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  1. sir.shocksalot

    System Protocols shirts

    Has anyone seen the system protocols shirts? I see ads for them on Facebook so I clicked to have a look... Well you can tell some hosemonkey douche made them. A lot of the descriptive text for the shirts is largely negative and derogatory to EMS and clearly shows this guys disdain for EMS on the...
  2. sir.shocksalot

    EMS world vs JEMS

    I am going to break from my usual and respectfully disagree with Smash and Vene. I think a large part of the irritation and disdain (which I share) for JEMS is the "J" in front. As Jambi mentioned it is certainly not a journal and it draws much ire by claiming to be one. That being said there...
  3. sir.shocksalot

    french paramedic evolution

    I would love to express an opinion, but I don't speak a lick of french. Could you give us a summary of the website and what you are trying to accomplish? Or are you seeking an opinion of the layout of the website, because my lack of french will definitely prohibit me giving an opinion. As much...
  4. sir.shocksalot

    Does Anyone Else Hate "Too Smart to be a Paramedic"?

    I can't count how many times I have seen this happen, heck it described me perfectly a year or two ago. A rookie EMS provider gets through a tough paramedic program and has this idealistic view that all EMS providers have the same desire for excellence and continuing clinical education that they...
  5. sir.shocksalot

    Does Anyone Else Hate "Too Smart to be a Paramedic"?

    +2 Right now I make pretty good money. Last year I pulled in $47,000, this year it will probably be $40,000-$42,000 (I really haven't been motivated to work OT this year). That kind of money is great for someone who is single, lives alone, with a small car payment and a one bedroom apartment...
  6. sir.shocksalot

    transporting two patients from different vehicles

    Heck you don't have to be rural to transport multiple patients from different vehicles. Any system that can afford to take multiple rigs OOS to handle a two car MVA must be very well staffed. Even in a busy city setting you might have 3 rigs within 10 minutes of you, but the only one not...
  7. sir.shocksalot

    Designing an Automatic CPR Machine

    I'll add my $0.02. The most important aspect of such a device to a lay person is ease of use. If some bystander pulls out a device that is not simple to apply then I would imagine that it would not get used. There can be no question to how it works, it must have large clear pictures of how it's...
  8. sir.shocksalot

    Phone app/field guide

    I'll also recommend epocrates, by far the best app for healthcare providers. There is just no way to remember every med out there, epocrates takes away that headache. It also doesnt require an Internet connection, which is a must for AT&T subscribers. Tom from 12-lead EKG blog recently put out...
  9. sir.shocksalot

    12 leads with paced rhythms.

    Yes! This! I don't know why I didn't mention this in my post. Serial 12-lead EKGs are really helpful when identifying MI, this is another reason to do a 12-lead on every patient that needs to be on the monitor.
  10. sir.shocksalot

    12 leads with paced rhythms.

    We can not call cardiac alerts on paced rhythms, that being said, most physicians will listen and may call a cardiac alert on their own if you tell him/her that Sgarbossa's criteria are present. I think a handful of paramedics will not do a 12-lead because of the view of "well I can't call a...
  11. sir.shocksalot

    emt to fire/ emt to medic

    It's one of the main things holding back EMS as a real member of the healthcare team. We have a large number of paramedics who have no interest in medicine. Paramedic is the only training I know that you get for the express purpose to get into a separate field. I'm not trying to be an a-hole...
  12. sir.shocksalot

    emt to fire/ emt to medic

    I'm not sure what your exact plans are or how you feel but I will give you this advice and I hope you take it to heart: If you don't want to be a paramedic, DON'T DO IT! When you're a medic with the fire service you're going to be spending almost all you're time doing paramedic stuff including...
  13. sir.shocksalot

    Paramedic-led research

    I'm not sure what you mean by ego based, my knowledge of research is almost non-existant and this thread is largely to expand that knowledge and seek other peoples opinions. In all honesty the poll was just a way to see the gist of what people think without them necessarily having to post a...
  14. sir.shocksalot

    Paramedic-led research

    I wanted to gather some people's thoughts and just start a discussion regarding Paramedic-led research. By this I mean peer-reviewed research/journal articles that were entirely written and conducted by Paramedics. Does anyone currently participate or have begun conducting studies relating to...
  15. sir.shocksalot

    Fever/chills

    As a flip side to this, what if this patient is 88 years old? I would be pretty concerned for an 88 year old with a high fever like that. I can see where you're coming from (especially if the patient is between the ages of 14-55 ish, surrounded by friends and family with cars) but I wouldn't...
  16. sir.shocksalot

    USA to AUS

    Going off topic (kinda) briefly, did you get your degree at Edith Cowan. I have strongly considered moving back to Australia for a little while to get my BSc in Paramedical science. Do you know how much of the 3 years of school I could get out of because im already a paramedic? Or am I better...
  17. sir.shocksalot

    Its so beautiful, it makes me cry

    Swish! Nothing but net with that EKG. I like how the EKG says to consider inferior injury or acute infarct... Really? You don't say?
  18. sir.shocksalot

    Equipment missuse

    Really? what else do you think the ladder truck should be doing in the middle of the day? Sitting around playing x-box in the station? I don't see any misuse of equipment that was likely not being used anyway. Do you run or own a business? Ever worked for a private ambulance company? A manager...
  19. sir.shocksalot

    Cross-trained as FF for paramedic job?

    I wouldn't call it typical, but it is common depending on where you live. You will see the best pay and benefits come out of fire departments, however these jobs are also ridiculously hard to get as you have to compete with tons of people who just got their paramedic to ride the engine as well...
  20. sir.shocksalot

    AMS calls at the ARC

    The key to evaluating these patients is the staff, unfortunately they usually have the "Not my patient... I was on vacation... I am/they are new here..." excuse. You really need to interrogate staff and get what you can: "What is different today from normal?" "Are they normally only moaning to...
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