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Everything has a beginning. An inception of an idea where someone had the ambition to create it. Sometimes by accident. Like so many people in existence today, they were pure mistakes by their parents who had to many glasses of jim beam and there was a lack of entertainment on television. Now two asshole created another asshole who is going to create more assholes because creating assholes feels good. Even though the statement is slightly jaded, I still feel justified to say it. But then again, in my trade, we don’t always interact with the best of characters. So, the writer in me always creates a story as to how we arrived. A quick hypothesis to turn a shitty call into something we can laugh about. Also, it makes people human again in my eyes. I have always lived by the statement that humans are bottomless pits of wants and needs. I mainly use it to help me reflect and analyze my ambitions and actions. But, in the healthcare world, this is true. So, at times, when we are rushed taking care of the critical in the back of the truck, or the nurse with four patient’s running frantically to take care of orders, we will lose the humanity behind the patient. Sometimes the patient doesn’t help with this mindset. Like the small lipoma removal who is feeling the sting from the five sutures wondering how he will ever walk again because of the slight pain. Or the fall in the icy parking lot who has a bruise, normal pulse rate and blood pressure, wondering why you are not going to load them up with pain meds. We all lose the humanity behind the human. In health care, it becomes Burger King medicine, “have it your way!” Or as in JCHO terms, “how’s your pain today?” We become the bottomless pits of wants, needs, desires, and we will not demand for less. We are entitled to how we want things and in the timely manner we expected it. Just like our gossip behind the news story. Just like the lazy boy behind the counter who has no idea how much of a rush I am in. Or the impatience we deliver on our children when they don’t perform exactly how we want that minute. We lose our humanity quickly. We forget everyone’s story. Sometimes our interactions where too quick and too brutal that I HAVE to build a story behind you. Draw some color into your character to wash out that ugly action I watched you do or say. These are my quick five minute fantasies to keep me from getting burned out, again. Its my quick check to brush off the nasty person I just dealt with so I don’t carry the negativity onto the next patient who may need my empathy. There is nothing more frustrating than seeing that EMS provider not giving compassion to the person that needs it because they have been starved of any humanity. They are cold and calculated. They will save your life in minutes but cannot deliver a hug. Everyone has a story that lead them to me. I become the next chapter when they made that turn with out looking, took the wrong medication, fell off that ladder, or tragically ended their life. I want everyone to continue being human to me instead of the bottomless pits of wants and needs I know they are. You’re not just an asshole. You’re an asshole with a story. Most of these entries are the stories behind the asshole I met. View the full article
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So being a senior in high school, I was wondering what courses and programs/clubs are a good bonus to have along with Bio and Physics for EMT as I want to go into Paramedic training. I already have First Responder Training which includes advanced first aid and BLS. I have partial access to the scope of practice for a MFR and I am also going into EMS cadets. I am not sure if I will get any extra training for EMS cadets but I do know I am allowed to go on ridealongs with the EMTs. Is there anything else that may make me more of a choice to be accepted into an EMT training course and further my training by going into a Paramedic course?
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I'm a paramedic FTO and preceptor, I wrote this ebook and have been given out to my interns and new hires for the past year with great success they learnt the ebook like the back their hand and become great medics. If you want something that might assist you be a better, quicker and more efficient paramedic check this out. Spread the word! https://bit.ly/29Em0cv - Link modified so that a portion of the money spent on the book will benifit EMT City. - Admin
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Hey, I wanted to know, if I get qualified as a Paramedic in Israel, if I came back to England would there be a way to just take an exam and be qualified here or would I have to take the entire course again?
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http://www.ems1.com/ems-advocacy/articles/52462048-Stabbed-on-duty-A-medics-lessons-learned-on-the-long-road-back/ View the full article
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Newbie here and new Paramedic grad. Passed boards and applying for jobs, but having a tough time. Have a BS in Bio and EMT-B but no experience as EMT-B or as a Paramedic. Applying for every job where no exp. is required; including all surrounding areas, but can't even get an interview. Any suggestions/ideas? Anyone from the Charlotte area that may have some connections? Am willing to start at the bottom, work any shift. Need to pay bills. TIA
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I’m sorry this has happened to you today. I am sorry you feel this way. I am sorry that you were born unlucky and suffer from this illness. I am sorry that they did this to you. I am sorry your bad day had become a turning point in my career. As the compassionate face expresses concern and empathy, the same person sweating over you will be receiving a high five in the ambulance bay. Sometimes your bad day will turn around the attitude for a burned out medic. It is what makes us good at our jobs and keeps our skills sharp and passion fresh. Our passion to help people. It’s the need to be wanted, to feel valued, and to feel important that the medic prides them self on. There are some awful groups that are far too self appreciating and have yet to save a life. I like to call them the “arm chair quarterback” of the EMS trade. They have yet to feel important so they make their opinions important. I’m sorry you missed that tube but in my opinion (even though I wasn’t there and have no idea about the circumstances you were under) you should have done this… I can’t believe you didn’t already know this… These attitudes wear down the pride of importance a medic thrives on. Especially our new para-pups. The medic feels like crap. They feel like they let down not only the patient but also their crew. I’m sorry about your child’s respiratory issues. But today, when I was able to help them, they helped me out just as much. The fact that I was able to turn around their acute asthma helped me regain the confidence to continue on another shift. It helped me resettle my feelings about applying to another service. It helped me regain my passion to help the next person after you. Your bad day helped me. I’m sorry. View the full article
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http://www.math.nus.edu.sg/~matlmc/Allegory_cave.pdf I have read this in past for my first degree in Literature (unemployment). As future leaders in emergency services, it makes me happy to see this added to the curriculum. In a constantly developing trade, it is important to practice critical thinking in an academic sense. Plato is using this metaphor to describe how people are educated. Everyone is taught to think in a special respect based on their upbringing. As described by the shadows on the wall being played by the marionettes or instructors, this is a metaphor on what people are taught to be true. “I think I see a horse,” when in reality, the person is seeing a shadow of a horse. When the prisoner is released and views a real horse, he will have to test what he knows to be true. How does this relate to the fire service? Emergency service is a growing trade that is continuing to evolve. It is a trade that is going from the technician level to the professional and clinician level. The ways we have progressed is creating professional studies that show the world what we do is back by proven sciences. On the flip, we are a trade that has deep rooted traditions. With traditions also come attitudes that are reluctant to change. As future leaders in emergency service, we need to continue support positive change that continues to help us grow as a profession. View the full article
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I've been an NYC EMT a little over 3 years, a year and a half working transport @ Midwood Ambulance and a year and half working 911/Core @ NSLIJ. I did a small stint @ FDNY academy in between that time. I ended up resigning. I was just recently hired at Transcare's 911 division. my supervisor tried VAX'ing me but the FDNY denied me clearance to work for an unknown reason. Now I can't work 911 until the FDNY figures out why. It's been over 3 weeks. Has anyone been through this? And how much longer will it take for the FDNY to finally clear me? For what reasons would they deny someone clearance to work? And what exactly does VAXing someone mean?
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Hello All, I am currently studying Paramedic Science at Northampton University in the UK and I am very curious about the following matter: It is my ambition to become a paramedic BUT it is an even larger ambition for me to move to America to become a paramedic! I would like to move to Chicago as soon as I graduate and get a job at a busy firehouse! I have also spoken to my family about this and they are going to support me the whole way! My point being that will I have to move to America and undertake the different classes that USA born paramedics have to do (IV Line, EKG's etc.)? I also have an idea to become an NHS paramedic and get some experience first? Thanks In Advance ?
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Hey everyone! Glad I found you all, from what I've gathered from some brief browsing, this seems like a good place to get advice on the world of EMS! So, I'd thought I'd just directly ask this community some on my questions, as I'm a little on the fence about pursuing EMT and Paramedic Should I become an EMS student and eventually an EMT? Also, will my age hinder me greatly? What are the challenges of studying to be an EMT that I should be aware of? If you're concerned about the emotional and mental strain of the job, but know it is a challenge you want to try and overcome, should you think twice? Sorry for all the big questions, any answers or advice you could give me would really be appreciated! Thanks in advance!- 7 replies
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I'm going to be signing up for the NREMT paramedic exam soon and I was wondering, what are some good studyguides/websites to use to help prepare me? Thanks
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Please leave feedback on the EMS videos we've posted. Thanks. https://www.youtube.com/watch?v=ucaCzj-nQ0M
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Hi, My name is Patrick and I'm a 20 year old EMT-Intermediate student here in Germany. After finishing my German Baccalaeurate (High School Diploma) this spring I'd like to attend Med. School. Due to the high entrance criteria over here I'll need to wait a couple of years in order to get in. Now I'm thinking about starting Paramedic training in the US this fall/next spring. I'm thinking of a 2+2 program which would entitle myself to work as a Paramedic after the first 2 years... 2nd half could be pre-med school curriculum. Before Med School I'd love to gain some hands on patient experience, routine and knowledge of a wide scope of practice! I was recommended to look for a county / state of education where EMS is not the stepchild of the Fire departments Due to the out-of-state tuition fee I'd like to attend community college for as long as possible! I was told to look at Wake Tech, NC: http://www.waketech.edu/programs-courses/credit/emergency-medical-science/ems-degree-program Could you: - Recommend me a community college in the US where EMS is taught similary? - Your favourite county where EMS is disconnected from Fire agencies? - Share your experience with international (German?) EMS students and their performance in EMS Degree Programs? This summer is fully booked from July 28th to November 3rd as I'm going to backpack around SE-Asia. Hence programs could start in the end of 2014. My current plan is to start the German "Rettungsassistent" (very narrow scope of practice comp. to a US-Paramedic) this November. Maybe your advice makes me change my plans! Give it a try -
Sorry I havent posted in a while. My life has been crazxy busy.... So, I am giving a street drug lecture as a conference... as I am wont to do on occasion, and a thought occurred to me. We are seeing these "Vaping" stores, products, patients explode in numbers in this area... an exponential increase in this nich market. Even among health care providers. Now I am NOT going to speculate the pro's and con's over traditional tobacco use....But I have a question. It seems to me only a manner of time before someone puts any number of illicit adulterants in the liquid they use for this. My guess is someone, somewhere probably already has tried it. My personal bet is on opioids. But could be meth, or anything else. Has anyone actually seen this (illicit/recreational street drugs combined with Vaping) in their area?
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Hello everyone, I'm interested in becoming a paramedic and don't really know the ropes of the field. I love to learn and would want to learn as much as possible in this field to become the best paramedic I can be.
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My agency is seeking to improve the rescitation performance in the field, and we are generally dissasitified with the standard merit badge courses. How many of you provider either: 1- An in house alternative to ACLS or PALS/PEPP or; facilitate higher performance in resuscitation Or; 2- An in house supplement to ACLS or PALS/PEPP to facilitate higher performance in resuscitation If so, could you relate any specifics (on list or off) as far as course length and content? Also , if you are a NREMT state, what do you do about NREMT recertification. For the record, we are NOT looking at ACLS-EP. While this concept showed promise, it is logistically prohibitive to put the course on here or to train a cadre of in house instructors to the ACLS-EP level. its not from lack of trying, but rather logistical hurdles put up by the AHA. -Steve
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In 5 short months I will be sitting in my first Paramedic class at our local Community College. One of the best programs in the area honestly, and they are developing a hell of a reputation for themselves locally. I have been an EMT for a year or so now, enabling me to have run enough CIty-ALS time to work with a medic quite a bit, run some decent calls, and learn a few things. Yet I have not been on the truck long enough to obtain bad habits. I'm one for preparation. So my question for you so far, is what can I do to prepare? My EMT-B book explains the processess of ALS Assist with tubes, monitor's and lines, and the A&P of all that, and I have been going through that lightly, but its only 1 single small chapter in the back of the book. So I'm on the quest for a A&P book. Any ideas? Any suggestions? Maybe I'm looking at this wrong? Once Medic told me I should start learning my drugs, its a BIG thing I can know before school starts its one less thing I have to learn... I'd rather refresh then learn, but I know if I Learn wrong now, that refresh is going to be a re-learn, which is twice as hard as learning it the first time. Thank You
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Hi Everyone, I really wanted to get this out, but I wasn't sure where to post this. I'm new (but only posting once). I'm currently in high school and I've been having a lot of uncontrollable seizures which have required medical attention at least 8 times, so as you can imagine, I've met a lot of paramedics/emts/firefighters. I just wanted to thank all the EMTs, paramedics, and firefighters who devote their lives to helping others. I'm sorry that you guys don't get as much appreciation as you deserve. But, I'm so grateful for the paramedics who once saved my life, and for everyone else too (even those i haven't met). I wanted to let you know that as a result of all the amazing first responders, I'm inspired to be at least an EMT (and maybe eventually a paramedic or doctor) but I've got to finish high school first. Anyways, you all are amazing and cool people! I wish you all the best in life, and keep doing the awesome things you do. Don't lose hope when people aren't thankful, because you can be rest assured there is someone out there like me who appreciates everything you do and can't wait until they are old enough (21) to be an EMT. Sorry for the long post, and I hope this put a smile on your faces!
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Hi! I'm new to the site so this is really exciting I finished up my EMT basic class in December 2012 and was NREMT certified in January. I'm debating whether or not to go straight into a paramedic program or try to get a job as an EMT first. I live in Washington so what do I need to do for either? Advice and suggestions greatly appreciated
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Hi! People from different countries please write about ambulance service in your countries. 1. who works in ambulance? (paramedic teams?, phisician teams? Nurses? nurse=paramedic?) 2. What drugs do you have and which drugs you can use without a doctor (especially write about sedative/anestetics, muscle relaxants,....)? 3. Are there any drugs that you can administer only after "call" to a doctor? 4. Which procedures can you do without doctor (intubation, cardioversion,...)? 5. EM studies - paramedic studies (years?), team leader-ambulance nurses (EM?/anestesia? specialisation?), phisician (specialisation?) -- I write example about EM in my country - Estonia, European Union. 1. We have 3 kinds of teams: nurse-teams ~65% (nurse+nurse+technician), phisician teams (doctor+nurse+technician), intensive care team/reanimobile (EM doctor or anestesiologist+nurse+technician) 2. Mostly all teams have the same drugs. (injections, tablets...) Inj.: Adrenaline, Dopamine, Noradernaline, Phenylephrine, Diazepam, Midazolam, Propofol, Sodium Oxybutyrate (anesthetic), relaxants (optional), Fentanyl (optional, some teams have in the north, and intensives), Morphine, Pethidine, Tramadol; Diclofenac/Ketoprofen, drotaverine, Metoclopramide, Clemastin, Prednisolon, Dexa., Salbutamol (inhal, inj.), Aminophylline, Metoprolol, Digoxin, Verapamil, Adenosine, Amiodarone, Propafenon, Enalapril, clonidin, Nitroglycerine, phenytoin etc.... 3. Usually relaxants for intubation are not used by nurses, some nurses or phisicians use propofol. In some regions it is possible to call to intensive care team - they come and help to stabilise patient. 4. Mostly all teams can do most of procedures - cardioversion with sedation, in CRP - intubation or LT-tube, live patient airway control with LT or intubation (with sedation or anesthesia). And usually we treat at homes (also nurse teams) - Atrial fibrillations, high BP-s, simple abdominal pains, we assess ECG and put diagnoses - if needed hospitalise. 5. to be team leader nurse must to pass EM exam or to study 1,5 years in EM and intensive care specialisation cource and get intensive care nurse specialisation. Doctor - it can be doc. with different or without specialisations. Thanks!!
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I'm a clinical practitioner on contract based in Asia (where I have been for over a decade). I contacted Paramedics Australia around the time there was discussion about changing the name from Australian College of Ambulance Professionals (ACAP) about joining/membership. I felt that the site and what it offers members is appealing. The submission of the completed application form results in a determination by Paramedics Australia as to the type of membership and consequently the fees attached to that level of membership. As required on the application form I listed my university qualifications/degrees (more than four) but excluded any not gained through the tertiary sector which are quite numerous, and was subsequently informed that I certainly qualified as a full member (though I cannot at the moment recall what level of membership), in which case the membership fees were some AU$300+ annually. That came as a complete shock, and I was somewhat flabbergasted given that I am not employed in OZ and therefore don't practice there (though this may change). This resulted in me not joining as I appreciated that for the fees asked for there was not a lot of value in return, which is a shame really. If membership also was part of registration much like it is with a regulatory body for nursing and medicine via AHPRA and the relevant boards, I could understand the fees but this is not the case. I feel that Paramedics Australia need to clearly disclose the fees and alongside the types of memberships available for which the applicant chooses. I am a member with multiple allied health organisations/associations including NZ Ambulance Association which charges far less in fees.
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Wanting to get some advice on becoming a Paramedic
Tommymac posted a topic in General EMS Discussion
I already have my EMT-B. I am planning on attending my local school in Southern PA as soon as I get back from my Family. I am 20 years old, will be 21 in July. I would like some advice on the field. The Do's/Dont's or things I should keep up on so that way, when I finish school I wont have too much trouble finding a spot with a company. -
Hello, I am looking for a Paramedic Preceptor, preferably in the Northern CA area. Can be with an ambulance or fire dept. I graduated from NCTI last May and completed my Clinicals at St. Josephs Hospital in Stockton this last august. I have still not been placed by my program due to the overwhelming amount of students compared to the amount of preceptors available through the school. I live in Modesto and currently work full time as a Fire Engineer. I have ALS and BLS ambulance experience of about 1.5 years. I am really eager to get going on this so if you are a preceptor or know of one, id appreciate the information being passed on. I am willing to commute pretty far at this point, probably up to 2 hrs one way. I am also willing to work with a preceptor on overtime shifts etc. to get my hours and experience in. Thanks in advance, Chris
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Well, this is it. We have completed our final skills exam and tomorrow is the final exam for my Paramedic Class. We started one year ago, with 39 people in our class. Since then, we have had all of our class time, in class skill training, 500 hours of clinical time, tears, debates, hypertensive crises, laughter, fun, frustration, testing, (ugh) mega-codes and merit badges. Now, we have 14 people taking their final exam. Please pray for us. If you have any advice, I'll be here at the computer studying.
