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  1. Ensihoitaja

    Private or Public

    Remember when it was disks? We went years without having to buy any because we could just reformat the AOL disks.
  2. Ensihoitaja

    Superstitions?

    I used to tell people that it was bad luck to leave without the right amount of saline the cabinet. It was really just a way to make sure my partner was checking supplies, though.
  3. Ensihoitaja

    Good EMT companies to work for in the Denver area?

    You should be fine doing it when you get here. Some places might have an in-house class you could go though. It's worth asking.
  4. Ensihoitaja

    Good EMT companies to work for in the Denver area?

    If you didn't already know this, getting your IV cert is essential. Denver Health does 911 for Denver, Englewood, Glendale, and Sheridan. We hire EMTs but probably won't be for a while. AMR does 911 in most of Boulder County, Golden, and Colorado Springs, I think they run medic/basic...
  5. Ensihoitaja

    EMS Jobs In Denver

    It's a terrible place to be a medic because of Aurora Fire. They have medical control but aren't good at medicine. They also tend to be jerks to the ambulance crews. The company will bend over backwards not to offend the fire department.
  6. Ensihoitaja

    NSAIDS & Muscle Recovery

    I’ll definitely second the foam roller mention. I started doing it on the recommendation of my cycling coach and it makes an incredible difference in muscle soreness.
  7. Ensihoitaja

    Let's talk socks

    After I got a superficial blood clot in my leg*, I switched to using compression socks. Specifically CEP socks. If you're on Experticity, they're 40% off. Still pricy, but better than clots. They also last a long time. *Super frustrating because I bike 4000+ miles yearly.
  8. Ensihoitaja

    Actual qualified medics.

    And if And if you can't trust a RocketMedic on Rocket Surgery, who can you trust?
  9. Ensihoitaja

    What "paramedic discretion" reason have you trauma activated for?

    We don't call alerts or activations, we call base and the attending or resident calls it.
  10. Ensihoitaja

    Blood Draw Tips

    We routinely draw labs and AFAIK all our receiving hospitals use them. We tape them to the bag, and they're labeled by ED staff on arrival.
  11. Ensihoitaja

    What does QA/QI look like at your department/service?

    Briefly describe your department's/service's EMS delivery model (FD, Third Service, Private, etc): Hospital-based/3rd service What is your approximate run volume? 125,000 last year Who does QA/QI at your department/service? We have a captain and lieutenant who do QA full-time. We also have 3...
  12. Ensihoitaja

    ETOH, Intoxication, and Capacity to Refuse

    I think there's 2 key points missing from your summary. Was she slurring her speech and was her gait ataxic? With my system/protocols those are the 2 key points for determining decision-making capacity. Personally, I'm pretty hard pressed to refuse someone who's crashed their car and is under...
  13. Ensihoitaja

    Serious Question: Why Does Fire-based EMS sometimes produce such low results?

    There's actually a recent study on this for trauma centers: https://www.sciencedaily.com/releases/2016/07/160721151447.htm
  14. Ensihoitaja

    Air Horns or Nah?

    I'm a huge fan of air horns. It seems like most people don't hear the sirens until it's too late. You can be pretty certain people hear the air horn. They're great for clearing intersections and moving through heavy traffic.
  15. Ensihoitaja

    Narcan Rx

    We had an initial surge of fire and police Narcan (mostly fire), but that's dropped back nearly to what it was before they rolled it out. We still see quite a bit of opioid ODs, though.
  16. Ensihoitaja

    Narcan Rx

    It's pretty widely available in Colorado, including several large pharmacy chains that will give it out on request. I've never responded on anyone that's gotten family/friend Narcan. Maybe they just don't call.
  17. Ensihoitaja

    Unneeded stretcher use?

    Airway, breathing, can you walk?
  18. Ensihoitaja

    What happens if I let my NREMT expire

    Colorado Recert requirements. You need 50 hours of CE every 3 years and can do it all online. Although, if you keep your National Registry up your Colorado recertification is incredibly simple. Give them your valid NREMT number and upload a copy of your ACLS and driver's license.
  19. Ensihoitaja

    What's the Denver Health EMS scoop?

    Lack of call volume, especially since Denver Health started staffing the cath lab 24-7. The CCT used to get a lot of business taking after-hours caths. Combine that with the explosion of HEMS here and a no marketing/outreach for the CCT, and they weren't running a sustainable volume of calls.
  20. Ensihoitaja

    Restraints

    We use a three-ply velcro restraint that lives on the pram for arms.
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