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It's in our protocols, I've been taught it, and I've used it twice. Once in the hospital during OR rotations and once in the field for polypharmic OD. Our methods if unable to orally intubate for reasons of trauma, trismus, gag reflex intact, etc. RSI/DAI (only available to helicopters), then...

We have 1 minute from receiving the dispatch to going enroute. In the worst case scenario we canm ake that easily. I've been in the far back of a store and made it from my position to my ambulance in 1 minute 30 something seconds. Essentially you hear your sector/squad get toned out and you...

Our protocols call for drugs down the tube as an ABSOLUTE last resort and only after MC has been contacted for orders. My service doesn't carry EZ IO, we only carry Jamshidi IO and while I've never done it I've been told they are nigh impossible to get placed on an adult patient. The ONE time...

Our policy on smoking is the first time you're caught you and your partner get a write up (unless your partner turned you in). Second time it's a one week suspension for you and a write up for the partner. Third time you're gone and your partner gets a write up. The partner write up thing is...

Indeed it's EXTREMELY frustrating. I am in the process of trying to get a refund, have been since the second week using it. I just got frustrated. Their reply was something along the lines of "We can't browse every line we write to check it's spelling". For future people who see this...

On my person I carry a tourniquet, small spray nitro, scissors (use em for opening snacks more than anything else), a sharpe, and a clean cloth to wipe my head and face with. I have my own ALS kit (personally provided) as required by my company which has a few drugs, IV start kit...

We carry manual and automatic (built into our LP15's). I LIKE to get a manual first, I hate to say it doesn't always happen but I think probably 90% of the time I get a manual first. After I get my manual I put them on the automatic and let it do it's thing while I do all my other stuff. If...

Well I recently passed my paramedic exam and I think JB learning was SIGNIFICANTLY better than Parameducators. Parameducators had a lot of abbreviations that I didn't know what they meant, typos, and just in general their own lingo. I feel that the questions from JB Learning represented what...

I just had to share, passed my written exam today. I go tomorrow to the state EMS office to pick up my paramedic license and I begin precepting at work Friday!

I would recommend not "rolling into medic as fast as you possibly can". Find a well rounded school to get you there. By finishing as fast as you can you are doing a disservice to you and your patients.

In Kentucky medics can declare death but you must meet certain requirements. If those aren't met you're missing one you can call OLMC and ask permission to cease efforts and declare.

Every run we write is turned it. From ALS full arrests down to BLS transfers. EVERY run gets reviewed. If it's off or you are missing things you receive a written notice with a copy of the run for editing. If it's flagged for QA you have to explain why you did what you did (or didn't do) on...

We use paper because we don't have the budget for computers. Additionally our country grant writer is more concerned about getting fire, road department, police, etc grants than EMS. To my knowledge I don't think we've ever had a grant proposal written for us but we wrote a proposal to upgrade...

It's been said several times but I'll repeat it again. Permissive Hypotension, which I was also taught in my most recent PHTLS course. I dont remember if it was in the book or not but I distinctly remember the instructor telling us to focus on keeping the BP > 85-90 systolic with small boluses...

Was talking to a superior here about this earlier today and apparently we also pay a flat fee to the hospital every year for linen service. It's some kind of area thing all the services have contracts saying they will pay a flat fee. It actually goes to a linen company not the hospital from...

That is our own local protocol that if any of those conditions are met Air transport is started by dispatch not us. Also for us atleast in some extremes of the county air transport is 5-10 minutes and ground is 30-50 depending on traffic. Usually we can have air transport on scene before or...

Not really an issue around here as far as I know. Most nurses don't care you take their linen as long as you aren't taking it all or take the last of it and don't tell anyone. During the summer we tend to just grab a ton of sheets but during the winter we get a TON of blankets and it's...

I'd expect internal damage/bleeding (spleen rupture, pneumo, hemopneumo, tamponade), look out for any obvious fractures, assess for head injury, spine injury, and be suspect for any chest trauma as well. Initial treatment would involve immobilizing and extricating, IV's for potential fluid...

Not to knock EMT Dan but this is one of the few things I advocate pure memorization on. Memorize your sheet first, once you have it commited to memory and you can name every thing on it THEN you can apply the critical thinking method. Boards are just skills, you need to know those skill...

And passed my practicals.