Recent content by Gordon Miller

  1. Gordon Miller

    ROSC intubation scenario

    How I make my determination to RSI someone are by several questions. 1. Am I taking something away they already have,if the answer to that is yes, I have to have a very good reason to proceed 2. Do they have the ability to clear secretions with out suction and swallow. 3.Is their ETCo2 35-45...
  2. Gordon Miller

    Patients that go unconscious or back into Cardiac Arrest while en route to Hospital..

    Time and skill level of your unit are a big factor in this question.If you're a BLS unit 5 min or less from an ER one rescuer CPR/AED and diesel.If you say 10 mins out I would pull over and alternate compressions with your partner till an ALS unit arrived. If you were on an ALS unit 5 min or...
  3. Gordon Miller

    Is ems not for me?

    I understand what you're saying about the transfers and at 19 I'm sure that makes it even worse.From a basic level to a medic you have to use your situation to the best of your ability.You will learn something from every patient have contact with no matter how simple they might be.It may range...
  4. Gordon Miller

    Which services have tactical paramedics?

    Our service had no medic on the team nor anyone that wanted to volunteer their time to write guidelines,SOPs or be involved in anyway. So I suppose that's about the most accurate way I could put that.
  5. Gordon Miller

    Which services have tactical paramedics?

    My service does and I am the one who started it with the help of the team commander.I usually operate more in the LEO role than medic.Ive only used my medic skills on a handful of call outs.As far as training and the "tactical medic" courses ect I've never taken any of them.I chose to focus on...
  6. Gordon Miller

    Flight Medic Question ?

    What most flight programs are looking for is the "perfect fit" Attitude,someone who is humble and has a good knowledge of the job.Experience at a high volume service isn't really a must.Prior to HEMS I worked at a rural ground service and still work at that service today.Volume doesn't mean...
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