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  1. M

    BOSTON EMS

    Fallon (the company I work for) is currently training AEMT's, but it's not clear exactly what the payscale or deployment model they're going to go for is. Worth looking into as AEMT's are almost unheard of in Eastern MA.
  2. M

    BOSTON EMS

    If it was in Weymouth (or Quincy/Braintree prior to 2015) it's most likely because EMS is provided by Fallon, and the two companies have a bit of a rivalry. SSH does still send units responding to emergencies now and again when available.
  3. M

    80 y/oF AMS

    BLS in Massachusetts, I could only give the first treatment. The hospital was notified when we initiated transport which lasted 6 minutes. We cannot initiate septic alerts, though we strongly suspected septic shock and expressed that. The staff began treatment for septic shock within six to...
  4. M

    Pt w a Dr for a wife??

    Similar to the OP, I work BLS in Massachusetts in and around the Boston area. I know my company has a protocol system for where you can transport someone to, and what you need to do or document if you deviate from that. Any hospital within 20 minutes is acceptable, if it is appropriate. And I...
  5. M

    80 y/oF AMS

    Triage certainly agreed, we were BLS. Transported the patient to the nearest hospital (3.5 mi away) without ALS as the only ALS unit had a 10-15 min ETA per dispatch, which in my experience is about 5 minutes off in the wrong direction. Was curious what ALS would have done in terms of assessment...
  6. M

    80 y/oF AMS

    Cold response to SNF for suspected UTI. U/A find pt in bed unresponsive to all stimuli. Carotid pulse present and regular but weak and rapid. Pt is breathing. Nearest staff member states pt's baseline is "foggy/slow", and her last b/p was 70/38 apx. 15 min prior. Pt has a valid DNR/DNI. Pt...
  7. M

    Need urgent answers - Failed Protocols Exam!

    The BLS standing orders will almost all have these same four components: activate ALS, transport, treat for shock if bp drops below 100mm hg systolic, and notify receiving hospital. The variations are in obvious situations, like CPR in a cardiac arrest or manage wounds in a traumatic situation...
  8. M

    Massachusetts EMT-B written exam

    You have to pass the written test within six months of *taking* the practical test, and pass within three tries. If you don't then yes you do have to retake an entire emt-b course. The shortest I know of was around three months but there are probably accelerated programs that require full day...
  9. M

    Need urgent answers - Failed Protocols Exam!

    I took the Fallon test not too long ago, and it really just comes down to studying the OEMS protocol book they give you front and back. The BLS standing orders get incredibly repetitive so it is easy to spot the things that stand out and that is usually what they ask you. Don't forget to study...
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