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  1. thegreypilgrim

    EMS System Design Survey

    Hey everyone. I know I haven't posted here in ages and there are a good deal of new users whom I don't recognize, so nice to meet you all! Anyway, I was hoping the board would be so kind as to take a very short (it's only one question) suvey for me. It's completely anonymous and is for...
  2. thegreypilgrim

    The states need to take over EMS

    It is becoming apparent that EMS represents a tremendous cost to local communities - both in terms of user-fees and in consuming significant portions of government budgets in the form of public safety funding. The civil grand jury report published by the County of Santa Clara last year makes a...
  3. thegreypilgrim

    Things in your protocols/CPGs/scope that your hospitals don't like

    I hinted at this in another thread, but wanted to see to what extent this exists in other systems. In my system, there appears to be some considerable discord between what the receiving hospitals here expect or want out of EMS versus what the EMSA and medical direction does. The main one like...
  4. thegreypilgrim

    C-Spine rearing its ugly head

    Here in wonderful SoCal we are in love with c-spine. It's like our main form of treatment in EMS. Even though we have a spinal clearance protocol in pretty much every county, it's just one of those things that hasn't quite entered the realm of cultural acceptance. Oddly, and perhaps ironically...
  5. thegreypilgrim

    Emergency-1 Response

    I suppose this question is directed more towards California providers. I've been looking at Emergency-1 Response lately. They are a special event standby company that does not transport (at least I believe they don't). I don't know much about them though, so does anyone have any intel?
  6. thegreypilgrim

    Best EMS Organizations

    I know a similar thread was made in the past, but I was hoping with the moderator's permission this could be turned into a sticky thread. What I was thinking we'd do is make a comprehensive list of the EMS organizations with the best reputations as far as working conditions, clinical...
  7. thegreypilgrim

    How to fix EMS

    In the United States, that is. (1) Transfer federal oversight of EMS from NHTSA to the Department of Health and Human Services (HHS). (2) Convert all privately owned, for-profit ambulance companies to not-for-profit status. Compensate any investors for past investment. (3) Convert all...
  8. thegreypilgrim

    Ronin South Africa

    Anyone have any information on Ronin, SA? They are apparently a protection services firm, but as you can see also provide remote medic training. The curriculum seems pretty rigorous (about 16 weeks), but I'm somewhat cautious about it. Anyone have any information on it? Is it open to Americans?
  9. thegreypilgrim

    Poll: EMS and Privatization

    Register your vote.
  10. thegreypilgrim

    Another film about South African paramedics

    http://www.youtube.com/watch?v=5CqH4LWnHjg&feature=related I've tried google-fuing this but have not succeeded in finding any further information on it. It looks really interesting, however. Does anyone know anything about this?
  11. thegreypilgrim

    Tell Me And I Will Forget

    Tell Me And I Will Forget This is a documentary by Justin Salerian, who directed this prior to being admitted to St. George's School of Medicine. It's a commentary on the social and political ramifications of post-Apartheid South Africa from the perspective of its EMS workers. I haven't...
  12. thegreypilgrim

    Community Paramedicine on Chronicles of EMS

    Justin Schorr and Mark Glencorse talking with William Sugiyama and Mike Taigman about the potential future of paramedics shifting towards the sort of thing we often talk about on this forum. As the title states, "Community Paramedicine". Taigman is an interesting guy whom I think has a lot of...
  13. thegreypilgrim

    On Teaching Patient Assessment

    I have a question for the educators among us. If you're doing patient assessment instruction - not for a particular test/practical or anything, but simply with the aim of teaching the student (whatever certification level or provider type) how to properly assess patients - is it generally...
  14. thegreypilgrim

    Let's put it to a vote

    So, what should the educational standard for paramedics be?
  15. thegreypilgrim

    Carbon Footprining of EMS

    A report on EMS's contribution to anthropogenic climate change. Keep in mind this was a convenience sample: Blanchard, IE and Brown, LH. (2011). Carbon Footprinting of North American Emergency Medical Services Systems. Prehospital Emergency Care, 15, 23-29.
  16. thegreypilgrim

    How useful is the NREMT as a standardized exam?

    I just renewed my NREMT-P (or my NRP as I suppose it's called now) certification by exam last week. I did not study, review, or do anything one might expect someone who's been out of paramedic school for 2 years to do in order to increase their chances of passing. I just showed up and took...
  17. thegreypilgrim

    How to fix EMS II

    Animistic readings. Horoscope perusal. Shamanistic dances/incantations - preferably whilst adorned in appropriate indigenous regalia. Ritual sacrifice. Other occultic praxis. Letters to Congress. Take your pick.
  18. thegreypilgrim

    Questions for Overseas Contractors

    Take me to Contractor School. How does the employment process generally work? What are the legal/ethical pitfalls of doing this (if any)? Are there any ways you can get yourself into this sort of trouble (short of the obvious)? What sort of questions should you ask potential employers...
  19. thegreypilgrim

    Skin Gun

    Have you guys seen this? http://www.youtube.com/watch?v=eXO_ApjKPaI
  20. thegreypilgrim

    Bizarre Cardiac Case

    Please forgive the horrendous misspelling of "bizarre" in the title. I only recognized it after submitting and can no longer edit! Perhaps this is an argument for prehospital use of ultrasonography. This scenario is not something I encountered, but has been adapted from a published case report...
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