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22 is not in any way too late to change careers. If you're headed in the wrong direction, change now.

Call volume wise, I would have loved to do my paramedic internship with DG. I did mine with Northglenn, which had some slower shifts. On the plus side, transport time was a little bit more reasonable. There's a lot of value in learning how to be productive 5 minutes from a hospital and 1 hour...

Our statewide protocols used to give an option for sedation only intubation for agencies not utilizing paralytics. I don't know for sure, but I believe it specified 0.3 mg/kg Etomidate. It's garbage, and I never used it. Our most recent protocol update seems to have eliminated that verbiage...

My God. That changes everything!

Syncopal episode probably secondary to an episode of SVT. Patient was very familiar with her condition and it self terminated prior to our arrival. I was pretty hopeful I'd get to use some adenosine. That's one of my favorite drugs to administer...

With a name like "Nose Hose" you should be a shoo in for Denver Health. Nasal tubes and 16G IVs for everyone!!!

I cannot fathom why every single time this question comes up in these forums we immediately shoot down the potential EMS career aspirations of anyone who asks. There's eating your young, and then there's eliminating your future generation while they are still fetuses and ensuring you are the...

Hmm. Interesting question. I never hold the shock too long. I pre charge my monitor ~15 or 20 seconds before a rhythm check to minimize the perishock pause, but I never hold it for longer than that. If it's not a shockable rhythm, I dump that charge and move back on to CPR before charging it...

And yes, akflightmedic is correct. The answer can be found quite easily from the link that is posted here.

Keep it civil please.

You're more than welcome to PM if you have specific questions or situations that apply to you, but we try to encourage open posting on the forum when possible. If you have questions, someone else may have the same and public answers can help a wider audience.

What would you like to know?

I get very nervous about intubating live patients who I'm "pretty sure" don't have a gag reflex without sedatives or paralytics. Honestly, most of the time, if I'm intubating a patient with a pulse and respiratory effort, I'm going to go all the way and maximize my intubating conditions with...

The source you posted has nothing to do with Texas scope of practice. NREMT minimum scope of practice has no bearing on what individual medical directors may train and license their providers to perform.

I was always a big proponent for this skill set, but only for paid EMTs who see a fairly decent call volume and are assisting their paramedic partner. I loved working with a medic and being able to do this for them on scene or on a BLS transport for a basic saline lock and labs, but I hated...

Are there any agencies in Texas that still allow EMTs to intubate? I understand they can, but I can't imagine it's common with the proliferation of ALS services and supraglottic airways.

No. I don't even have the same brand of IV cath in my bag every day. Different hospitals restock different brands, and I've used various other types at different services and hospitals.

I saw it at a booth at EMS Today last year. Honestly, it seems like a blatant copy of the LUCAS II. Battery life, reliability, ease of set up, and cost are probably the most important factors we looked for in our mechanical CPR device. Our service is very happy with our LUCAS devices, and I...

Several years ago, my service went to the trouble of obtaining a visa for an Irish paramedic who came to work for us. The director of our service went to bat for him and had to jump through some pretty impressive hoops to allow him to work over here. He ended up working here in Delaware for...

This EKG is almost textbook for Wellen's Syndrome (sometimes called Wellen's Warning). Anterior precordial leads show significant t-wave inversion/biphasic t waves. I don't remember the exact numbers, but Wellen's Syndrome has a very significant predictive value for proximal LAD occlusion...