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this job is all about making mistakes and learning from it, its an evidence based medicine. Being new, everything is scary, you're not sure what you're suppose to do in certain scenarios and you're not sure what is the right or wrong thing to do at that time. Everybody makes it, and if you...

i would say your best bet at this time is to weigh your situation financially; what obligations do you have that cannot be interfered with if you went to medic school with at least 4-6 months of no income, how does your wife think about you going to medic school and with the lack of income, etc...

The most financially move for you is to attend mt. sac's paramedic program. You can always apply for the board of governors fee waiver, which gives exempt, based on income, and qualifies you for free tuition, which essentially the paramedic program itself. I think the program for me came out to...

the only real main thing that you're concerned about this kid is the possible chance that he might develop into a tonic clonic seizure; therefore, the best thing to do before EMS arrived would be try to isolate him and like the dispatcher said, have him on his side just in case he vomits in...

those are always judgement calls unless theres a stiff protocol in place; but in this situation, c spine probably really won't matter considering this pt has a penetrating wound to the head, so really, any damage to any nerves has already been done. c-spining him at this point instead of just...

So here's the deal, everything that we can do from our side checks out: your heart looks great, your blood pressure is fine, and you're getting good oxygen to your body. Based on your complaint, its not necessarily an emergency that requires something to be done at this exact time, we can take...

in la county?

asking these questions will probably generate a million different answers from a million different people, if you feel like it'll benefit you down the line to work at care, then do it, if not, stay at your current employment. Some will tell you its horrible, some will tell you its great, you...

sounds like you already have a good gig going on at your current employment. Only reason why I would think it might benefit you to go to care would be for the possibly more 911 calls with LA County fire, otherwise, i dont really see any need to leave if you dont really care much for that.

mt sac?

I would say liability alone would warrant him not being allowed riding in the back, especially with how the patient is presenting as you said and is probably in critical condition. A lot of stuff happens in the back of an ambulance in a critical trauma call, and there probably isn't going to be...

80, passed paramedic

worth it for 70 bucks?

any advice? taking mine next tuesday, i really at this point don't have a clue as to really what to pinpoint and study

but ya, when i give it, i definitely titrate it to effect

our protocol uses either for hypoventilation or suspected narcotic od, so it can kind of go both ways, but i mean its one of those drugs that yeah, unless you're really thinking its narcotic od, pinpoint pupils, hx of opiate use, track marks, environment situations, then use it, but i would try...

i don't think cspine at that time prob mattered if pt is in a full arrest

when i say cp, i mean cp with medical in origin, not cp due to some form of trauma

we don't have as much freedom as most other ems systems unfortunately

i dont disagree with you guys with the fact that if its obvious pleuritic cp or traumatic chest pain that giving asa or nitro obviously will not do anything, thats why i said "after a thorough assessment" obviously traumatic chest pains has no need for any medications, same with pleuritic, but...