Recent content by rogersam5

  1. R

    AEMT- Scope of practice issues

    I am an AEMT in Maine and can do a lot more then basics can, and at least a little more then the NR Scope (i don't really even know what the NR's scope is...) Basics here can do little more then transport and take vital signs. An AEMT can handle most non-cardiac medical emergencies, and...
  2. R

    Difference between ratio-Oxycocet/OxyContin/etc

    I would say sort of, I would imaging the Acetaminophen, ASA, and Ibuprofen were added to provide some cross benefit of mild anti-inflammatory action and pain relief from that end of the pathway. The T3s you speak of I would be more inclined to say the addition of caffeine was to induce...
  3. R

    Basic to Medic to Doctor...

    That is actually a really nice summary... If you plan on started Medical School in 2016 then you get to take the new and improved! MCAT that has Chemistry, Biology, Physics, Reading Comp and Critical Thinking, and Social/Behavior science:excl: This is a hard question to answer because...
  4. R

    Grapefruits?

    I wouldn't go as far as to say it is wrong, CYP450 3A4 is found in the mucosa of the GI track but you are right in that the bulk of concern for metabolism occurs in the liver, and we wouldn't actually care that much clinically in this case other than knowing our dosing can be massively messed up...
  5. R

    Fentanyl; Why even carry Morphine?

    I don't either, in Maine we don't carry morphine unless there is a recognized drug shortage of fentanyl and all the hospital pharmacy can give us is morphine
  6. R

    how does the scoring work?

    A slope of 15º is considered maximum for "Normal" Helicopter operations for most helicopters. To much more then that risks hitting things on the ground and makes takeoffs more difficult. You should Never approach a helicopter from behind, It is extremely dangerous not only because of the tail...
  7. R

    Turn over of care from school nurse

    You are right and that wasn't the tone I was attempting to put out. I was just attempting to address the "You can only transfer to someone with a higher license than you" statement/phylosophy. In Maine it appears they take that out of the question by saying the provider is transferring care to...
  8. R

    Turn over of care from school nurse

    Thats a valid point and I was never trying to say the physician would be useless. I was just wondering if you started care and you didn't want to give up control of patient care what more can you do without the tools on the ambulance. Yes you may have better assessment skills or a wider range of...
  9. R

    Turn over of care from school nurse

    If you really want to i guess.... here is the rest of the protocol: No individual should intervene in the care of this patient unless the individual is: 1. RequestedbytheattendingEMT,and 2. AuthorizedbytheMedicalControlphysician,and 3. Is capable of assisting, or delivering more extensive...
  10. R

    Turn over of care from school nurse

    Maine made it real simple for us... the last page in the protocol book is for Non-EMS system providers (bold print is exactly as written in the protocol): Please be advised that these Emergency Medical Technicians are operating under the authority of the State of Maine and under protocols...
  11. R

    HAZMAT Scenerio

    Very true... But then again in a lot of cases it isn't the breakdown at sea level either!
  12. R

    How Many Forum Members Does It Take?

    Unfortunatly you are at 6 YEARS :) not months
  13. R

    Finally got the job! But feel overwhelmed.

    Back to the original Idea, I just started with my town department and I have learned much more about the roads then i ever knew living in the town. Before I started working I knew 4 or five roads by name and how to get to them. But now I know numbers and direction. and upwards of 25-30 roads in...
  14. R

    EMT-B Refresher

    I am not sure why you would want to get your Basic and then not use it for 5 years. There is a lot of practical skills that you will need to stary fresh on and it is really hard to do that without actully doing them. On that note, will the millitary be sending you to any "medic" type...
  15. R

    Aluminum foil for burns

    It still does, it prevents the CIA from reading peoples minds and forcnig them to do things:excl:
Top