spenac

Actually as a basic I did 12 leads. I had many advanced level drugs etc. So guess what I speak from experience. I could have gotten my education as a Paramedic and not been harmed at all. Nothing I learned could not have been learned in Paramedic course. But guess what my patients would have been much better off with a Paramedic. Yes on scene on the occassions we had a paramedic I did study what they did. Sorry I could have done that when in Paramedic school and then I would have been getting the education to understand why they did what they did. Sorry the basic needs to be done away with. It is just stupid that we expect people to actually do anything with a boy scout first aid course called EMT basic.

Actually many moons ago in high school we were up by a bunch before halftime. Coach put all bench warmers in for second half and only called QB up the middle. The other team still could not stop our guys. By the end some claimed we ran it up. What else could we do besides say hut and hand the ball to opponent? Sorry sometimes the opponent sucks and there is no way not to score w/o just giving them the ball. Sorry you do not teach winning and good technique that way.

Oh but when I was with a Paramedic what experience did I actually get? More driving experience. So again nothing that could not have been learned while getting proper education at the Paramedic level.

You harm by not being able to provide the care needed. It is harm by omission. I spent many years as a Basic. Because I could not do more and I was the highest level of care available many suffered harm, conditions worsened, some actually died. Had I been a Paramedic many would have had much better outcomes. Yes I followed protocol, I even was authorized many advanced procedures. But because I stayed basic patients suffered.

Description: Random treatment of hypertension is generally not indicated in the prehospital arena. A complete assessment must be performed on each hypertensive patient to rule out possibility of a stroke or CVA. Treatment of hypertension must be reserved for patients who are actually having a potential life threat from hypertension and experiencing serious signs and symptoms. REQUIRED ASSESSMENT Check Level of consciousness AIRWAY PATENT? No: Make immediate correction to provide airway!! BREATHING ADEQUATE? No: Provide appropriate oxygenation assistance. CIRCULATION PRESENT? No: Begin Cardiopulmonary Resuscitation. COMPLETE VITAL SIGNS. Blood pressure, pulse, respirations, pulse oximetry. HEAD TO TOE EXAM Protocol specific assessment IF PATIENT IS EXPERIENCING STROKE SYMPTOMS, MOVE TO THE CVA PROTOCOL FOR TREATMENT. DO NOT REDUCE PRESSURE IN CVA PT! Treatment of patients should be reserved for those with signs and/or symptoms of HTN including: Headache, visual disturbance and/or nose bleed. Hypertension includes patients with a Systolic of >140 and Diastolic >90. However, prehospital treatment should be limited to patients with a systolic pressure of >180 and/or Diastolic >100. Patients with a systolic of >220 and/or diastolic >140 should be treated in the absence of symptoms. If patient is pregnant, refer to OB protocols. NIBP should not be used as the sole source of vital signs if medications are going to be used to reduce blood pressure. DO NOT ATTEMPT TO REDUCE PRESSURE GREATER THAN 30% OF INITIAL READING! Basic treatment guidelines Administer oxygen appropriate to patient condition Transport patient to the closest hospital appropriate for condition. Intermediate treatment guidelines Intubate if necessary for airway control Establish IV of Normal Saline, rate appropriate to condition Administer Nitroglycerin 0.4 mg SL. May repeat x3. Paramedic treatment options If patient has a history of asthma, congestive heart failure or diabetes, administer Enalapril 1.25 mg SIVP. Do not repeat. (Do not administer in Black Males. Move to Labetalol.) All other patients administer Labetalol 5 mg SIVP. May repeat every 5 minutes to a total dose of 20 mg. Consider Promethazine 12.5 mg SIVP or 25 mg IM for nausea. May repeat x1 in 10 minutes if no response. Advanced paramedic treatment options Rapid Sequence Induction Intubation as needed for airway control.

Nitro is losing favor as it can drop pressure to fast.

Dwayne you need a chill pill today. When I was a kid you lost you lost. You did not get a ribbon, a trophy etc. The winners got the prize. Today everyone gets the win even when they lose. Sorry as a coach if my second string is on the court and still scoring so sorry they need practice to. As to those coming back in coffins. The military took most of the pansy out of them. We need accountability. People need to start understanding life is not fair. We learned that as kids and do not have near the mental problems coping with stresses of life that the younger people seem to be having. Yes there are some crazys in my generation but not like we see in this current group of youth. Yes there are some great young people as well but as a whole there are a lot of them at a big loss when reality hits.

Actually after rereading I never made the comment. here is all my comments. No where did I say we did not need to learn basics. I said as below. "You learn all the basics in Paramedic as well. Honestly do away with basic and require everyone to get educated before they go out and touch people. That would be the perfect solution. I could have learned everything in medic school that I learned in basic." "Any good paramedic program will require plenty of clinical time. Yes I agree many diploma mills lack enough clinicals to even get any true exposure. But this person seems to want quality. Plus honestly as a basic you can get ambulance time while in your paramedic program. Why are we supposed to be different than other medical professionals, get the education, then get the experience." "Get straight into Paramedic school. There is no benefit to waiting. You can run as a basic while in the Paramedic program though that is not even necessary. What you will learn and do as a basic will not prove any real benefit and actually lead to you harming patients." All my comments seem very clear that I feel that there is no point to be a basic, that you can learn the basics as a medic. Sorry you must have confused my statements so how.

Heres proof of the above. http://www.chron.com/disp/story.mpl/front/6225626.html "Police say the SUV driver was headed west when he stopped to let an ambulance pass through the intersection. The driver, however, did not see the HFD squad unit following the ambulance and struck it, causing it to flip upside down." [web:e0e1015cf0]http://www.chron.com/disp/story.mpl/front/6225626.html[/web:e0e1015cf0]

I did not say not learning the basics. If it came accross that way sorry. The basic class and experience I gained in many years could have been more benefited by getting real education including the basics then getting my experience as a medic. No other medical field expects their people to start at a low level, they all go straight through with education. Then they get field time with experienced people. Then they go out as full fledged Doctors, RN's, etc. Perhaps you can get a basic surgical cert and use the rib spreaders for a year before you decide to go on to medical school. :roll:

You learn all the basics in Paramedic as well. Honestly do away with basic and require everyone to get educated before they go out and touch people. That would be the perfect solution. I could have learned everything in medic school that I learned in basic.

Any good paramedic program will require plenty of clinical time. Yes I agree many diploma mills lack enough clinicals to even get any true exposure. But this person seems to want quality. Plus honestly as a basic you can get ambulance time while in your paramedic program. Why are we supposed to be different than other medical professionals, get the education, then get the experience.

Get straight into Paramedic school. There is no benefit to waiting. You can run as a basic while in the Paramedic program though that is not even necessary. What you will learn and do as a basic will not prove any real benefit and actually lead to you harming patients.

So to get back on track should basics be starting IV's, giving narcan, D-50, or any of the other many monkey see monkey do skills that so many seem to claim basics should be allowed?

How much would you charge? I might need one and well I'm sure as we're friends you could fix me up on the cheap.

OK I saw in another forum a discussion of Basics doing "ALS" procedures. One post though seemed to indicate by sarcasm that it was a bad idea. Here is that qoute of Medic417 "Once when the hospital was in serious crisis I was asked to assist in surgery. Since I knew how to spread a chest I did to save time for the surgeon. Thinking about it I think we should start doing it in the ambulance to save time for the surgeon. I mean all we're gonna do is seperate the ribs,not actually touch the heart or anything like that. I mean its so simple a monkey can be trained to do it so why shouldn't we add this skill?" So what are your opinions?

:shock:

I will watch and cheer for the cardinals as only they only can stop the steelers from getting number 6 before my 'boys.

Careful doing that though. While I do agree with it the item you take needs to be something essential but that you have plenty of if they get a call before finding it. If not and you have say the handle and they can not intubate you are in as much if not more trouble than the crew. But do not go and take 1 4X4 then write them up for only having 19 instead of the 20 on the check sheet. Now 10 instead of 20 should have been caught even in a quick check. Like the tupperware idea. Might look at that here. Thanks. So good test but can be dangerous or even to extreme.

Actually in my area there are places we can not go during some types of weather. And at times we can not transport the 90 miles to the nearest hospital. We will go check them and even do some treatments but then we have to leave them. We even sometimes have to advise if they are real bad to cross the bridge and seek care in Mexico. So yes if unsafe we do not go. We have had people wreck and wait hours till it was where highway department could safely get us to the scene. We are not superman. If the roads caused them to wreck and it aint safe sorry they should not have gone out.

Some of the cheap LEDs are hard to read by. Others are so bright almost blinding when read with them. But same is true with any flashlight.

“I’ve seen many troubles in my time, only half of which ever came true.“ Mark Twain

If I'm on scene with a doctor I am not comfortable with I stay in charge of the patient. If required to call medical control for epi ( I'm not required ) I call them. This doctor is not medical control, he is off duty.

Thats what we call EMT-Basics. I am a firm believer in hands free medicine. :twisted:

We are so doomed. :shock: