Recent content by AMF

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    Prospects in Dallas

    Hi All, I'm entering my last semester of college and am applying to jobs. It seems like the Dallas market for EMTs is pretty oversaturated, but I have a relatively limited view -- I've just had difficulty getting summer jobs. Would having a college degree (BS, non-EMS) and 3 years of...
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    Chest Pain Fall

    Nice to see another Mainer. Patient was transported to cmmc, due to proximity. That's an interesting anecdote. We probably should have called medical control. Regarding the EKG, I think the patient was definitely having a heart attack. What would the EKG have told you re: management of...
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    Chest Pain Fall

    So 67 yo male falls off a ladder, 12' or so, somewhat witnessed by wife. He's got wicked cp (10/10) and sob which he says originated before the fall. Chest pain radiates to his lower jaw. He reports drinking, denies drugs, meds, allergies. Reports family history of cardiac problems, dad was...
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    Is Competence Determined by Protocol?

    So, I'm learning about how doctors make competence determinations in school, and it struck me that I couldn't think of particular criteria that EMS uses for competence. I looked it up in my protocol book and couldn't find anything, and my service doesn't have a particular protocol about it...
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    Which services require spinal immobilization for penetrating trauma?

    In Maine we have rule-outs which work pretty well but they throw around the term "significant" (with reference to mechanism of injury) which literature doesn't really support. The modified CN exam works pretty well though, and it's definitely saved us from a lot of grief.
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    AEMT Scope Question

    That surprises me. I thought they were ~ I99s. Can 85s normally intubate and give medication? I was under the impression that the only substantial intervention the 85 level added was fluid therapy.
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    AEMT Scope Question

    My state, which currently has I99, is still working out its AEMT scope. To you who are currently taking AEMT, does your scope allow for medication with OLMC?
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    Part-time EMT

    Oh, it's not that bad. I live in the middle of nowhere and I work 100 hrs a week and live perfectly well off.
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    Responded off duty... Looking for critique

    I don't know about New England, but down here even doctors are covered by Good Samaritan if they don't intend to bill. I think the hesitation stems from planting the idea in the patients head. I know in New Hampshire if you have a star of life on your car (even a decal) you have to stop and...
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    Immobilize or not?

    It's important to understand that there are rules for these kinds of things which of course vary from place. The "provider before patient" rhetoric they teach you in school for scene safety applies to treatments as well, and your protocols are (should be) designed to accomodate the practice of...
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    I panicked

    Well I wouldn't say that, necessarily... if you're under excess duress, you're not helping your patient, but those of us w/o emergency vehicles can't really afford to walk. I would say, though, once you approach the scene, walk. Take some time to put on your gloves and go through your scene...
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