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EMS Solutions

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  1. Hey I know Walking Dead is on tonight and all, but just before then I invite you to come check out the live podcast. Tonight's topic?

    Exploring Direct To Medic

    This week we are joined by Vincent A. Papasodero. He is the Program Manager from the Emergency Medical Institute, North Shore-LIJ Health System. They have started a unique program that is called Direct to Medic. Students with no prior EMS training or experience will enter the DTM Program through a traditional Emergency Medical Technician Course. It is a 20-month program, which will afford candidates the opportunity to become credentialed as a New York State Emergency Medical Technician and Paramedic.

    Join us as we talk about this unique program, its goals and answer any misconceptions about it.

    You can listen, call in toll free or chat live with us. Tonight Sunday, 11/24 at 7 PM EST

    http://www.blogtalkradio.com/emss/2013/11/25/exploring-the-direct-to-medic-program

    Hope to see you there.

  2. You can view the using TM videos on the main site

    http://turbomedic.com/category/start-here/using-turbo-medic/

    This can give you an idea of the type of content inside the CD and you can also

    become a free member and check out the formatting that way as well.

    Just keep in mind that not everything on the site is in the modules. The descriptions

    on the module sales page is what is on the CD’s.

    The site and member area includes much more. But I think the videos via the link

    above will give you a little peek inside.

    Hope this helps

  3. This FB page seems to cater to the wackers who have that sacrastic look on all we do, all calls are BS and other healthcare workers we encounter are all dummies.

    The RIP pics and ribbons etc are abound throughout FB and FB seems to be THE place to try and get this perceived sympathy for any death, LODD or otherwise. Then people just easily "like" the post or picture and feel good that they are a part of it all.

    The sad part is that page has a very high Fan base who all seem to enjoy the comments, pictures etc. Plus they "the page admins" have now started to try and franchise the name with "The Most Interesting Ambulance Crew In The World ________ <-- insert location" AND you now have the same theme cropping up for FIre as well.

    I try and take these pages for what they are worth and keep trying to promote the realities and desires of true EMS professionals using pages like this to play off of what is ailing EMS as a profession and like the OP said, Holding Us Back.

    Too bad there are not more fans of pages like mine, EMS 12 lead and others that try and give some humor but focus more on education and awareness of the profession.

    • Like 1
  4. Come join this live all day online event. Featuring 13 leading EMS speakers that will give real actionable content to attendees. Nice quick 30 minute sessions. Attend one, a few or all 14 sessions.

    Free to attend live and you can get all the details, see the speakers, topics and register over at

    EMS Web Summit.

    May 17th, 2012

    10:00 am - 7:00PM Eastern

  5. As an EMT in a large EMS system I found myself becoming burnt and indifferent to the patients I was responding to and treating; all too often being annoyed at the calls that obviously just didn’t require an ambulance and more often didn’t even require a doctor.

    While attending paramedic training in the hopes of doing more serious calls that would be true emergencies and require an ambulance, I had yet another call that seemed to be a waste of my time and energy.

    I responded to a general illness call and upon arrival found a bed bound young woman in her early thirties who had a history of brain lesions. Her primary issue that day was abdominal discomfort. While assessing the patient and getting a history, the family advised us that she rarely spoke or made any type of acknowledgment to her surroundings.

    How they were able to tell she was having any complaints is beyond me. I did not note any distress but they were the family and I figured they knew better than I.

    As this emergency became a “two flight of stairs carry down” and a transport to hospital, that the family could have done or perhaps utilized any number of other means to get her to her doctor or emergency department, I slowly began to get more and more annoyed with the non-emergent call my emergency ambulance was dispatched to.

    Being a professional though, I refused to let my inner thoughts seep through to the family. I did my job with a smile, asked appropriate questions and gave informative answers. Once complete, it was just me and the patient in the ambulance with my partner driving to the hospital.

    Alone with the patient, I took better stock in the situation. Noting her obvious struggle with her disease; I thought how she may have felt living in this helpless condition. Did she feel like a burden on her family, friends and even me?

    Without consciously knowing, I put my hand on her shoulder and said "I know it must be hard". Without missing a beat she looked at me and said "It really is - it really is", in a voice that was part sob and part plea. These few words, spoken by a patient that rarely spoke or acknowledged her surroundings to an EMT who was beginning to doubt his role and career choice, resonated in my mind, silenced my doubt, and renewed my faith in the role of an EMT. This heart wrenching call stays with me on every call I go to. That brief moment of connection is what I think of regardless of what level of emergency care is required. I became a better EMT and even more, I like to say I am a better human being – just for touching her shoulder and trying, with a few words, to provide a little comfort.

    This one call stands out for me above so many others, big trauma, severe pediatrics and even 9/11. It always reminds me that it is the patients’ emergency we respond to and not ours. Whether they call 911 for chest pain or a cut lip; to them or their family it is an emergency and they called for help - even if that help is a band-aid, a ride to the hospital or a few words of comfort.

    I like to think that perhaps acknowledging this patient’s situation let her know that she was not a burden on me. I wish I could tell her that in those few moments the small gesture I made ended up being so much bigger to me; and how it has helped to make me into a true EMS professional. It was like a reset button I needed then, but one that has never had to be pressed again.

  6. Thanks guys for the great input. Yet it still seems like EMS can't come to an agreement on which should be which and why or why not. I am actually doing a live EMS podcast tomorrow night on the NJ Redesign Bill which is proposing amoung other things having EMT's and paramedics in NJ licensed. I would like to invite you to join me during the show. You can listen or chat live, or even call in with your opinions if you like, toll free. It's on Wed 6/29 at 7PM EST.

    I am posting the link for the show below. Hope to see some of the EMTCity clan there.

    NJ Redesign Bill

  7. Cool idea with the mini pins.

    Tuesday, FDNY EMS Command Station 47 (Rockaway) was given a "Hero Sandwich" luncheon (3 8-foot heros, with a bunch of "fixin's"), sponsored by the St. John's Episcopal Hospital of Far Rockaway, NY.

    Plaques were awarded to one of the station's Paramedics, and to an "Advanced EMT" from the Nassau County Police Department's Emergency Ambulance Bureau (4th Precinct-Hewlett, L I, NY), by the hospital CEO, Chief of the ER, and the ER Nursing Director.

    True to form, even with all 4 BLS and 2 ALS units having been recalled to the station, they had to remain available during the ceremony. Even having all 3 FDNY EMS Division Chiefs from Queens County Borough Command (Division 4), as well as the NCPD Division Chief in attendance didn't prevent 2 of the BLS, and one of the ALS , teams being pulled away to do separate responses. They got assigned at roughly 30 second intervals, and went in different directions on leaving Station 47.

    All EMS personnel assigned to Station 47 were given "EMS Week" pins by the department, as well as pins specifically designed as miniatures of the station shoulder patch. I was advised that all FDNY EMS stations that have their own design shoulder patches were getting mini-patch pins along with their EMS Week pins.

    As I find and attend other events, I will report on them.

  8. This is NYS attempt to force agencies to go to electronic PCR's. They will not be printing up anymore and while they will allow agencies to print their own. They have to follow the current PCR format inlcuding copies and colors. This can be expensive and wind up costing more than going to say the e-PCR.

    It will happen and agencies will have to fit the bill. NJ did pretty much the same thing a few years ago.

  9. NYS state does not accept reciprocity from FL. You would have to take a "challenge refresher" class and then take the NYS exam. NY also does not recognize the NREMT cert. Once you have your NYS cert, you then have to get "online" with whatever region you want to work in. Up state NY area offers low pay and various region certifications. NYC you have to take the REMAC exam to work within the 5 boroughs and that includes a written and oral exam. But pay is much better. About 5-7 dollars more per hour than the rural areas.

    NJ is even more fun. To work in NJ you can get reciprocity with NREMT certification IF you are sponsored by one of the "ALS Projects" in the state. These are the agencies and organziations that run 911 paramedic units. Once sponsored you fill out some forms and that gets sent to the State and they decide if your training and/or experience meets NJ requirements/standards and if so you get issued a NJ card. If not then your project sponsor works with you to help you meet these requirements. Depending on the project it may be working as an EMT, a 3rd crew member etc. and it may be paid or on the arm until you get the missing parts. Pay can be between $19-27 hour which is usually judged by experience.

    There's a lot of ins and outs to both as well as pluses and minuses. If you have a specific question, PM me.

    Good luck

  10. You should try and discover what it is that is making you anxious. This is one of the steps to eliminating testing anxiety. By finding out what is causing it, you will be able to take steps to eliminate the stress or at least acknowledge the cause and lessen the overall anxiety you have.

    take alook at these hypnosis type audios - I think they are down towards the bottom of the page.

    http://www.selfhelprecordings.com/exams-studying/

    I also did a recorded webinar back in July that covered EMS exams, testing taking and anxiety. You can check that out as well at

    http://emsbootcamp.com/archives.htm

    Good luck

  11. I think this is a topic that plagues providers. Each state or region has different rules, and every agency has different ways of helping or not helping with obtaining needed recert. requirements. I am actually doing a live call in radio show on this topic Monday Sept 28th at 8pm EST. I would love for EMTcity members to come and join in the discussion. Here is the show link

    Who Is Paying For Your Continuing Education?

    It is scheduled for an hour so you can still watch the new show "Trauma" at 9:00. :)

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