Search results

What exactly are people's concerns with "over RSI-ing" patients who have ambiguously intact airway reflexes? Is it hypotension? Oversedation? Regardless of what meds, if any, you are pushing in an alive patient, you should be extremely cognizant of the patients blood pressure and resuscitate...

The biggest thing services will want you to have are the ICS and NIMS courses (100, 200, 700, 800), either PHTLS or ITLS (trauma life support), potentially some basic hazmat course (hazmat awareness or something), and depending on your state, your EVOC. You will also need a current BLS CPR but...

We had a metal badge for our winter uniforms for a while. I'm lazy and so I hate them, because its one more thing to forget to clip on to your uniform. We switched to the stitched on badge style.

Oh boy haha. So, according to the Equal Pay Act of 1963, it's illegal to pay people differently based on sex for the same job. However, this has nothing to do with promotions, seniority, etc. Therefore, if you have a man with 10 years on the job and a woman with 5, you can pay the man more (or...

Philosophical issues aside, it is illegal to pay people differently based on their sex for the same job in the US, and has been since 1963. It's therefore best not to bring it up during your interview.

Yes, I'd put all of that in a resume. Google a guide on how to make a good resume (1 page, no spelling mistakes, etc). Employer related questions are things like: -How many calls do you run per shift/year/whatever? -Does the fire department respond to calls with us? Are they ALS? Who has scene...

I don't think it would be way off base to call and ask for the pay scale, as long as you don't make a big deal about it. You're not going to get paid more for being female. In the vast majority of systems, EMS agencies are not going to send another unit to accommodate someone's gender...

Work out--even a few days a week lifting weights or jogging is better than nothing. Specifically training your back and legs since those are what you abuse every day on the truck. Relatedly, try not to get fat, as that will make the back/knees thing even harder. Don't take abuse of the 911...

Got it, that makes a lot more sense. I'm not really qualified anymore to apply to EMS jobs, but I was looking at your EMS fellowship down the road, depending on how my training goes.

In defense of Seattle/KCM1, there are some (OK, just one: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4091894/) studies that show that they have better outcomes for GCS<8 trauma patients when compared to other cities in the ROC database (cities like Portland, Pittsburgh, Toronto, etc). I need...

Are you saying every medic unit is getting 2-3 tubes a shift, or that among all 9 units there are 2-3 per shift? Because one of those seems very....aggressive haha

My girlfriend got into several accelerated BSN programs with exactly 0 clinical experience, if that helps at all. She did energy consulting beforehand. No one even brought it up. I'm not saying don't apply for an EMT job, but I am saying don't sell yourself too short (this was in NYC, so I...

My third service in PA got fire for confirmed rescues, things on fire, and highway calls for blocking, nothing else. Accidents, cardiac arrests, etc got EMS and police only. Worked pretty well, and having worked in systems with FD first response I vastly preferred just having EMS on scene--same...

Haha yeah, I know MONOC as a service is pretty soulless, it's just where my prehospital ride time for school happened to be. All the times we transported were due to extended volunteer response times--30+ minutes and the like, I'm assuming that's not the case throughout the state. I know they...

I've definitely transported patients in a MONOC MICU before (this year), though idk if that was kosher by state regulations. NJ is a strange place for EMS--when I did my MONOC time we would beat the volleys in 90% of the time in one town, but the next town over would be paid and cancel ALS...

MONOC in NJ does the same thing with transport ambulances being used as ALS fly cars. I never understood why they'd wait on scene for a volunteer bus to transport their ALS patient to the hospital but I guess that's over my pay grade.

In PA we had "sedation assisted intubation", a fancy name for hoping that etomidate alone would be sufficient to intubate a non-unresponsive patient. I've seen it work once, on a burn victim, and fail twice on traumas who eventually got RSIed by the flight crew. It's a ****ty way to intubate...

If you have trouble getting an NYC job, Jersey City Medical Center right over the river is usually hiring (and pays pretty decently). As for the voluntaries, there are quite a few. Off the top of my head, North Shore, Lenox Hill, NY Presbyterian and Mount Sinai operate in Manhattan but I'm...

To be fair to the docs, hypertensive emergency is rarely a real disease process, and almost always a case of "the provider in question is uncomfortable with how high the BP is", with the notable exception of acute pulmonary edema and aortic dissection. Unless your transport times are extremely...

No reason to give nitro for non-cardiac hypertension—it provides minimal arterial dilation and the effect is too short for it to have any real effect other than rebound HTN like Peak said. It also provides very inconsistent BP control. Really there’s no reason to treat stroke related HTN in the...