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They should save everyone some money and make the EMT-B textbook the first chapter or two of the Paramedic textbook and then when you get to the end have a page that says in big letters, "Here's some of the stuff you still don't know." Might help with some of the new folks.

Also with experience I think you get a lot better at avoiding cross contamination. More mindful of handling your pen, stethoscope, radio and cleaning them. Unless you pick up bad habits and get lazy that is.

When I was unassigned to a specific station I spent a few weeks at our most rural station (we're a predominantly urban/sub-urban area with some rural; 80k calls a year) and went 9, 12 hour shifts without a patient contact. A few moves to cover another station but that was it. At my more central...

Came into work one day and had just settled in after the vehicle check. Dispatch phone rang which would usually mean (given the time) that we were about to be assigned a non emerg transfer, instead we were asked if we wanted to head over to the Community Safety Village for a standby for Police...

A few years back the Ontario Paramedic Chiefs agreed on a standardized rank structure. - Chief - Deputy Chief - Commander - Superintendent - Captain - everybody else Key thing is my Sup or Captain doesn't have control over individual patient care unless they'd like to take over...

A little bit of knowledge is a dangerous thing. Anecdotal evidence, that is what you learn from direct experience, is dangerous because it has a greater impact then knowledge gained from data. This is a common pitfall for providers who begin to make decisions based on past experience (good/bad)...

We carry it both in line and via nasal prongs. Goes on all my altered LOC pt's, most of my respiratory patients and certainly any whose airways and ventilations I'll be managing. There's an excellent review package (and some others) from our medical direction at this link...

Not here. My role is to advocate for my patient. Hospital staff often do not have a complete picture of the living conditions or social determinants of health. I have brought transfers home and then turned around to hospital as the living situation was so precarious as to be dangerous. We then...

Sorry disregard, post night shift fog, confused it with another thread entirely. (The no-stair chair thread from awhile back)

Keep in mind too; it's a transfer home. What's the plan for self-care and getting around the house. If she's not safe to walk up stairs, she's probably not safe to discharge home.

Watch head positioning and don't be afraid to use two people to ventilate. Without an advanced airway lots of patients are difficult to bag with a one handed seal. From there you run into a problem where to maintain seal you're sacrificing positioning or to maintain positioning you're losing too...

Probably midazolam, haldol or whatever sedative they carry.

I go through enough lines in a shift I keep one 250ml NS spiked and primed with a lock in. Doesn't take much time but it's one less thing to do, less trash on scene and frees up my partner or myself for other things.

I don't do a ton of side work. OT is readily available where I am and we don't have mandatory call-in so especially during the summer I can always pick up some extra shifts to supplement. I teach First/Aid, CPR, FR/EMR on the side, but it is so casual it might as well be a hobby.

We carry keterolac as well. I'd consider 30mg IV for pain. If the injury is isolated I'm inclined to assist them to standing and help them walk down the stairs. Stair chair or scoop are both going to place pressure on the shoulder. Pop in a lock, push keterolac, maybe combo with Morphine or...

Depends on the scene type. On a structure Fire, obviously it's FD's call and we stage where they'd like us and generally stay out of the way unless there are patients. On an MVC, even one with extrication this is primarily a medical call and we will direct resources. During a technical rescue FD...

I'm going to set aside the scenario you mentioned, I think you're probably already dissecting it more than is productive. Instead I'd like to touch on embracing a culture that understands human factors, embraces education and strives for a just culture. These ideas are related but not quite the...

I can't help but get a kick out of this. My Advanced Care Paramedic course coming up this fall has a full course devoted to research methods. My employer has an entire unit devoted to research. One of our Paramedics has a PhD earned doing research in Paramedic education. A few of our medics...

So I completed your survey. However, if you're attempting to do research or a school assignment via this survey you need to do a LOT more work. Any data you collect from this is going to be garbage; you have zero context. Do I work rural or urban? Are narcotics OD's common in my area? Transport...

Speaking from a land of socialized medicine, my concern isn't so much transport to hospital for a healthy uncomplicated birth, but what pre-natal care and screening was received, what birth plan was in place and what follow-up care is planned for this newborn including vitamin K, erythromycin...