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i just said it was not comparison of capabilities education etc......

I meant that like a PA medic's must work under the "direct" supervision of a physician and may not operate independently as an NP may open their own clinic. I was not attempting to imply that we are similar in education training etc to a PA.

One of the er's that I currently work in recently required all of their tech to become emt-B's. They also now start iv's in the er I can tell you this was quite intensely investigated... First of all when you work on the road you follow protocols under the supervising medical authority for that...

Just because we can do something dosent mean we should for instance if the pt tolerates his hr which it looks like he does why pace right now? I would start with iv, o2,asa, and monitor, iv because if he does begin to go down the line is already there and may be more difficult later, also if you...

It is certainly not discrimination, denying a procedure or med until a pt looses weight for instance the borderline bp you mentioned serves the pt better overall. the same with the diabetic with the a1c of 13 high blood sugars complicate healing in patients who already take longer to heal...

I have to disagree, while you can learn a lot in the er it depends highly on your job description, which in many places can be differ vastly, The problem in the er for NEW basics, or medics for that matter is that often you are not using the skill sets required to improve as a medic or basic...

Sorry I got cut off and didn't finish I also wanted to add that that is not the attitude shared in large by the md's at the 4 er's that I work out of. Its out dated and the protocols were changed in many ways to allow us the freedom to practice those skills like pain management as we are trained...

Remember that the protocols we work under are relitavely new in the sense that only 6 years ago we were usualy unable to get orders for anything with many doc's in the system stating on more than on occasion that we would never get orders for ANY reason... most of our tretments were post...

I am looking for a good supplemental 12 lead text to teach a basic refresher/understanding course from. Anyone with experience with a particularly good text you prefer to teach from?

I'm still on the fence on this one... I have heard good arguments on both sides and I fully understand the need for more education in this field and am not opposed to it at all.... However in a state that had reciprocity with some 40 states at one time the national registry was brought in as a...

Our State will at last I heard will be dropping the national registry in the future and not require accreditation. And from what I understand it was mostly the colleges who were against accreditation, as well as some discrepancies with the national cirriculum.

Try checking into places like Windsor Ont. we get some students from that area and I know they are able to test out in canada I'm not sure if it works our way but they would most likely know.

I agree Dan... and here is my beef with tests like this... If the moi is enough to cause a fracture then treat it like one until proven otherwise. It's great to debate things academically but we dont for the most part we don't diagnose in the field. We in most cases do not have the tools to do...

I would have to agree with both previous posts. Rn's and medic's even medics with a critical cert are like apples and oranges. Very different jobs and philosophies than share some similar traits. Icu's have low rn to pt ratio's for a reason these pt's are extremely sensitive and complex. a...

Hypo and Hyperglycemia are medical terms not necessarily diseases. People who are "hypoglycemic" tend to have their blood sugar drop based on diet when they have too much simple sugar and their body overproduces insulin and burns it up quickly. they do not take insulin. A type 1 diabetic takes...

We use the BOne Injection Gun (B.I.G.) and it works great but placement is slightly modified and glucose while not "officialy" contraindicated but the 1 med discouraged via io unless its a last resort.

A few ideas on educating your providers on this subject in general. Use the continuing ed forum, in Mi we can use an "expert" to provide education i.e. a lawyer M.d. etc. it requires a little paperwork with a resume and you would most likely qualify. to lecture on your daughters specific topic...

While I can agree that college is more often the better option. I have to admit that I attended a private school, for ems and was sent there by more than one "college" instructor. You need to look at the programs themselves and their requirements, For instance at the time (many years ago) some...

no offense but why would you? If you need to clue in an er doc to look into the lmyph system on the basis that you found them to be swollen there is a much larger problem...it is nice to know info but does not effect our treatment and or transport. We as a field need to focus on the skills that...

The problem with watered down physical tests are that they allow people (men and women) through that are unable to do the job. After passing an easy test used by multiple departments we hired someone who could not lift the jaws, pull a header or get up onto the rear bumper of the engine. that...