PRPGfirerescuetech

I have to agree... A proactive response in medicine isnt to remove skills due to poor utilization and sucess rates... ...You change training to improve the successful skill application. PRPG

TEMS Positions Available The Protective Medicine Branch (PMB), Special Operations Division, Federal Protective Service in the US Department of Homeland Security will soon announce position openings for physicians and Mission Specialists (Independent Duty Paramedics). The official announcement will be posted on USAJOBS.gov when the positions become available. Please provide the widest possible dissemination of this information. Medical Officer/Physician The successful physician candidate will hold a medical degree (MD or DO) and be board certified in an appropriate specialty, preferably emergency medicine; have demonstrated interest, training and background in operational medicine, including Tactical Emergency Medical Support (TEMS); and familiarity with medical control of prehospital emergency medical systems. The incumbent will be responsible to the Chief Medical Officer, Protective Medicine Branch (PMB), and will conduct field medical operations both within the United States and overseas, provide guidance and medical control for prehospital special operations law enforcement (TEMS) medics, serve as medical director for one or more federal law enforcement operational emergency medical systems, and oversee and participate in operational medicine educational and training programs, including the Counter Narcotics and Terrorism Operational Medical Support (CONTOMS) Program. Preference will be given to qualified candidates with successful law enforcement training, experience and background. Successful candidates will be US citizens, pass a physical examination and drug screen, complete 12 weeks of the Uniformed Police Training Program at the Federal Law Enforcement Training Center to become a federal law enforcement officer (or be eligible for a waiver) and must be eligible for, and obtain, a Top Secret security clearance during the 1-year probationary period. These positions start at the GS-14 level. Mission Specialist (Independent Duty Paramedic) Successful Mission Specialist candidates will be Nationally Registered EMT-Paramedics with least five years of experience in a busy EMS system or equivalent experience. The incumbent must have a demonstrated interest, training and background in operational law enforcement medicine, including TEMS, and must have demonstrated competence for independent clinical decision-making. The selected individual(s) will be responsible to the Senior Mission Specialist and will operate under the medical control of the Chief Medical Officer, PMB. The incumbent will conduct field medical operations both within the US and overseas, collect and analyze medical information, collaborate with counterparts in other federal agencies, coordinate and participate in operational medicine educational and training programs, including the Counter Narcotics and Terrorism Operational Medical Support (CONTOMS) Program. Preference will be given to qualified candidates with successful law enforcement training, experience and background. Successful candidates will be US citizens, pass a physical examination and drug screen, complete 12 weeks of the Uniformed Police Training Program at the Federal Law Enforcement Training Center to become a federal law enforcement officer(or be eligible for a waiver) and must be eligible for, and obtain, a Top Secret security clearance during the 1-year probationary period. These positions start at the GS-12 level. For further information, contact Ms. Leslie Sawyers at 301-295-4040 or Leslie.Sawyers@dhs.gov

[marq=left:fd89daf575]AMR IS THE DEVIL!!! RUN!!!!!!!!!!!!!!!!!![/font:fd89daf575][/marq:fd89daf575] Keep a good relationship with the municipality that controls your territory contracts...REAL GOOD ONES....

A "tour" is traditionally 4 shifts in duration...

Your an angry, angry man asys...wait...i remember something that seemed to make you happier... Feel calmer now? good...........

Again, your putting words in my mouth, assuming the actions I would take. Knock it off and stop over reading into it... The original post makes no mention of personnel remediation or education, as means of prevention. Yes, steps do occur in the future regarding a tightening of the standards involved in checking apparatus, staff meetings outlining the importance, and so on. My post, again, did not delve into this. What I did say, is simply this. There is a definitive lack of personal accountability in this business, and my interpretation of the initial post, was not one of accountability, but a post written outlining the unhappiness of the poster with the decision to discipline her based on a mistake made. I stand behind my prior statements. James

Its not a paln to summarily blame or involve anyone. This is a simple issue. Person A made a mistake by not reporting it. Person A therefore is up for discipline. Period. If it was missed for days before, then writing a letter stating the firefighters statements is still appropriate, if done under the pretense of advising management of a potential problem at hand. The original post was written in such a way to suggest that the action of not reporting the problem is acceptable because no one else did it. Thats not how this business works. You are responsible for yourself only. Period. Which is why any discipline in warranted.

Doesnt matter what happened 4 days ago, a week ago, or the like. You can only account for yourself, and the equipment on the squad now. If its found to be missing, malfunctioning or out of place, its still on YOU. YOUR responsibility to check, and maintain it. Your failure to report it, happens. You still should be held responsible. Doesnt matter what anyone else did before you. Check it to a learning experience, and move on.

:oops: :oops: :oops: :oops: :oops: :oops: :oops: :oops: *ahem* The person below me has appeared on camera, starring as a goat

"Paramedics and 911 are only EMS. Transfer services are not a part of EMS" "EMT's are useless in the EMS system" "If you drop the baby, pick it up" (Lets not drop it in the 1st place) "I was too close to the hospital to do ALS" (*Loads shotgun full of 'stop your bitching you whining crybaby' buckshot*) Any statement about advancing knowledge by people who have prove themselves stupid.

Word C.

Caps Lock, spelling, and appropriate punctuation. All im saying.

[marq=left:ea622dfe29] YES, ELIMINATE THEM ALL [/marq:ea622dfe29] hows that?

Great Rid, thanks...the reason for asking was determining where the liability stands. I ask, what is everyones station policies on this? Tell them not to follow? then contact LEO's to pick them off? Stop the squad, get out and tell them to stop? What does everyone do to combat this?

It isnt legal anywhere. What im looking for specifically is any case law regarding lawsuits, wrongful death suits in the above situations.

Good evening to all, Looking for case law regarding any MVC's or patient care delays regarding families following the ambulance through red lights, following too close, or the like. My good friend Google McSearchengine was unhelpful, anyone know of anything? XOXO, and thanks in advance, PRPG

Northern NY in June.... Closest to the city of Phila...

You Are an Irish Coffee At your best, you are: wild, spontaneous, and outgoing At your worst, you are: too extreme and reckless You drink coffee when: you want to keep drinking booze Your caffeine addiction level: low What Kind of Coffee Are You? http://www.blogthings.com/whatkindofcoffeeareyouquiz/

Your 4th per capita, 3rd is flint MI, 2nd Detroit, 1st Newark / Camden

Welcome to EMTcity sir, good to see a friendly face. To all, MGB is one of the finest and most knowledgeable medics i've worked with in a long time...a good addition here.

Ding! Heeeres your sign....

There is a distinctive difference with visionary, realist, and visionary, with the ability to connote realism. Lets seperate. Dust, UM, and anyone who agrees is a visionary. Rid, myself, and anyone who agrees falls into a visionary, with ability to connote realism. We all agree on one thing. Doctorates will eventually find their way into EMS. Rid and I contend that its insane to begin contemplating doctorates, when we cant get uniform assocates for paramedics. It will happen, just many, many, many, many years down the road. We have many steps along the way to get there, which deserve attention first. This isnt one. UM and that bandwagon can only see a need for Doctorates. They have not been able to comprehend that there are a thousand steps before this that are more important. Lets work on the system as a whole, and advancing education beyond the scope of the technical level. ***END POST*** For UM, since you questioned my qualifications to analyze the obvious downfalls in life, im happy to provide you with a resume, please email me at prpg@prpg.org Also, your a smart kid, but your not looking ast the big picture of the system as a whole. Read a few more trade magazines, run a few more calls, learn the overall system and how it operates, and remove your head from your a$$ before posting again. **duely edited because spelling dun killin' me tonight**

1: The future of EMS is not prevention of medical problems, and you again show your lack of understanding of EMS with this statement. The future of EMS is a distinctly expanded scope of education, allowing providers to field treat emergencies, that would have (today) gone directly for evaluations. Insurance companies are now seeing the fiscal benefits of treatment in the field versus treatment in the ED (diabetic treat and release). This is going to expand exponentially in the future. 2. Your right, Paramedicine is DEFINATELY a field scared by higher education and advancement, which is why ONCE again Im going to repeat that a doctorate degree is eons before its time. There is a educational ladder in acedemia, and we are at the bottom. Lets get ourselves away from tech school educations before we try to rise any father. We have alot of steps to make, and right now, this isnt one of them. 3. The future of EMS is not, and will never be accomplished with simple prevention. the fire service has accomplished fire decrease with prevention, primarily due to manual control (sprinklers and foam systems) and less with education. You can tell someone not to play with matches, but you cant tell them not to get sick. Feel free to attempt to defy human nature, and the EMS officials of the new age will be over here, dealing with real issues. To recap, your a smart kid. Get your head out of the clouds and get real. You might actually be effective is accomplishing something positive in this business. Til then, good luck wasting your time. PRPG (Serving the public with a full understanding and an associates, since 1998)

Word. EMS based doctorate too narrow. Give time. Soon enough.

Your right, you cant respond, because you actually didnt disagree with me, you presented a different point altogether. Back to my point, for further illustration *pulls out box of crayons* PH D is a level of education, designed to give back to "acedemia" so further acedemics can learn from it correct? Problem #1: Until EMS has advanced to its full potential with connections to collegiate programs, and away from technical programs, offering the acedemic community new information through research, when there has yet to be established a "acedemic community" is kind of pointless, dont you think? Or do you think the local 6 month BLS class cares about your thesis, recent research, or anything less than who they woke up next to, or which instructor gives the easiest grades? NO! NO! NO! When we have acedemia, then bring on advanced degrees. You cannot go from one side of the field (technicial education, where we currently are) to advanced post graduate studies (IE: Doctorate) without gradually stepping across the bridge. Right now, a masters is more than adequate, and will usually secure you upper echelon positions when needed. I should note, I think Doctorates will become the obvious next step, when the market eventually floods with Masters. WERE A LONG TIME AWAY FROM THAT. LETS GET OUT OF TECH SCHOOL BEFORE WE WORRY ABOUT THIS. *Spell checked, 2 mistakes found, not changed, to illustrate my lack of a doctorate....thanks )