I am currently, I decided to go for NR.....(because I needed it.) As for the accreditation thing,,,, I dont know what that is all about. You should be able to challenge the N.R. test, as long as your EMT or medic course complys with the DOT National Standard curriculum. That is the key wording. When I applied for NR they asked for info. from my original NY medic class so I had to send for transcripts, but after NR received them,, there was NO PROBLEM. Even if a program is not accreditted , you could probably still get NR if you went to an approved NR refresher course, and then sat for the test. check with NR for details.

It's going to be hard from the finaicial perspective to justify EMT only position as opposed to dual role/security EMT if you are not transporting. If you were transporting, you could argue that the EMT's would be taken away from the area for a period of time, and that would result in a lack of Security officer coverage. This is clearly not the case with non-transport. I'll have to sleep on this one for a while. Let me ask you, whay are you hell bent on getting EMT only positions? there are a lot of security EMT jobs that are combined ? Maybe if you explain your reason, i'll be able to come up with an answer. Good luck,,,, ohh yeah ,, what event lasts a month or more ?????????????

What is the definition of mandatory ?

MAKE certian that you get the current copies,, if you go on e-bay, someone may try to sell you an old ACLS, or PALS book without the latest updates in them.... that you be pretty useless....... Good luck

Teenagers, AHHHHHHHHHH

There a dozens and dozens of Volunteer Ambulance companies in NYC along with several Vol FD's,, but NYC 9-1-1 will only turf out calls to the vollies in very rare cases, when the system is in backlog.. a lot on NYC Vollies get there calls direct from patients who live in their service area.. The Central Park Medical Unit is really the only volunteer unit that routinely handles 9-1-1 calls,, mostly sports injuries and bike accidents in the park ... they operatr off of the NYPD Radio and work weekends, and on special events, like concerts ...

Whoops, there it is.!!! =D>

If any EMS weenie EVER tried to take my helmet, , you'd be in for a fight. LOL That being said, there are many many protocols out there on the web,, for heat relatedx rehab, they reccomend a 1/2 water to 1/2 gatorade or sports drink mixture,, chilled to about 40 degrees. There are also specific things like B/P = or less than 140/90 or B/P greater tahn 140/90..... check with the national fire academy for further info.

36 hours,, sounds VERY DANGEROUS,,, bring a pillow and blankie and try to get some shut eye.. or better yet,, DON'T DO IT.

I can't believe my eyes,, Dust was/is a CLOSET WACKER??????????????????

Bad, very bad,,, what are you thinking ???????????

... My dept. as well as most other major depts. throughout the country, has a long list of "Police impersonators"... we have a detective assigned to check any reports of "unmarked cars making traffic stops, in our jurisdiction.... it is a very common problem,, and we have come up with many fakers with criminal records, guns, badges , lights sirens,, in their cars, etc.... Aggravated unlicensed operation in NYS means he was driving on a SUSPENDED or revoked license,,, this guy should not have bben behind the wheel in the first place...