Recent content by EMSComeLately

  1. EMSComeLately

    WEMT in Law Enforcement?

    Yes. You're giving the government too much credit. You fill out a survey and you get a point value for having your application passed onto the hiring ranger. The survey certainly doesn't care and you'll probably find out there are loyalties to both programs. Go where you want...the rest will...
  2. EMSComeLately

    WEMT in Law Enforcement?

    My ex-wife was a NPS LE seasonal ranger. She got her WEMT through Nols, but that was after several seasons. It wasn't something that helped her initially, really. I think an EMT is fine enough. Medic is better. Current federal employee or Veteran is the best, though, if you want to get on...
  3. EMSComeLately

    Can anyone give me some insight into EMS in St. Louis

    You have to understand, I didn't actually work there. I did quite a bit of clinical time there, much more than was required. It is a premiere service there. High standards and highly competitive. I perceive the morale was decent, but I think the medics get a bit antsy to migrate from the...
  4. EMSComeLately

    Being an EMT with Anxiety.

    Despite this sounding very cold and clinical, my best advise is to objectify your patients. This may be most necessary when you're doing the most cringe-worthy procedures, i.e., IO, intubation, etc. I consider myself an extremely compassionate caregiver, even to our most annoying frequent...
  5. EMSComeLately

    Can anyone give me some insight into EMS in St. Louis

    Christian, when I was there in 2014, only had dual medic trucks running 24hr shifts. They don't hire EMTs. The few that are there still are grandfathered, but will be staffed on 911 trucks. New hire medics can be expected to staff their IFT trucks until a 911 base position opens. I have no...
  6. EMSComeLately

    Ideas for RSI eduction

    For us, it's diluted with 9ml NS before ivp.
  7. EMSComeLately

    Things to expect as a new EMT?

    Remember this very important Stephen Covey quotation "Seek first to understand, then to be understood." In other words, listen carefully and actively, and react accordingly. Remember this, though, that what "you've been trained to do" is a extremely small fraction of what you'll really need to...
  8. EMSComeLately

    Can anyone give me some insight into EMS in St. Louis

    Did my EMT with Christian NE. From my understanding, Christian NE is the only County/City 911 service that is not fire based. Gateway/Abbott (AMR) are primarily IFT with some mutual aid agreements for 911, but not their primary business. You can't get into Christian NE without being a...
  9. EMSComeLately

    DSI, delayed sequence Intubation

    Our drug assisted intubation uses Ketamine. And our violent patient chemical restraint also calls for Ketamine. I haven't had the occasion for either, yet.
  10. EMSComeLately

    Foaming At The Mouth

    We carry them as well as the BAAM device.
  11. EMSComeLately

    If your partner was texting and driving and smoking in the ambulance....

    I'd first go with the passive approach and mention how cigarette smoke really bothers my allergies (or something) as well as dropping an anecdotal story about "some guy I heard about got sued for a billion dollars while texting and driving an ambulance". See what that gets you. If it was...
  12. EMSComeLately

    Day In The Life Of A EMT ...

    I read the protocols today, oh boy About a new med that we’re allowed to give And though it requires an IV I just had to laugh I’m getting used to gelco caths Tones dropped, fell out of bed, through a cap upon my head Found my way downstairs and started the truck Looking at the echo response, I...
  13. EMSComeLately

    Would benadryl help anaphylaxis any?

    I probably don't have the personal comfort level with altering the nature of how the manufacturer designed the medication delivery, even if it sounds like a good idea. Personally, I'd have no issue suggesting the administration of the OTC Benadryl PO that was available, as is. I don't think...
  14. EMSComeLately

    Would benadryl help anaphylaxis any?

    You already answered it perfectly in the second post. http://www.emtlife.com/threads/would-benadryl-help-anaphylaxis-any.42553/#post-592661 /thread
  15. EMSComeLately

    Would benadryl help anaphylaxis any?

    Regardless, perhaps Gabe could list the 4 elements of negligence. Of course standard of care needs to be considered in that. Scenario for Gabe. You're a BLS crew responding to a sick person call. Conscious patient who can follow commands with BGL of 50 who refuses oral glucose, but states he...
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