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In a pinch no reason a competent medic couldn't take both pt's. Or call for a second truck. Just depends on how far out the second truck was. No different from a STEMI pt being driven by a friend to the hospital. Load them both up and go. If you did nothing at all on scene tell the...

If it looks like a situation where medical intervention is needed (kid still down, parents around kid) calmly walk over and ask if you can call 911. After that introduce yourself, and say you know first aid and would they like your help. Only then should you, Do a thorough assessment...

It depends on how long your shifts are. Sitting in a parking lot for 8 to 10 hours, possibly up to 12 shouldn't be a problem. That is no different than working a line shift and having to stand for 10 hours. Heck go to the back of the truck and lay on the cot if you find it uncomfortable...

I am really inclined to use this: :nosoupfortroll: But I'll play. Is there a MOI to cause spinal damage? Not in my opinion. How many times have you hit your head before? Or taken a nasty spill on your bike? Specifically this is an isolated head injury.... so what is a backboard...

Exactly. My company, and I am sure most others, track our productivity. The magic number is like 0.35 to 0.4 or 35%-40% of the time I am on a call. For a while my company was in the 0.52/0.53 range and when each crews are doing 1200 or 1300 pts in a year that is a lot of work. The reason I...

How large of a system are you in? Do you use a CAD system? I have no complaints with my dispatchers! They manage upwards of 20 ambulances, give pre arrival instructions for many of our suburbs, and are the medical controllers for my area (controlling traffic into 12+ hospitals from 6 EMS...

Anything your pt tells you is subjective and anything you observe is objective. You can't see nausea (Subjective) but you can see vomiting (Subjective and Objective). If your pt is doubled over the toilet stating "I feel soooo sick" you can't say they have nausea, but you could state there...

Situational awareness. Verbal Judo. Going hands on with a pt. More pharmacology. More on street lingo and drugs.

If you have an idea of what the pay in your area is put that. Don't sell yourself short just to get the job. Or put the number that you feel you should work for. As a medic when asked that question I would put $16, unless I knew otherwise. If you are attractive on paper, but you said you...

What are these "trauma" and "Medical" bags people are carrying in their personal vehicles? Why do you carry them and what on earth do you have in them? I have an Axe, a thing of oil, a car repair bag, a CPR mask (not sure why though), some gloves, and bandages. Keep in mind for the last...

First thing should you be transporting a dead pt? Why not work them on scene and either call it or get ROSC and transport. But that is besides the point I suppose. The biggest thing about an AED in a moving ambulance would be if the machine incorrectly interprets Vfib or Vtac because of the...

OP, in this job we touch people. Sometimes it is holding their hand, sometimes their genitals; sometimes we will hurt the pts because of a treatment and other times not. Fact of the mater is 9 out of 10 times they called because they wanted help (the other 1/10th is because somebody else...

http://www.emtlife.com/showthread.php?t=6096

So rather than fix some scheduling issues or change the dispatching policy, it sounds like most managements would rather pay overtime. Obviously some late calls can't be avoided but it seems that most systems might have a few bugs to work out. Do you guys like taking late calls?

With an hour to go in my shift I tell dispatch that I am returning "downtown" (we do SSM), and with 30 minutes to go CAD adds 4 minutes to our response time. Most of the time this works well, but every now and then we'll get a late call. If there is an oncoming crew they typically try to take...

Baseline vitals are your BP, HR, RR, and possibly SPo2, everything else is extra. I have never taken a temp (I also don't have a thermometer), if they feel warm and say they are warm I take off a blanket, and vice-versa. BGL when suspected is done early on since it dictates your management...

I kind of got screwed with my clinicals.... Where I did my course we had a big level 1 facility (awesome teaching hospital and only level 1 for many hundreds of miles so interesting pts), but I went to the small level 2 in town. Not my choice as I was placed there. I had to rotate through the...

Had some interesting calls all right in a row. Started off with a suicide, shotgun to the head, then once we cleared from that it was straight to hazmat at a hair salon. I guess the employees mixed the wrong combination of shampoo and conditioner and everybody got sick and had headaches. We...

It'll get better. The partnership might always suck, but you will be more comfortable with the job. One way to deal with these types is.... "Don't :censored: talk to me, and I wont :censored: talk to you. When we are on calls we will both be professional. If I ask you to do something you will...

I am not fire based and I start at $20. I am VERY happy to be working here. Like I think the OP said it is all about maturity. I have seen some younger guys who have their stuff together and older guys who are worse than a freshman in college with unlimited money. The best thing you can...