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Then there's the parapalegic that screams in pain when you touch his feet after his fall during a seizure in which he isn't postdictal! And his wife tells the dr said he has "wandering hemipalegia!"

My experiences (n=1) have been similar although I bet a bit more limited in scope as the ones you speak of Dwayne. With that said, I also agree that I have worked with EMS providers from Canada, the United States, Australia, Uganda and South Africa. As you stated, I have not noticed that the thought process of these providers deviated significantly from my own. Also, if you look at the literature (somewhat limited, admittedly), you find that EMS provider outside of the United States suffer from some of the same issues we do here. One recurring theme I find is a consistent problem with medical math and dosage calculations. This also crosses barriers into nursing and appears to be a wide spread issue regardless of educational preparation. Never at any time have I found my-self in a position where I felt markedly "outmatched" by any international EMS provider or nurse for that matter. Additionally, the only degree I had was an AAS in nursing. With that said, I have to admit that I did not run into providers who I would call "consistently incompetent." All things considered I found my-self reasonably well matched with these other providers in spite of holding degree that was in most cases "inferior" to the degrees and presumably educational preparation that they held. With that, I am not saying improvements in education are not needed, only that when looking big picture, what makes a "good" provider is probably complex and an "optimal" educational prescription for a given provider is likely going to be difficult to definitively define. I imagine I may end up getting flamed a bit for changing opinions that I may have stated earlier, but I have to remain open to change and challenge prior beliefs when I encounter experiences that challenge said beliefs regardless of how good these beliefs may feel. Dwayne, I have had different experiences regarding XII leads, cardiac patients and pre-hospital interventions. There are providers in other countries using this information to make complex care related decisions. Edit: Added an "Enter."

Usually it's the regulars butting heads.

tell us man, don't leave us out in the dark, or the so called nitrous haze!!!!!!!!!!!! Holy shit, he's leaving the dark sinister world of dispatch and coming into the light of the world of transport/911 EMS. No wonder why he needed dental care. The service he's working for won't allow someone with only one tooth working anywhere other than dispatch.

Hover your mouse over his user name and click "Find Content". ETA: Besides, if it was just one person you could argue a clash in personalities. However, many of the regular posters here (four of whom on this page posted their agreement) have formed a similar opinion. You've been around long enough to know we don't do that lightly.

Wow the Great Brentoli is back.

Gosh, i had that some internal monologue a couple of nights ago, and made worse by the fact the onlookers included the same people who endorsed you for an ICP course. And yet i know the real pressure was only coming from myself. I dont know if us mere mortals can handle that dwayne And welcome brandi, look foreward to hearingmore from you.

And the fact that it's ok to cheat on a spanish test but it's not ok to cheat on an ems test or some stuff like that. MariB and Mike both summed other items up pretty well. I would suggest you go back and look at his most recent posts and make up your own mind before you really completely defend him. I know you will do that and i"m not calling you out for not having done so (does that make sense?) but he really made a poor performance mark for himself in the past couple of weeks here.