I agree. It all depends on the newest management style and jargon for today! We just recently have a new CEO for our statewide hospital system. We have totally overhauled the hierarchy titles, no longer directors except for those that manage multiple departments. No longer individual hospital...
I do respect and have several P.A.-C friends, I do understand their education as more towards the medical model. Twenty-five years ago, you betta! A lot of former medics pursued as well as PA schools searched for those. I now see many electing either medical school or PA school. Most without any...
Sorry for the delay.. I only get on here every so often unlike I used to when I worked in the field. Dependent on where in Oklahoma you are considering. There are some very good Paramedic Life Support EMS to go from ground up if you are sincere. The rural areas are wanting EMT's and many are...
I would closely investigate every service. EMSA is only the name of the trust that manages the EMS in both Tulsa (East) & OKC (West). AMR is the contracted server. Now; investigate that corporation. EMSA is a good service (for a large and provider) & the EMS Medical Director likes to be...
Oh no... here we go again...
EMS cannot even decide within itself of what it is.. are we Safety, Public Service .. etc? Then if that is the case, this is the pay is what you have.
Is EMS medical? Then if compare yourself with others within the medical community the reason many other of those...
You are receiving some wise advice. Unfortunately, using the term "profession" needs to be redefined when discussing EMS (other than a job). Majority of those that are attracted to EMS are usually in the mid-20's to 30's ( some still are very emotionally immature). Of course no one should paint...
Check with your local RT's and those that work with vents... There are some companies that make BVM's with this neat little device to remove "jammed" ETT from the BVM's or other ventilator type devices.
How ironic, I was about to post the same thing! I remember decades ago a Flight Nurse that was preparing a patient for transport from an CCU to CCU. As he was reviewing medications he noted that one of the IV med's was not mixed or correctly at the right rate. Instead of bosting and making a big...
We can always improve, no one says differently. Should we be more empathetic? Definitely. At the same time our clients/patients etc. should also understand with the patient rights there are also patient responsibilities (which many forget). Yes, in the past few years it has been an issue to...
Time to step out the trauma bay and get a breath of fresh air... Real world... There are many so called "procedures" that are necessary to perform baseline/values to diagnose and treat. Would you not obtain lab's because the procedure is invasive and potentially cause psychological problems...
The NREMT only utilizes a few resources for the test writers. The NHTSA curriculum, the AHA/ASA for cardiac, pediatric and PHTLS for trauma. Albeit that there are many text(s) and study guides; these are the only sources that are allowable for the NREMT exam. All the text(s), workbooks, study...
Unfortunately, AHA is more focused upon "providing courses" in lieu providing quality. When ACLS was initially developed, it had meaning; you knew those that passed understood emergency resuscitation. The course was very similar to the EP edition.
R/r911
Bleeding diathesis could had been caused by many factors. Anything like described such as varicies (ruptured hemorrhoids in the esophagus) do doubt that many of you have ever seen a Sengstaken Blakemoore tube in use). Could have been cirrhosis of liver, good ole GI bleed, ASA OD.. and so forth
So glad to hear some refreshing thoughts. I am going on my 40th year in EMS.. I still feel that most of the time; I am still hitting my head against the proverbial brick wall. I have been attempting to make a difference at all levels (from the local to National level). I was informed many...
I know a few years ago, they (Vidacare) had applied to FDA for alternative locations (for all ages) but was still under review. Technically, a physician could order differently (if they want to stick their neck out) as in an "off label" order. I would agree, concerns of the growth plate as well.
As one of the many NREMT test writers, I can say the test is strictly taken off the NHTSA and AHA requirements. Each textbook mimics or gives their opinions of what that might be interpreted as. I would highly suggest that you review your books Chapter objectives and AHA material. Be familiar...
The profession requires and has written criteria for physical health (ability to lift, function capabilities, etc) and many (as should be required) have psychological requirements as well. Within the scope of this profession; it should be understood that the daily work grind, factors and...