Search results

I agree, there isn't an easy answer. I'll stretch this a little further-- knowing nothing about your area or regional capabilities. For these STAT transfers, the most important resource for the hospital is the vehicle. In my area, if we aren't able to get an ALS transfer vehicle to a hospital...

Think back to your CPR course... remember the only two interventions we provide that have evidence to support improving outcomes... High Quality Compressions and Defibrillation... Many would argue that performing compressions in the back of a moving vehicle is unsafe - for the EMT and the...

I'm not sure I understand this. Although the hospital may be a higher level of care than you are able to provide during transfer, it's likely they have patients who require a level of care that is only available at a tertiary care center. Depending on the capabilities of your local hospital...

(emphasis added) ^ that's the key when using a pressure bag with a potentially inaccessible or unattended line.

Another option is to send your scope back to Litmann for a refurb. They have a generous warranty - take a look at http://www.littmann.com/wps/portal/3M/en_US/3M-Littmann/stethoscope/customer-service/. I've sent my scope back before, and they've cleaned, repaired and replaced parts, all for free.

The COGNITIVE (knowledge/written/computer) exam is taken at a Pearson Vue Testing center. In order to locate the centers and register, you must follow the instructions on your Authorization to Test (ATT), from National Registry of EMTs. I'm going to presume you have completed a state approved...

Your cognitive (written/computer) or psychomotor (practical?)

Contact your EMT course instructor, if you took your course in MA. They can give you a list of upcoming exams, and need to sign a form for you to take to the exam. If you did not take your course in MA, you cannot take the psychomotor exam in MA.

At the service where I work we have clinically "Senior" and "Junior" providers. In order to be hired, paramedics must pass a 12-lead (strangely focusing on mimics), protocol and simulation exams. From there, they ride with an FTO until cleared as a "Jr" to work with a "Sr". All ALS trucks are...

Thanks, again, for reminding me of the big picture-- there isn't much data showing paramedics improve outcomes. Here's a question: are clinical decision support tools more indicated if staffing with a single medic? In MA we are lucky to rely on paramedic interpretation of 12-leads for cath lab...

We need to prove PB staffing won't hurt patient care/will improve outcomes if it's a change from the (local) status quo. Skill degradation is a significant concern, but you're right, it's all about the staffing of the rest of the system. MA suffers from a paucity of regional EMS systems, and in...

I'm looking for a dose of common sense here... and life outside the bubble where I work. I come from the world of Taxachusetts where double-provider staffing is supposed to be the norm (2 EMTs for BLS and until a few years ago, 2 medics for ALS). If staffing with less than two paramedics...

I do as others have described... with that said, I know the call takers and dispatchers must follow EMD procedures, and don't want to force them to break their workflow or be dinged in compliance. With that said, I'm familiar enough with MPDS that I prompt in the order of their questions. Unless...

I'm a bit confused why you've permanently attached pendants to your car if you are still a student, not yet a certified EMT... but as others have said, it's all subjective, based on how and where you provide care, subject to local norms, maturity in approach to profession and approach to patient...

If anyone's interested in the psychometric model behind this exam, or the algorithm controlling it, it's the Rasch Model (https://en.wikipedia.org/wiki/Rasch_model).

Why don't we ask the expert, nremt.org? (https://www.nremt.org/nremt/about/CBT_FAQs.asp)

Don't call me Shirley, mate.

I'm with others. Do whatever your service does re: using state or national patches on uniforms, but I'd strongly recommend against putting it on personal clothing. Your separation of personal and professional lives will help you not burn out as a provider, remind you there's a life outside, and...

I'd encourage you to take the medical perspective on this. It's not just a drain on your EMS system, but also the hospital EDs. Work with your service MD, the ED management, hospital management, social services, etc., to troubleshoot. Sit down with the patient, figure out why he's calling, and...

I'm still stuck here. Why do you need an intubation kit in your car? Is this for personal use on the side of the road, or are you responding to agency calls in your POV? I can think of much simpler and more useful tools to keep in your car. That should be the discussion, not superiority of...