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  1. dutemplar

    Helpful Extra Certifications

    I used a college course for NREMTP credit some years ago and it received the full course hours. As you said, it has to be an accredited educational institution and medically related.
  2. dutemplar

    Helpful Extra Certifications

    It wouldn't hurt, but there is a lot to be said about a hands on lab...
  3. dutemplar

    Washington Post article on Paramedics in Active Shooter incident

    Yes and no. I've heard the audio a few times, including in an ICS review. It's also a breakdown of resources and a sufficiency on immediate hand, as well as trying to herd 1000 terrified people into your planned channels. It's one thing to pre-plan and to effect "these are casualty collection...
  4. dutemplar

    Helpful Extra Certifications

    Aye,... A real Anatomy & Physiology course. Especially if you plan to go further. This will also help to explain the "why" and "how" for a lot of stuff. For the ER: Phlebotomy, EKGs. In general: Trauma Life Support (either brand), GEMS (Geriatric Education for EMS), If you live in...
  5. dutemplar

    Flag downs with PT on board?

    As they said. Stable patient, and one provider remaining with the stable patient you can stop to investigate. At the same time, you do need to have a background thought of can one provider handle this, is my ambulance about to be jacked, is it K2 or a hazmat if you have three people down...
  6. dutemplar

    "uhhh...she obviously has a pulse, why do you think we called?"

    Our medical director was deputy coroner... He tended to show up on codes anyways. This time, we called and asked. Yeah.
  7. dutemplar

    "uhhh...she obviously has a pulse, why do you think we called?"

    Years ago was dispatched for a witnessed cardiac arrest to a "skilled" nursing facility we kept having issues with, with the one staff member. On the way past the nurse's station I grabbed the chart. The witnessed arrest slipped out of bed, choked to death in the bed rail. Rigor mortis and...
  8. dutemplar

    the 100% directionless thread

    So who are our Texas peeps here? I have to hit CONUS next month and I'm considering either: Bounce into Miami, chill a day, drive the keys, bounce to either Bahamas/ Grand Cayman/ WhatevaIsOnSale before back. Or fly into Dallas, drive to San Antonio, continue to Houston, New Orleans with a...
  9. dutemplar

    Common Meds Made Into Drips

    On an irrelevant note, we use small bags of premixed D10. The D10 is less hypertonic and less "bad" if it infiltrates than the D50. Much easier to drip through a small vein than to try and push it. But we don't have D50 to wing it. I imagine D10NS would still, in the quantity given, be...
  10. dutemplar

    fentanyl question-contraindication with COPD

    OK, I googled. We were taught long long ago it did... which followup studies claim was due to the limits of the plasma testing at the time. I had heard that again at a con-ed some a few years back, but memory was vague... However, this... " Fentanyl enhances the excitability of rapidly...
  11. dutemplar

    When Can you tell you are not cut out to be a Medic?

    Kind of both. But that's an indicator you shouldn't be one anymore... at least not for a while. Since the original question was redacted, seriously, I thought it was Hillary Clinton posting... it was hard to read the intent.
  12. dutemplar

    Is Smoking Part of Medical History?

    Routinely asking about smoking, unprotected sex, drinking, eating sushi or other tar-tar, are their parents alive and if not what did they die from at what age,... generally not. It has been included when it was relevant but not on 99% of my calls. ...that, and lets face it, at 2am in their...
  13. dutemplar

    fentanyl question-contraindication with COPD

    A couple of methods, but the quickest version... First, opoids can act to cause histamine release. Not necessarily the best thing for brittle asthmatics/ COPDers, and also is a bit of a sedative and can depress the respiratory drive. Taken from the Duragesic (transdermal fentanyl) info book...
  14. dutemplar

    the 100% directionless thread

    Drat. No Cali card. It would be amusing to use my leave from here to go be at a festival and be paid for it. Even if it was Californistan.
  15. dutemplar

    Washington Post article on Paramedics in Active Shooter incident

    Written by a former Atlanta paramedic, who is now a staff writer... I think he went a little too Hollywood... https://www.washingtonpost.com/posteverything/wp/2016/08/26/paramedics-are-taught-not-to-risk-their-lives-after-mass-shootings-they-should/?utm_term=.5e6120321d0c
  16. dutemplar

    EKG TIPS ANYONE ?!?!

    Padawan, Consider one of the seminars with Bob Page.
  17. dutemplar

    How do you handle your stress?

    It's gotten a lot harder here in the sandbox. Mostly whisky, cigars, computer games and bad decisions in addition to periodic vacations to get away for a while. Running.. no. I'd need a knee replacement and I'd heat stroke out before I made it a click. The elliptical comes and goes but bores...
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