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  1. M

    Critical care / Flight paramedic programs in california?

    So i DID look around and found an old thread but its dead and from like 4 years ago so i tried guys. Any info on current FP-C / CCP-C courses in california? A co-worker of mine mentioned a week long course in san bernadino and ended up testing and getting his FP-C that way but i was a bit...
  2. M

    Chest pain pt Turns into Covid & wont answer any questions

    So interesting call and wanted to see what you guys would have done and everyones feedback. Code 3 for Chest pain. arrive to find mid 70's female Standing outside of door. States chest pain since 7:30am to fire on scene and Not much else. Leaves us to go back inside to grab something in the...
  3. M

    How has your charting Changed since Covid?

    Pretty straightforward.....How has your charting changed Universally on EVERY pt, Regardless of covid Symptoms or not? Or ideas to toss around to each other for WAYS to change charting / narratives to be more inclusive? For me, Now i have a generic statement saying that i made sure i left my...
  4. M

    Where are my Kern county Medics at? (quick question)

    Hey, So quick question... Why does Kern county EMS protocols still state KMC isnt a Stemi or even a cardiac facility when the KMC Website ITSELF states that it IS?: https://www.kernmedical.com/services/cardiology/ And capable of cardiac cath's Emergent? I know these protocols are at least a...
  5. M

    Educate me more on troponin

    So. heres what i know about troponin. Its a cardiac enzyme that Appears when a pt has Damage to the heart or various other issues such as acute kidney damage, Sepsis, PE, Heart Failure or more. Normal levels are 0 to 0.4 (im assuming thats flexible depending on where / who you talk to???)...
  6. M

    Whats your "criteria" for starting iv access on a pt?

    So fairly straightforward but looking to see both sides of the story. for me i feel like i sometimes lack consistency. Overall i look at my pt's and say: Do they need meds? do they need fluids? Do i think their complaint warrants IV access in case their condition deteriorates and they need...
  7. M

    IFT Post stroke pt - does ems need to get tpa administration time?

    SO in the conquest of always learning and growing heres the question. Took an IFT. Pt came in with obvious stroke symptoms via POV and was treated with TPA, Stroke symptoms resolved and upon transfer pt was entirely asymptomatic with almost perfect vital signs, CPSS negative throughout. This...
  8. M

    Resp failure ift pt

    Hey so had a kinda interesting call today where i second guessed myself and wanted to share i guess. 80 something yo f, A&0X4 GCS15 transfer for +Flu, CHF new onset, NSTEMI , Pneumonia. pt came in originallly for difficulty breathing, transfer for higher level of care. in er pt decomps on NRB @...
  9. M

    Septal infarct > Flash Pulmonary edema > Code

    67yo M, A&0X4 GCS15 presents with Syncopal episode and Pinkish blood stain On pillow with 911 called by family. Initial BP is 80 over 40 systolic and 12 lead comes back with ST elevations in V1 & V2 with recripocral changes and Septal infarct confirmed by ER physician over phone consult. Pt...
  10. M

    What makes someone a "bad" paramedic?

    So Bit of specifics here.... i work in a county where private EMS is first in and County fire is Just BLS and assisting us. Alot of them dont like it. they're all EMT certified but just show up to open doors, maybe take vitals and carry our bags...Despite this, easily 50% think they're better...
  11. M

    STEMI Mimic?

    So 70 yo F, A&0X4 gcs15 cc of general weakness. pt has extensive cardiac hx with multiple MI's and stents placed in prior years. Pt has NO chest pain , shortness of breath, Nausea, vomiting or any other symptoms aside from weakness. SP02 96% RA, Allergy to ASA, Systolic in 180's, Pulse...
  12. M

    Super-confident EMT's Vs Humble Emt's

    We've all seen it, Not necessarily just in EMS but the medical profession in general. I get more upset or passionate about it when someone is at generally a lower Medical skill level (such as an EMT/LVN/ CNA type) but have this.... Because DR's and surgeons can get away with the god complex a...
  13. M

    Kern County Requires Re-Bid on EMS Exclusivity

    We all heard it was being decided. Now its official, EMS Companies in california kern county will be forced to Re-Bid on EOA's. Not much info outside of that. Will hall loose its 87% Reign? Will delano ambulance finally be swept up by hall? maybe Liberty will Get a big chunk? Maybe some...
  14. M

    Anyone reccommend a good medic training website?

    So just got accepted to Medic school. Any awesome continuing education websites for free that i can browse and get a leg up on things? Already have a pharmacology book and EKG Book both of which are awesome, But anything online that you guys recommend?
  15. M

    Cali / LA Gurney van's requiring an EMT?!?

    So just got hired with an L.A. Company,its a gurney van in every sense of the word.....but they hired me specifically as an EMT. Which is strange. anyone know if this is some strange LA Regulation like all their other crazy ones? We do gurney and wheelchair, My only scope is administration of...
  16. M

    Hawaii (AMR & County) Will hire if you have ONE Speeding tickeT?

    So i got my first speeding ticket today on my otherwise Spotless record. Does anyone know the protocol on Hiring if you have a Speeding ticket or not immaculate record? Am i a lost cause or? I Know they have a point system based on alot of factors and i Rank high in all the other catagories...
  17. M

    Training to be an EMT in Honolulu

    So Im in school in honolulu Training to be an EMT Through kapiolani community college. im about 1 or 2 semesters away From completing my Pre-req's( i work 60 hours a week so i cant take full course loads unfortunately) ive taken Med terminology, English 100, Nursing 100(for the clinical...

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