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I may be young, hell you have been doing this almost a decade longer than I have been alive, but I am not gullible and most certainly not uneducated. But years of experience does not automatically make you an expert. Doing something wrong for 30 years does not really mean much. Yes, there are some studies that are biased either overtly or through less obvious statistical trickery but for those of us who actually understand research and statistics they are easy to spot. Medicine is dynamic and ever changing. Many things we swore by years ago have been found to be ineffective or even harmful but that does not in anyway discredit new research and changes. We learn and improve with time. Actually, In hospital cardiac arrest survival rates have been rising over the past few years. Prehospital cardiac arrest survival rates are tricky and involve many factors outside the control of EMS. We know that early CPR and defibrillation are they key to survival. Regardless of how good our interventions are they are not going to bring back a guy who has been pulseless with no CPR for 10 mins. If you truly believe that the only reason ACLS changes is to sell books than there is no point in trying to argue with you and I sincerely hope you retire very soon. Why are you correcting "the rookie"? First of all I am pretty sure he is not a rookie. He is not wrong, that is one of the reasons a patient may vomit during CPR. Obviously not the case in a patient who has vomited prior to arrival but that does not mean it is not correct. Why do you keep using the same anecdotal flawed logic. And I think everyone will agree that advanced airways are necessary in those rare incidences of excessive blood or vomit in the airway. The study's main focus is uncomplicated cardiac arrests, the most common.

**sneaks in the door, crawls over to the fireplace, grabs a wool blanket and sets a spell in the rocker** Hi all, I'm an old villager looking for a new home~~not sure I'm up to the "City Life" as I am truly a country hound.... but I will try to play nice with all my toys and be agreeable to disagree at times . I'm an EMS'r from the dinosaur years at times it seems, things I learned when I was brand spanking new in this world have gone away and somehow been reinvented and come back again... Truth be told, I started EMS in the early 80's and hit it hard for about fifteen years, then took a five or six year hiatus to try and make it in the "real world" but found that they didn't accept my way of thinking that sometimes, just sometimes (not always) you just have to just let natural selection run it's course and they forced me back into the world of EMS where I've been 'at home' ever since and will probably die doing this "job". Actually, I've never really considered this a job if I think about it, more of a way of life..... I've been known to be stubborn at times, but if forced with an appropriate and knowledgeable mallet, I may sometimes admit that I may have, or may not have, been wrong~~only time will tell if I can be housetrained for the "City Life" and I look forward to meeting and greeting all of you...I think I see a few "villagers" here so maybe they will accept me and still have one of my broken toys lying around somewhere and will allow me to sit in the corner and gnaw on them while the discussion goes on around me if I am contentious.... **waves at Kat and Ed** I am currently an Intermediate who is also an instructor~~soon I will be a thing of the past again and will be considered an AEMT and I'm really hoping that it's true what they've told me that my knowledge and wages will triple the minute I open the envelope that labels me as an AEMT...I think they also said something about "World Peace" happening as well... but I am excited about the national push to stabilize, equalize and verifize EMS across the board in the states and if it brings more uniformity and "togetherness" to the world of EMS to help us all grow up, then I am all for it~~yeah, like I said, "world peace" as well :0)~ I also work full time EMS, work at a local store on my off days to collect a pay check that makes up for what I don't make in EMS...lol, and run a rural volunteer ambulance service which has seen it's call volume almost double in the past year due to the "oil boom" in the western part of our fine state, and as the call volume doubled, the crew numbers decreased to half the size.... So as I said, I will try to play nice here in the "City" but I am a bit biased at times and if nothing else, have always been a strong advocate for my patients and what is and always will be right for them.... **sits back down in the rocker and sips her Rum and Coke and plays with her bloodhound SAR dog**

when I took statistics, we used an abacus

Mmmm....meatloaf....but the puppy can't have any I recently got my nremt cert and am currently looking to join a company in my area Hola Arctickat, Gracias por la cálida bienvenida aqui! Haha my father is from guatemala however I'm not fluent... but I try

You don't actually think that's true, do you? How the hell old are you and have you never paid attention to the news or what's happening to the medical field? Just because you do everything "right" does not mean that you won't get sued, and it doesn't mean that if you do you'll win. Doing something "right" also does not gaurentee that an expert witness wouldn't testify that you were actually "wrong." Or that a judge might ignore the evidence. Or a jury go with their emotions instead of facts. Or your insurance (or hopefully your employers) won't settle to keep something out of court, even though you were "right." (if you think that doesn't matter then think again) There is unfortunately a reason that far to many people practice defensive medicine, and the American legal system is a big part of it.

Just have to say it on this one. Your grammar may be the one thing that does get you.

hi there welcome aboard!....wheres the introduction part. how long have you been an emt-b or (emt) as they call it now

Just so you are clear about what anecdotal evidence means.... In contrast to your post, I have never worked a code with copious amounts of vomit. So shall we conclude that in your response area we should intubate, and in my response area we should not intubate?

HI and welcome to the City

Welcome to the City

Welcome.

Hola Saundra. Bienvenido a la ciudad.

Welcome, remember to ignore everything I say and pay no attention to me whatsoever. Keep your hands and feet inside the forum at all times, no flash photography.

You guys going to ban this troll or what?

Hello, I am John and I'm new to the Forum. I am a Career Firefighter/EMT for a major city in Berks County, Pennsylvania and just wanted to say hello. I am looking forward to learning what I can and contributing what I know. Stay safe out there.

I guess I will have to start watching my spelling around here more closely

No, but his lawyer will have a great time with your spelling and grammar after your patient takes you to court for some perceived wrongdoing. Many EMT classes place a minimum educational requirement because they want to make sure their students can spell "Hospital"