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Don't advocate being obnoxious. EDs don't like having people waiting/holding the wall any more than you do. Plus, I don't know where you work, but at my ER, if you brought that up, we would laugh profusely and go on about our day.

Medium duties are much more expensive and much bigger. Most non-fire departments don't have the budget to buy them. Maneuverability, ride quality, and reliability are debately also issues with medium duties. They provide a lot of space, which may be good for fire departments that need...

I'm surprised you're the one selling them. But then again, you're also a businessman.

EM Cases. They're some Canadian EM docs that cover pretty relevant topics, IMO, but the episodes are LONG (>1 hour) and you sometimes forget the point trying to wade through all the other banter.

The 12 leads are 20 minutes apart and showing very little morphological changes, which is consistent with a non-ischemic cause of elevation. The rest of the 12 lead looks quite consistent with the BER, especially because all of the leads are concave up and smooth in nature. The 2 mm isn't...

That's all anecdotal evidence. Sure, it can be used in select patients. But is it something that EMS providers should be providing, no. All of the fractures that you listed can be cared for/reduced perfectly fine by other means (IV analgesia/sedation) 99% of the time. I don't know about you, but...

Nerve blocks, guys, really? Nerve blocks. Things done by specialized anesthesiologists with years of training you want to do in the field? I haven't ever seen a nerve block done even in the ER except for minor things like finder dislocations. Pain management is not as big an issue as y'all are...

Yesterday was a glorious ED shift. We had 4 patients total throughout the morning and kept about 15 rooms empty throughout the day, plus were grossly overstaffed. Went outside with half of the staff and watched an hour of the race. Having road closures due to a road race helped, but EMS also...

If you know your textbook, obtain and start reading that ahead of time. Otherwise, EMT class doesn't really require any amount of preparation.

He's diabetic and the 12 lead is concerning for hyperkalemia with peaked T-waves and a non-specific interventricular conduction delay.

Stop sending EMS to respond to overdose calls, Ohio councilman says Some Ohio councilman wants to find a way to stop sending EMS on OD calls because the city is spending too much money on Narcan...

I know that in-hospital, there used to be a policy where any pt. post-neck surgery would have a trach tray accompanying them everywhere they went until discharge (although that changed when trach trays were put onto every crash cart). I wonder why he was discharged so quickly post-operatively...

"The driver admits to feeling tired". Wonder what shift structure Puckett works? Speculation is the EMT fell asleep at the wheel. Will this change anything? Probably not.

Coming into the big city?

Why do you say this?

I want a truckman's axe.

We don't ordinarily answer homework questions here, but since this is not so cut-and-dry, I'll bite. You have to provide me with some more information. I cannot answer your very broad question out of the abstract. If your provide some more specific information, ask specific, detailed questions...

Is a bird strike an issue for rotor wing aircraft?

http://www.wptv.com/news/region-n-palm-beach-county/jupiter/deadly-crash-closes-indiantown-road-westbound-in-jupiter "Jupiter police said two paramedic EMTs were killed in a rollover crash involving a car early Thursday morning at Indiantown Road near Military Trail in Jupiter." Looks like a...

Very interesting. I will be the first to admit that I have very little experience with tropical medicine. Honestly, I would have tried to ask the patient herself what she thought was infected with. Then, prior to much invasive treatment or transport, I would call and consult with med control for...