I see nothing wrong with your thinking. We are a combined service with fire and ems, we do more ems than fire. If you could negociate ride alongs with a larger company you might be at an advantage. You didn't say how many ems calls your VFD handles; that could be the difference. I have worked...
concern about Diastat
Where I come from, unless there has been an act of God, you would be in violation of an number of laws if you administer Diastat. Tell them no thanks.
Any instructor who cares for his/her students will go the extra mile. I've had both good and bad, and make sure my students can get ahold of me if they have questions. Sounds like you are in good hands, good luck.
have i gone crazy
Its 30:2 if you are by yourself, 15 and two with two rescuer cpr, especially if intubated. Ya know, I teach this all the time and still mess it up from time to time:)
We use a Zoll CCT monitor everyday. If it starts giving hinky NIBP readings, it needs to have a maintenance tech look at it. Ours does fine, but you need to verify it with a manual BP. I bought a stethoscope that allows me to hear fairly well, even while moving. As far as the PHillips goes...
I agree whole heartedly. Our service requires all medics to be firefighters, so they all go off and pee on a fire, leaving the ambulance uncovered. Happens all the time unless a non-fire fighter such as myself is around for the second hit.
Even the larger services in the local "big cities" are looking for medics. When med control requires a medic/medic truck, medics are in short supply. When a medic can make considerably more as an RN the shortage becomes greater. I am sure some metro areas have to many, but not around here.
If you are not sure if its afib or svt. I wouldn't push adenosine. It won't work on afib and could cause a period of aystole that might just make you mess yourself. Good responses from those above. Be prepared for many more runs that you will play back. Talking with others is a good way to...
Phillips vs LP12
I've used the LP 10 LP12, PHillips MRX, and Zoll M series CCT monitor. Of the bunch, I prefer the Phillips. Good tracings, easy access to accessories, I dislike the twiddle and push method of changing things on the LP 12, give a a switch and a couple of chiclet buttons and...
Our protocols call for IV also, but IM is OK if vascular access is unavailable. Do you also carry Versed? In a neighboring Medical Control, protocol is 5mg Versed IM, you are not to wait to establish an IV on an actively seizing patient.
starting your medic class
Congratulations, much of what was needed has been said. As an instructor I give you this advise: Listen, take notes, when practical time comes offer to go first if nobody steps forward. When you get to ride alongs and hospital rounds, make yourself useful. Obnoxious...