JakeEMTP

I wasn't talking about you usage of the cliche Roguemedic, rather the cliche itself. I agree, there should be a minimum age for entry to medic school since it should be college based, and all pre-requisites completed then by a quick calculation, they should be 21. There will always be a room for the exceptional student, one who completes the pre-requisite courses early, but they would be the exception rather than the rule.

I think the point of the cliche is to use it when someone is trying to say because they received a higher mark, they are better somehow. Your post is correct, that's exactly how I feel.

Hasn't this been covered in the Paragod topic? J/K Terri, you know I love ya...........

They should be the best agency to issue a national exam since that is their main function. :wink: A question for Ridryder, Dustdevil and other nurses here, What was the required passing grade for the NCLEX? I really have no idea, and since that is what we would like to see in our profession I was curious. Obliviously it is on different material, but what is the difference between NCLEX and NR as far as testing goes? Just curious.

Interesting topic Rocket, kudo's. Depend on the severity of the call ( of course, it always comes down to this ) we/I always try and establish some sort of rapport with the pt and their family. I think it helps reassure the family and pt if you seem confident, not cocky ( can I say cocky here? ), and use a friendly voice instead of a authoritative one. Yes, as EMS providers, we need to be in charge of the situation. That being said, I find if you act in the manner I mentioned, the call seems to go smoother, the pt is a little more relaxed and so is their family. It's not always the case but seems to be more than 50% of the time. Being relatively new to EMS, I haven't worked a situation as you described yet so it would be hard for me to speculate how I would handle it. All scenes are different, but your supervisor obviously handled this particular call correctly. To develop a rapport is an acquired skill that comes with experience. If one is comfortable with their skills then rapport should come easier to them. Introverted people of course will have a harder time acquiring this skill. I have also noticed that introverts have a harder time with assessment. But that is another topic.

Excellent idea! :occasion5: "May I be excused from class? I need a drink!" :wink:

I've been thinking of this since it was posted. I'm not sure if there is too much responsibility relative to the amount of education. I have only attended one medic school so my response might be slanted somewhat. I feel we do receive adequate education, as always you only get out of it what you are willing to put into it. This is college, not high school, no ones going to hold your hand here. If someone wants to coast and barely pass then he is still a EMT-P/ PCP or whatever. The person that finishes last in Med school is still a Doctor. Conversely, if one applies themselves and works extra hard and studies their ass off, then they are going to be a better provider. Just to flip this a bit, Do Ontario PCP's have to much education for the skills they are allowed? Obviously, they have the education being in a two year full time program including Pharm, A & P, and the rest, forgive I haven't looked it up, my bad. One would think that with all that education, they could at least intubate. I'm not looking to argue, just asking the question, are the Ontario protocols to restricted?

I think the non- NR States are NC, MA, NY and UT. The NR is just a test. If individual States don't want to participate that is fine. What NR does is make it easier to move from State to State ie: Reciprocity. I had the option when writing my Basic of NC or the NR exam. Since I hadn't any intention of leaving the Tarheel in the near future, I opted to not write the NR. When it comes time to write the Medic exam, I will write NR since I have more employment opportunities as well as reciprocity is easier if you have it. As far as how good a provider a test makes you is irrelevant. A test will hopefully show you have the minimum knowledge to enter the field. A good preceptor will teach you the job. Just my .02 cents.

North Carolina is also non-NR. That being said, we still have to take the practicals as set forth be the state and are very similar to the NR. There is also a State written exam and oral boards before I can work in my particular County, I'm not to sure about everywhere else, my bad. IMHO, Ohio should still have a State written exam. Allowing instructors to just sign off and " Bob's your Uncle", you're an EMT/Medic, sounds like a major step backwards.

Yeah, that too.

My personal favorite is FTD for deceased pt's. As in call the florist. I don't use it, but I have heard it several times and thought it funny, in a twisted sort of way. :oops:

:shock: I get it Nate. I think the person who selected eliminate Paramedic wants to return to 60's. Must have been a bad acid flashback. Most likely though, they checked the wrong box. #-o I hope.

Sure they can. O2 for Hypoxia, oral glucose for Hypoglycemia and a diesel bolus to the ED.

We have to run a mega code in our oral boards to function as a Medic in our County. Our Medical Director insists on it, he also is the one who preforms this test. I agree with the dumbing down problem. Although I am just a student myself, I do have a BSc in Biology. I can just look around the room at the confused looks from a select few who are just lost. Our instructor is very good and doesn't stand for any crap. Attrition will thin the heard. Too bad the pre-requisites we envision aren't in place or they wouldn't be in the class to begin with, but I digress.

Sure, Shrimpcan, here ya go, S- Septic H - Hemotaric R - Respiratory I - Insulin M- Metabolic P- Psychogenic C- Cardiogenic A- Anaphalaxis N- Nervogenic We learned this the other day and was told " Old School " medics use this. Pretty cool I think. Be safe out there.

Welcome to the Asylum kdy. I'm not sure what text you are using, but I can tell you that the text I used for Basic was woefully inadequate. It has been discussed here ad nauseam about the " dumbing down " of the EMT-B curriculum, and the reason for it. The other day in class we were discussing shock and treatments of. Some of the students were unaware there were more than 3 types of shock. I'm sure the long time medics and EMT's here will remember the acronym " Shrimpcan " for evaluating shock. Another example I remember from the text we used was when to start compressions on a newborn. The text mentions when to start ventilation's, but nowhere does it mention compressions. This question was on the NC exam too. Treatment of Medical pt's is limited as a Basic. As you are aware, in your example of respiratory distress your limited to high flow O2 and a diesel bolus and perhaps assisted nitro for said pt. Should you know how to treat and evaluate different types of respiratory distress? Absolutely!!!! It will only help you be a better EMT and medic should you wish to continue that far. Where Basics get to use their skill set is in a trauma setting. Splinting, hemorrhage control, c-spine control etc. I hope this was some help to you. Good luck with class.

I hope he's not, as a matter of fact, I'm sure he isn't. All 911 ambulances should be staffed with a least 1 medic. However this has been discussed extensively in previous posts, and in a effort not to get this tread of topic, I urge you to search the forum.

As we all are aware, without early defibrillation CPR alone survival rate is dismal to say the least. The lay public can do compressions 100:2 if they desire, but the fact remains cardiac arrests require early defibrillation. The AHA states that if defibrillation is not received within 4 to 6 minutes, brain death starts to occur and as excellent providers, you all were aware of this. According to the AHA, survival rates drop to 10% with CPR alone. I'll do my compressions as required, after all, that's what we're there for. Come to think of it, can we reprogram our Geezer Squeezer? :wink: In all seriousness, I'm all for change. And I'd like to see some statistics on the new standards, but alas, I feel they would be hard to come by as by the AHA's own admission, they don't keep them due mostly to the fact they aren't provided with them http://www.americanheart.org/presenter.jht...ntifier=3034352 http://www.americanheart.org/presenter.jhtml?identifier=4483

Let the games begin!!!!! :violent3:

Marty, that's just plain scary and wrong on so many levels! :shock: :laughing7:

:shock: Surely he can't be serious! Remember last time he was in power folks, and beware!

Hugo, follow this link. http://www.emtcity.com/phpBB2/viewtopic.ph...&highlight=

Hey fellow students!!!!!!!! I found this site by accident ( I know, no life ) and found it interesting and should prove to be helpful as I progress with class. Thought I'd share with you peps. http://www.ssgfx.com/CP2020/medtech/procedures/protocols.htm Keep studying folks! It'll be worth it in the end. :coffee:

Or vice versa! 8) Edit: Dream about work, not much. EMS folks are the only ones I know that can attend a bad wreck, stabbing, shooting etc, then pose the question, " Where y'all wanna eat? " So I can't say I dream about work. Call me callous if you want, I can take it. LOL

Well done RM! =D> :notworthy: LMFAO!