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The Major players of San Diego EMS are AMR and Rural Metro. Both are somewhat difficult to get on with if you have no experience. AMR is responsible for ALS transports in Chula Vista, National City, The San Miguel Fire Protection District, Lemon Grove, La Mesa, Alpine, Jamul and Campo. The...

I feel that I should add that where I am 99% of medics continue no education whatsoever, and laugh at the thought. One of the many reasons Paramedicine lacks professional respect.

I read textbooks: Emergency Medicine: A Comprehensive Study Guide (McGraw Hill) Emergency Pathophysiology: Clinical Applications For Prehospital Care Are two of my favorites. But really any medical / biology / physiology text will do.

I hear the bay area is one of the toughest places to find a preceptor these days. Good luck though, just keep asking and asking eventually something will work out.

This is not the case. I asked this question a long time ago because I wanted to stimulate conversation as it seemed people had a misunderstanding of the mechanisms through which Bicarb treats TCA toxicity. It has been explained elsewhere in the thread to my satisfaction. (see the answers...

Who knows! What school are you attending, I just might be. ;-)

Yep I agree AK, Education standards must go up. Nothing will improve until that happens.

As this is in the BLS section I'll assume the question is out of your BLS textbook. The answer is 15lpm. NRB. In the DOT curriculum you are looking for less than 8 or greater than 24 respiratory rate for BVM. (Yes everybody I know how much more to the decision to use PPV there is. And yes...

I actually feel like the consensus is as I stated, take a look: I tend to agree with the minority of replies: Just sayin'

A single vital sign means nearly nothing. A vital sign is like a frame of a mystery movie. If you randomly selected a single frame from a movie it would most likely tell you nothing, it takes many frames over a period of time in order to tell the whole story. Vital signs work the same...

I've been preaching this for years! And been yelled at and called stupid for doing so a lot of the time. Here is a thread from a while back where a lot of good info was posted about both backboards and c-collars: http://www.emtlife.com/showthread.php?t=15864

Wow, I do EJs pretty regularly! In the patient described by the original poster I would have no qualms about going for an EJ. The consensus seems to be to wait until the patient is crashing, or is in need of medication immediately, but by then IMO you already missed the opportunity to...

I start IVs with widdled down tongue depressors when I run out of needles. Now, let me be the first to ask, if you were off duty and we provided you a way to improvise a NRB where would you get the oxygen to run it?

There are four programs: Palomar and Southwestern as mentioned above, as well as NCTI and EMSTA. Google for more information. They range from full time at EMSTA to two days a week at NCTI. Southwestern is probably the best in the county right now, followed by palomar and the private programs...

Backboard Shmackboard To answer your original question, manually manipulate the head into a neutral inline position. You will not cause further damage doing this, and it is necessary to continue immobilization of the spine. The reason we demand an inline and neutral position prior to...

Do you have any specific questions? I worked for AMR San Diego for just short of five years, did my paramedic internship on AMR254 out of San Miguel Station 14, and then the last half on AMR257 out of Lemon Grove Fire Departments only station (my preceptor bid in the middle of my internship)...

Whooo... I read this post before I left my house this morning, and now that I stopped laughing I though I would reply. Just kidding, it's not THAT bad to get a job down here. AMR San Diego is hiring pretty much every few months, but it's a horrible place to work. Rural Metro won't be...

Just a thought to the OP. There was a day when I said things like this, but I think you should take a little time and check your attitude, you don't have the knowledge or experience yet to tell a good medic from a bad. Being in school and being inundated with new information can make you feel...

Our protocol consists of telling the LEO, pull it out yourself :censored::censored::censored::censored::censored::censored::censored:. Just kidding, the protocol says that they can pull them out, but if they insist we can go ahead and handle it.

http://tinyurl.com/ykzvelo Sorry, I had no choice.