Dustdevil

We have graded your knowledge here in the past, and that turned out about as well for you as this is. The quality of puns found regularly here at EMT City is second to none!

This topic is about the present. Discussions of the future would be appropriate for a NEW TOPIC. This one is already being hijacked enough as it is.

PRPG, excellent points, as usual. Anybody who actually listens to me knows that I -- as does PRPG -- advocate the total renovation and elevation of educational standards at all levels, not just Basics. So I don't want to hear this selfish whining about Basics being singled out. At that point, they would no longer be "basic," would they? Everything that is "basic" is already within their scope of practice. And a comprehensive, Ontario style entry level education certainly puts them out of the realm of "basic" regardless of scope of practice, doesn't it? When I say that I have no use for a Basic, I am speaking of Basics as they currently exist in the U.S. And any meaningful change has to be comprehensive. You can't just give them more skills and say they aren't basics anymore. And you can't just change the labels either. Putting lipstick on a pig doesn't change that she is still a pig.

Seems like all the defenders started out on the wrong foot, by not bothering to fully read the original post. Typical of Basics to run off half-cocked and jump into interventions without fully understanding the rationale of the intervention or the pathophys of that which they are intervening in. So far, nobody has even come close to satisfactorily answering the above question. The best that I've heard so far are merely contentions that most patients only need a taxi driver/attendant to begin with, so that's okay. While that may be a valid point in many cases, it is totally irrelevant to the question which was asked. So again, for the hard of hearing, what makes a Basic more than a taxi driver/attendant? What makes you more useful to me than the average Joe? Why would I want you as my helper when I could have a Paramedic as a true partner instead? And why, as a citizen, would I want you coming to my home to evaluate and treat my illness -- or the illness of my loved one -- instead of a Paramedic? You simply can't do it. It cannot be done. Without talking about how much cheaper they are, there simply is no rational justification for the existence of EMT-Bs as primary crewmembers on an emergency ambulance. Whit... two words. Spell check. It's hard enough to take you serious as it is.

I have to agree. When people who don't know the difference between "are" and "our" can be a "health care provider," you know that we have serious problems. Doctors that work for the insurance company are the ones that tell them this. Doctors frequently disagree, ya know, just like we do here.

Again, what makes their need for quality education less than mine? It's not about age. It is about how much education you have and how long you have been practising your craft. Sitting in a classroom for the last five years does not count as practice. Until you have real, in the field emergency medical service experience, you really don't have a clue about how good your training was. That's not because you are young. That applies to anybody. You see, every EMT comes out of school convinced that their training was the best. But when you have no other EMT school to compare it to, and no field experience to put it to the test, you simply don't know anything. Seen them? I took one! 30 day EMT wonder class. Two weeks classroom and two weeks clinical and field. It sucked. And I've had plenty of other classes and schools to compare that experience to, as well as three decades of experience to test it. As you implied before, it is appropriate for somebody who already has medical or scientific bona fides, but not for anybody who just hopes to be a PA someday, and definitely not for anybody who expects to practise as an EMT. I'm one of the few here who isn't hung up on age limits. And I'm not doubting that you're a sharp girl who has mastered the curriculum. You are quite well spoken and rational, and I think you probably have a lot of potential (if you're hott). But if you think you can speak authoritatively about the quality of this school -- the only school you've ever graduated from -- with no experience to validate it with, then you are kidding yourself. And trying to assert otherwise just makes you sound a little silly.

Well, the stepping stone theory is a lot of bull. EMT is a stepping stone to nothing "higher" than paramedic school. Either way, why would somebody who is going "higher" need less of an education? And what "medical background" did you have at age 14 that made this accelerated class the right choice for you? EMT? Yes. Paramedic? No. You will not spend nearly as much time in a three month medic school as you would in a two year programme. Do the math. You can't even finish the prerequisites for a quality paramedic programme in 3 months, much less the didactic core. And it isn't nearly as much about hours as it is quality of education. Five years or so? You've been teaching EMT school since you were fourteen years old? Yeah, sounds like a quality programme to me. Teaching somebody how to pass a standardised test in 13 days is no big feat. Teaching them to function competently and to retain the material is a completely different matter. Send me a few of your students and let me check them out for you. :twisted: Despite my criticism above, I do believe that this is indeed appropriate for those with serious prerequisite credentials, like a nursing or other science degree and a little life experience behind them. But it is not appropriate for somebody who thinks that, because they wanna be a doctor someday, they don't need as much education as the rest of us.

Amen to that! Evict the bastards!! [spoil:bf51b19c68]http://dictionary.reference.com/browse/tenant http://dictionary.reference.com/browse/tenet[/spoil:bf51b19c68]

It seems as if people are trying to mould the definition of "censorship" to suit their own puroposes these days. If nobody goes to your movie or buys your CDs, you're being "censored" now. The Dixie Chicks being the most recent example of faux censorship whiners, but liberals have been trying to float that stinker for decades now. Amazing how they'll throw out such a blatantly spurious argument when it suits them, yet just as readily deny the Constitution when it doesn't suit them. No conscience whatsoever. Censorship is me preventing you from speaking, not me deciding not to listen.

Huh? :?

Hospital employees. Group employees. Same thing. You are not responsible for running your own business, so you are just labour without concerns for economic policies. That makes you more likely to be liberal than somebody who has to run an office practice. The "conservative parts of MI" is kinda like the "cool" parts of Hell. That's a very relative term. You are in the very heart of union country there in Michigan. Again, it's not a physician thing. It's a northern thing. Get out a little. There is (more) intelligent life beyond the rust belt.

Do you go see every movie that is released? Why not? Sounds awful expensive to me. Especially when I can get better quality entertainment here at EMT City for free!

I am curious as to what physicians he is hanging around with. :? I haven't met many liberal physicians in my life. Damn few, in fact. Most are capitalists who wouldn't piss on a Democrat if his face were on fire. I suppose ER physicians might be a tad more inclined to be liberal since they are usually not independant practitioners (businessmen), but employees of the hospital (labour). But still, I don't think I personally know a liberal ER doc, except for a few lesbians. I think this is more of a case of birds of a feather flocking together than a generalisation of physicians though. Most liberals seem to think the rest of the world is liberal too. Most conservatives seem to assume the rest of the world is conservative. EDIT: I forgot. You're in New Jersey. That explains a lot. But still, NJ keeps putting Republicans into the governor's office, so something is going on there that isn't exactly liberal.

And simply going to see anything he does is less narrow minded?

Ah, I have a clearer understanding of what you meant in your final paragraph after re-reading it. Sorry bout that. :wink:

I wonder if Shayne is going to come here and tell us what a revolutionarily brilliant idea the ass-pumper is? Seriously, any city manager with half a brain would buy that idea in a heartbeat! Hell, I should start a consulting company to peddle that idea to municipalities worldwide and get rich like Jack Stout!

EMTs working a basic unit ARE working autonomously. There is nobody there looking over their shoulder to evaluate that patient before they start pushing drugs or tubes. The existence of protocols notwithstanding, they are still functioning independently when it comes to patient evaluation. So no, skills are not okay if you do not have the educational foundation to back them up. The point you missed ---> IT ISN'T ABOUT SKILLS! Minus 10.

Congrats on your success! Where are you thinking about "moving about" to?

It's easy, Brent! They just get trucks built kinda like squmpers, but instead of a patient compartment, there is a big box full of asphalt patch in-between the cab and the hose bed. They can call them ass-pumpers.

LOL! Do you not realise how contradictory those two statements right there were? Apparently you do not recognise the difference after all.

LMAO! She was 35 when the pill was first introduced in America, so I also seriously doubt she ever was on birth control.

Former is correct. It's a little easier with EMT-B, where you can get skills check-offs locally, without a lot of hassle. At the Paramedic level, NR requires a big, formal examination process for skills.

Locked? Do you have a lot of lidocaine and dopamine abuse in New York? :? And doesn't that make it kinda hard to start a drip in the house?

Dude, you are about the last Basic here that I would have expected to say what you just said. I am going to give you a chance to re-read that and redeem your reputation by correcting it without me pointing it out. :?