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    clinical at hosp telling me NOT to use BSI. NEED HELP NOW

    I'll often not wear gloves in the field if I feel there's no direct issue with bloodborne contaminants. I feel like it's akin to wearing a mask with every patient because they could have TB / SARS / Hamthrax (Swine Flu) / etc. Obviously you could be safe and wear gloves and a mask (or, for that...
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    Accelerated classes

    Yah. :-( Sorry - didn't find this with search.
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    Accelerated classes

    Rather than hijacking an existing thread I figured I'd post here and let other folks chime in / complain / ask questions (but NOT flame - go do that on one of the various "whacker" threads if you need that kind of ego pump). Accelerated EMT-B (NOT PARAMEDIC. Please do NOT post about so-called...
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    EMT instructor

    Depending on the state, there's usually a certification prerequisite (i.e., you need to be an EMT-B to become an EMT-B instructor, a Paramedic to teach Paramedic classes, etc.). There's typically a course involved (in Massachusetts it's called "Instructor Coordinator") that includes both...
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    New York state exam question

    Huh. That's weird. Why do they have 10 "experimental" questions - is it so they can beta test questions prior to offering them as part of the standard test bank? If so, that's a pretty cool way of doing it.
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    Whos more susceptible to the cold? Infants or elderly people?

    http://www.fanpop.com/images/polls/25499_15_full.jpg Sorry...couldn't resist. :-)
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    New AHA Videos

    Now that they've been out for awhile, what do folks think of the new AHA BLS CPR DVDs? I'm specifically looking for some feedback / suggestions on the Healthcare Provider DVDs I really, really liked the way the 2005 videos were set up; it made teaching CPR a lot easier (you could spend more...
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    Vent About Your Rig

    You'd think so, wouldn't you?
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    Vent About Your Rig

    The driver's side door once fell off my rig...while I was driving it...over a bridge. My service puts a lot of cash into their rigs. I think the biggest complaint I'd have is that people don't take care of them. Someone put their foot into the stereo in the other rig (the other one on my...
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    why give false hope

    This is why: http://www.boston.com/news/local/breaking_news/2009/06/two_new_bedford_1.html Providers (ALS and BLS) are taught that you work the hopeless pediatric code for the parents. Take a moment to think for a second: You're a parent, and your entire world has just come crashing to a...
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    Somebody do my homeowork for me?

    http://policelegal.com/2010/11/15/five-indicted-in-emt-training-scandal/
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    Unniversity/College Degree Help!

    My degree's in architecture... The other route you may want to look into (sorry if this is a duplicate) is public health. Let's face it, you don't get more "public health" than EMS. There are lots of schools offering graduate (M.S. and PhD) programs in public health; the prereqs vary...
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    Electronic PCRs

    AmbuPro has a button that you can click to duplicate all the pertinent information - address, dispatch info, etc. So you'd start an incident, put the patient and dispatch info in, get a signature, click the button, get the next patient's info, get a signature, click the button, etc. I've done a...
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    If your coworkers and you prepare joint meals

    Not necessarily bad tasting, but I once made a 7 lb meatloaf. Wrapped in bacon. Senor medic on the shift was horrified. He said it reminded him of Jabba the Hutt. As he reached for a third piece.
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    Still oxygenating before intubation in cardiac arrest?

    Systemet - Two great posts with some excellent points. Especially about the Mallampati scales. Mallampati isn't "How cruddy is their airway?" but rather "How much of a pain in the *** is this going to be?" So I think we're exploring a couple of separate (yet related) issues here: Is there...
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    Still oxygenating before intubation in cardiac arrest?

    It's a completely separate issue - if you increase intrathoracic pressure past a certain point you're not allowing the heart to completely refill. Period. Doesn't matter if they're a Mallampati 1 or 4 - the physics in the chest cavity aren't going to change. But if they're not breathing they...
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    Massachusetts Written Exam

    Some of the questions on the Massachusetts written exam are pretty strange. Also remember that the questions are from the national database, not some mythical Massachusetts database, so you may see questions about tourniquets, MAST pants, etc. For the purposes of the exam (and the purposes of...
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    Still oxygenating before intubation in cardiac arrest?

    It's not a matter of "restricting oxygen" to these patients - it's an attempt to not create positive pressure in the thoracic space and prevent the heart from refilling (because at this point it's replying completely on external pressure generated by a police officer or LUCAS). Our service is...
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    Massachusetts reciprocal testing

    You will have to contact the Massachusetts OEMS for specifics (the application is on their web site but there's no list of testing sites as they are scheduled "as needed"). The BLS practical consists of 5 stations: CPR / AED Trauma Assessment Medical Assessment Splinting (upper extremity...
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    IV or no IV?

    Wow. Does the CDC know about this? I know they published a study and a set of recommendations (I believe it was 2005?) showing that there was actually an increased incidence of infection when a prehospital IV is pulled and replaced in the ER because you're creating two holes in the patient...
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