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  1. DrParasite

    LFW: DFW or Houston area 911 EMTB?

    none of the ones listed, but I do know some places (not in texas) that if you apply for a job, and that company is on your resume, unless you have an internal reference vouching for you, your application gets thrown in the trash. Some places are just that bad, and their reputation can taint a...
  2. DrParasite

    LFW: DFW or Houston area 911 EMTB?

    I'd get the job first, than look at housing. once you have your certification in hand, apply everywhere. you are too new to be picky about where you are working, and you're an entry level candidate with 0 experience. Unless the agency you get hired by has a horrible reputation, and by...
  3. DrParasite

    New fire chief wants to take over Santa Barbara county ambulance contract

    That's been what FDNY has done for the past few decades.... and people wonder why they have issues staffing the ambulances with EMTs and Paramedics.....
  4. DrParasite

    Private EMS Companies-Their Biggest Problem?

    I've never heard of this concept outside of on emtlife. it sounds like bribery to me. But if the privates are willing to do it, is there any question as to why they While I'm sure the assistance was appreciated, it's literally winning the battle but losing the war, especially when those few...
  5. DrParasite

    New fire chief wants to take over Santa Barbara county ambulance contract

    So how much will the Chief be fuming when his FD paramedics are gone for 10 hours round trip? It always looks like a good idea, until you factor in the salaries of the FF paramedics...... good article overall
  6. DrParasite

    Monterey County rejects AMR's bid, will issue new RFP.

    It too expensive.... the county EMSA wants something for nothing. You get what you pay for. Its unreasonable to get grade A service with Grade C funding. You know, they might get another company to bid.... maybe even a smaller and cheaper one.... but how much do you want to bet that the...
  7. DrParasite

    Good transport services?

    As someone who has 0 interest in CCT, and felt putting a paramedic on a CCT truck was a waste in 95% of the transports (we always had an MICN or EMT/RN on our CCT trucks), what makes North Texas regional so good, and what makes them true CCT level medicine?
  8. DrParasite

    I need your hippa compliant case summaries

    not necessarily; we billed ALS 1 rates for every diabetic we woke up, as well as for cardiac arrests, even if they weren't transported. fair point. the other side of the coin is many urgent cares are great for stable patients, but anyone remotely sick and they call 911 to send them to the ER...
  9. DrParasite

    I need your hippa compliant case summaries

    OK, I'll bite..... The first question I would ask is what are the capabilities of the doctors office, the urgent care, compared to the ER? Is the standard of needing an ER to be admitted, where all treat and discharge means they can go elsewhere? Case in point: was working an event, and had 4...
  10. DrParasite

    I need your hippa compliant case summaries

    I'm sorry, but who are you? What is this project for? Have you reached out to your local EMS providers? What did they say? Who is sponsoring this project? the EMS agency, 911 center, someone else? Why don't you ask those in the system you will be implementing this for scenarios?
  11. DrParasite

    Good transport services?

    Well, I hate to disappoint you, but Florida is about as far from the west coast as it gets.... maybe Maine is a little further.... 🤔 You sure you can't sweet talk her into giving the east coast a shot? ;)
  12. DrParasite

    Good transport services?

    From the NC Area: Duke life flight that was already mentioned https://www.wakemed.org/mobile-critical-care https://www.uncmedicalcenter.org/uncmc/care-treatment/emergency-care/carolina-air-care/ https://www.rexhealth.com/rh/care-treatment/emergency-care/transport-services/ Try to find a...
  13. DrParasite

    Patient is armed

    I knew this topic was discussed recently... here were some other opinions on this topic: and and
  14. DrParasite

    Basics Give Tylenol and Zofran now?!

    Where is this? I want to be able to give PO and IM Zofran.... BTW, if a drug is OTC, why shouldn't an EMT be able to give it, if it is given appropriately?
  15. DrParasite

    Patient is armed

    Doesn't everyone have a gun in Texas?
  16. DrParasite

    Patient is armed

    Interesting.... in the great state of texas, where everyone has a firearm, you are refusing to treat and transport a legally armed CCW holder, because they refuse to give up their firearm that they are legally allowed to have.
  17. DrParasite

    Can EMT set up IC?

    it appears many people here are answering questions that weren't asked. let me refresh your memories: The answer to that is yes, you can. There is no requirement that you be a firefighter to use or set up incident command. All of the other statements and added fluff that people have added...
  18. DrParasite

    I'm done with being a Paramedic....now what?

    What do you want to do? you can do to nursing school, and work in a non-clinical setting (case management, IT-clinical operations, etc). Emergency management typically requires EM experience and/or a masters degree. I've done communications, and TBH, think it's a waste of a paramedic's...
  19. DrParasite

    Can EMT set up IC?

    Orrrrrr, the EMS unit can establish command, and assign the fire unit to perform triage and report back the results...... Again, why??? you take command, you give both fireman frank and captain chuck directions on what needs to be done. it's not exactly rocket science. There are a couple...
  20. DrParasite

    HEMS usage, what do you in the field think about this?

    Well, that's what happens when you live 35 miles from the edge of the city limits. You would be amazing how many people from the cities move to the sticks, because it's cheaper and they don't have to pay city taxes, yet will complain when they don't get the same level of service as they did...
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