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Absolutely. I also find that system culture has a ton to do with the effectiveness of their providers. I can show you two organizations with similar run stats, similar management, similar pay and VAST differences in provider attitude towards clinical care. The systems that push their...

Does anyone else have any protocol for pericardialcentesis on ALL working traumatic arrests?

Well Houston FD also uses the 10 week patch factory.... I'm one of the biggest proponents of increasing education standards, all I'm saying is that this thread is not the place to discuss it.

Ah, I knew someone was going to say it. I completely agree with you that the education system needs to be revamped. However, that has been discussed extensively on other threads. I think it might be a little unfair to suggest that forward thinking systems simply want more toys. In fact, all of...

For instance, please post research links if you have them. Here's one to start off with: http://www.medscape.com/viewarticle/409729

Dr. Parasite, Everything I mentioned is in use around the country, I did not pull it from thin air. I'm looking for an informed, rather than condescending, conversation about different field treatment protocols. A program in North Carolina has been using Advanced Care Paramedics to...

Hey All, I was curious, and wanted to start one thread in one place, as to what "progressive" (purposefully left vague) ideas your agency or an agency you've heard of is using. For example: Advanced Care Paramedics capable of providing "non traditional" services such as suturing...

Please do not start speculating and passing judgement. Initial reports have been widly varied and inaccurate. Please refrain from judging the crews actions less than four hours after his death.

I'll post the information when it becomes available through the official channels, I don't want to jump the gun. However, lets please keep from speculating.

Hey Guys, This is my neighboring department and it appears to have been a combination of an assault and a medical event. I will provide updates as soon as I get them and any information about how to help. Please stay safe and maintain constant suspicion. Once again, stay safe.

We're conducting a study, and was just curious to get a little bit of an informal discussion going here along these lines: What treatments/interventions do you perform on scene? Specifically, Initiate an IV line Place the patient on a 3 lead ECG Initiate a 12 lead ECG Administer...

indeed.

The TEEX 10 week course was at one point being taught by a paramedic with less than 1.5 years since he got his card and less than half a year of experience as a paramedic. From what I hear, he's still there.

haha I did! I'm second year.

Oh goodness. I'm associated with an ivy league medical school, and I promise it's not a dangerous place. 99% of medical schools also do NOT have meaningful block clinical time the first year. Also the physician and PA are very different animals, lets not stir up that debate! haha BLS to...

Good clarification point that I overlooked on second read. Of course, I walk a lot out to my ambulance (and have even done so once or twice to my SHUT DOWN aircraft) but that's another story. However, I would never ever ever walk a suspected cardiac, syncope or other moderat-severe, or severe...

You're comparing apples and oranges. Many reputable, college based academic paramedic programs require EMT experience. Most leaders in the field of EMS education are adament about the fact that EMT experience is tremendously important for safe paramedics. Since you brought it up, lets get...

While I respect your opinion, I strongly disagree. I worked for two years as an EMT-B before going on to paramedicine, flight medicine, and now on the MD path. Being a paramedic is 90% BLS. Some of the worst paramedics I've encountered have used their "skills" without developing proper...

I am probably one of the biggest proponents of paramedics understanding why they're doing something rather than just doing it because the book says so. We were given little information, true. However based on that information, I can absolutely judge the crews behavior. There is no acceptable...

What makes you so sure it wasn't? With a presentation like this, even if there's a clear 12 lead etc it is cardiac! Unless you have an I-STAT in the back of your rig, there's no way you're going to be able to even begin to be able to make that decision. Also usually patients (especially this...