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The DNR means somebody has spoken with the patient/family/DPOA but the family should also have some assurance they made the correct decision and that Paramedics will not provide treatment based on just a few vital signs still showing signs of life and no other diagnostics. It is also not in the...

The ATV and the Smith Parapac both are questionable for CCT. The ATV is definitely something no credible CCT should be using.

From the above quote for Colorado: Ventilator; ATV?

That simple? The SIRS/Sepsis pathway is for "survival" and decreasing morbidity. It is not intended to be used to tell the family to make a final decision. But, you are also making "assumptions". The lactate may not be at a notable level yet. The electrolytes and fluid status could be the...

You need to read the manual for all the things which influence the battery on the LTV. This includes how much O2 and PEEP is being used. Home care patients who have a deflated or no cuff on their trach with no PEEP and no need for O2 can get 2 hours. If you are doing CCT, you need to supply...

You have just confirmed why patients, families, DPOAs and physicians are reluctant to sign off on DNRs. They fear the DNR will be interpreted as Do Not Treat and the patient will suffer needlessly. You have no definitive diagnostic data to base your decision. You are also asking the...

Like CCT?

Transfer Paramedic? Job description from that link. I was not referring to Flight Paramedics for a degree requirement. I said "entry". What if AMR, RM and some of the others "preferred" a degree? Even the program at Harborview in Seattle is not an Associates. EMS has to start someplace...

That could lead to a whole new discussion about the requirements to be a Critical Care Paramedic or Flight Paramedic. On the other hand some Flight Paramedics complain about not be equal to the Flight RNs so now they have to have the same education requirements for this employer. None of...

Do you have some examples of entry level Paramedic positions listing a degree? Just a quick search came up with these which seem to be fairly notable employers. None mentioned an Associates degree. https://rn21.ultipro.com/AIR1006/JobBoard/JobDetails.aspx?__ID=*70D64220BE58BE7D Flight...

But there are a lot who are not vollies or with a FD who are not pro education. The numbers of those with a degree in EMS show that after 50 years education for even an associates degree is not acceptable. The states are not stupid and probably neither are those who came up with the "new" EMT...

But now you are in Canada. The nursing programs there are also way ahead of the US for requirements and US ADNs barely can be called PNs there. http://www.senecac.on.ca/fulltime/BSCN.html 1700 hours of clinicals exceeds the US standard.

At least 5 days? Across the nation it is 3 - 5 days with 4 being the average for the older population.

There have been some good Associates programs for Paramedic in the US since the 1970s. But, almost every college also has the cert option to stay competitive with the private votechs. Probably half of all Paramedics in the US are taught at private votechs or by the ambulance companies/fire...

Just saw that episode. It is hard to watch a dog get run over by a car even if it was a cartoon.

You need a base education to go forth with other education goals. An Associates is barely an education as others have found out but it is a start. As far as mortality, sometimes dead is dead. There are many life threatening events you can not change even in a major hospital. You are not God...

It is an Illinois thing. The OP should look this up on his state's EMS website and call the office if he still has questions.

There are reasons why we have specialists. An ER should not be used as a primary physician's office. You are fixated on the saving lives things. But yes, there are things EMS is researching to improve outcomes. Being more proficient at intubation and recognizing sepsis are two things. Both...

Getting rid of doctors? Vene? With all of the articles available in the professional journals including emergency medicine I am surprised at your questions. Pain management is not new. This is something you really need to start learning about by reading professional journals espcially if your...

Why do you think pain management outside of the hospital would not improve outcomes? Chest pain? Pain management is a big part of the hospital and long term care. If you want to be part of that you need to get used to the concept of patient care and not just the save lives stuff. ADLs in...