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We have no regulations at all... I've worked 28 hour shifts. We usually end up with some downtime (I slept about three hours on the last one I worked), but no official breaks. However, we don't have portable radios, so we can ask dispatch to let us both go into a restaurant to pick up food, and...

Five calls in a row to the nearby college for the "chest tightness" "racing heart" "difficulty breathing" "bad trip" and "chills and shaking". NOI: Marijuana cookies.

Yes, but the projectile is the pt's head. Into the windshield.

I've also found the bullet holes, but I don't want them to think my patient got shot...

i'm helping to organize a "bootcamp" with a series of scenarios that EMTs will respond to, and for one of them I am trying to do a mock-MVA. I'd like to have a head injury, with the windshield shattered, so I've been looking for vinyl decals to stick on. I've found lots with fake half sports...

Yep. I would get called in for letting a parent hold a baby, or for refusing to take a wheel chair. Yay Management.

You let them hold the baby? I would most certainly be fired. Even brand new mom we call for a second crew to transport the baby. And we have enough space at the end of our bench seats that we can fit standard wheelchairs (if they fold it's WAY easier), so that's what we do.

I've seen that list; I'm specifically curious about 911 contracts. I'm working in Boston this summer but going back to school in Amherst in September. The company I work with in Boston does some IFT, some 911. I really like the variety, and so if I can't find a company with some 911 in Western...

Boston, right now. The best way to get an EMS job is to orchestrate a massive educational scandal, have OEMS suspend the licenses of 100s of EMTs, and have a pulse. MA does not have a different license designation for ambulance driving. I applied to my job, didn't mention diabetes (but left...

I am a fellow T1 EMT. Just sayin' hello.

I've been scouring the internet, but can't find anything about emergency contracts in Western Mass. I know Amherst and Northampton are fire based, but I thought Chicopee/Agawam/Springfield/Greenfield might be private contracts. Does anyone know?

A related question: What if your patient speaks only icelandic? The visiting nurse who called you knows that he speaks only icelandic, but she does not speak any icelandic herself. She also does not know his PMH, as she is just filling in for the day. The patient is cool, light pink (maybe...

Hey, I am a fellow EMT with T1. Just wanted to say hello!

My service has chair cars, so I imagine if we came across this after hours when the chair car drivers have gone home, we'd call a supervisor and the supervisor would bring the chair car and follow us to the pt's home. In an emergent situation, they're not coming. We can't waste time on scene...

filed under "not our scope of practice" One way to evaluate potential long bone fractures is auscultating. Read more here: http://www.ems1.com/ems-products/EMS-Equipment/articles/592414-Wait-a-Minute-You-Auscultated-What/

I'm a basic who wants to know everything. I've been hearing a lot of conversation about holding off intubating in codes because the interruption in compressions is likely more damaging than the less-secure airway. Someone mentioned they tried an LMA in a recent code, which got me wondering about...

Thanks for making me look deeper into this. I clearly had a layman's explanation, which was unspecific and led me to untrue assumptions. Again, I should be more specific. I actually know very little about type two diabetes. I know a hell of a lot about type one, and forget that there are so...

In Mass it is a paramedic skill, and it is low in the protocol for hypoglycemia. D50 is considered a better option because a) it works even if the diabetic is drunk / intoxicated with something else that their liver is busy filtering, or if they have decreased glycogen stores after running a...

you work for a transport company, and just got handed a discharge for a pt who had leg surgery three days ago due to an infection. the patient has been doing well in hospital, healing well, no specific concerns. the patient is being discharged at 1700, and lives 65 miles away down a road...

True story, I should have been clearer. I have always referred to any epi that isn't literally drawn up by me or pushed IV as an epipen, since being a very young (8 year old, I think...) first aid-er, whether they were epipens, or twin jects, or ana kits. And the size of the glucagon syringe...