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There have been many discussions on this very topic here in these forums. A good paramedic program will produce good paramedics no matter their background. Just like a good nursing program will. Just like a good medical school will.

I can't be much help right now because of my own struggles, but I'm rooting for ya and hope all ends up well. Don't throw in the towel yet and heed Dwayne's advice...he's pretty smart sometimes.

I know that I am getting in late here, but I disagree with the whole premise of the question. Many "estimates" of GCS that I see done prehospitally get it completely wrong so I go through it properly. As others have pointed out, GCS may not be the best way to assess level of consciousness but if we are using it then we should use it correctly. All too often I see a patient being scored as 3 when they are in fact higher than that but the provider did not bother to actually assess it properly. This may not always have huge implications for patient care, but it could potentially create the impression of improvement when there has been none.

Yeah, I think that if you get most of your opinions of the 'younger generation' off of Youtube, or goofy FB pics, then things look pretty dreary...but that's just not what I see when I look around at the real world. It's the same rah rah bullshit of those that knew that the Elvis generation was going to destroy the world because they were willing to swivel their hips. I've got a boatload of neices and nephews, neighbor kids, and younger EMS providers that I'm very familiar with and they are certainly more tolerant, open minded, and educated than the vast majority of those that I know in my generation. Carl Sagan, Bill Gates, Steve Jobs in the scientific community, and plenty of others from any number of ntellectual and creative arts have crowed about the value of LSD and weed in their lives, lived on communes, been arrested, sported mullets/long hair (the 70's and 80's equivalent of wearing your pants hanging off of your ass) and we're all still here. And man, if you see the marshmallow game as extreme, then you and I lived completely different younger lives. I've been arrested for drinking and fighting, got a DUI 30 odd years ago, have more scars and healed fractures from "Hey, watch this!" moments than I care to remember and yet, though still a work in progress, have turned into a halfway responsible adult. Kids do kid stuff until they are cursed with a clearer sense of mortality, and then they become older, and way less interesting, like us. :-) I don't see the world failing because of the younger generation, I see the younger generation doing what kids do, pissing off the old folks so that they can be left alone to walk their own path, in their own way. Exactly what kids are supposed to do. But more importantly I see them repairing and preparing to repair a ton of the physical and emotional damage done by their "betters" from previous generations. I think that's cool as hell, and I look forward to the world that they are going to create...