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Update status. What's your ETA? We need you to run this call across the county, even though a closer unit will be clearing fairly soon; but, we're panicking because we're awful at resource management. So even though you just got back to quarters, and we're in peak traffic hours, you must...

Our protocol is 2-5mg Versed IV or 5mg IN/IM and can only be repeated once. Like everything else, however, it requires a base hospital order. :rolleyes:

I would rather use TDD nitrates on someone I suspect of presenting with ACS. It seems like a more controlled regimen rather than the SL spray we carry. With the SL administration, though, if it hasn't appreciably reduced the patient's discomfort in 2-3 doses there's probably no point in...

(1) Develop thesis. (2) Explain thesis. (3) Support thesis. (4) Summarize conclusion. Make sure you use APA citation style if you're writing a scientific paper. Good luck.

Consideration as to whether the organization is successfully recruiting and retaining people it deems satisfactory is due to the compensation package really being all that competitive or market forces that create disproportions in supply and demand causing working citizens to take whatever they...

No, but I suspect they've certainly taken advantage of the current situation and exploited it to greater effect than they previously were. That's hardly what I implied. Certainly they have rights as well, but they ought to know their business/public service is worthless without quality people...

Perhaps in better economic times or in a cultural milieu that was supportive of worker's rights it might be as simple as this. But in contexts such as today's time, where the economy is still poor, unemployment is high (in California it's been hovering around 12%), and in a culture that values...

What are you some kind of America-hating-nazisocialcommunist? Giving people "sick time" is going to kill jobs and crush small business-owners. Have faith in the free market son it hasn't failed us yet! ...wait.

Loma Linda University - I know it says 2008, but just call the listed number. They have one every year around that time. Daniel Freeman Or you could always just re-certify by exam. It's cheaper, quicker, and less of a hassle.

As others have said, this is essentially how most of LA County is organized. In my opinion, it's probably the ideal way to set things up in terms of efficiency and system optimization provided several other features of the system are also in place. By this I mean it doesn't work in LA County...

God in heaven. I'm pretty sure that I am now dumber as a result of reading this thread. I'm heading to the pub with Brown and company.

Justin Schorr and Mark Glencorse talking with William Sugiyama and Mike Taigman about the potential future of paramedics shifting towards the sort of thing we often talk about on this forum. As the title states, "Community Paramedicine". Taigman is an interesting guy whom I think has a lot of...

Wait a minute What happened to the comments I made on this thread?

Well, the best thing to do is put the ball in the FD's court. First extend them the opportunity to be a part of this (like yourself I'd prefer it if they didn't, and EMS just went out on it's own). If they reject it, then one of those 3 outcomes will follow. If not, then great. The only way it's...

EMS Reform So, in this thread I outlined what I believe to be the necessary steps to reform American EMS into something worthy of an advanced, 21st century society. I welcome your criticism/comments on that idea, but more importantly I ask the question of what steps should we take to even...

So, would this be a kind of "bridge program" for the currently licensed people to take? I agree with you on BLS...there's really nothing to do with it. I'd say replace it with a wheelchair van type service for IFTs/hospital discharges. Unnecessary for out of hospital care. If someone is...

Well, I'm not tied to any particular existing tax category to affix funding for public EMS. The property tax thing was just an example of what King County does. Perhaps if we had a national sales tax or a carbon tax that might be possible. Or, just create a whole new "Ambulance Tax" that...

This, admittedly, is a glaring problem. Unfortunately I don't see a real way around it. I suppose we could develop an abridged training program that's focused on primary care oriented issues for those being grandfathered in to attend, but I'm not all that confident in the effectiveness of...

Here are my thoughts on the matter. Americans are sort of schizophrenic about taxes and social investment programs. We have a deep-seated suspicion and aversion toward taxes, but we demand quality public services. Just look at the current hysteria over Medicare and Rep. Paul Ryan's budget plan...

This was something that, admittedly, I used to get a bit bent out of shape over. It used to get under my skin, and cause me to want to rectify with swift vengeance. The fact that I was rather impotent to exact said vengeance due to the political climate in which I work (no supervisor at any IFT...