p3medic

I'm looking forward to the overtime, especially if they win!

Come on Chuck, you know deep down inside you want to live here, we have the Celtics, on the verge of an NBA Championship, Drop Kick Murphys, Sam Adams beer and tons of hot college chicks.

Its essentially region 4 state protocols with some additional special project waivers, i.e. RSI/MAI, an expanded hypothermia in ROSC protocol, and a few others.

It would seem the City should invest in more ambulances and staff for DH, not rely on a mix of private mutual aid response.

Yeah Richard, its kind of like that! Fortunately for us when the Health and Hospitals Corporation was dissolved we became part of the Public Health Commision as opposed to FD. Just because we have that similarity doesn't mean the Yankees don't suck though.

Just curious, but why would a ff be mandated to go to rehab for a 1000ml bag of IV saline? Shouldn't they just drink fluids? After all that kind of how we were designed. If a ff is at the point of exhaustion that he/she can not tolerate po hydation, then they should be done, plain and simple. As for weather or not a ff wants to go back in or not, I couldn't care less, I will be happy to assess them if they like, or not, thats ok too. As Dust said, I'm not there to babysit them, if their chiefs are ok with it, so am I. I will give them my opinion on the matter, what they do with it is on them.

CBEMT... Don't shyte where you eat. Meanjoeg, East Boston is within the city limits, Cambridge and Somerville are not, so they would not count as residency. There is an abundance of housing available within city limits, and after he gets the job he can work out how to live somewhere else. If he has any other questions I can help him with don't hesitate to ask or fire off a pm. Good luck.

Its certainly possible. We are in an expansion phase, so there will be a few more academy classes coming up over the next 18 months, usually 40 in a class. If he can establish residency and do well on the entrance exam, practical and oral he has a decent shot. If he speaks another language he has even a better shot.

Not too often, it has happened, and they have been terminated. As far as I know, no one has been caught and got away with it, although I don't think they are looking to catch people. One guy in particular, a real dumbass had a work related injury, and had used his real address well outside the city when corresponding with work, not too smart. The residency issue isn't going away, however it isn't too hard to find someone to let you put a phone bill, gas bill in your name, and change your drivers license around. I personally wouldn't do it (I'm not required to live in the city) because I'd alway be worried about getting caught, I'm a bit paranoid like that.

Have him look at the city of Boston Public Health Commision website, and Bostonems.com. There is a written, practical and oral exam. There is also a CORI check, drug test (hair) and must have a valid Mass EMT cert for the academy. The pay in the academy is not bad, better than he'd be making in the privates as an EMT. The academy is approx 600hrs of class with another 300-400hrs of field internship, with a 1 yr probationary period. All new hires must provide proof of city of Boston residency within 6 months of hire.

On the LP12 you can disable to computer interpretation feature.

We use it here too, its kind of a PITA, but it works.

I can't, but that isn't going to stop me from trying. Its not fair to the citizens that I serve, and will serve.

Hey kid, its not apples and oranges. If fire wants to duplicate my job, why wouldn't it be ok for us to duplicate theirs? Don't give me that insurance crap, were talking about delivering health care to patients. The IAFF teaches departments how to go about taking over EMS in their respective areas, its a priority mission of the UNION! It has nothing to do what what is best for the public, its whats best for firefighters jobs and budgets. The fact is, medical emergencies are on the rise, as fires are on the decline. More funding and personell are needed for EMS, not fire. Perhaps EMS agencies should consider "merging" fire departments into them, instead of the other way around. They wouldn't get paid the same as the EMS professional, and wouldn't get the same benefits or retirement, but we'd treat them ok, promise. :wink:

Pain should be managed for everyone when possible.

Oh please... :roll: Lets see how fire would react if the EMS agency staffed a heavy rescue or engine, just to "help". It is your international unions mission to take over EMS, not because its the best way to deliver health care, but because its the best way to protect fire jobs and funding, plain and simple.

Use of Pulse Oximeter for determination of systolic blood pressure in a helicopter air ambulance, Air Medical Journal, 4:149, 1998 Assessing oxygenation in the transport environment, Air Medical Journal, 18(2):79, 1999

It certainly lacks accuracey however in a noise filled environment, helicopter, construction sight, machinery running etc.. it does work in a pinch for a ball-park estimate of systolic bp.

Dr. Hirsch was a hell of a surgeon, and a mentor and teacher to the paramedics in the city of Boston. He was not one to settle for mediocrity, and had no problem pointing out flawed logic or piss poor patient management. He will be sorely missed.

Your run of the mill cardiac arrest around here will get you a fire truck, either ladder or engine depending on the month, an ALS ambulance, a BLS ambulance, a cop and maybe an EMS supervisor.

I don't know much about Mercy, I've seen them around, they are relatively new. If I were looking to work for one of the privates, I'd probably go with Pro. They have a pretty state of the art sim lab, paperless pcr's with 100% case review, all patients are sent a QA questionaire and you will get feedback from your patients good or bad. They are also CAAS accredited.

Pro has a good reputation, covers the city of Cambridge, owner is a good guy, very proactive with training, and good equipment. I have no idea what the money is like there. Cataldo is a bigger operation, cover a few north shore cities and towns, with a lot of interfacility/dialysis runs, not too sure about the training and equipment over there, or the money. Fallon ambulance in Quincy is another well established private, they provide the 911 coverage for Quincy, Milton, Brookline and Weymouth, as well as the usual interfacility/dialysis runs too. Eascare in Dorchester runs mostly interfacility, SNF, dialysis. AMR....People work there too, don't know much about them. If your ultimate plan is BEMS, all new hires are required to be city residents within 6 months of hire, you will be drug tested (hair) and CORI/drivers record will be looked at too. Good luck.

Yeah, it was great fun. 50 year old male in a doctors office being tx for prostate cancer with reaction to his new chemotherapy, eyes bugging out of his head, red as a tomato, silent chest. After he was intubated bagging him was like trying to squeeze a football, no blood pressure. Doc had given him epi prior to our arrival, we gave more, wide open fluids, epi drip....was extubated next day, doing fine. I remember the call well because we both have the same last name, although no relation.

Anaphylaxis.

I wouldn't judge all residents on the action of one. I find the residents in the teaching hospitals here to be a good bunch, very willing to listen and learn, as well as teach.