PRPGfirerescuetech

I've always kind of wondered this myself. Is it a trust issue with medics?

this saddens me...

Doesnt sound like this situation is going to end well. My variant suggestion would be look for other employment, if litigation is not an option. If your in a country where there is no labor board/legal entity overseeing fair labor practice against employers, then i suggest you move out of communist china, or move the ball and chain and get back to work. If your feeling brazen, unionize, and let the union handle your labor issues.

Maybe im reading this wrong, but it seems to be an update class for the EMT's to get some ALS skills to accomidate for the shortfalls in staffing? Something close to the intermediate level I suppose? Ugh if im right.

Eh,...yes. Bit more and a bit less, but esentially yes.

http://www.dsf.health.state.pa.us/health/l..._act_2005_3.pdf For those unaware, Pennsylvaania has been revising ACT 45, the act which governs PA Emergency Medical Services. This link will lead you to the site which has the draft in its current form, as well as highlighted changes which seperate from its original form. Feel free to take a look...thoughts? PRPG

Ok (edited by PRPG to promote kumbyyah) maybe you didnt read me right. If protocols allow it. This obviously considers several parts to be included in the decision to stop a pacer. One, the ability to interpret a already acquired ECG, the meds and manual defbrillator capability to pace, and intubation. This was a suggestion based around the ability to do it. and yes, there ARE counties here doing it. As well as counties elsewhere. XoXo PRPG

Lotsa oxygen, and hit em with a magnet if your protocols allow it.

I am...i thought posts automatically locked at page 15... TPBM: This New Jersey EMS is great! :shock: :shock:

How the heck did I miss this thread long enough to go past three pages. Shameful really. EMTtut. Im a 7 year basic. Please take that into consideration when you read the rest of this. There is absolutely no reason why you or I should be performing "Field" combi-tube intubations. In EMS there is a distinct lack of education on all levels. One of the biggest problems stemming from this said lack of education is simply stated, there arent enough people in many areas to perform these skills. Stepping back and looking at the bigger picture of medicine for a second, who is the most respected in the medical profession? Doctors right? Why do you think that is. They have the most schoolin, yo. Then, theres the RN's, and they have their own tiers of respect, based around....education. Lets apply this theory to EMS. One of the biggest reasons why we have such difficulty in this business is this. We are regarded as highly uneducated skill monkeys. For your 150 hour BLS program, you want to perform invasive skills? Do you know what nurses go through, in clinical and didactic education for one simple invasive skill? Were talking education that is 4 or 5 times longer than the entire BLS program. This number does not include pathophysiology based education that provides the knowledge as to why your performing the skill. So, why do you think they have to jump through that hoop, but yet we cant get a combi tube skill in a few nights out of a 150 hour course? Because no one cares about actually fixing the problems in EMS anymore. Everyone wants to apply a proverbial bandaid to the issues by giving BLS providers these advanced skills, instead of providing intensely increased education for not just the BLS, but ALS levels. You've noticed the frustration levels of everyone on this board. That is because you are providing a great example of one of the biggest problems in EMS to this day. Under education skill monkeys. This is one of many things dragging down EMS from progressing into a profession. XoXo PRPG

I've got to agree with Dust. Gloves are INCREDIBLY oversued in EMS. Water...soap...not gloves to touch every patient.

More excerpts later...

Exactly. Rural is the ideal builder of the pre hospital clinician. Urban makes that clinician shine. Start rural, and build your way up. Then, get older than dirt like Rid and Dust, and go back to the slower, rural houses :)

ummm, doesnt OSHA and NFPA have a stance on turnout gear for crashes? The standard is coat and helmet here, municipal, private or otherwise. I havent put it on in years, but its here.

This answer is variant on your goals. Do you want to learn how to become a killer provider? Elevate your game? Do you want a higher call volume? What do you want, will answer this question.

yes. sounds like the scoop would have been the better choice. shame so many forget that item exists

word. TPBM: Rolls over in the middle of the night and screams "Crikey!" at their husband or wife"

so they can tell us to divert and be covered, but we can ignore it and also be covered. Interesting....

Its not that I dislike the post, I gave my opinion. If you dislike my opinion, I suggest you post on a forum which is fluffier, with more kum by yah. Til then, deal with it.

There has to be a balance..*PRPG thinks out loud* within any region. In any given time span, there are only so many patients to perform skills on. So, having too many medics, I would think would cause less skills to be performed by the providers in the region. So, with less skills, comes less proficiency. But, the reverse is, not enough medics causes irrepairable damage in the light of less available ALS at the times where you need it. So, this seems to be a need for a balance between the two things. So, less isnt more, but more isn't more either. Seems to me this article is a complete waste, and the number of providers in any region should be based on a calculation between your call load, and maintaining this balance. Its 3:40 AM. Did this make sense?

Why is everyone so hung up on titles? No matter if you call them Paramedic or basic, the public sees you brought the squad, and are taking them to a hospital. They dont give a crap, so why should we? Oh, and side note, considering the ACP and PCP programs are both more in depth and longer then the amercian EMT-P program, should either really call themselves paramedic? Kind of like a MD calling themselves an orderly...Should amercian EMT-P's call themselves paramedics? Guess what, who cares. We are all EMS, do the same overall job, and are viewed by our clients equally. You know your job, go do it, and try debating something more intellectually stimulating than this crap. PRPG

theres nothing basic about what your proposing. My first question would be, in what capacity would these newly educated people be operating? What do you need them to be able to do?

naah. transport psych patients en masse to the local psych facility. Theres your best use.

Well you just opened up pandoras box. Dust...enjoy Nova Scotia bro...

ummmm, ultrasound? WTF?