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  1. sir.shocksalot

    Burn out and Turnover

    Paramedics are paid exactly what they are worth. If people want to claim they're as good as nurses or doctors or whatever that's fine. As long as EMS stays the way it is you will never have pay on par with either profession. If you want equal pay to nurses go be a firefighter, they get paid as...
  2. sir.shocksalot

    Burn out and Turnover

    Uh, no. By doctors I assume you mean physicians, who are licensed to practice medicine and require nothing else to practice medicine anywhere. A physician doesn't need a 120 hour certificate to place a bandage on someone in the field, if a physician so chooses he/she may perform open-heart...
  3. sir.shocksalot

    Triage Nurse From Hell

    In my experience sometimes its not your patient care, or who you work for, or really anything about you that is getting this RN bent out of shape. When some people aren't happy about... well, anything really, they tend to take it out on others including their coworkers and customers. I think if...
  4. sir.shocksalot

    Burn out and Turnover

    I believe it. The thing that blows about these calls is that I am powerless to do anything about them other than a ride to the hospital. I can't even advise them to call their pcp in the morning. That by itself is frustrating, the feeling of being unable to actually help my patients. Of course...
  5. sir.shocksalot

    Nitrates in ACS.

    Other than phosphodiasterase inhibitors within the last 24-48 hours, nothing. I should have been more clear (hard to get my point across on my phone). What I mean is that after a few doses of NTG without change in pain level my priority shifts to pain control instead on NTG dosing. My personal...
  6. sir.shocksalot

    Nitrates in ACS.

    Personally, if at two to three doses of NTG there is no improvement in their pain then further doses probably won't help. Getting someone's cardiac chest pain under control is more important to me than having some benefit from decreasing afterload and decreasing preload in the prehospital...
  7. sir.shocksalot

    Rule 500

    Yeah I was so sure I read it I had to flick through the pile of papers I got from the conference. There was an attachment at the end of the CE credits that were given out that had a discount code on DH EMS classes. On the last page of the document it said: Community Paramedic Program New...
  8. sir.shocksalot

    Will it expire?

    You will have plenty of stuff you can claim as continuing education in the military. The few EMTs and Medics I knew who were corpsmen or medics in the military got enough training opportunities to put most civilian medics to shame. That being said you should study medical emergencies on your own...
  9. sir.shocksalot

    Rule 500

    What Jeff said. I remember hearing not too long ago that they simply changed who oversees the rules. Maybe Jeff can come back and let us know what's coming down the drain in regards to rule 500. I had the privilege to attend the Rocky Mountain Trauma Conference in Vail recently and when I...
  10. sir.shocksalot

    Best E.M.T. Training program in or near Aurora, CO?

    I will start by saying that where you go to EMT school isn't horribly important. Also, most EMT programs in CO are on relatively equal footing. I have never encountered a group of EMT-students that were ill-prepared by any particular program, or any group that was very well prepared (the same...
  11. sir.shocksalot

    EMS Lounges

    Ahhh... Spa Ridge. Yeah, they just moved out there about a month ago. They are still doing construction but the ER and some floors are open. Really neat building, just out of the way.
  12. sir.shocksalot

    EMS Lounges

    We have it good here in Denver. Am I hungry? Next patient goes to P/SL Hospital. Do I want a Rock Star and to read a little bit from Annals of Emergency Medicine, off to Rose Hospital. Ice Cream or cookies? I guess I'm going to Porter. It's like shopping. All of them have at least some place to...
  13. sir.shocksalot

    'Don't use paracetamol for fever'

    Sounds like that data didn't say much of anything. It seems common sense that viral proteins are denatured by high temperatures as well as our immune system works better at high temperatures to say that fever is probably in our benefit. That being said I don't think this changes much other than...
  14. sir.shocksalot

    EKG no one can figure out.

    I would consider a rate dependent block or an escape rhythm also. There is a p wave for every qrs but not a qrs for every p wave. The change in morphology is tough to explain, especially since there are still p waves before complexes. That said, t wave discordance and elevation in the anterior...
  15. sir.shocksalot

    L/S response to haemorrhage

    I'd wager that there isn't much at all that requires L/S response. And to be honest some of the things that you were incredulous that you got called to (epistaxis, small amounts of blood on TP, minor lacerations of any kind) are completely routine calls that we respond to on a daily basis. I...
  16. sir.shocksalot

    Why is the National Registy Testing on Information that is not in the program

    Skills don't have much to do with being a paramedic, they are a small piece to a very large picture. Watch an ER doc for an evening, he won't preform a lot of physical skills, but he will do a heck of a lot of thinking, talking, and analyzing. Anyone can put in a chest tube or a central line...
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