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Always hear good things about Wake County, NC.

I've only had one potential patient present with dystonic symptoms, muscle contractions, inability to speak, with recent accidental neuroleptic overdose. Tried Benadryl 50 mg IV w/o success but Ativan 2 mg seemed to take away most of the symptoms.

My non FT service is about an hour and 15 mins by ground to closest PCI/Stroke Center. All suspected CVA and STEMI patients get flown out if possible. In the end both of those patient groups would likely be flown out of the ED anyways, skip the middle man and save time for the patient.

There is no evidence that backboards provide any benefit to possible spinal fractures and in fact cause more damage that not using them. Backboards thankfully are becoming a thing of the past for "immobilization", slowly but surely.

Oh no doubt, I just didn't find Nancy Caroline that appealing with the cartoons and short stories trying to dumb down the material. There were other books that I used more than Tintinalli's, but they wouldn't be helpful for advanced providers.

Tintinalli's Emergency Medicine is fantastic. I used it in Paramedic school more than my actual textbook.

They have good equipment and protocols but admin is less than desirable. Would never work there because of it.

I don't know much (anything) about the company but a general rule in EMS is that there is a reason a service is offering sign on bonuses....no one wants to work for them.

Never worked for any transfer services but the big ones are: AMR (Memorial Hermann contract), BayStar (Houston Methodist contract), and AMed. Every time I drop a patient off at the ER there is usually always someone going out, so you'll stay busy.

Echoing everyone else, stay away. Their pass rates are always among the lowest in the state, usually low 50%.

Oh really? I never knew they opened bases here in Houston.

I didn't even know you could still buy the first generation!

Yep, pretty much and my hourly rate is actully more than my previous job as well. I think we are, but only hire Paramedics.

Fantastically! Basically every few weeks I come up a pay period short, so we have "debit days" depending on how the debit day is scheduled I either work it or don't work and still get paid. This year I only have to do 5 paid debit days.

I'm currently on a 24 on, 24 off, 24 on, 5 days off. It's amazing.

I would look into getting a LUCAS device if your service doesn't allow for backup to arrive quickly. They're very expensive but running a code with two people sucks. After that I'd get a vent, as bagging someone for a prolonged time also sucks and not in the best interest of the patient.

For non-fire EMS in Houston your best bests are: Harris County Emergency Corps, Cypress Creek EMS, and Montgomery County Hospital District. Your flight services are Memorial Hermann LifeFight and PHI. LifeFlight seems to have a pretty high turnover rate compared to PHI so you're more likely to...

Same here. I usually give 4 mg for prophylaxis, 8 mg for active nausea, and phenergan for vomiting. Our protocols allow up to 32 mg of Zofran though, haven't needed more than 8 so far. haha

If it's not helping then I don't see a reason to keep giving it. I usually try to get two NTG doses before going to Fentanyl/Morphine, though depending on their presentation I sometimes go straight to narcotics. Also, you carry Brilinta and heparin?

I might be biased, but if you want progressive medicine and low cost of living Texas would probably be the best place.