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Amazing course!! Highly recommend it, truly though like most things if you don't use it you lose it.. I need to take the refresher...

As a former HEMS Medic I totally agree with your concerns. I don't think that the article should have any effect on the determining the need of HEMS use by the ground provider. However I do feel that this article presents plenty of valid issues and concerns. I feel there are a lot of "simple"...

I don't know from experience, so I cannot speak to specific details but I know they run a traditional style Fire based EMS system. They do there own transports. Most all of their apparatus are ALS capable

So this was indeed a pt with severe cardiac ischemia secondary to untreated aortic stenosis. The pt was found to have clean coronary arteries and a PAWP of 42mmHg. The aortic valve was stented open by balloon valvuloplasty and is scheduled to have a valve replacement in the coming days. Hope...

?? I'm licensed in BC, but even if you don't. You do need to realize they use different metrics for assessing temp and BGL and likely to get a job you will need to be proficient in the language

Not worth it.. Go to school where you want to work, can become a pain to get reciprocity..

The pt is also noted to be breathing rapid and shallow and sts that the pain is increased upon deep inspiration.

Hey all! Sorry for the late reply! Some great stuff so far. I am going to open up the door on this case now for a bit more discussion. So after further investigation you find the pt's surgical site appears to be healing appropriately, no obvious signs of infection, and the pain does not...

SO you are dispatched to a 41y M pt and on arrival of a fairly clean appearing home you find the pt just past the front door, sitting on the floor half in the jacket/shoe closet. He is clearly pale cool and diaphoretic. He is a/o x4 and complains of chest and side pain. The pt sts that 4 days...

Yes, everyone has to have gone through the University of Washington Harboview PMT Program

It's funny you say that about being secretive.. I felt that way to prior to getting here. But now that I am (They gave me a lot of cool-aid, it was great!;)), I think most people would actually say that we aren't really.. We do things different then most places, and sometimes that is good...

Well the word on the street is that in my system unless you are in the active process of dying or dead AND resuscitatable <--(I think i just created a word..) you are BLS... But truly we are a tiered response system that operates like most others. Depends on the call, and the Medic, compared...

:rolleyes: What those guys said! Chronological

Dispatch this is M12, go ahead make that amb red! LoL, good job, great call thanks for sharing! @E tank, great point out about the lactate!

Easy Turf.. lol;)

joking..??

I will add that if you can get in a Medic program up here it is a awesome place to be. I would just caution you on jumping up here expecting that you can get hired in a year or two.. It is super competitive up here. Talked to friend the other day about getting hired with AMR and he said that...

After reading this, I guess I am left wondering what it is you are trying to say regarding this situation?? How does this relate to job killing? This seems more like a power struggle between two groups about who can provide better service..

I do not see anything that would indicate Hyper K, looks like a massive STEMI. The R-R is irregularly irregular, so it is not VT. Good job on the ROSC, thanks for sharing the case! If you can follow up and find out more would love to hear about it!

@NomadicMedic @VentMonkey, Don't worry I got this one, lol. So I am sure some one would want me to point out that this topic is often talked about and there should be lot of resources if you research past posts.. With that said the quick answer would be, don't move here expecting you are...