RaceMedic

tcripp,

thats how my medic class was. They did not go back over EMT-B material. other than skills refresher and how they blended in to medic but thats about it.

As far as nursing programs, our local program does require CNA at a minimum for both ADN and LPN. I think it is a requirement of the state.

BlackBelt,

Your best bet, since you live in a college town is to go speak to a counselor at the college and find out what the requirements are. get all the requirements for everything your interested in and take that information go home and think about it. weigh the pro's and con's of each and visit with local EMS, Nurses, and/or RRT's whatever has your interest. Find out what your really interested in. Youtube video's are fine but only show a portion of the job ... a very very small portion. It is not all excitement and rescues.

you have made a positive first step by coming here and asking. But you still have work to do to find out what is right for you. Good Luck to you !

Race

I agree with you Dwayne, wayyyyyy to many old fat guys like us in EMS as a whole not just on here.

There are a couple hybrid classes like that here in Kansas as well as distance learning programs as well. They have had mixed success both with pass rates as well as quality of the medic produced. I have personally precepted for one program that I will never precept for again.

EMTchick,

Good luck read and be active in the forums. Ask questions as often as you need, Remember there are no stupid questions.

You will get out of your program exactly what you put in to it. As with most all of the others in the city I am happy to help in anyway i can.

Race

EDIT- Ohhhh and Welcome Back

that sounds awesome and would also be good for ER staff as well. I wish i could go. I am due for an interview during that time.

Well hell,

For 5 yrs I worked our local dirt track and was introduced to new racers to out track as the "Race Medic" When I first joined the site in '04 i was still working the track so it used it. Been that way ever since. Though now i pretty well go by Race even in my personal life. The name has stuck and kinda evolved it to what it is.

On a side note i have not worked a race 5yrs... Im now in critical care transport and flight medicine.

Race

EDIT- the avatar is me working in the ER

Find a knife you like and take it to the grinder and make it how you want it. or find you a machine shop or welder that can make the O2 notch for you.

HOOORAHHHHH!!!!!

Have her also try for the US Military Academy at West Point, NY (GO ARMY!), or US Air Force Academy in Colorado. All good schools, as is Annapolis (MD) Naval Academy, and on total government dime.

Absolutely Richard, I have suggested all of the academies to her, The object of my affection's daughter is planning to attend West Point. My daughter however is planning to follow the family tradition as closely as possible.We are a Marine family and since the Marines do not have a medical division, Navy will have to do! LOL...

Race

BAHAHAHAHAHAHAHAHAHAHAHAHAHAHA...... I LOVE IT !!!!!! Better than sending the Little sister along !!!!

EFF4, you had me all wrapped up in that story up to the point where you said that you were following in his footsteps...

A dad that lets his baby become a paramedic?? Unthinkable!

But he sounds like a good guy none the less...

Dwayne

Agreed Dwayne, i have encouraged my daughter towards med school should she want to go in to health care. So far she is planning on going to the Naval Academy at Annapolis and letting the Navy pay for school ... I LOVE my daughter !!!!!

Learning to work while being recorded is a new skill. If the recorder gets to intrusive you can ask them politely but firmly to respect the patient's right to privacy. I think new legislature should be added to HIPPA making recording of medical care illegal without the patient's consent. But until then, there's always Chapstick on the lens.

Asys,

I completely agree with you but with the saturation of cameras in everything and being everywhere it will never happen. The best thing you can do is to stabilize as quickly as possibly and get to the ambulance where you know you are in control of the entire situation from that time on.

Race

I asked my management about the revealing of mistakes by medics to patients.

He basically said that it's none of my stinking business because it involves personnel matters and legal matters. Short and sweet and to the point. So I can't answer your question.

ask him how many mistakes your service had this year.

Why would you ask Ruff to go back and ask the same question again? He did as you asked as did i and the responses were the same.

Do you even read the posts ?

Race

I am sure i have been recorded and will be more in the future. You can not stop it as there is no reasonable expectation of privacy in the public places, especially sporting events. Keep your head and do your job and your fine. Liberal use of blankets and sheets work very well for blocking the filming and also provides adequate coverage for exposing where your assessing.

This isn't going to change and even the LEO's can not stop it from happening. Now once i am in my ambulance then i am in control and there will be no filming or pictures.

Race

Scrat,

thats awesome !!!! I think i may have to update it as i am not old enough to have been in the rice patties outside Hanoi ... HAHAHAHA

The text is great! When I see other fathers level of care for their girls I'm always so glad to have a son.

But...maybe we'll see us somewhere soon at some family party. O_O

At the moment we have an issue here - a 17 y/o girl from our vollie department dated a 20 y/o paramedic colleague of my EMS department, so I know both very well. Normal girl-and-boy-thing, romantic feelings and all. But her father simply can't get it, that his little girl grows up and falls in love, now she's even not allowed to attend our meetings or come to service and so, just because it could be that the young man comes across (he's a certified trainer, so sometimes we have him in our trainings, there they once met). It seems, we get enough stuff for a movie. Robert De Niro would be a good cast for him.

I meanwhile ran out of personal experience knowledge I could give those two, never had such a difficult girl-dad for my dates! Tips welcome.

Not a lot to tell Bern. Sometimes a father just can not let go and she, they , you .. will have to wait until she is 18 or out on her own. I am sure he is having difficulty and thinks that the 20yr old instructor used his position to take advantage of his innocent little girl nothing will change that unless your instructor friend can convince the father in question that his intentions are honorable. Nothing you or anyone else can do except them, and most specifically him.

thats my take

Race

As soon as i don't doubt my ability to support her on my own financially. I can't take that big of a step without having my life all together and sorted out. Want to have a place of my own and to not struggle as bad with bills. When i get down on my knee i want her to know 100% that i am fully capable of supporting her. She's a great girl. i feel blessed everyday to have her in my life and a healthy relationship with her parents.

Excellent answer !!!!!

Yes by all means I totally agree and my daughter shares your daughters concern/fears of what i will be willing to do if i do not like him ! LOL

we tried that here the supervisors here would show up and photo the scene and take it to the hospital to show the doc. cameras were property of the service and only used for such ... but it quickly went away

Naw,

Most of my oldest girls "boyfriends" are scared of me when they see me ... so that usually works best for the moment.

my little one is only 9 so she is still my babygirl .. LOL

We can run this out as a scenario if you guys want, but I am just looking to see who chooses which patient.

After your choice, give me your initial stabilizaton treatments and level of cert, I am interested in all level's opinions.

Scene: Single vehicle rollover... car unrecognizable. Vollie fire on scene. 3 patients, all ejected

No helo out here. Fixed wing 1hr away

There is 2 crews responding. 1 ALS, 1 BLS. You can be whichever crew fits your cert level. No more backup (love rural EMS)

Patients:

Patient #1 21 y/o male, lying approx 10ft from car, UnCx snoring resps. Accepts OPA. Possible Fx left wrist. Vitals normal. Sp02 99, EtC02 33 (sidestream)

No other injuries to report

Patient #2 19 y/o male lying directly beside Patient #1 (nearly spooning). A&O x4 though lethergic. Complain of parastesia from waist down and severe mid-back pain. No loss conciousness, no resp difficulties.

Vitals BP 84/42 HR70

Negative babinski reflex, No pain responce at any level in his legs.

Patient #3 DOA

So the question is: who goes ALS, who goes BLS?

Never mind, If it is a dual medic truck they get split and then both units are ALS...

However i do not believe that that will be the case.

PT one is most definitely ALS, although they will both be receiving ALS treatments prior to transported

Both will be boarded and collared. IV's, One should be tubed and Bag assisted. obvious Fx's splinted.

PT two will also need ALS as he is a neurologically compromised he is not compensating as evident by the hypotension and "normal" pulse rate.

PT one could be a vegetable with a herniated brain stem already ... hmmmmmm

im rambling ... whats next Mobey

Race

Sorry, left out a few details there...

Mixed crew, there is only 1 Paramedic on the scene. Fire is not trained medical.

Transport time is 30min to a small town clinic. Trauma centre 3+ hrs out.

Helo is out of service. (ya... we only have a few here, and sometimes.... well often, they are not avail)

sounds like home

First i want to know ... Is the ALS truck dual medic or mixed crew ?

ok , its .... not... spam .... (slight shoulder shrug with questioning tone)

Race

This just in ... Snopes.com just uncovered a brilliantly orchestrated sideline business supported by privately owned hospitals and private EMS services. It seems that an EMT known only as "flamingemt2011" turned whistle blow has blown the lid off this long standing cover up. It appears that authorities have uncovered a stockpile of secondary patient care reports eluding to supposed "mistakes" that led to patient deaths and the ER cover ups that followed. Remains of the deceased persons were then transported via privately owned inter-facility transfer company to a mysterious plant well out in the middle of nowhere surrounded by security cameras, armed guards and barbed wire.

Bodies were seen being unloaded in the building at the same time food service trucks are exiting the grounds enroute to make deliveries across the country....

More on this as it develops....

* nothing serious about this post, Just having fun at your expense flaming ... nothing personal just running with a thought process*

Race

"Soylent green is people!!"

If you have to Google that, you may not get it. Otherwise it's kind of funny... :-)

Dwayne

Funny and very fitting !!! lol

To hell with the black market for organs ... the corporate medical companies are making a stock pile of food pills for the future !!!

Race

So it is a flawed system to start with... soooo delays in response could easily be from the area not keeping up with the separation of services. Not enough staffing to adequately handle the incoming calls and dispatch them properly, and not the fire unions putting undue pressure on something they apparently do not have control over ?

Hmmmmm ... soooooo not all calls to 911 are funneled to Grady for dispatch, Just the sniffles and flu calls that can possibly be scheduled in to a doctor or clinic visit. But the REAL 911 calls are dispatched by the 911 call center. Seems to me the slow down is a natural occurrence that happens when you have 2 unrelated agencies are trying to triage over the phone and are actually double covering each other.

Real call comes in and they dispatch first response, then EMS .... ok

THEN

apparent non emergent call comes in 911 triages as such and sends the call to Grady who then triages the call further and if possible schedules a clinical visit, BUT if not able to then dispatches EMS and then shoots the call back to 911 to dispatch first response crews

And you call this an effective system ? also is Grady the ONLY hospital that dispatches ? In my experience with big city 911 is that there are several 911 call centers handling calls. Do all of these call centers funnel to Grady ?

I am not a fan of the unions either but i have never seen or heard of them delay response times. I do not think a single member would follow that directive if even it was pushed by the union. That sets the member up for legal action not the union....

WOW ... Still can't see where this thread came from ...

Race

*edit* nevermind ...

I knew u were drunk when you posted this last night, today you must be smoking something. How is that you think i am trying to protect corporations ?????????

I am the one saying that you (the corporate medicine machine) should not be able to get away with killing patients,

And you can not have a lawsuit if you bury all the information from the patient, they have no way of knowing, when you and the ER Doctor tell them it must have been a sudden heart attack that killed them, not the medication error.

First off i am pretty sure Asys was making fun of me with what you quoted.

Secondly, i am guessing you have never been involved in a lawsuit. I wish you the best of luck, not if but when you do.

Race