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Hi guys, I am looking into future career opportunities as new medic from CA I saw both AMR Portland (Multnomah) and Tacoma (Pierce) are hiring I would like to ask if anyone has experience with these two stations? - Are they 911, IFT, both, CCT? - Are they dual medic or 1:1? - What are shifts...

I thought about this topic again and talked to older medic friends, think I got why my view is very different here: The EMS education I had was considered an atypical one, all the schools I went to since EMR days and current P-school were considered much higher standard than most, and all ran by...

I am not a expert in reforms, just offering some personal opinion coming from a different background. I have taken different oath three times in my life, first as an immigrant, in the military, and in SAR with local sheriff. Each time we would treat it as an important, if not scare events with...

Well, not long ago there were popular movements in several states pushing paramedics from "certification" to "license" as a sign of professionalism on par with Nursing. If oath and other ceremonies really mean nothing, why do most other uniformed/medical professions do it and treat it...

Kind late to this, but generally most oath today have a secular version, like one swearing for citizenship/military. (one can omit "so help me God" if one is a non-believer) The version endorsed by NAEMT currently is the secular one, people should ask their program director if one can use this...

Interesting, EMS in Asia generally wear mask on the regular basis, but rarely seen with safety goggles. Maybe it's just a cultural difference.

From what I read in pre-1980 military medicine manuals, it was common practice to give reconstitute blood plasma to trauma patients to improve their clotting factors, a few civilians services also have similar practice. The practice is still used today in the military...

This question has been in my mind for awhile, and I couldn't find answer in my textbook or online. Why did we stop giving blood plasma to trauma patients in the pre-hospital in the US after Vietnam war? Isn't plasma supposedly helping clotting process and fighting infection? I know it is still...

Hello, My CA EMT expiring date is coming up in 3 months, but I have a few questions about recert. 1. On the CA EMSA website, it says that I need someone to sign off form EMSA-SCV (08-10) as Skills Competency Verification. But who has the authority to sign this form for me? 2. I have...

For Camp Counselor I would recommend WFR over EMR, if they recognize it. But most WFR institutes today offer double certification courses (WFR-EMR) anyway.

I just realized that on CAAHP site, accredited and review are under two different searches So all my local programs are under either one. Guess that I am covered. Funny thing is, all the "better" schools in my region are under reviewed one instead accredited ones...

So if the school is not on caahep list, there is no other way for reciprocity? That leave me only one program in my area...

Hi all, I am planning to enroll in my local paramedic program in CA this summer. Since I have many friends and family in WA, I am considering move there after finishing my study. But as I was reading reciprocity policy online, it says only selective paramedic programs are recognized by state of...

No BLS response here is Bay Area, all 911 service are ALS, even the engines, except during a MCI.

Just saying, masks are standard PPE in come countries, particular in Asia.

Hi all I recently found out there is a NRP course offered regularly near my place. But after reading the NRP website, it seems to me the system is very different than other CE courses. From what I have read, I would have to take their course online first, then meet with a proctor to practice...

Here in California it's far worse, each county EMSA has it's own protocol, and often conflicting each other. e.g. Alameda county allows King Airway as BLS, while in adjacent SF city/county it is ALS only. Other examples includes PulseOx, CPAP, Narcan, Hemostatic, Spinal evaluation, LSB vs...

Dr. Gordon Giesbrecht (who is a subject expert and wrote above guideline) clearly states even heart rate of 4/min is a contraindication of CPR on severe hypothermic patient during his lecture in 2009. He also condemns common "15 sec look and feel" practice in this situation...

I have to disagree with that. A severely hypothermic patient could have very slow and weak but sustainable pulse(due to low metabolism). Starting CPR too early could make it into a VF and kills them. It is actually specific mentioned in WEMT course that both pulse and respiration have to be...

How do you measure core temp anyway as EMT? I have never seen any BLS unit can do esophageal measurement.