dahlio

Forgot to add to the fact, one such arrest I was on, there was even an airway adjunct properly in place. Maybe I got the one out of a handful of officers that actually listened in first responder school. PD in our area are pretty good when it comes to ems calls.

As do I understand your situation, where cops are doing nothing but take up space. It's a shame, but I see where you're coming from cap.

Cops around me will run emergent to arrests, since they are all equipped with AED's. I was very surprised to find the cops doing CPR once when I arrived. I think that the chances of full recovery from a cardiac arrest are already low, and any little chance we can approve it, should be done. I believe that this is one way to improve on those chances. It's worked well in my area..

That is exactly why NJ is in the 70's. The First Grade Council recommends an EMT somewhere in the ambulance, meaning they could be driving, leaving a non-EMT in the back. In NJ you can be regulated by either the NJ Department of Health, the First Aid Council, or no-one at all. There are squads in New Jersey that are unregulated, and many times carry personnel who are trained in advanced first aid or first responder classes. People wonder why NJ is so behind, and it's because we have no standards.

No....what do they say? :wink: I guess if you get used to a high end stethoscope such as the Master Classic, your ears become so atuned to it. I say, if it works for you, keep it. So you don't like pink lumens, what do you feel about pink shears

How it works in my area: 2 Medics on a truck/chase unit. One will board the BLS unit, and the EMT and Paramedic treat the patient. If the patient truly warrants two Paramedics, then the EMT from the BLS truck will drive the other vehicle, leaving both EMT's driving, and both Paramedics treating. In situations where Paramedics need to split up (each go on to a different BLS ambulance, usually severe car accidents), the same happens, one of the EMT's will drive the chase vehicle. I've never seen a unit left on a scene.

Isn't that defeating the purpose of spinal immobilization? Do you not get reemed out by the ED when you arrive? By the way, you might want to get a dictionary. :roll:

Driving around is a great way to learn names of streets. Ask your partner to go get lunch an hour early, and take that extra hour driving around, familiarizing yourself with the area. Good luck!

Why kill your back when it's not necessary. When I get called to the General Illness (Generally Bull@*#!), and they don't feel light headed or another c/c that would prevent them from walking, guess what, they're walking. Then again, where I live, we tend to have people who think EMS is the doctor on wheels.

From what I understand, NJ still uses the NREMT-P test to certify Paramedics. So as long as you take and pass the NREMT-P test, and have the appropriate training, (enough didactic and clinical hours, which you should get from your program) reciprocity shouldn't be a huge problem. I know there are a couple of NJ Medics on this forum, hopefully they chime in.

Thanks Dust, although that link didn't help me directly, I found another link that helped me in the process of looking for a place. http://www.capems.org/get/ University of Pittsburgh and Drexel offer a BS in EMS or whatever they feel like calling it.

Also, the search feature is your friend. Had a feeling we talked about this before. http://www.emtcity.com/phpBB2/viewtopic.ph...ght=stethoscope Actually 1Emt-P, you were one of the first posters on that thread.

I prefer the ADC 609 scope. It's a step up from the double sprague, and it's quite reasonably priced at $20 bucks. I've also used a friend's Littmann Select Stethoscope, which is more than $50, and I prefer the ADC. For use as an EMT-B all I need them for are B/P's and lung sounds. (Don't know about other states, but NJ's cirriculum now saw EMT-B's should use normal and abnormal for lung sounds. No stridor, wheezing, or rales. Just another way we're getting dumbed down) So to answer your question, I wouldn't think twice about buying an ADC Adscope 609. Plus it comes in Lavender

Right now, I'm in a Paramedic Program, where I am fulfilling the Pre-Requisites. After the next year and a half/two years, what will I do. I am eager to obtain a Bachelor's degree, and I would be coming out of Paramedic School with an A.A.S. What schools in New Jersey, or in the northeast offer an EMS Bachelors degree? I was wondering all this, as I realized that my first semester is coming to a close, and how quickly school seemed to be going. I appreciate all replies. Thanks,

That sounds like a nice system to work for. Three on an ambulance is perfect.

Everyone is too used to their nice big Type III ambulances, and once they have big, they don't want to go back. I've been in a Type II ambulance as well, and I find it ample room. Then again, when you have equipment such as monitors, drug bags and the works, I can see where the extra room comes in handy. People are scared of change, and don't want to go away from what they are used too. It took my squad a long time to stop looking at Horton boxes, and look at other company's as well. The same has gone for chassis. Before I was an EMT, there mentality was that oh, bigger, better. The same trucks today have had tons of problems, and many people now realize what a big waste it was. You really need to sit down and think; What does my ambulance need. It's not just the environment you need to think about, it's also the fuel economy, the upkeep costs of a truck, and whether or not the upfront cost will be putting you in a deficit. The MTA (edit: sorry, MTA is a big transportation company running New York City's bus and subway system) in New York has hybrid buses, why not hybrid ambulances? Anyone notice, the bigger rigs usually belong to fire departments....compensating for something?

that isn't the question.. please read the original post.

As you can see from my original post, my question was directed towards those in New Jersey who use Epi-Pen's, and how it has working out for them. The question was not whether or not they were a good thing, which opinion, I believe they could be a good thing. But that is not the discussion here. I was not looking for a debate, rather a straight forward answer as to whether or not they were worked well for BLS ambulances. This thread has gone nowhere, and the only real answer I got out of 14 or so posts, was from EvilEmpress, who actually answered the question. I thank EvilEmpress for her answer. If you don't have an answer to this question, I kindly ask you not to post.

Is this medical or trauma related? (asked as a general question, not looking for a specific answer) Any recent accidents? (this one is specific )

That's nice to see that some ALS providers see this as a good thing. I've been riding quite a bit lately, and I appreciate a real answer. Thanks again afib!

This isn't Vegas dude. You administer Nitro to someone with a low B/P, and you might be working a code en route to the hospital. And as Scaramedic said, not only is it illegal, it's unethical. You're supposed to be a professional, whether volley or paid. If you don't like it, EMS can live without you....

Agreed Dust, fires aren't for sleeping. They call EMS out for a reason. Anyway, since this topic has been revived, let me post a new question, "How would you handle overall logistics for a fire as large as the recent California Fires?" In other words, how do you spread your staff out efficiently to cover all the firefighters, as well as maintain 911 coverage for your local area. Curious as to this might work... -Would you staff up to 3 or 4 on a truck? Would you request mutual aid? What do you do?

Exactly what scaramedic said, reassure. I know with pediatric patients, I can talk to them about things like video games, and TV, but it seems adults are a lot harder to reassure.

No difficulty breathing. The ankle is tender, and pale. Distal Pulse is not present. The pt. has a hard time following your finger when it's to the left of him. He's still asking the same questions over and over again.

He passes the stroke scale fine. No facial droop, equal grips, push up/down on feet is good, and is easily understandable. He'll follow commands eventually after constant repetetiveness. As stated before, ALS does BGL and gets 104. He's sat'ing at 99% on 15L NRB, didn't get a number before he was placed on NRB. Like I said, not a scratch on him, except for the ankle. No evidence of a postictal state.