Medic One

Looking for interest from EMT City members that want to take the IPMBA EMS Cyclist Program in Connecticut. We are looking to possibly host a program in Connecticut this summer. Any interest? For more info on IPMBA visit http://www.ipmba.org

Send then to me Private message me your email Michael - "Medic One" FF/Paramedic, EMS-Instructor Pace / Medical Car Driver Lime Rock Park Sent from my iPhone using Tapatalk

Welcome back!! Michael - "Medic One" FF/Paramedic, EMS-Instructor Pace / Medical Car Driver Lime Rock Park Sent from my iPhone using Tapatalk

Thats a great question and I have been pushing to allow EMT Basics and EMT-Intermediates now called AEMT's to be allowed to administer Zofran. It's is a great drug that helps many people and almost no room for foolish errors. I don't think IV zofran would be easy to get approval for EMT but ODT Zofran would be much easier to get passed by med control. I mean emt's in our state have NTG, ASA, and Epi pens. Why not add zofran, cpap, albueterol and glucagon? For advanced emt's they should have D50, IV zofran. I wouldn't feel threatened by emt's having these Meds it would actually make my job easier. Michael - "Medic One" U.S. Veteran FF/Paramedic, EMS-Instructor Pace / Medical Car Driver Lime Rock Park Sent from my iPhone using Tapatalk

OohRah!! This is awesome clip Rolling Thunder - A Marine's Vigil - The Veterans Site http://www.theveteranssite.com/clickToGive/vet/article/Rolling-Thunder-A-Marines-Vigil806 Michael "Medic One" U.S. Veteran Paramedic/FF EMS-Instructor Pace Car Medical Car Driver Lime Rock Race Track NorthEast, USA Sent from my iPad using Tapatalk

There are weight restrictions on the captain chair car seats also. The pedi-mate is for smaller kids to light weight to fit into the captains chair car seat. Other issues are newborns ...technically they should be in a side mount basket but as you all know in EMS mom is on the coy and we have her hold the baby usually this poses a huge risk if in am MVA. I wonder what a field day lawyers would have with that!! These are just some considerations we should all think about for the future and future purchase if ambulances an equipment. Michael - "Medic One" FF/Paramedic, EMS-Instructor Pace / Medical Car Driver Lime Rock Park Sent from my iPhone using Tapatalk

So I recently discovered a few things about EMS cots that can be a little disturbing to all of us. Ferno's Pedi-Mate EMS Child restraint device can be used on a Stryker Stretcher only of the Stryker Produced retention hooks are purchased and mounted on the cot back rest (near piston) using the predrilled holes. The hooks are to keep the pedi-mate from slipping on/off the cot during a collision. Here are some problems: Most services don't know this Most services won't purchase them Ferno won't warrantee / guarantee Pedi-Mate if put on Stryker cot Stryker legal Dept says they won't get involved in this legal issue (even tho they sell the retention hooks) On to the next issue: Both Stryker and Ferno reported that EMS cots and Stair Chairs MUST be taken out of service and deemed un-usable if an ambulance is in MVA. They stated based on the particular EMS cot and stair chair you have there are crash force parameters that will deem them O.O.S. I recall she said something like 800lbs of force but I don't recall. They state that cot and stair chair must be added to the insurance claim and they will not inspect and sign the cots off as usable. This can get very costly to our insurance rates and for smaller services could cause issues when the ambulance is in a minor collision. Stryker and Ferno report that there have been legal cases where police reports were summoned for an ambulances accident history and the EMS cots came into question. If you’re like our service with multiple units we regularly do stretcher swaps and tracking a cot assigned to a vehicle is almost impossible. So in closing we have added the stretcher and stair chair serial numbers to our daily check sheets should an issue arise in the future. This was just some info I was passing on and comments, better and/or corrected information is greatly appreciated.

Try these sites. I have used the first one in the past when I was overseas. http://www.aclsonline.us/ http://www.cprtrainingfast.com/acls They may seem costly but the average recert cost about the same and you usually have to wait weeks for a card from a classroom class. The online are send via email and snail mail.

Our service does not wear an American flag because the State requires Service patch and Certification/Licensure level on the uniform. No special placement is required but even though we are a National registry state our state has licensure patches and we are not allowed to wear the National Registry patches. I have seen the national registry patches on the left breast (probable because they are small and round - NOT MY man boobs but the patch). We wear badges even though we don't need no stinking badges and a name plate on the right breast. I would check with your states Office of Emergency Medical Services or Dept of Public Health (whom ever regulates EMS Agencies) before making a commitment to purchasing American flag patches just to be sure that you are not required to have your licensure level patch and service patch on the sleeves. Traditionally the service patch is on the right sleeve and licensure patch on the left. I do agree that sometimes American Flags can look tacky on some EMS uniforms and for a more professional look just go with service /licensure patches. Most Fire departments use the service patch on a sleeve and an American flag on the other because our state has no requirement for Fire Fighters to wear their training level patch such as FF1, FF2, FF3, Instructor etc... so they tend to use the American Flag. I am a proud veteran and do support my country but wearing an American flag pin on my uniform everyday. That might be an option for you. Good Luck

Anyone attending the IPMBA conference next month - April 2011. I am enrolled in the EMS Cyclist 1 Program (Apr 10-13). Is anyone else going? I am from CT looking for a carpool partner from anywhere along my three route choices from CT to VA.(see below) I will be leaving from CT Saturday April 9th at 0700 with an expected travel time of 8-9hrs. I can pick you up along the way. Heading home April 13, 2011 after the class ends. I have room for 1 bike plus your gear. I also have room in my room, I have a double full bed room, so if you didn't book a room yet we can split the cost. I am staying at the conference HQ. Marriott Richmond, 500 East Broad Street,Richmond, Virginia My three routes of choice are: 1: CT to I-95 south to DC area to VA 2: CT to I-84 west to Scranton PA, to Harrisburg PA - 81 South to RT270 to DC, to VA 3: CT to I-95 to Maryland (Close to Dover Delaware), to Annapolis to VA Let me know via Private message so we can discuss options

Renew it like most of us say

What I mean by breaking in for Danners are molding to your feet and the leather to soften around the top eye loop and top of tongue. The statement made was right tho a good fit is essential

Looking forward to the class, and yes OT to ride is cool.

Wow out of the 26,984 members of EMTCity.com not one other member going. Never fun to ride bikes alone...going be a boring time!! Come on some members must be going to the IPMBA conference. To sign-up for the IPMBA EMS Cyclist Program go to the International Police Mountain Bike Association web site at www.ipmba.org

Well I would highly suggest Danner Acadia's. I know it is not in your budget but remember you get what you pay for. I have been working EMS for 20yrs and swear by the boots. I own three pairs with the oldest pair at 15 years old and newest at 2 years old. They are waterproof, best leather on market, NOT hot to wear (I wear 200gram Gortex Year round), and for a low fee they are rebuilt and tread replaced as needed. I am on my 2nd set of sole on my 15yr old boots and they still look new. Best thing about Danners are they mold to your feet after the 2 or 3 week break in period and then they wear like fuzzy slippers. My suggestion would be save some money and make an investment that will last your career in EMS. We tend to buy IPhones, Driods, the best laptops and toys to keep us occupied at work but without good ankle support, dry feet, great tread, and the feeling of wearing slippers while working; those fancy toys won't help you when you twist your ankle in that rain filled pot hole and spend the rest of your shift with a sore ankle and wet socks. So in summary... pack a lunch everyday and save some dough for a good pair of boots. In time you'll be suprised of how much you saved up by packing a cheap lunch. Visit: www.danner.com go to: Play Film (the current one has a cop - he did add the rubber toe caps (glued on - crappy job applying them - I had them they arn't worth it) also go to: under the New Quarry "Mark of a true crafts man link" to see videos from danner about the boots and recrafting http://www.danner.com/boots/quarry/#video-splash also go to: Customer stories link to read about some of them

In CT the rates are roughly the same +/- a few bucks. Here is something I found on the web that a CT Service actually had posted on the web. http://www.ctambulancebilling.com/security/2011_CT_Rates.pdf

Rolling in early Saturday morning. Class not till Sunday morning. Anyone around in the Richmond area.

Anyone going to the IPMBA EMS Bike Ops Course: April 10 - 13, 2011 in Richmond, VA. I enrolled in the class... Anyone else? It's been so cold and deep with snow I haven't been out on the bike yet all winter...I am so out of shape to be in the April program but duty calls. More info at IPMBA.org.

Uhg...The NREMT's (No Real Emergency Maintaining This)..... Well, for the past 10+yrs I have maintained it thinking I would someday move to that uses it as Licensing without requiring me to also pay my state for another REQUIRED License. If you have it its best to keep it because someday states that are financially tapped may just take the easy route by just requiring the NREMT Lic. To maintain the NREMT its pretty easy and not that expensive unlike my state that requires 24hrs a year CME plus $175.00 per year for the State License. So basically DON't move to CT. They require you to get national registered but can't work until you apply for the state lic...once state lic issued you can then drop the NR...how fubar is that? But basically I say get it maintain it its not that hard

Looking for some connections for any EMS personnel in Paris, France. I will be spending a three weeks there and was interested in talking/seeing how ALS things are done there. I am NOT looking for ride time, just a quick meet/greet and quick chat session.

We have a 1st in ALS bag, a second ALS bag for more serious calls, and a PLano box for restock and full arrests. 1st in has: O2 2 each, NRB, NC, Pedi NRB, Nebs Adult / Pedi BMV Adult / Pedi Cuff One collar (select a neck) Basic bandaging 1 oral glucose Tiny sharps container 1 500cc NS 1 10 drip 1 60 drip 2 of each IV caths IO Drill kit 2 epi 1 atropine 1 lido 1 glucagon 1 Narcan 1 D50 then some little odds and ends ALS in bag (more serious calls) Regular ALS setup with to be brought in with 1st in for more serious calls Plano case (restock and back-up for Serious ALS calls such as Cardiac Arrests - stay in the bus) This is our 1st in bag. http://www.toughtraveler.com/remed/megad.asp

I was working in a community very close to NY. Our EMS service was called upon for a few rigs along with other area services to a staging area on the NY line - thats is as far as we got. It was a tough day knowing the loss that would happen. I lost a friend and co-worker (Chris Blackwell - FDNY Rescue 3) that was paramedic with me at another gig we worked. I remember seeing the breaking news story and literally had to drag my partner in from the garage to the TV because he thought I was joking. I spent the next few hrs glued to the TV before we had a company meeting at the division HQ stating that we would provide a few ambulances to a staging area. Only members of service that wanted to help were asked to go...NO employee was ordered to go it was left as our decision. I missed a lot of the coverage but did have my wife record it at home on as many VHS tapes she could find. The thing that got me was the local support we got and LACK of traffic on the roadways. It was actually very weird to see no cars on the roads during the incident and what few cars we did see they actually moved over out of the way and some people actually waved and gave us thumbs up signs at us as we were racing to the NY line with the convoy of ambulances. They must have known we were heading to NY it was very surreal feeling of anxiety, frieght and total adrenaline rush knowing and not knowing what we were heading to do. We never made it from the staging area which in hind sight is better for me and the others that were there with me. The health problems that all the on scene workers have been having is sad not to mention just the emotional and mental issues off seeing the devastation. I think just seeing the people covered in dust on TV is mentally exhausting but to see it in person must have life long effects on someone that actually experienced seeing it. I have worked EMS for 20yrs and have had my share of the big bad ones but this effects not only workers in emergency services but our country as a whole and how we all live our lives with more security, hidden camera's, etc.... It was the 1st LARGE scale attack on American soil since Pearl Harbor for many of living Americans. I think it has had far more media coverage than any other world wide event. I think too many people, businesses and corporations have profited too much from this tragedy with all the stickers, patches, tee shirt profits going in someone pockets vs to a fund. I think it is right to honor those lost but we need to also move forward to protect our country from things like this ever happening again. I can keep rambling on my thoughts but feel it is the right time to come off my soap box.

As far as riding as an observer you may not have too much luck unless you join a local volunteer ambulance or fire service. Most EMS agencies require waivers to be signed and have contracted agreements with EMS-Instructors allowing the required ride time as part of the EMT program. The agencies do not provide insurance to the student during ride time; its the EMT program that covers the insurance (usually). The other thing that will be required prior to ride time would be your OSHA, Blood Bourne and basic Hazmat training as part of the program. This includes being fit tested for an N95 TB/HEPA. Your best bet is to wait for the class to start and/or join a local volunteer service. These services usually allow observer time until a program starts. Check your local areas for Volunteer services some requir you to live in the town to volunteer and some don't. Hope all goes well, Good luck with your program.

Congrats on getting your Medic (well soon that is). As far as traveling overseas to work as a medic there are many things you have to consider. Travel costs to get to where ever you want to work will be a big part of it. But before that many services such as KBR, Saudi Red, Onsite Occupational Health & Safety, and most off shore rigging companies will requir you to have some ALS experience before they will hire you. That also goes for many services whether it be a private service and/or municiple service. I would suggest getting a job locally and get some calls under your belt, establish yourself with the company and sponsor medical control hospitals so you can use them as a reference for future overseas employment. These overseas employers such as oil rig medics usually are high stress, long hour, single medic positions where you have little to no back-up for a considerable amount of time so thats why they are pretty strict in reguards to having experience. The other issue is if you want to travel to another country such as the UK, US, or down under most training is similar but protocol is very different and that country may not offer recoprocity to you to honor your training. Best bet is to contact each countries Office of Emergency Medical Services for recoprocity information. I know in the U.S. each state has their own office I am not sure about other countries. You can go to NREMT.org for a listing of the U.S. "OEMS" offices mouse over the state and click it ot go to that states OEMS page. Here is the link: https://www.nremt.org/nremt/about/stateReciprocityMap.asp

We recently starting to use Induced Hypothermic CPR at our service and was wondering if anyone else has used this technique?