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    60 y/o Dialysis PT

    Why would you call ALS? Do you want us calling you for every case of abdominal pain? There is nothing to indicate upgrading to ALS is necessary. Just because ALS can give pain meds doesn't mean I am calling ALS. If thats the case might as well dispatch ALS to every call. Dialysis patients are...
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    EMT school vs. Actual Field work Questions

    My EMT class was 280 hours long. The extra time was spent on realistic scenarios. While class can't really compare to a field work, a good EMT school will prepare you enough to be competent. EMT school is an open door into a vast world of education and knowledge.
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    Medical Patient assessment: do I put NRMask on before OPQRST/SAMPLE?

    Last time I comment when I'm tired :)
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    Dropping like flies...

    I don't know what resources you had on scene but I would treat it as an MCI incident. Sounds like a real cluster. I wouldn't have used the Hare as it would be Contraindicated per our protocols.
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    Medical Patient assessment: do I put NRMask on before OPQRST/SAMPLE?

    Nice post APRZ, but with all that info you forgot an important step - gain patient consent. To the OP: Patient Assessment is how you determine your treatment. The reason we have an "order" is so you don't forget anything. There is no rule saying you must do it in order. In fact - during my...
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    Off-Duty Response

    Someone posted the link because they thought it wasn't true here in WA. The minute you identify yourself as a professional you enter a whole different standard in legal expectations. It falls to the Reasonable Standard principle. The exception being a volunteer who is within the scope...
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    Off-Duty Response

    The bottom line is what are you going to do if you respond? Aside from CPR, there isn't much a lay person with no equipment can do for a legitimate "man down" call. It would be hard to justify your response. If you show up and identify yourself as an EMT then you are likely out of Good...
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    84 y/o Acute medical

    Vene - I agree with you. Unfortunately at the basic level there isn't much we can do for resp. issues. This would have been and ALS call from the beginning for us. The point I was making is why you would bag a breathing patient. Obviously, you would treat the patient and 36 breaths per minute...
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    What should i ask during my ride along and ER shift?

    I was using that as an example, however I will tell you that taking vitals on real patients can be nerve racking your first couple of times. Don't be afraid to ask for help. '' I have seen many students who were "confident" in skills choke when it comes to a real patient. Use your partner(s)...
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    84 y/o Acute medical

    Around here hospitals can stabilize a patient. Once stabilized they can be transferred. Luxury of having a crap load of Hospitals around here. You bag them to assist with ventilations. Oxygen does no good if they are breathing too fast to adequately perfuse the oxygen. 36 breaths a minute is...
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    Anatomy and quizzes

    Man, remind me not to get sick or injured where you work. Talk about a non-progressive system. Here the hospitals will pound Anatomy and Physiology into our heads and they do not dumb anything down for us. When we pick up a patient we get their chart and we are expected to know what is going on...
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    What should i ask during my ride along and ER shift?

    There is no such thing as a "stupid question" but there are questions that you should already know the answers to. Know what questions to ask and when to ask them. In the middle of a cardiac arrest when a medic is trying to get a line established is not the time to ask "why are you using an...
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    ATTENTION CATALDO EMT's

    So you are belittling people for reading a news article when you yourself are citing news sources. Pot calling the kettle black. When I was a cop I dealt with the media all the time. I am well aware of how they sway the stories probably better than you do. AMR is a for profit company, as...
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    ATTENTION CATALDO EMT's

    Considering AMR is the country's largest ambulance company, I doubt there are other companies that can eat the losses when AMR couldn't. The only company I would think would have half a chance would be Rural Metro.
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    ATTENTION CATALDO EMT's

    The AMR withdrawl is caused because AMR is not an in network provider for blue cross. Therefore Blue cross sends the checks directly to the patient rather than to AMR. Because of this AMR is like $3 Million in the hole. Therefore AMR is getting out of the 911 business in parts of MA due the...
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    First step in assessing unresponsive pt

    I graduated EMT class this past May. We were taught to NREMT Standards and had to take the NR test. Our instruction was ALL assessment is the pretty much the same in regards to ABC's. Unresponsive pt. is ABC's UNTIL you determine CPR is necessary, then it becomes CAB. Just because a...
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    EMS world vs JEMS

    Just curious but what is so bad with JEMS. I occasionally read their articles online. Is their content bad or what makes it so you wouldn't use them?
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