island emt

EMS Because your to fat and lazy to haul yourself to the Dr's office at 3 am.

And maybe the next day and the day after that and the week after that and the month after that! Aw you get my point. Be positive :-}

The other problem here is that we've created a whole new employment enterprise of data gathering weenies in EMS. Every state has them and most of the larger EMS systems do also. These may or may not actually be street seasoned providers, & their whole job is to produce numbers. They can produce all kinds of pretty spreadsheets and colorful charts that in reality have little to do with providing quality care to our customers. One large alphabet company started this "profession" back in the early 80's, and used their spreadsheets to predict where the next calls would come from. Unfortunately they were wrong 90% of the time, so their crews moved from one convenience store parking lot to the next in order to keep "big brother " happy with their fleet postings .Instead of responding from fixed base locations, they created a system where crews are forced to sit on street corners in their trucks and actually spend more time driving from one post to the next than they do providing Pt care. This was just a way of reducing the number of crews & trucks on duty and is a really crappy way to spend a shift .

that's a whole month to study !!!

Previously they were only acting as good samaritins. Basic first aid. You'd have to understand the bureaucracy of the state EMS office to know how this all came to be. most fire departments here have been licensed EMS transport providers for a long time.

Stay strong young Lotus blossom. You still have a test to take. :=]

Ignore your partner , obviously he makes you nervous since your not having that problem with another partner. concentrate on your Pt. Be one with the vein and ignore outside distractions. Feel the vein before you look for it. Think about the anatomy and direction the vein takes. Don't jump on the AC every time. Learn all the venous system pathways from the hands up. Even the most experienced providers miss one every now & then.

Thats it: When the computer figures that you have failed or passed, it just shuts down. Last class of kids that took it got anywhere from 70 -150 questions . The one with 70 questions did very well and the 150 questions just passed by a whisker. Have had students fail with 90-100 questions. You don't get the results until a few days later by e-mail.

Well put young Jedi!

Does NJ recognize national registry? If so then your class practicle was probably good . If they do use nat reg for end testing then it will be an adaptive computerized testing facility. Getting into these places is harder than flying on an airplane today. Security is utmost in their minds. You will sit in front of a computer that will give you a series of questions. You have to pick the "most" correct answer from the choices given. There is usually one answer that is so far out in left field to be obvious, then a couple that are a maybe, only one is the correct answer according to them. Read the question carefully exactly as written. Don't read anything into the question. Then choose the most correct answer. Answer every question as it comes up on the screen, as you can't skip over a question and go back to it later. Computer adaptive testing will give you questions on a given subject until it knows you either have it or don't. I've had students where the machine shuts off at 70 questions and others get to 150 questions. Don't try and worry about how many you get. Every test is a different group of questions in random order from the test bank. Just review your class materials and go into the test day well rested and make sure you eat before you go.

Congratulations on finishing class. Are you asking about written or practicle exam? Or both?

works fine up here mike.

I thought Texas had the three strike law? Maybe because his were as a juvie.??? Three felony convictions and your done. Off to Huntsville to become a prison bitch. Apparently he has not been convicted of all three as an adult. Get away and stay away. If your gf wants to associate with him, then get away from her also. Unless you don't really want to make EMS your profession.

Many medical professionals, especially the old school docs & nurses, look at EMS providers as service personnel. Doesn't matter how good you are at your chosen profession. Those that stand out are often viewed as spending time as a Paramedic while earning enough to go up to the next level. Whether it is as an RN or PA or medical school. EMS has been looked upon as either a dead end job with little hope of earning good money & benefits , Or as a stepping stone to become a true "medical professional". If you are happy doing what you do, then let it be your profession. Don't ever fail to be the best you can & always have folks know you as an example of a high quality professional caregiver..

Just got a memo yesterday that 7 out of 8 hospitals in our region are at critical levels of Epinephrine. 1:10,000 / 1:10000. they will be getting us some form or dilution to work with in the next few weeks. Now how can half a state not have stocks of adrenaline /epi for prehospital use. They have a weekly list that goes out to let us know what shortages there are at this time. The list gets longer every week.

wipe yourself

Drugs & electricity until you either empty the drug box or no longer have a shockable rythm. By then your down time should be in excess of 30 minutes without perfusion. No perfusion = brain death in my book. We do have the ability to call a code in our protocols if no rosc after running acls. I do agree with not leaving a body at a bus stop in south central LA. Could get your bus shot at!

Good to see you back Kaisu! I'm going to agree: At any level if you don't use it you will lose it to some degree. There has been a push in many areas to have two Paramedics on every truck on every call. That is a ridiculous waste of personnel, education and money.Let your basics runs the calls that don't need major level intervention, which are a high percentage of calls. Let the Intermediates run the more challenging calls that can be handled within their license level. and reserve the highly educated and skill trained Paramedics for the calls that truly need them. Resource management is the name of the game. That doesn't mean having a Paramedic holding the steering wheel.

Is there a knife sticking out of his back?, syringe in his arm? how is he dressed[ like he has been living in multi layers} ? Working stiff or urban outdoorsman? breath smells like? [if he's breathing]

That procedure was on sixty minutes the other night. While it might show promise, it was stated it will not be FDA approved before 2016 at the earliest. Anyone who can find a method of relieving chronic back pain caused by degenerative disc issues will be a billionaire. It's the same for someone who can find a replacement fluid for bursa sacks in joints such as knees. I often thought that injecting a viscous fluid would be much better than surgical repair.

Okay Ruff: I'll play the game. Since I started in 1971 , I've been in one ::: yes 1 ambulance involved accident while moving. We were responding on track during an AMA production race in the spring of 85 when we got hit in the right rear corner by a superbike entering turn 3 at the Louden NH road coarse. I had the offline and he tried to turn inside of me just a wee bit late. just a big bump and continued on. We ended up with a dented panel and the rider continued on with a slightly bent wheel. This was the same race where we had to call for extrication tools to cut a rider out of his twisted bike frame. we did have a crew slide on glass ice road conditions and hit snowbank, before sliding into a house. No damage to house and only damage to truck was a cracked turn signal lense. I was responding from opposite direction and arrived to see the snow flying and the gentle thump in the plow bank.

I'm guessing Mike Ellis has run away again because he didn't get the sympathy he was hoping for.

Sorry for the Hijack last night eduard: Just needed to put a kid back in line: there is a lack of suitable formal motor vehicle operators training in most areas. Many of these kids today come out of school and have never driven anything bigger than a honda civic or a toyota toaster oven. They have no idea about the forces exerted on a 14,000 lb vehicle during road operations.. In a former job we would spend several weeks training new drivers on skid pad and maneuvering techniques.

It was a pretty big bump in the back. At first I wasn't sure what the hell had happened. Looking in the mirrors 100 ft back I could just see the left edge of the car and lots of smoke/steam Was worried the dolly or kite had come unhitched. then a truck behind a little ways starts screaming on the radio to stop quick. The car was wedged/ impaled under the back and getting dragged along. Took about 300 yards to get it all stopped & pulled off into the break down lane. When he hit the hood went under the ICC bumper until it got into the passenger compartment. there it just smashed through until it was in the back seat. One of those visions that will always be stored in the mind. P.S. The car was a pontiac sunfire, tiny little low slung model. Not much big metal in them.

Asys: I was pulling double 45 ft trailers on the New York thruway westbound out of herkimer. gross weight of combined unit was 105.000 lbs I was in 11th gear running at 50-55 mph. Our tractors governed out at 62. He hit me on a long straightaway and witnesses later said he never attempted to go around me until the last second. His car caught the ICC bumper on the kite trailer just about the center of the hood. It drove the I beam bumper into the passenger seat all the way into the back seat area. The passengers were DOS. It was not pretty. State troopers estimated he was going at least 80mph at time of contact, maybe higher. Yes i still remember a lot of the details to this day almost 30 years later. I still get a Christmas card from the NY state trooper that handled the investigation. He's now retired and he like me still remembers that gruesome call.