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  1. EpiEMS

    the 100% directionless thread

    It's challenging but doable from a logistics & timing perspective. Each of my three hour classes require between one and three hours of prep time (an exam is, I would say, 4 to 8 hours of dedicated time, depending on the subject -- marketing on the low end, for example, while operations...
  2. EpiEMS

    COVID VACCINE

    I went with "take a picture and keep the card safe for now, at a minimum" when vaccinating at a mass site. In retrospect I think you're right - we filled out a few lost cards for folks who were getting second doses based on the VAMS records, so no reason we couldn't do that for boosters.
  3. EpiEMS

    11:1 Compression to Ventilation

    The best looking recent-ish study I could find was from NEJM in 2015, they seem to agree with you (excerpts from full text below): There seems to be a paucity of good literature on this -- a 2017 Cochrane review only cited the 2015 NEJM paper in relation to prehospital care provider CCR.
  4. EpiEMS

    Everyone is a paramedic.

    Ultimately, I think that's the end state. Just put Paramedic in front of it (not literally, but not so far off), e.g.: Paramedic, Advanced Paramedic, Critical Care Paramedic, like in Canada
  5. EpiEMS

    the 100% directionless thread

    Doing it now - happy to lend what insight I have!
  6. EpiEMS

    11:1 Compression to Ventilation

    Same here (and with the LUCAS, it's basically effortless). @CCCSD, do you have a protocol reference?
  7. EpiEMS

    Everyone is a paramedic.

    That's true, but I'm curious what the impact would be on municipalities & their willingness to pay for levels of care if they can just say "paramedic-level" care.
  8. EpiEMS

    Everyone is a paramedic.

    My understanding is that things are moving in a more standardized direction. It certainly looks that way - the 2020 National EMS Assessment (somewhat of a grandiose title for a big survey) shows that we have improved over the past couple of years (versus, say 2011's assessment, but 21 states are...
  9. EpiEMS

    Everyone is a paramedic.

    If it turns into something like the Canadian model of nomenclature, I wouldn’t be displeased. We’d have a little more consistency, which is a win, I suppose. That said, changing the name is more of a “nice to have” - I’d rather see, as I’m sure most folks here would, broader reform. Maybe a...
  10. EpiEMS

    Should EMS/Fire be armed?

    Sounded better in my head than on paper. In short, we don't have a good sense for what the adverse outcomes could be and it is not reasonably certain that we'll get much upside. Thus, out of caution, I would be wary of permitting EMS providers who are on duty and legally enabled to carry a...
  11. EpiEMS

    Dying patient left on apartment floor

    There's a lot of interesting research on why physicians don't discipline their own, I enjoyed this summary piece. This survey has some interesting stats as well. Also of interest -- Kansas has a very low rate of physician discipline (along with NY and CT, which I was a bit surprised by). I...
  12. EpiEMS

    the 100% directionless thread

    This is the kind of thing that people oughtta be excommunicated (or whatever) for... Same for antivax Facebook EMTs & nurses
  13. EpiEMS

    Refusal v No EMS with behavioral

    This is a policy question as well as a protocol question. Your safest bet is to follow the strictest of the two.
  14. EpiEMS

    Should EMS/Fire be armed?

    Totally agreed with your point. But just or unjust, I think you'd be hard pressed to find an employer willing to let a licensed CCW person carry on their property except in a limited suite of roles (e.g., armed security). I'm far from anti-firearms ownership, but the risk from having fire...
  15. EpiEMS

    Should EMS/Fire be armed?

    Respectfully disagree -- my understanding is that (particularly for non-government employees) rights at work are definitely not the same at work vs. not at work. For example, you don't have the right to free speech at work, nor do you enjoy the same protections against search and seizure in your...
  16. EpiEMS

    Dying patient left on apartment floor

    Hopefully gotten there before then & transported! In all seriousness, this is much easier as a BLS call: Observe patient with life threat (likely a terminal wound, based on description) and present VS. Do the usual rapid assessment. Patient to Reeves, Reeves to ambulance stretcher, run hot to...
  17. EpiEMS

    Dying patient left on apartment floor

    Anybody found the documents from the KS EMS board? I can’t find a thing.
  18. EpiEMS

    the 100% directionless thread

    Somehow I feel like I might just be the opposite! April Fools?
  19. EpiEMS

    the 100% directionless thread

    If it works, it works. In all seriousness, it seems to me that the secret to angling is live bait.
  20. EpiEMS

    Dying patient left on apartment floor

    Unreal. Wow. I'd be curious to read the autopsy report, assuming one was performed. I'm not convinced that following the Medical Director's orders necessarily protects from liability...particularly if they are in contravention to good judgement. That said, perhaps the issue here is a...

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