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I find racemic epi much easier to use than scrounging up five single dose vials. We already have fridges so can keep them at that right temp.

EMS is a lot of translating and navigating. Take their story (and other cues from their environment) and whatever objective findings you have and synthesize that into something that the busy ED can quickly and easily understand. Also finding the right the destination for your patient is IMO a...

We have it in our guidelines for use after three consecutive unsuccessful shocks. We are supposed to do AP pad placement on the first set but that has been difficult to get buy in on. Agencies that use the Zoll X have really struggled as you have to remove the CPR puck and people don’t do that...

The update: "They are too expensive to replace, so we won't." Not sure how we are going to get away with that.

But why?

Our budget is outrageous. I would blame it on fire-based EMS, but our EMS admin are not firefighters.

None of our monitors have functional pulse ones where I work. Even the brand new v4+ LP15 failed in a week. We leave the sensor plugged as per rep instructions, it’s coiled up in the mesh front flap. I have never experienced this many failures. We have Zolls at my AMR job tjst use the same...

Only recently.

Caddy, garden supply and power equipment dealer. Student athletic trainer was the bridge to EMS for me.

They could also grab you by the shirt. Never bought that, if you’re at all concerned don’t get so close. Sometimes I wear a radio strap AND stethoscope. Also pants. We wear them cuz fire department and they issue them to us. It’s a nice place to put raptors and a flashlight that I don’t have...

I do not think there are many times in medicine where split-second decisions need to be made about medication administration. Taking a second to think before making a decision, even on chaotic scenes, is what saves patient lives and provider careers. Would that have changed this situation? No...

No not really. We’re just your average five station department in the burbs. I will say our paramedics are in general better than most of the area. We don’t have a bunch of veteran dudes that can run everything thrown at them in their sleep, but we do have a lot of guys and girls that make good...

Everyone at my job currently working on a degree is looking to use it for promotional purposes. The only staff working on graduate degrees are chiefs, aside from myself. Pretty rare at my previous third service for anyone to work on a degree for any purpose other then trying to get out of...

We did three year contracts for both paramedic school and the fire academy for our single role paramedics. The current chief thought that sent a weird message so they’re gone. We still do three years of continuous employment following a tuition reimbursement check however. I’m in backgrounds...

Those are a concern for sure. I am not suggesting these courses need to be completed while we have the folks in school off the line. But maybe a "you will get your AAS in the next three years or pay back school" could be worked in.

Wish my department would pay and mandate everyone get their associates when they send people to medic school. It’s not much time and we have the tuition reimbursement budget already out there. Set people up for success with promotion. We require you be either an engineer or paramedic to promote...

I read elsewhere that the firefighter was assigned as a tactical medic to the responding SWAT team.

There is no better time to take the NREMT test than right after you complete your EMT course. If you think you might work in multiple states, it’s worth your time. It also simplifies state certifications in many (not all) states.

2000 dollars a year towards tuition reimbursement for any higher education degree. Must have a B or better and must return the money if you quit within three years. We also pay for paramedic school for interested employees.

That’s certainly a first. Need that wicking material whilst being thanked for the service.