RaceMedic

Wow.....my head hurts now.

[spoil] Well if mine worked thats makes 14 ... Race

To be an MICT in KS you have to have an AAS degree in hand before being allowed to even test. We are working towards the license VS Certification thing but haven't made it yet....

sorry but its already taken .... Just ask Dust LMAO... :twisted:

Hey Rid, i know what you mean by the lack of requirements for instructors. I was told more than once that the reason the instructors were part time is that the belief was they were hiring Medics that were still working the streets that way they would still be in touch with what is happening in the industry rather than sitting behing a desk collecting dust. Now im not saying that i agree with that philosophy. However the program i graduated from has done something that i found very odd yet progressive at the same time. They hired a full time Paramedic instructor and then when a new coordinater and director was needed they were replaced by part time personel. How is it working ? I'll let you know it has been less than a yr since these positions have been filled in this fashion. Your right to be a paramedic instructor/coordinator you only have to have a degree and Training officer I and II proir to the I/C course. there is no EMS experiance required nor do you even have to be a paramedic ... this cert. is open to RN's and Physicians with out EMS experiance. I am currently working towards my I/C certification and if things work out i will have it in the fall. if not .. well ill be a TO II till the next I/C class opens, we all know how politics work ... Race

all in all yes Dust is right. It is BS, IF you can get in to medic school now by all means do it. IF you are unsure as to whether or not you can handle it, well then take a yr or what ever and work as a basic or I. I do however recommend getting you I before medic .. The programs i am familier with spend only a day maybe two on IV IM SC injection skills then your on your own ... Im sorry but i do believe that is part of professionalism and being great at what you do ... I pride myself on my ablilty to give nearly painless injections and IVs to my PT's in the same amount of time it has taken many seasoned " nail drivers" to do it while causing some major pain. In addition .. Dust , i can only speak for the nursing programs i deal with .. but yes the do require what could be considered BLS before ALS. They require certification and work history at the CNA level before admittance to the RN or LPN programs. that may be different there or where your used to. as i said i can only speak what i know. Like i said first ... IF you can handle EMT-B to P with out a break ... DO IT !!! if not ... then sit back and work it it will only get better. Race

they were going to ... but when i was at TO II they changed their mind on the EMT-P for now ... but have left it open to change when they feel it nessesary. but for now they are staying with NR for Medic as long as all other things are in line ... came strieght from Sutton. Race

I agree there needs to be a truely portable cert or lic. for EMS to take from state to state. Would simplify so much. But when the national scope of practice can not even agree to how and what we should be doing at the different levels then whats the use, it makes it hard to make it work. The states can't even decide on what they want the different levels to be allowed to do. how can we expect someone to come in and tell us what we want or need to do. KS has pulled there support of the NR for all levels except EMT-P at this time. However the only way to become certified in KS is to have a min. AAS degee with your P cert from NR or another state, additionally you will have to prove that your program your graduated from is accreditted and has the amount of hours required by KS programs.

Something that is almost never brought up in these discussions and really needs to be further addressed is Kidney profusion. the kidney's don't normally respond well to sharp changes in BP and can have some serious lasting damage from even one sharp drop or spike in pressure. they need to be profused and maintained as well as the brain and heart to have any kind of quality of life. I worked in a dialysis center for a time while in medic school. i learned quite a bit about the kidney's and their little quarks. A little research and you will find that there are many on dialysis due to BP. Many of my PT's that were on because of BP were accually involved in traumatic events where fluid resusitation is involved. More education is needed in the full effect of BP changes. By the way our protocols state traumas get two large bore IV's as well. They do not have to be wide open TKO is acceptable. our med director also demands we think for ourselves and use our judgement when it comes to what we do. If we feel we don't need the two IV's and can justify it ... then there are no problems Race

This is no different a tactic at recruitment than the Navy doing almost the exact same thing using Godsmack as their sound track... Honestly how many truely stand half a chanse at becoming a SEAL. cause that what they always show ... They just want to attract a younger population in to the field. i dont see anything wrong with it. Race

firemedic, In 1995 My brother lost his 3 kids in almost the exact same scene. his Ex wife was driving drunk to take our niece ( sisters daughter) home from babysitting their three kids while she was working. she blew a stop sign on the by-pass and was T- boned by a tractor trailor. Killed the little ones and perm. damaged our niece. This accident caused me to leave EMS for a couple of yrs. I was scheduled to work that night and had made other arrangements to be somewhere else. good thing as it turned out. Your not going soft. it is a normal responce. On a good note, my brother is now a Graduate nurse waiting to take his NCLEX Im incredibly proud of him !!!!!!!!!!!! Race

Dammit Dust !!!! that was good .. why didn't state that earlier... I would have used it as well as Jakes definition. Thank Jake by the way. however i may just have to edit it and resubmit it. I have worked with both of these types of EMT's ( this includes B's as well as P's) Jakes definition just happened to have fit the over all theme that all of you had set for the thread. Thanks again to all of you who commented on the paper and sumitted your views for me. It was a great help to me. Thank you yet again !!! Race

Thank you all for your input on this and keeping the thread basically fight free. Here is the final product. hope you all enjoy and im sure some will be offended :twisted: Race. Paragod: A paramedic that knows everything there is to know about Para medicine. Enough to kill someone! Their ideas are ALWAYS right, mine/our's are always wrong. They're usually loud, overbearing individuals who never drive because their place is in the back of the ambulance even on a medic/medic unit. This definition is from another paramedic. That in it is unique in that paramedic usually has a better understanding of how the world of emergency medicine works and will change the term ParaGod to God complex. That is not to say that as paramedics we do not know others that fit under the umbrella of ParaGod but also at different skill levels. Paramedic is the highest level attainable in EMS that is without becoming a doctor. In most all-reputable programs an individual will spend up to 24 months in school and receive an associates degree from a college. These programs will run 1600 to 2000 clock hours and are always very intensive. Paramedics that graduate from these programs are not only trained to work in that local area, they are also trained to be able to work anywhere in the country. Paramedics are taught Advanced Life Support procedures and pharmacological interventions. In some areas of the country the paramedic maybe allowed to perform some small surgical interventions like central line placements and crichothyrotomy, or surgical airway. These are just a couple items that are within the paramedic scope of practice as allowed by local medical direction. Given these newly acquired skills and knowledge it is not uncommon for a new paramedic to come out of school and in to a new job ready and more than willing to prove their new skills. These individuals are normal and are usually “ humbled “ by a bad call or a mistake in treatment or diagnosis. It is the paramedic that does not learn from these experiences that earns and is given the title “ParaGod”. The EMT-Basic will spend up to six months in school learning the basic treatments and interventions allowed to staff a Basic Life Support ambulance. These things include advanced first aid and CPR, a bit more in depth anatomy and physiology with that main focus being trauma. It is not uncommon for a new basic to come out of school and want to do everything possible to impress the administration of their service as well as the instructors of the local paramedic program. It happens that basic level EMT’s tend to be harder to “ humble” than a paramedic due to the lesser skills involved and this drive to impress. It is generally accecepted in the profession that ParaGods are born not made. In other words, a jerk is always going to be a Jerk. If you were a jerk going in to medic school you will be a jerk coming out of school no matter what level of education you have gained. EMT’s are as vulnerable to the bite of the of the ParaGod bug as a paramedic they just happen to be easier to ignore.

If i were to recommend any services ... King County Medic 1 in Seattle WA. Cypress Creek EMS in Houston TX. has some very progressive protocols and have a fairly high call volume. PrideMark in north Denver CO. Thats all i have .. and to be completelty honest i have only worked with Cypress Creek EMS. the other two come from highly respected coworkers and other friends

IS the Quinine a new script ? what is her ethnic background ?

Im sorry but i do disagree. Not all of my PT's get 15lpm of O2 in fact most of my cardiacs only get 4-6 by NC you have to look and assess your individual PT and how they present to you. So i guess i am wondering where you get that all PT's get 15lpm ?

i went with 30 due to the possibility of instability during transport. Yes i would like an update on vitals please, full set if you would be so kind

30 degree angle up at the head

OK OK OK Im starting to think im being targeted by my own post here. I have a Star tattoo on my Right shoulder not my left .... Damn it LMAO Race

Can i get a twelve lead please sir ?

Sons along in the truck. Did he bring the pill bottles? You are wanting the entonox too much .. i will hold off for now...LMAO :twisted: B/P is improved .. but what about the dizziness? What kinda blocker? read the bottle please? Why is he taking herbal suppliments? has he taken either of the new found meds today ? Is he on a K+ replacement with the Lasix? Slow rate so possibly has taken the blocker or has decreased K+

OK thanks all for participating ... But the shaved head comment has me concerned....( rubbing freshly shaved melon) * wondering if the consider me a ParaGod?* LMAO The paper is not due for a week so please all participate... feel free to voice your opinion and friendly ribbings. Please i will say again, No personal insults i am not doing this to start anything except research Thanks Race

OK Pulse motor and nueral functoin present below the fracture? slpint in position found. C collar long spineboard head blocks, O2 @ 15lpm IV's running TKO or KVO ( whatever) after a 250cc bolus and reassess BP. Fix dizzyness also? Ask son .. find the bottle with little yellow pills in it for his heart and bring it to me. What is it? NO pain management until Head trauma from a 15foot fall can be ruled out positivly ( sorry don't carry entonox) not familiar with it. besides im an I in this case correct? i can not give meds where i am as an I EKG for sure. What does it show?

What was he doing? Does he remember the event? What else did he hit besides the ground? any other painfully obvious injuries or bleeding? Any thing notable in the abdominal region? guarding, distention, heat, soft or firm, growing? i want two IV's for trauma? What the Past medical Hx?

OK before Dust and Rid and Ace climb all over me ... i did the search and spent a couple hours reading past forums and such ... all 45 that the search brought up on the "ParaGod" subject. Now this is what i am asking. What is the definition of a ParaGod? I want both ALS and BLS interpretations of the term, so please when and if you post i would like to see your Cert. or license level. this is not to start an argument strictly research. I know that an argument will break out and i will ask now that we try to keep it on topic. None of the other posts had a clearly defined individual definition except Dust's. This is for a project i am working on and will be happy to post on here when completed. Thanks Race