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Been there... as an intern!

Nice example of an M1. I can guarantee mine's NEVER seen combat. Mine's a 6 mil that's got all the competition mods.

Not thinking of going flight. I'd have to lose a bit o'mass or they'd have to get a mo powerful choppa for me. ;) In all seriousness, I wanted to get back into the field, even if PRN, as I do miss that kind of work, it's also just 1 patient at a time instead of 4, and I don't have to deal...

Quick update: I have successfully completed the training phase so I'm no longer considered to be an RN Trainee! I'm still not as fast as I once was at getting stuff set up and whatnot, but I'm definitely getting back into the rhythm of things and generally enjoying the time so far! I'm also now...

Do not be overly concerned about whether you passed at 70 or not. If that's the minimum number the computer is allowed to offer you and it shuts off, you either passed or you failed by a significant enough margin. If you went even ONE question past the minimum, then at some point in the...

I have a couple of degrees and a couple of licenses... First off, I don't know where you're attending, nor your situation beyond what's presented here. So, I'll provide some very generic information. I'll address "college" first. For most of your general education and some of your other...

For the most part, I agree. If the end goal is Paramedic and the state/local system allows for an EMT to go directly to Paramedic and skip the AEMT, then skip AEMT and go to Paramedic. Here's my own caveat: An EMT should have at least some experience doing patient care before making the leap to...

For ketamine, my "home" county currently uses 0.3mg/kg (max of 30mg) in 50-100 mL, infused over 10 minutes. May repeat once if pain remains, or returns to, moderate to severe. Bear in mind that most of our transports take less than 15 minutes. The pain protocol does specify Fentanyl 1 mcg/kg...

I don't think that part will change much, if at all for a certain segment of the market. Sure, you'd be able to get MJ, USP from retail pharmacies with an actual prescription (MJ "card" cottage industry evaporates) but for more boutique blends, any non-USP stuff would still be sold through the...

Making MJ a Schedule 3 drug could actually be a brilliant idea… If it gets reclassed then it’ll be able to be actually prescribed, it’ll be able to be dispensed through a retail pharmacy system, and most importantly, all those “dispensaries” that sell MJ would have to be licensed as a pharmacy...

Yeah, but at least be thankful that you no longer have to flap your arms that much... ;)

I see this all the time as well. Size (bp cuff) does matter... it can make for an artificially high or low reading if it is not correct especially with NIBP machines. If you're treating or titrating stuff by strict numerics, then size of cuff is absolutely critical. If you don't have this, at...

I have to reiterate this... doing EMT school is a time commitment. Community college classroom/home study ratios (typically 1:3) are designed for the average college student. The information itself is not all that hard, nor is it all that complicated, but there is a LOT of it presented in a...

This is, unfortunately, true. This type of exam is quite unlike most that a person will take in their professional/educational career. NCLEX questions and that exam is built in a very similar manner and have been around for a very long time. This means that nursing schools have learned to teach...

In theory, that's a good idea. I suspect that in practice, it'll have a similar result as putting a Paramedic on every apparatus... I think a better idea is to make sure there's a well trained first-aider in every squad and a Corpsman available at the Platoon level.

This was a bit of a necropost... but that being said, often getting to sit down with people familiar with the particular incident (EMS or hospital) and doing an informal debrief can be a good thing to maintain a healthy level of insanity that is EMS. Years ago, we had a patient that was a very...

Haven't been in the PNW in many years. Likely truly >20 years.

Just in case anyone is wondering, I am temporarily inhabiting the area about Seattle for the next few days.

That explains a lot... including things beyond EMS wrt California's issues...

That Federal Installation may have an agreement in place with the LEMSA that extends the local EMS policies/protocols onto that installation. That establishes a "concurrent jurisdiction" that allows this to occur. In the absence of such an agreement, if transport is initiated on the...