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  1. J

    Paramedic school vs Nursing school

    I have completed Paramedic school and RN. I am currently in a Master’s of Science in Nursing degree. I still work in EMS as a Paramedic/Crew Leader/Shift Supervisor as well as an RN in an ED at a Level I Trauma Center. With 7 years experience in EMS, I make $13/hr without benefits. I am often...
  2. J

    Reading Studies

    For me, the 3 things that made the biggest difference: -Taking a basic stats class. -Getting onto a research project and watching the different sections come together. -Taking a course in writing academic papers. When I took “Evidence Based Nursing Scholarship” at OSU, you had to write a giant...
  3. J

    Advice for an Aspiring Female EMT?

    Interesting. I’ve never heard of a policy like that.
  4. J

    Starting EMT school soon

    EMTs are like a super-advanced lifeguard. They have a lot of knowledge in stabilizing threats to life, but the initial training doesn't really go in-depth into medicine. The thinking is very straightforward: If A, do B, if B, do C, etc... There are some new concepts and some memorization, but...
  5. J

    WHATS THE PATH TO AIR MEDIC

    It's really going to depend on what part of the country you are in. In some places, I've heard of people who have 2-3 year experience in a slow, rural 911 system as a paramedic and get on to a flight crew without any additional certifications. In other parts, people have a decade of busy 911...
  6. J

    alcohol test by EMT

    The only time I’ve ever cared about a breathalyzer was a patient who responded appropriately to questions, AAOx4, denied need for EMS, no obvious signs of drug use, but had witnessed, severe, sudden onset of ataxia and could barely walk, despite protesting that he was fine. Pt mildly smelled of...
  7. J

    Anyone recognize this condition?

    I guess I just don’t understand that system. I lived in a 3rd world country (Guatemala) for 2 years and access to doctors, pharmacists and even a few physician’s assistants was expensive but still affordable for just about anyone. If you couldn’t pay, there was always some connection to get...
  8. J

    Anyone recognize this condition?

    No, I didn’t.
  9. J

    Anyone recognize this condition?

    Genu Valgum? Send them to be evaluated by a medical practitioner.
  10. J

    Becoming desensitized- what's your story?

    My experience is that some things never bother me and some things do. I’ve done CPR on someone and been thinking about what to get for lunch. On the other hand, I’ve watched a baby die in someone else’s arms on a call I was barely connected to and went home and drank beers in the bathtub...
  11. J

    Medical hierarchy vs Field savvy

    This thread seems so foreign to me. I work with 3 guys in their 60’s and 70’s, and they don’t describe the EMS of the past as an episode of MASH or something. Maybe it’s just different in my area, or they just never talk about it.
  12. J

    Medical hierarchy vs Field savvy

    Where I work: In the field, our hierarchy is: paramedic over nurse (Assuming nurse is not Surface Transport or Pre-Hospital). At the hospital, nurse over paramedic. Both over EMT, medically speaking, although EMTs may have jurisdiction in an area over a nurse due to laws. In my experience...
  13. J

    Cadaver lab

    The only cadaver labs I’ve done were for a college Anatomy course. Typically the course heads had a PhD/MD and then all of the lab assistants had a Master’s/PhD(c). We just did in depth review of each system. Tests were usually a walk around the room and there were pins in things and you had to...
  14. J

    MAP Question

    The formula you indicated in the original post is the way I use to calculate it. I round down, based on the fact that some orders might include doing something if MAP increases over a certain number. For example: give atenalol if MAP is 90 or above. If MAP is 89.7, it is technically below 90...
  15. J

    Am I an idiot for becoming an EMT with a college degree?

    There are other similar options where you can have both. You can volunteer in EMS on Saturdays and work M-F in a field that pays much more. You could also look into going to PA school or NP school and working in emergency. You could do something 90% similar and even more advanced and make 3-4x...
  16. J

    Blood from nose and mouth during CPR

    You guys most likely oxygenated the blood with CPR
  17. J

    City Trauma Care

  18. J

    City Trauma Care

    There are also a lot of chemicals meant to prevent odors, which should not be placed in wounds.
  19. J

    Question about age (Do you feel EMS has an age limit)

    I work with 2 people in their 70’s. You are too old when you can no longer adapt to changing situations or information.
  20. J

    Our station was broken into.

    Your management has made a series of glaring errors that show problems in though processes, which are unlikely to be fixed by training or education. Also: Secured firearm with training = good idea. Community gat = horrible idea.

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