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I wish had I started at Williamson County EMS right out of paramedic school... I would be that much closer to being vested :D

Unfortunately this is the only major study on pediatric ETI and EVERYONE cites it as to why they don’t want prehospital pediatric ETI. Ideally, it should be redone in a system with more experienced intubators, who have access to DSI/RSI, and modern equipment (VL, capnography, etc). But I’m...

Congrats on reading the abstract. Gausche wanted to limit prehospital intubation and designed this study to fail, and how did she do it? By conducting it in one of the poorest clinically run EMS systems in the country. Yes, you guessed it, Los Angeles County. The same county had had adult...

We’ve got standing orders for pericardiocentesis (I’ve only done it once in two years) and they pay us enough to live off of Campbell’s soup too!

Question to all the Critical Care Medics out there: what IV pumps are you guys using out there in EMS/HEMS land? I know there are a lot of Medsystem IIIs floating around out there, but I wanted to see what else people are using and what their thoughts were? Thanks!

Wilco will hire in January to fill open and newly created positions. If you're interested, start studying AMLS and reviewing our SOC. But back to our neighbors to the south, ATCEMS is a great organization, but the requirement to clear as a Medic 1 before you can promote seems a little backwards...

We actually have two 12 hour demand trucks and one 10.5hr demand truck, but the turn over for those shifts is really low. I think there have been 2 people that have left the 12 hour shifts since they stared. UHU is pretty reasonable, our busiest truck averages 7-8 calls in a 24 hour shift.

Here's my prediction of what will go down. Probably in this order: 1) everyone will do the AMR compliance training 2) the McCormick HR department will be all laid off on a Friday... say four to six months from now. 3) billing department goes next... 4) upper management is fired and replaced...

Start studying now, we will be hiring again after the first of the year.

Cards Against Humanity

We have an atraumatic headache/migraine protocol and in my experience it works pretty well.

Wilco is finishing the process of transitioning all the grant funded positions to the general fund and we will hopefully be getting funding for 8 more general fund positions for a new truck for the next budget year that starts in October. I too was nervous about the "grant funded" bit, but I...

This smells like some bush league Harbor General s**t. Anyways... here in Texas, if they have decisional capacity, aren't on a legal hold or in protective custody, they can sign my refusal form and peace out. Now my partner will be calling for PD/CIT at the same time this is all going down, and...

Can any LA County members provide the reasoning why fire departments and private ambulance contractors do code 3 transports to the hospital on almost every ALS run? It just blows my mind that this still goes on. As soon as you cross the county line in any directions that mentality changes...

You'll get big city EMS at ATCEMS, but I love it here at Wilco and plan on retiring from this agency. Don't get me wrong, ATCEMS is a great system and if I were an EMT and not already a medic, I would have loved to work there. I know they did an accelerated Medic I to Medic II hiring earlier...

Wilco is hiring... and we have cookies.

Trust me, the staffing for that new truck and for the new float medics will a separate hiring in the fall. The current process is to fill current, existing openings.

The biggest issue I see here is that you have an "ALS bag" in you personal vehicle and then how you acquired said ALS equipment. Technically you need a physician's prescription for ALS medications and equipment. You could be charged with theft and possession of prescription medications without a...

Wilco has alternative school schedules and 12 hour demand units.

In addition to Wilco's current hiring process, they should be hiring again if the Commissioners Court approves funding for a new station and float medics for the next fiscal year. (Read September/October)