Ridryder 911

Simple, the reason is they have received a formal education prior to specializing. That formal education itself is the foundation that basics are lacking. It is up to the person to decide on what area that they are going to go into after graduating, that then requires continuing education in that speciality area. For example, nursing will have more than the 48 hours in two years, at any competent hospital that is JCAHO accredited with. As well, once board specialized, such as CEN, CCRN, etc. that person(s) have to either refresh and take the test over or attend CEU's to maintain that certification level. Not all states require CEU's for medical re-license, but many are including and increasing the number of required CEU's. I believe the whole re-cert for EMT's is a joke. Most never attend conferences or upgrade their education or learn something new. The refresher is a mini- EMT class, that a summarized repeat of what they had when the attended EMT class the first time. Usually boring, waste of time, and nothing really progressive. I much rather see mandated courses of attendance such as PHTLS/ITLS, ASLS, NRP, PALS, ACLS etc.. be required in lieu of refreshers that at least give more current information and has some merit to them. Refreshers are a great idea, if and only if produced right and has merit of actually refreshing material that might have been forgotten or presented weak in the initial training. R/r 911

Whew!.. One more time, to explain the difference between training and education models. Sorry, they are right Basic EMT is a training program just above or equal to the American Red Cross Advanced First-Aid course. Don't believe me? ... Then compare it. One goes to a class a few nights a week or better yet for a week or two and read from a textbook written at a 6'th grade level.. sorry, your part of the system but not considered at a professional status. The same as a nurse aide is compared to in nursing. No in-depth of teaching of differential and treatments are made in the basic level for a reason and purpose. Rather a cookbook style to prevent confusion and liability to go above that level. R/r 911

Another B.S. lawsuit, that is why they are only asking for $25,000 in damages for a wrongful suit. Seems, it he only had a few parts left... Yes, when someone is on my cot, the rails are up and there is a minimum of three straps, unless obesity where the straps in the upper torso cannot be fastened. Now, I do not routinely place the chest straps on patients, as I have multiple complaints claustrophobic feelings with them on. R/r 911

What is shameful is they misprounced Wenckebach (Wink-ee ball-k) not Wink-a- back.. named after the physician, whom identified the pattern. R/r 911

Vs-Eh is right deviating from standard route one might want to get an order. Another medication, that is routinely administered p.o. is Lasix (IV form) and many others .. albeit, I would not recommend, unless approved. R/r 911

Drinking D50W is an old method, that I have seen in the past. I personally prefer any high carbohydrate and if possible high protein. Pizza, or peanut butter and jelly sandwich with milk appears to last a while in the system. The high carb and protein will allow the patient time to adjust and monitor the glucose level. R/r 911

carribeaner or pocket, so far in 30 yrs. nothing lost, hoever forgot them many times.... R/r 911

Not really, the contributing cause would be the trauma that caused the <LOC then autopsy report list cause of death as cardiac arrest. I agree, majority of medics with any hopes of keeping their license or jobs would call this patient. The only time I work any trauma (GSW, stabbing, MVC) is when they have a pulse or potentially have a + outcome. I have been known to call the medical director for a DNR on those with gross or obvious traumatic injuries not sustainable with life (brain exposure, gross trauma) and allow nature to take its course. R/r 911

I refer you to Emergency Cardiac Essentials and Guidelines from American Heart Association, with the revised 2005 AHA standards. Try Google and you should such articles being cited describing rationale and occurrences. R/r 911

Do not how to compensate, but many hospitals check and actually require it where one has to be able to perform diagnostic tests and read results such as hemocult slides, dip sticks for U/A , ketones, hematuria, pH level as well nitrate paper, etc. Check with local optometrist and see if there is any new techniques, etc. if worried. R/r 9111

All this is considered "Science Junk" and has been tested and found non-scientific. Look at Boston Scientific Journal as well as pacemaker websites and they address this as "myths". With basic instructions of it causes interference to remove from source and the device will continue as designed. In other words, if causes you problems ... stop doing it. That is why now cell phones and other electrical equipment is allowed on hospital grounds. Unless placed in a very close proximity (inches) it will not cause interference as rumors had described it in myths. R/r 911

I would say it was a freak of nature that this occurred and she survied. I did think that since her body was supporting the weight and the airway appeared flexed. I am more surprised the neuro was intact especially requiring so many PRBC's. I still stand behind my decision to call it, as well it is a potential crime scene until otherwise proven. The Detectives and M.E. would have my arse for moving the body.. R/r 911

Shame I have heard the same thing from many other EMT's that have attended conferences/workshops and some that was involved on NAEMTl. After reading what has NOT been accomplished, I tend to agree. . R/r 911

Ironically, I Googled it and all the sites denied that they ever declared a name. As well, the actress that portrayed Quincy's wife is the same that portrayed his dead wife in previous episodes. An inside joke, that the dead came back..... R/r 911

Nice to see being a member of the Union has it's advantages...... shame the defenseless and those of low social are not able to have one. Sorry, the camera did not lie. Remember ....what comes around... goes around. Well, there goes my respect to Portland FD .. p.s. amazing the link JEMS has does not mention the lawsuit...hmmm. R/r 911

Another one that does not want to be educated rather a patch and pulse requirement. Sorry, you may be in a University setting already but it appears you have not learned the value of education yet. Just as your major is apparently requiring, there is a reason of actually learning didactic and clinical skills to be applied. Like others have suggested, if you want to play Paramedic I would choose another form. Unfortunately, I am sure you will find some place that offers "cookie cutter" cook book Paramedic programs.

Check the search function, this has been discussed in detail. Here in the Midwest, I had never heard of such until hearing described on the forums. We do have supervisor and some have initial first response until a transport unit arrives. R/r 911

Okay.. I know no one should ever label anyone. but... R/r 911

I remember them pointing that out, and as well remember I worked on the night it was on! I even set my Sony Beta VCR to record it and missed it...! I have seen most of the reruns, of course except that one.. My favorite episode is the home made defib with electric cord and butter... R/r 911

Here is a link to Austin/Travis County protocols. They have some outstanding written guidelines, as well as the OG/NG tube placement. I also ask if you have done research on placements such as in poisons which is very rarely used anymore (except the more toxic ones). I do suggest in cardiac arrest (especially neonates and pediatrics).. http://www.atcomd.org/downloads/cog2006v21app.pdf Good luck ! R/r 911

Unfortunately, they were treating the monitor NOT the patient. Like AZCEP, it has been long known the s/e of Adenocard yet, the reason to use it instead of treating appropriately puzzles me! I would had definitely NOT published this...and let everyone know.. R/r 911

I would hope ALL ACLS providers would do them since it is now the secondary route recommended choice for administration of med.'s and fluids in cardiac arrest! R/r 911

Dead.. and no I don't hook up traumatic arrest on the monitor. R/r 911