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  1. EpiEMS

    Rochester AMR Call

    The footage out there doesn't look pretty.
  2. EpiEMS

    the 100% directionless thread

    Finally got a dog! A (?) Puggle approx 4-5 y/o, she's been fantastic :)
  3. EpiEMS

    ALS/BLS Handover

    Likewise, not in NY or CT -- I hit 30 minutes a couple of weeks ago and was pretty surprised.
  4. EpiEMS

    ALS/BLS Handover

    "Are they good to go to triage?" "[Doing the stare of life to a patient with positive cell phone sign and hemodynamically stable] Yup."
  5. EpiEMS

    ALS/BLS Handover

    Fair point, this. We transport stable people to the waiting room (or the hallway, with dubious levels of care) BLS and transfer care to triage RN.
  6. EpiEMS

    ALS/BLS Handover

    Oh I'm totally in agreement with you, I just don't like to see people playing in the grey zone by not doing an assessment (the missed ECGs).
  7. EpiEMS

    ALS/BLS Handover

    Totally makes sense - I think this is a foundational principle that every system ought to have. My closest ALS might be the hospital, in a phrase! Troubling to see folks skell like that...bad consequence of a policy! That's interesting -- how do they monitor that these handoffs are appropriate?
  8. EpiEMS

    Best Truck Chassis and Box

    Snazzy looking roof though -- space age!
  9. EpiEMS

    the 100% directionless thread

    I'm struggling with NREMT -- some bug to get my recert done, training officer can't see it and NREMT is telling me they should be able to. Ugh...technical difficulties
  10. EpiEMS

    the 100% directionless thread

    Somebody should get QA'ed for that...mostly for the lol's
  11. EpiEMS

    ALS/BLS Handover

    My first agency was like this -- left when they started to transition but it really...left much to be desired. I feel like EMD is harder than it looks to implement well! BLS can cancel ALS even when there's an ALS indication? No standard criteria? ;)
  12. EpiEMS

    ALS/BLS Handover

    Presuming you usually (as per standard practice) get an ALS ambulance response?
  13. EpiEMS

    ALS/BLS Handover

    Does your agency have standards or assessment requirements before a patient can be "downgraded" to BLS transport? I've only been in agencies where there is an ALS co-response or ALS resource assigned to all calls, and have seen various practices by various providers.
  14. EpiEMS

    the 100% directionless thread

    I don't think anybody is going to disagree that there are legitimate policy, tactical, and strategic disagreements with Israel. That said, I'm inclined to generally believe the IDF before I believe anything the other side says, especially when it is entirely plausible based on historical...
  15. EpiEMS

    the 100% directionless thread

    Great State of New York seems to suggest against the AR-15 :rolleyes:, so I think a 10/22 or 20-gauge kinda makes the most sense, coupled with cost of ammo. I definitely would need some training --will look into classes!
  16. EpiEMS

    the 100% directionless thread

    Curious - best first, home firearm?
  17. EpiEMS

    Where to get shoulder patch?

    Apparently there is not an "official" state patch. The tombstone style and the bigger one (not sure what it's called) are all available online. I bought some recently from Code-2 in the Rochester area (https://code-2.com/collections/ny-patches), I was pretty satisfied.
  18. EpiEMS

    Paramedic Certificate to Degree

    No disagreement at all. I am not optimistic for change in the absence of a Flexner report — or another systematic (even if cartel driven) push for change. Best thing we can do is live the values.
  19. EpiEMS

    Westport EMS sees influx in calls, decrease in volunteers

    For better or worse, it's real (supplemented by a town over's non-profit medics -- but only 1)...in a town that has somehow only has volunteer fire and a household income in the $200k range... Just another example of the dysfunction of CT.
  20. EpiEMS

    Paramedic Certificate to Degree

    I think it's pretty much the only way for us to go. Problem is...it's a solution without a revenue story to justify it.
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