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  1. ShotMedic

    haha sweet name

    haha sweet name
  2. ShotMedic

    NaHCo3 and Atropine in PEA

    Thanks for the info!
  3. ShotMedic

    Best Boots?

    Red Backs if your not planning on doing anything to crazy! AKA medic slippers haha
  4. ShotMedic

    Thanks Brotha! pretty jealous of your fishing expeditions!

    Thanks Brotha! pretty jealous of your fishing expeditions!
  5. ShotMedic

    NaHCo3 and Atropine in PEA

    Hey Guys just reviewing the new San Diego COunty ALS protocol updates. It appears that they took out Atropine and NaHCo3 from our PEA protocol. Does anyone see why this would be beneficial? I'm a little worried about the Hs and Ts, and could see the use of Bicarb beneficial in many codes...
  6. ShotMedic

    Arming EMT's and Paramedics

    I could definitely see why people would want to protect themselves, just like you would do at your own private residence, but at the same time there is really nothing to personally protect at the station or at work I can see. If they want the Narcs, ambulance, or radios they can have it! I'm not...
  7. ShotMedic

    AMA w/ETOH On Board

    A little while ago there was an incident in our local area that i happen to catch on the radio where a bicyclist crash with out a helmet at per witnesses at scene had a LOC of 2-5mins when he awoke became combative but oriented to person place and time and stated for the event "i crashed my...
  8. ShotMedic

    AMA w/ETOH On Board

    Not sure if you read my original post. but you might wanna give it a once over so we can stay on track here. I never stated my school had taught me that any presence of an intoxicant indicated impairment to make sound medical decisions. In-fact I have not mention my schooling once? I...
  9. ShotMedic

    AMA w/ETOH On Board

    "Good judgment in EMS is learned over years of patient encounters and usually by making mistakes. Try to learn from those who have been doing the job for a while--pick their brains to learn tricks of the trade. You can probably name these individuals right now; most people working in EMS know...
  10. ShotMedic

    Non transport ALS services

    In my local Area we can Officially do BLS downgrades to other providers through the Base hospital MICN. I imagine each system has their own ways/reasons for doing this. Ours is mainly due to resource issues and call volume. Why tie up an ALS rig when a BLS ambulance will suffice? With that said...
  11. ShotMedic

    AMA w/ETOH On Board

    Not Exactly sure how that helps this particular discussion out but Thanks? And Jon Have you ever asked the Police to do one if they havent already obtained one? I definitely for see this topic biting one of us EMS Professionals in the butt, if it hasn't already yet.
  12. ShotMedic

    Non transport ALS services

    I know this is how North Jersey (bergen county)operates, The medics are out of the hospital or at posts and BLS ambulance(usually Volunteer) is the Transport unit and will upgrade or the medics will downgrade once on scene. La County Fire does the same as well with the Private Bls company. They...
  13. ShotMedic

    AMA w/ETOH On Board

    Grey Area They Never make our jobs easy huh? haha
  14. ShotMedic

    AMA w/ETOH On Board

    within the last 2 hours, patient has very minor slurring of the speech, patient shows understanding of the risks and complications of refusing transport, and benifits. Patient is able to stand on her own with out help and gait is ok.
  15. ShotMedic

    AMA w/ETOH On Board

    Hx of HLD, HTN, Fibro Rx of atenolol, simvastatin, vicodin no allergies no recent illnesses
  16. ShotMedic

    AMA w/ETOH On Board

    So we respond to a casino for a 54 yo female syncopal episode. Patient is now Alert and appropriate. slow to answer questions but able to. No trauma witnessed patient slumped over in the chair at the black jack table. Patient has urinated on themselves. Patients vitals signs are stable 12 lead...
  17. ShotMedic

    AMA w/ETOH On Board

    Yeah I agree fully with your questioning, documentation and I definitely like your use of the LEO, this thread was actually sparked from a convo I had with my good friend who is a sheriff. If someone can spend the night in jail and lose there drivers license from operating a vehicle with a...
  18. ShotMedic

    Just had a strange interview...anybody ever encountered this?

    I think your gut feeling is right. haha the interview processes are always changing
  19. ShotMedic

    AMA w/ETOH On Board

    So I have been faced with this situation a lot. I get on-scene of an incident where the Patient has consumed alcohol anywhere from 1 drink, to way passed anything I thought was humanly possible... Each presenting in their own unique mental capacity. In my local protocols it states a patient can...
  20. ShotMedic

    How do you get EMS experience if no one will hire you with no experience ?

    RIDE A LONGs haha i say this a lot but its the best way to get your foot in the door. If people see your willing to take time(which is money) out of your day and ride a long then it shows them your committed. Plus you will get to see a lot which is good at first cause you can just soak...
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