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  1. K

    Confirmed STEMI to PCI-center or closest community hospital?

    Cost effective care is important along with the volumes to support quality care for PCI centers. If you live in a rural place advocate for developing resources to reducing the door to balloon time may be useful. The US could probably learn from other areas of the world with other rural...
  2. K

    Confirmed STEMI to PCI-center or closest community hospital?

    San Juan Island EMS does it in the field. Remember small hospital and a ferry ride but even if the helicopter is flying still about 1-2 hours to definitive PCI care rural hospital may be what you get. They are doing pre hospital thrombolytics but again rural area. There protocols can be looked...
  3. K

    Tips for New EMT-Bs

    I made sure to look and did not see it. I got told once we have two ears and a mouth and one should do twice as much listening rather than twice as much talking.
  4. K

    Texas State EMT Certification?

    Not sure about everyone else but I did the online reciprocity option in mid to late May. My state took about 30 days to get paperwork to Texas for the good standing part. I got my license last week. It took about 4-5 weeks maybe for me. Varies widely I guess.
  5. K

    Are there certifications to make an EMT-B more valuable?

    Some states only use CNA's like most of Washington. Consider volunteering in a hospital ER since some will hire EMT-basics but check the website careers page to make sure they do while keeping your job. You get to network in the ER while keeping your job so then you can apply. In Hawaii it was...
  6. K

    First Medic Event job as a basic EMT

    Bring a book as others have stated. When in doubt call the ambulance and try not to overthink anything.
  7. K

    Hawaii EMS?

    There is thread in the employment section called Paramedic to Hawaii that is from April 2016 all the information is still relevant. I don't feel like typing out my long response again. http://emtlife.com/threads/paramedic-to-hawaii.43646/ .Read through this thread and it will answer most if not...
  8. K

    Paramedic thinking of moving to Florida

    I spent time in Florida. Leon County EMS is in the Tallahassee area, EVAC who runs Volusia County which is near water and the Daytona area. Hillsborough County Fire hires single role as well.
  9. K

    In all of your posts on Oklahoma I noticed you never mentioned the Normal Regional Hospital EMS...

    In all of your posts on Oklahoma I noticed you never mentioned the Normal Regional Hospital EMS STAT? Are they any good at all from what you remember? I will be moving to Oklahoma for more schooling that can be done either part time or full time in Oklahoma City. I thought I would ask and see...
  10. K

    Paramedic to Hawaii

    Your welcome and not a problem. I was not exactly expecting a response I figured I would have got a PM and this would just be a resource for others. I have been grateful for others who have shared wisdom and there thoughts and ideas on this site and in life. It's nice to pass that along in a...
  11. K

    Paramedic to Hawaii

    To add AMR also does the general transfers if they are to busy City and County EMS will do a priority one transfer with a RN from the sending hospital to get them to Kapiolani which has the NICU and PICU or Queens for severe trauma in Adults.
  12. K

    Paramedic to Hawaii

    Well first good luck. You will want to look into Kapiolani Community College EMS program and contact the director of EMS and ask about the continuing education program for the EMS transition program. You need a couple cert classes and TB since you will do extra ride time I believe since they...
  13. K

    What books do you still read up on / have or recommend.

    Probably not my place since I'm still a baby EMT-Basic even though I am almost done with my Public Health degree. Would a sticky be helpful for useful books and podcasts resources so it's all in one place? Since I know I have benefited greatly from Emcrit and the recommend reading list.
  14. K

    Wilderness EMT course

    I took mine through Remote Medical International and loved it. I lined up a job at a western based hospital in Kabul doing public health work and ER tech/EMT work with it but eventually had to decline it because of a health issue. It also helped I had done aid work abroad already. I met some...
  15. K

    Las Vegas employment

    Thank you.
  16. K

    Las Vegas employment

    With all that has been happening based on LVFR and AMR contract and other issues would Las Vegas still be a good place to get experience? I have a mentor who worked there in the 1990's and speaks highly of it but with some of what has been happening I'm wondering if it's still a good place to...
  17. K

    I wanted to ask and see how often RESMA might respond to best effort areas that may have longer...

    I wanted to ask and see how often RESMA might respond to best effort areas that may have longer transport times? Or are they mostly a strictly urban/suburban service? I couldn't find a response map on the website I thought I would ask you. I know they response in Reno/Sparks but also have best...
  18. K

    Austin Travis County EMS hiring Paramedics and paying them as Basics

    makes sense unless you found a way to fill them.
  19. K

    Austin Travis County EMS hiring Paramedics and paying them as Basics

    More along those lines of what 46Young said. If it's doable that's good. I'm surprised they wouldn't just implement a work study so people could go to class at ACC and work part time hours but maybe it's not feasible? That seems easier than trying to start a in house medic program and deal with...
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