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  1. HardKnocks

    Should EMS follow nurse's lead and go on strike?

    +1 Medical Tourism is huge in Arizona, (with Texas running a close 2nd). Medical Tourism in Arizona
  2. HardKnocks

    EMT-B responds to 2 GSW Victims

    It will in most Rural areas that I work in.
  3. HardKnocks

    EMT-B responds to 2 GSW Victims

    Hot Wash = After Action Report Any incident where a low time-in-grade employee's performance is subpar during an incident we're going to de-brief it. Any incident with major media attention will definitely get QC'd, (as you can expect subsequent lawsuits). Do you guys realize that the...
  4. HardKnocks

    EMT-B responds to 2 GSW Victims

    Why do you ask a question to which you know the answer? Do they not teach triage in California? In the original scenario, two GSW's more than 1 hour away from a Level 1, necessitated an Air Medivac. The medic also dis not specify ALS, only two Ambo's. Btw, Don't you Guys in California do...
  5. HardKnocks

    EMT-B responds to 2 GSW Victims

    In AZ. any first responder/medical professional, (both on and off-duty) can request HEMS, as its recognized under the ICS protocols he/she is first on scene and is the first on-scene command. That's why I brought up the Medical Operations Plan. Usually when I've seen a Medical Ops Plan...
  6. HardKnocks

    EMT-B responds to 2 GSW Victims

    In the last two years Ive assisted in EMT Refresher Courses in AZ and we cover GSW's treatment both in the Classroom and in a practical. Hemostratic Agents and Chest seals, for Chest incursions were a must.
  7. HardKnocks

    EMT-B responds to 2 GSW Victims

    From what I can gather, the EMT was first employed as a Set Employee before becoming an EMT-B in California, (then recently licensed in NM).
  8. HardKnocks

    EMT-B responds to 2 GSW Victims

    See page 147 for the EMT's interview with Law Enforcement. GSW Victims Seems like the EMT failed to use several immediate treatments for a GSW. I had a few questions for those of you that are familiar with the Scope of Practice for EMT-Bs in California; 1) Do they currently teach and...
  9. HardKnocks

    Air Methods to pay out $78M in unpaid wages to CA employees

    I see Companies instituting "Comp Time" to avoid paying more $$$ in OT. Here a quick FLSA OT Tact Sheet that explains more. FLSA OT For Public Safety Here's another AMR Lawsuit for unpaid OT/FLSA time out of Arizona. I don't know the current status of the AZ lawsuit. Cooley vs Air Methods...
  10. HardKnocks

    New Eurocopters Coming Soon

    Here's recent sales info from Eurocopters, from Nov. 2022. More than 35 new single and twin-engine Airbus helicopters were sold in the US air medical market over the past 12 months. Highlights include Atrium Health, which will enhance its MedCenter Air emergency and critical care patient...
  11. HardKnocks

    Hands On defibrillation - HOD

    That's the gist of several comments from researchers conducting the positive studies I've come across, (going back to the early 2000s). It's the 'Ol Adage; "Why do we do it that way? Because we've always done it that way." Its more than likely the ambulance chasing Lawyers, waiting at the...
  12. HardKnocks

    Hands On defibrillation - HOD

    This Technique has been studied for over 20+yrs yet it fails to gain acceptance in U.S. EMS Protocols. Stats show that even a >10 second interruption of CPR during Cardiac Arrest significant affects blood flow, (i.e. decreased cardiac perfusion), and impacts/reduces the percentage of a...
  13. HardKnocks

    Do you own or rent your home?

    Even though this HUD program is very competitive its worth your time in vying for a home discounted at 50% for First Responders. Good Neighbor Next Door Program These homes are usually located in blighted communities. The only stipulation for receving the 50% discount on the home, is you have...
  14. HardKnocks

    Should we have done something different for this trauma call?

    I was out the door on my initial post. You did a good job covered all the basics and realized that you're 5 min from a Level 1. One thing I've seen sometimes overlooked by crews that hand off Trauma MVA Pts is failing to document the Mechanism of Injury, (i.e. Location of Pt in Vehicle, Speed...
  15. HardKnocks

    Should we have done something different for this trauma call?

    And the one's found to be Conscious and Butt Breathing are usually observed on the Election Campaign Trial.
  16. HardKnocks

    Air Methods to Close Medivac Bases Across Several States

    Here ya go Knucklehead. Next time try to contribute to the post. I try not to post from an competitor's EMS website (out of respect and used the first media posting for historical value.) Sept 2022 Air ambulance service parent company to close multiple bases ENGLEWOOD, Colo. — Air Methods...
  17. HardKnocks

    Air Methods to Close Medivac Bases Across Several States

    Air Methods will close air bases across several States due to reduced reimbursement rates for air services from Medicaid and Medicare, (Rumor has it approx. 35 bases will be closed). "...Citing low reimbursement rates from Medicare and Medicaid, Air Method said in a statement that they couldn’t...
  18. HardKnocks

    Should we have done something different for this trauma call?

    EMT-Bs do in AZ. Some EMT Curriculums have been slow to add it to the basic course.
  19. HardKnocks

    Should we have done something different for this trauma call?

    Arizona has been very proactive in expanding the Scope of Practice for EMT-B (Basic). They have a list of proceedures and medications that require add-on "STR" Training. This is where your Medical Director will provide additional training and authorize additional skill, as its an advanced...
  20. HardKnocks

    Confined Spaces with over 23% Oxygen Saturation

    The following report concentrated more on fire initiated by O2 system contamination vs oxygen saturation levels. Looks like the explosion risk occurs by either increasing Oxygen saturation levels over 23% and/or by increasing atmospheric pressures in the Confined Space. Fires Involving Medical...
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