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National Scope of Practice Model All EMT-I's will become AEMT's. Moving forward for EMS nationwide the levels are EMR, EMT, AEMT, Paramedic, Tactical Paramedic (CA), Critical Care Paramedic, Flight Paramedic Community Paramedic. Your future looks bright with opportunity to grow.

Puts Since EMS only makes one way, putting bodies on gurneys and driving to medical care, we must justify the transport. 911 does not need to justify medical necessity as much as private industry doing transport. In the world of documentation, if it wasn't documented, it wasn't done. A...

Fluids While no protocol exist, it is approved to give a 250 bolus/challenge for DKA, Sepsis, and Pneumonia who have S/S of dehydration or would benefit from the Tx. Documentation must paint a picture of pt. condition, justification for treatment, and documented effects of treatment. Through...

Advanced EMT Why is your State still using the I-99? I recommend studying for the National Standard level which is Advanced EMT. What State are you in?

Welcome! I have been in EMS since 1991, and before that I was a lifeguard and swim instructor for the city I grew up in. In my mind as a youngster, being a Paramedic was the pinnacle of being a lifesaver. While my path was not a straight line, I made the grade and have earned my license. I'm...

OCEMS ALS IFT Pilot The facts: OCEMS Pilot study of 100 ALS IFT contacts to prove safety and feasability featuring Two Medics; I-40A1 and I-40A2 treatments; no dispatch for patients requiring base contact (I-40); no base contact; NO intersection with 911 EMS system: 30 minute response...

What the hell is an ambulance operator? How disrespectful this department is to the profession. What? If one is not a Firefighter, then they can't be recognized as an EMT? Moving on.....

Stick with it and get your Paramedic license. Critical Care Paramedic was just introduced this year in California. It will take a few years to become utilized and will eliminate the RT from the basic vent calls. Community Paramedic is on the horizon. If you don't know what it is, look at...

CA Paramedics while off duty may not practice ALS. A paramedic must be accredited, work for an approved ALS provider, and be on duty. Even if the medic is going to go help with disaster relief, the paramedic must be being sent by the employer with the full compliment of equipment. No running...

EMSWorld Article Good news for an new EMS professional in Kansas. BLS is the core of our practice. If BLS is allowed to develop, ALS programs based on solid BLS will be much better. Read article from link below: http://www.emsworld.com/news/10778455/kansas-city-unveils-plan-to-improve-ems...

I read that your area is going through a change with Fire and EMS. Am I correct and can you elaborate. I'm under the impression that they will start sending BLS to BLS calls and use medics when needed, not on every single boo boo.

Capillary refill is one simple indicator. It is good to have as an assesment tool, but you need to look at the whole picture and see where that sign is relevant. Is poor capillary refill and indicator of anything of concern in hypothermia? Not really, it should be expected in mild and above...

Well said

Lynch is a great company is is really growing. I hear they really try to take care of the employees, working with thier school schedule. I have heard they have a new manager that came from the EMS agency and he is going to bring Paramedics to the company. My sister works there and I hope to...

Lynch Pacific is Rural Metro, a large corporation. Shoreline is substandard and in trouble. Lynch is the second largest company in Orange County and I hear is a good place to work. My friend who works there said they accomodated his school schedule, runs at least one emergency call per shift...

I heard that AmeriCare has taken over the contract for Anaheim Stadium. I guess they are going to be able to use thier paramedics for the special event standbys. Has anyone heard any news like this? From what I understand, there are no private paramedics in Orange County. So, is AmeriCare...