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We can do it in the rest of the State. When I work in Whatcom County I can do it. Whats weird is King County wont let me check a BGL but I can transport a patient with running D50 and I can calculate and adjust drip rates based on doctors orders. I think that is probably a lot more risky...

I used to be a cop (LEO) and now am an EMT. So to honor a friend of mine who was killed in the Lakewood, WA shooting back in 2009 I kept the LEO portion. As a testement to the hard work I have put in as to earn my EMT cert and the work that I am going to be putting in to hopefully advance, I...

I wish I could do it, but even though its a Basic skill here in WA State - King County doesn't allow basics to do it. Have to call a medic which makes no sense to me. I have had two patients in the last week that unresponsive due to being Hypoglycemic. One patient was a legitimate Medic call...

I was on field training. I wasn't going to argue with my FTO on scene in front of a patient, which would have been worse. I agree with you though.

A lot of legitimate companies get shut down. There is a multitude of reasons why they could have been shut down. As a former business owner myself there are a lot i's to dot and t's to cross to keep a state happy. If they were involved in Criminal Enterprise and that was the reason for the...

Here in WA Basics can give Epi for Anaphalaxis. Per King County Protocol, signs and symptoms must be Respiratory Distress and Hypotension. If we give an Epi Pen we need to get ALS on scene or get patient to the doctor. http://www.emsonline.net/assets/EMTPatientCareProtocols2012.pdf

We have had several EMT's who were held up at gun point by angry family members. Me personally, I have never been threatened but I don't take it seriously anyway. When I was a cop I was threatened all the time.

Uh, not exactly. Most ambulance companies will hire new EMT's and sponsor them. AMR for example will hire non-sponsored EMT's. As long as you have your NREMT, they will submit the paperwork for you. You just have to stay with your FTO until your state cert comes in. When I got hired by AMR I...

In your capnography example, wouldn't the patient still be showing signs and symptoms of Hypoxia though?

AMR will only accept applications through its online portal. Go in and hand them an application and they will show you the door. Most companies don't care what you look like. If your application and skills are appropriate for the job then they will bring you in for an interview. That is when...

I expect them to do their own. I do my own regardless of who I get the patient from. That said, lets agree to disagree and keep this on topic.

Why? You can't effectively treat a patient without BLS skills. Yes, ALS can do drugs and do advanced interventions, but it comes down to BLS. Its not a Paramedic thing - Life comes down to the ABC's simple as that. A good paramedic will recognize the importance of BLS skills. Without good...

I work for them and went through the hiring process a couple months ago. The interview is pretty laid back. It is a one on one interview with the ops manager. He likes more conversational type interviews. Questions are pretty basic. No scenario based questions for me, it was all personality...

Performing it doesn't mean giving it to the patient. They want to make sure you know when during your assessment you apply it. You can download the NREMT skill sheets here: http://www.emtsource.org/nremt_practical_skills.php

The NREMT skill sheets state that you must consider oxygen. It doesn't say that you have to apply it. You should always consider it - the key is to knowing whether it is Clinically necessary.

First as stated, we don't do Pulse ox in the field here in King County. She was 100% at the ER. I did a cap refill on her prior to putting her on o2 and it was less than 2 seconds. I don't believe there is a right or wrong answer as long as you can justify it. So, with that said: you wheel...

EMT school is a foundation for which you build your education. It is not intended to tell you how to do the job, that comes from experience. Paying attention in class will make learning and understanding easier in the field. No school, whether it be EMT school, medic school, or a 4 year...

Aww man, how did you know?

My running theory is she fell out of bed and landed on her right arm causing the clavicle injury. Anthony, if they are unconscious then I am going to look at why they are in that state. I will give Oxygen if necessary. While I like using pulse ox when I have one, it is not a definitive tool...

Nope, they still got the monitors. I think it came out of too many EMT's using the pulse ox to obtain a HR rather than do the skill themselves. Most counties around here have them on the BLS units. I would prefer to have them but I have gotten pretty good at making oxygenation evaluations...