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I am scared to death of the Epi pen trainers...

My service, 300 miles to the north, has hired a handful of their graduates, and we have a contract with them for their internship and i have never heard a bad word about that program, in fact quite the opposite. They have an outstanding amount of alumni loyalty back to the program. Everyone...

Although our county requires911 responses be handled by dual medic trucks, the dispatchers still can pick up certain overtime opportunities like NFL games, they can be part of the statewide incident dispatch team, and regularly spend time on the street doing both deployment training our riding...

My service is hiring one full time EMS dispatcher. All you need is your EMT basic. Pretty good gig, excellent pay for the area, great pension, great benefits, enjoyable place to have a career.

St Paul fire department had a medic truck that had 4 firefighters in it and backed up down an alley without a Spotter and ran over an old lady and killed her. After the union got through with things, i don't think anyone even got a slap on the wrist. In the interest of disclosure, i have...

If i understand things correctly, you are not eligible for many federal grants if your employees are not trained in 100, 200 & 700. This is kind of a big deal if you are trying to get some help buying a fleet of new narrowband radios or any other federal mandate.

Although I follow the clearly stated gentlemans code and am not allowed to get a tattoo since I haven't been in the military or to jail, my little brother, who is an army vet, is getting a very conservative "respect" lazered off of the back side of his upper arm, 2 years before he graduates with...

I did the math the other day and in the past 9 years, I have worked for 5 different ambulance services, 1 hospital and worked 2 other place s. Although I don't have any intention of leaving my current employer of 5 years, I have applied for a supervisor spot and also was hired as a paid on call...

I think the idea of focusing on nursing spectrum concepts is more useful than EMS education. Not to say that EMS never deals with it, but in a remote seeing, you deal with long term issues, not as often acute issues. Proper wound care is paramount for anyone from diabetics to amputees and...

If the patient has more than2 cats or more than 4 allergies, they have fibromyalgia.

Although it started about the time I was emerging from the womb, here is what I know. It has always been a bunch of medics who have learned how to bargain collectively. We have an attorney who handles our legal issues, grievances and questions (I think we account for about 50% of his work...

Yes, Epi is much quicker. No contest, but is it the most correct tool for the job, research that I can't cite right now being on my phone, is indicating no. Magnesium isn't our first line med either. It can have consequences and should be properly appreciated.

We have a standalone union that is not affiliated with any group, just the medics and dispatchers only. I'm on the fence about the union but it has been moved to have when I need it... I've been in the SEIU and IAFF in the past and have never been all that impressed, except with the amount of...

We recently took Epi out of our protocols for asthma and moved mag from "ask first" to standing order, but our first intervention for asthma is SQ Terbutaline. Followed by 2 rounds of Albuterol/Atrovent nebs. If they do not respond to that, then you start cooking with gas and give 1 gram of...

We deal with about 20 hospitals, owned by about 7 different HMO's. We have 3 level I trauma center, 2 peds level 1s, outstanding neuro and cardiac services widespread (10 cath lab options), but we still run into the same issues. My hospital is a public safety net hospital that does pretty much...

We are doing a Sliding Lung Sign U/S study right now, not a FAST, and I haven't received any training on the FAST, so I can't speak to its use in a moving ambulance, but Sliding Lung signs are not difficult at all to obtain in a moving vehicle in my experiences with a SonoSite. Obviously...

I don't know how prevalent it is in other states, but in Minnesota, we have 4 police departments that are ALS. 3 of them are supported by a BLS fire department ambulance and the other is simply a first responder... They work decently well, but one department dropped their paramedic hiring...

Maybe I am on my own deserted island, but 2 person lifts! Paid or volunteer, 2 person lifts make your career last longer... You have enough people...

I am 8 inches taller than my partner and we always do the double lift. Is it crowded at the foot end? A bit, but sometimes my partner smells really nice and lady like...

Yes, handcuffs improperly applied and poorly monitored have the ability to injure a patient, no disagreement there. A properly assessed gapped and double locked handcuff applied to a patient with continuous one on one and used in conjunction with an appropriate chemical restraint and only by...