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  1. sir.shocksalot

    Are Medics Esentially RNs In rigs

    I'll agree with chase, I don't think it's a bad question, it just tends to get people fired up. I think dealing with just ER nurses and SNF nurses for the most part really makes us look at nursing in a very one dimensional way. We watch SNF nurses really make a mess of things and then we take...
  2. sir.shocksalot

    Are Medics Esentially RNs In rigs

    Actually, I agree. However the typical paramedic holds a certificate, the typical nurse holds an associates degree (and a BSN is becoming more common, and currently I think it's the unofficial minimum for entry into the profession these days). Actually I think ICU nurses are very distant from...
  3. sir.shocksalot

    Paramedic (Associates Degree)

    Amusingly, I was attacked on this forum for having that opinion when I first joined the forum. It's funny how a little bit of school changed my opinion on that. You don't know what you don't know... Granted, now my problem is I can never get our stupid temporal thermometers to work well, "Do I...
  4. sir.shocksalot

    Paramedic (Associates Degree)

    While I completely agree that academia in this country has seriously lost sight of what it's here for, that doesn't mean that education is not necessary. Medicine is not something that can be learned exclusively on the job. I can't sit on shift and explain why epinephrine is not always an...
  5. sir.shocksalot

    Dallas Fire Department EMS Care - Quality

    The entire procedure of c-spining is an exercise in CYA. There is no, nor was there ever, scientific evidence the procedure actually does anything. Remember when everyone got their tonsils out? Or how about when we used to do blood letting? It's the story of medicine. I think culture is a...
  6. sir.shocksalot

    Dallas Fire Department EMS Care - Quality

    I think you can be sued for anything in this day and age, even walking someone to a back board. That being said I still do it too. I can't say I have any first hand experience with DFD but I have heard horrid things too, I still remember Vene siting their paramedic program as one of the great...
  7. sir.shocksalot

    Colorado EMSAC Conference

    Ha basically. Apparently it works great for adenosine blockade which some scientists think adenosine is responsible for some refractory asystolic/brady arrests. http://annals.org/article.aspx?articleid=706124 Also I misspoke its actually aminophylline they are using. I do admit the beginning...
  8. sir.shocksalot

    Colorado EMSAC Conference

    I just got back from there. The conference was pretty good, most of the classes I had taken were nothing new, just review of stuff I already knew. I really liked the lecture on non-epinephrine based resuscitation. As soon as it was finished I was looking up Theophylline, Vasopressin, and cardiac...
  9. sir.shocksalot

    Pacemaker Malfunction?

    It's hard to tell with the fusion beats, honestly it looks like the pacer spikes are smack in the middle of the QRS complex causing a nice, wide fusion beat. I don't personally think this was R on T simply on the basis that I can't see if a pacer spike hit a T wave in the right spot or not...
  10. sir.shocksalot

    Rural/Metro-Pridemark Union

    Employees deserve to have safe and pleasant work conditions. If an employer is unwilling to pay the little bit to make work conditions acceptable for employees then a union is necessary to force an employer to provide safe and equitable working conditions. Happy employees don't form unions...
  11. sir.shocksalot

    pre testing for healthONE PEP?

    To be 100% honest I didn't study anything but an ECG book. You sound like a smart dude/tte and probably won't have any problems with the EMT portion of the exam, if you passed NREMT with ease then it should provide little challenge for you. You probably can blow off the HOBET, I'm not a math...
  12. sir.shocksalot

    pre testing for healthONE PEP?

    Don't blow off the HOBET, I scored a 29 on the ACT and the math section on the HOBET still kicked my ***. If you are uncomfortable with fractions at all I would definitely review them. The EMT basic test is just like national registry, when I took it there were some questions on there that...
  13. sir.shocksalot

    EMS, a romantic notion.

    This is not true. Nurses are responsible for their patient. If a nurse fails to recognize and treat changes in the patient's condition they will be held accountable for that, and probably far harsher than a paramedic will because there is a BON who is more than willing to reprimand/admonish or...
  14. sir.shocksalot

    SpO2 "lag"

    Great explanation. This stuff is why preoxygenation is so important before intubation. If your total lung capacity including your residual volume is filled with oxygen you can remain apneic for a longer time period while still having an adequate ratio of oxygen to facilitate alveolar oxygen...
  15. sir.shocksalot

    Why EMS?

    Well my mother is a nurse, my grandmother was a nurse, my grandfather was a nurse in the navy. With all the healthcare people in my family I thought to myself "Gosh, I'd love to be in healthcare and take care of people and blah blah blah, but instead of a nurse I would like to be poor." And now...
  16. sir.shocksalot

    Rural/Metro-Pridemark Union

    This thread is mostly for current employees of Rural/Metro-Pridemark that might be lurkers or simply browsing through the forum. I want to first out myself as an employee of Rural/Metro-Pridemark, if you know me in real life a little browsing through my post history and you'll know who I am...
  17. sir.shocksalot

    Perhaps paramedic school isn't for you

    I actually think if you exclude those that want to be an MD/DO, PA, or RN from EMS you won't be left with many coworkers. It would be awesome if I could call my job a career, but it just isn't. It's funny that you say "why should we hire you if you'll just leave in 4-5 years?" It seems to be...
  18. sir.shocksalot

    Start training next week!

    EMT pants are measured the exact same as all other pants... Some brands run bigger or smaller just like normal pants... So yes just buy your normal size but like any pair of pants don't be surprised if the sizing is off if you don't try them on. What compelled you to ask the forum this? It's...
  19. sir.shocksalot

    Fines for readmit patients and EMS

    Just read this article today: http://news.yahoo.com/medicare-fines-over-hospitals-readmitted-084833994.html I personally believe this would be an excellent opportunity, particularly for hospital based EMS, or private EMS to contract with hospitals and really start pushing for community...
  20. sir.shocksalot

    SURVEY: How many moving traffic violations have you received in your life?

    don't you mean <=, I don't think you can have negative tickets :rofl: I kid. Male, 23. 2 tickets, one for speeding one for headlight out or some such nonsense, it was originally careless driving for hitting a car at 5 mph but I pled guilty to a lesser offense (2 points instead of 4). That...
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