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  1. P

    Anyone took a break from EMS?

    Come to the land of single digit patient weights
  2. P

    Coronavirus Discussion Thread

    Yes, but what is considered densely populated in the US is far more sparse than in Europe or many parts of Asia
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    the 100% directionless thread

    Good skiing? Late November to may-ish
  4. P

    the 100% directionless thread

    Nothing worth skiing in North America that late in the season. Anything out there is just ice.
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    EMT Certificate from Europe transfer Texas, Experience Process

    Is it though? There are programs where you can get your EMT in a month. What is your time worth to you?
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    Coronavirus Discussion Thread

    While there is a lot that we don’t fully understand, I don’t quite get why asymptomatic spread is such a mystery to people. If patient A is symptomatic and is coughing and sneezing and patient B has no symptom to act as a vector to spread disease, then even if they had the same viral load...
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    the 100% directionless thread

    It's been a long time since once of my friends and colleagues took their own life, so long that I haven't worried about it in a long time. Tonight that changed. No warning, the last person that I would have thought to suicide. I couldn't believe it when I got the call, I'm not sure I even know...
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    Whats your "criteria" for starting iv access on a pt?

    In a hospital the term director is typically used in regards to the leadership of a service line, but they wouldn’t be a ‘director of nursing.’ You would typically have a director of adult critical care, director of outpatient surgical services, director of organ transplant and procurement, et...
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    the 100% directionless thread

    Were they all allergic to acetaminophen, ibuprofen, ketorolac, and haldol?
  10. P

    the 100% directionless thread

    Licensed Independent Practitioner. Physicians, sometimes NPs depending on the state. That becomes a sticky question, and depends on their evaluation. It is something physicians have certainly been on the wrong side of the gray area before and either had to settle out of court or have lost...
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    the 100% directionless thread

    There is an EMTALA term for it: Was Refused Care. If this was done in an ED it would be a blatant violation of EMTALA as a medical screening exam must be performed by an LIP. Even if we discharged a completely BS complaint 20 minutes ago, if the patient checks in with a new complaint we are...
  12. P

    Could EMS lead to being a PA

    IDCs, 18Ds, PJs, and so on typically fill a role in remote areas with small units (think SOF operations or rescue) or as a bridge to medical care where there is typically no acute disease (on a sub or small ship). These situations are exceedingly rare in civilian medicine, the vast majority of...
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    Could EMS lead to being a PA

    I think the other reality is you need to look at the dollars. There is going to be a balance between cost and reimbursement. If we staff an ambulance with an EMT and a medical provider (PA, some form of independent paramedic practitioner, NP) we are substantially increasing the cost of service...
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    Could EMS lead to being a PA

    Most NPs who work in EDs are seeing ESI 3-5 to free up docs to see 1 and 2s. Most ED NPs have a background as a nurse either in the ED or ICU. Because the NP market is now so competitive most applicants will either need to have a strong prior history or FNP with ENP or AGNP-AC/PNP-AC. While NP...
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    Could EMS lead to being a PA

    I’ll be blunt, I don’t see the point. Nothing is stopping a medic from going to PA school. Creating a bridge is going to have limited purpose, PA school is pretty rigorous and requires a bachelors before starting a masters degree. The percentage of PAs who were former paramedics is small...
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    EMT Jobs

    Probably wants money for a referral
  17. P

    Whats your "criteria" for starting iv access on a pt?

    Poorly, especially since you chose to selectively quote such a small portion of the question that you missed it entirely. If you think just warming, drying, and stimulating is is all you need to manage a shunt dependent 28 weeker then it all the more proves how little most clinicians understand...
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    Whats your "criteria" for starting iv access on a pt?

    I think I mentioned this in a previous thread, but our IV policy is essentially that field EMS IVs will come out within 24 hours. IVs that are started in the hospital (whether that be the ED, clinic, or inpatient areas), by outside hospitals, or HEMS/CCT are all treated the same and stay in...
  19. P

    Coronavirus Discussion Thread

    It’s interesting that y’all seem to have a lower case load per capita but a higher fatality rate of those infected, what do you think contributes to the discrepancy?
  20. P

    Coronavirus Discussion Thread

    We share our 3M hoods and clean them in between each use. We have had some hoods last week over two months. How often often are y’all replacing yours?
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