I’ve been doing some digging for online, synchronous (i.e., live) classes - curious if folks have any recommendations for EMS or EMS-adjacent ones. In particular, I’m looking to get an evening A&P class online.
(I already have my routine CME covered with EMSConnect - live with a physician...
Color me very suspicious about the reliability of the supposed literature…N’s are small and methodology looks at the very least suspect / subjective.
That said, agree with the above - probably not much of the clinical decision making here is driven by DBP - it’s SBP that drives the trauma...
Is anybody aware of any non-observational research that speaks to pluses/minuses for fly-car response? I have my logistical & systems-based intuition on this one (strongly in favor from a budgetary standpoint), but curious on clinical outcomes. I found only one observational study on the subject...
As much as it is an initial education problem, I wonder if it is also age/life-experience related. I'd posit that younger entrants into the field are more likely to fall prey to the error of attribution more so than others with more life experience.
Let's break it down piece by piece.
"So we were dispatched for a weak woman on side of street. Got there. She was 79 and altered. Didn't know her address couldn't really answer any questions. Obtained vitals and bgl. Couldn't obtain BP because everytime cuff would inflate she would move arm and...
I think that is indeed true - on the other hand, the Seattle area has interestingly high paramedic earnings despite the data excluding firefighters, so I'd venture to say that is more about the funding model than anything else.
There's no perfect model, but there is a better model for certain constraints. I grant you that there are some synergies and scale advantages (obvious ones are administration, maintenance, training), but when it comes to operating model, I'm not so sure the core competencies or culture of the...
Looks like it is not uncommon practice based on this ESO data review, even among BLS providers! https://familymedicine.uw.edu/chws/wp-content/uploads/sites/5/2022/02/EMS-Scope-of-Practice-Alignment-FR-2022_ac.pdf
The aphorism I have heard is that for people over 30, any non-traumatic pain between the neck and the navel (probably the groin) gets a 12 lead. Does that track with your practice?
Other than your EMT textbook, you need *no* A&P book to pass your initial EMT course. Read it before you start the class and you'll have more than enough background.