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Guidelines; mainly because very few patients fit in the flowchart boxes

Like Dr said: state by state. Check your existing and new state. I would also get as much CE hours as you can with certificates to back them up: a couple of states require a certain amount before they will let you get certified there (which I think is dumb).

What firemanMike says is important. That is something I would worry about: and start working on what ever it is: show them in writing and in actions, that "in the past I blew it off; but your right I should have done better and done it faster, and this is how I am correcting it". But also...

I have never had that attitude; I have had bad days, bad shifts, but always tried to be happy and upbeat. Never been grouchy or down around others like that.

When I worked in Indianapolis we never had wait times like that: the longest we waited was for beds to be cleaned and made, and we would do that for the nurses.

Remember the 1st 2 rules of EMS: #1: Patients die, #2: We can't always fix #1. Also: As Tigger says: Pace, but due to the patient condition, not due to the BP: (I just re-read the OP); patient looks like crap, treat the patient not the monitor. Do what you can to fix it, although in this...

If ALS has to chase you to help or evaluate the patient, don't wait. No reason from what you said in your report to even have called ALS in the 1st place. Patient is stable: her cough and phlegm is weeks old (and so is bad lung sounds). BP is high, but she isn't going to stroke out, so no big...

Remember back to when you were trained (and be happy if you were trained properly). Remember what happened when you and your FTO didn't know what to do and didn't know something. Can you ask other FTO's about what they "would do in this hypothetical situation"?

Arctan: to be blunt. You deal with it the same way that you deal with the death of any other patient: #1 rule in EMS is: patients die. #2 rule in EMS is: we can't fix the #1 rule. Capital: I have had those thoughts before, I have had that happen to me.. It makes some of us sad in ways...

bob Barker: We used to have the worst time getting paperwork for transports. I used the what if we have to divert a few times, and the response was usually "You can't, hospital A is expecting the patient" I switched to, "no paperwork, no transport, Bye". Worked better

This is like any other major event when the **it hits the fan; there is not enough medical staff. The concert in Vegas a few years ago: people are trying to sue EMS, because there wasn't enough EMS there to handle the MCI that happened due to the Active Shooter. Who could have fore seen an...

Cardiac grey is not a pretty color on anyone, I got to look at it for 130 miles a few weeks ago: (weather was too bad to fly the patient). He died 10 minutes after getting him to the hospital, so I did my job.

Shock Trauma is also used in a lot of Level I and II hospital ED's to describe Critical Care rooms: so it can be used for critical Medical patients also. Last patient I took to a Level I hospital that was in bad shape (hyperkalemia, CO2 in the 70's {for the 1st 15 minutes of transport}, and...

Since I can't open it: how much is the pay, and how hard is it to get certified to work in LA? I have 34 weeks of leave

Chimpie: can you raise the sign on bonus? Because $1K doesn't make it worth it for anyone to move there Start a EMT B program for HS students so that when they turn 18 they are EMT-B's, and can start working right away? PT or PRN until they graduate. Then FT, experience already. Retention...

Depends on your area and protocols: But usually life threatening injuries. Amputated finger or hand, not so much. Multi system trauma, amputated limbs (elbow or knee and above), death in the same vehicle, ejection, falls greater than 20 ft or 3 times height of patient (for kids) depending what...

Thinking about it more: Indiana was that way when I worked there, but it was different when it was 10 minute transports. Now FT is 42 miles gate to closest hospital. PT is 110 miles to closest hospital; but it may be 2 hours to the patient, 2 hours back to town (fuel) then 110 miles to the...

Welcome; Some people get short with their answers when you ask a question; don't take it personally; it is more that people ask the same questions that have been asked 100 times before. Do a little research (digging) to see if you can find an answer before you ask. Sit back and hold on: some...

And from what I am understanding FEMA is taking crews and trucks from areas that are short staffed already to help NC.

Fireman Mike: Crews can't initiate refusals? Wow, so when someone calls 911 because they stubbed their toe, the crew can't say no, go to the Urgent Care in the morning. Or "Not going to transport you because the funny feeling you are having is because you smoked pot for the 1st time"? Wow...