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I'm with TJ. I've never had too much trouble with the emergent CPAP masks getting a good seal with facial hair. The masks are either thick cloth or multi-layered plastic/rubber, and designed to seal to virtually everything. You can troubleshoot major leaks by securing the mask tighter in those...

What is billed or charged is often entirely different than what is reimbursed. Often medicare or medicaid reimbursement is 10% of the billed price, somewhere on the order of $250 for BLS, $290 for ALS in some areas around me. CMS (Medicare/Medicaid) can pay whatever they want, and in many...

I'm with Tim. My first pressure is always a manual (for my baseline), then i'll cycle an NIBP when the monitor is on to compare, and trend during transport. I understand manual pressures are nearly unheard of in some hospitals, but they have more sensitive equipment than I, and are not bouncing...

Here is an outsiders view: HEMS and CCT services also often look for instructor certs and experience (consider getting the "alphabet soup", ACLS,PALS, PHTLS, ITLS, NRP, all the ICS', etc.) Many also want to see some hospital experience (meaningful ED tech, or something within anesthesia or...

It's not just when on scene that you would need PD-- i've called before while transporting to the hospital (both when driving and teching), for various reasons. In fact, a crew at one of my previous services pushed their red button a few years ago when they were "held up" for narcs while at...

We actually don't run strips on many pronouncements here. The way we see it... we do not resuscitate based on physiological criteria (Decapitation, Trunk resection, incineration, purification, destruction of brain or heart, etc.). Asystole is a treatable rhythm, and none of the physiological...

I am a newer medic, and continue to read EKG blogs and books, in hopes of keeping my skills up. I've cared for several obvious STEMIs recently and a few less obvious, and seem to be juggling a lot of monitor paper for my documentation, which begs a question: Can we "tell" our monitor we are...

If you become a member of NAEMSE, they have a trading post where other instructors have shared materials. You may use them, but must attribute accordingly. Dan

Thanks for sharing. Do you have a reference for that?

If your NREMT card begins with an "E", "A", or "M" you have transitioned, as opposed to a "B", "I", or "P" who has not. I cannot confirm, however how your state will handle it.

Is this software NEMSIS complaint?

Initially, as a quantifiable measure of the physiological status of head injury patients, but expanded for use beyond that, and to questionable value.

I'm curious how this program taught or developed affective domain. You've told us how they shove didactic information down your throat, tell how you were encouraged to develop as a provider, utilize team leadership skills and how they encouraged personal growth.

Not all LifePaks do it, its only available on the 15, and as an option ( for an extra $5k or so). I think it does have value, if nothing else for identifying unexpected CO exposures (although there are less expensive ways). For what its worth, a few fire departments in my area claim they've...

Anyone else from the forum at the conference?

I've never heard of this being an option, but it makes a lot of sense, and is intriguing... What if the program said: We will offer Paramedic course completion for meeting objectives A+B+C in didactic, D+E+F in laboratory skills and G+H+I in clinical experience. At the same time, we hold (and...

That wouldn't be a reason to refuse transport in my systems, we would do the call, but make clear in the documentation the transport didn't meet medical necessity transport criteria. I know that my service has agreements for alternative payment (non-Medicare/Medicaid/Insurance), in some cases...

I've had these questions as well for several years. It's been interesting to watch services transition to electronic billing (RescueNet Billing, in particular), moving their PCS/MedNec to the ePCR software, and "direct billing", in some bases, without billing department review. It's one thing...

Check out: https://www.nremt.org/nremt/about/exam_coord_man.asp

I agree. The issue is that the majority of transfers do not require any ALS intervention, and a good number of 911 calls are entirely BLS (psych, minor trauma, etc. as EMD has demonstrated to us) I wonder how Georgia (no EMT level, AEMT minimum certification) can justify it, or whether they pay...