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  1. CANMAN

    Felony review for NREMT test

    Agree with Mack on contacting the NREMT. The bigger issue is going to be finding employment, if that is your goal with the certification. Just something to consider before diving in full on.
  2. CANMAN

    If you could go back to the start of your EMS career and give yourself advice, what would it be?

    Agree 110%. Out of 5 friends who all bailed on being a medic and went to nursing school, only one of them currently remains in the nursing world. They're two very different animals and I think it's difficult to make the transition to being a nurse for a lot of people who enjoy EMS. I think this...
  3. CANMAN

    Who's fully staffed?

    We are, never.... Small program with meh management and I think the word is out. I'm here for the money and beni's, and it's a union shop so the new people don't end up making out until they stay at least a year and a half or so. We have alot of turn over and always have 2 spots open on the...
  4. CANMAN

    the 100% directionless thread

    Make 110% sure you fill out an injury report, even if you don’t think you’re going to need a claim. File it away. I pressed on after pulling my back at work, never made an issue about it, and a few employers later it has never been the same and I have no real course of action if I needed it.
  5. CANMAN

    the 100% directionless thread

    Great article and touches on what I was talking about. I definitely support the modified two handed as shown in those pictures for two person BVM. Doesn't touch on what I described for single provider BVM in there and it's hard to describe I guess. I should take a picture and report back. I am...
  6. CANMAN

    the 100% directionless thread

    👏👏👏 Can't agree enough on this.... Also, far too often we give the task of BVM ventilations to some of the least trained or experienced providers on scene during those scenarios when in reality I want to be the person in charge of that situation if I am about to management an airway or they're...
  7. CANMAN

    the 100% directionless thread

    Same per protocol...
  8. CANMAN

    Airway Management and Intubating without Drugs

    911 or IFT service?
  9. CANMAN

    Airway Management and Intubating without Drugs

    Have never administered a 1mg/kg dose for RSI so I'm not sure if you would get the same effect Our protocol was 1.5mg/kg and that was plenty to see hypotension in certain patient populations.
  10. CANMAN

    Airway Management and Intubating without Drugs

    Glad someone gets it... While Ketamine has been all the rave lately in many organizations, it certainly isn't a fix all medication like some believe. We implemented it pretty heavily a few years ago and you will get plenty of hypotension in very sick and/or catecholamine depleted patients. I am...
  11. CANMAN

    Airway Management and Intubating without Drugs

    Is nasal intubation with a trigger tube and BAAM device not a thing there? Not a fan of DAI personally. Either you have the full toolbox or you don't.
  12. CANMAN

    Dallas Area Paramedic Pay

    Dumbest thing I have ever heard. Or you can totally get your *** handed to ya all shift for less money. I guess if there are still people willing to tolerate that crap from employers and work for less money just because of the shift they do the employers will continue to pull that crap.
  13. CANMAN

    Dallas Area Paramedic Pay

    Why the hourly rate difference between 12 hour shifts and 24's? Work is work. Do they just not want to pay overtime?
  14. CANMAN

    Has anyone here performed and in field eschorotomy??

    Although not common in the least bit there are certainly some circumferential chest burns that require/get escharotomies in the trauma bay. I have seen two working clinical in our trauma/burn bays in the last 16 months. True full thickness burned skin becomes extremely tight and the inability to...
  15. CANMAN

    Has anyone here performed and in field eschorotomy??

    Well based on your consult they're either going to say "go ahead" and the patient might make the transport, or they're going to say no and the patient dies. Those are the two scenarios. When a patient truly needs a chest escharotomy if they don't get one you will not be able to ventilate them...
  16. CANMAN

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

    PM me if you’re serious but it’s not all that great. The money sounds great until you realize the cost of living in D.C., MD, or VA then it becomes just needed to live comfortably. That being said we are well paid (most likely the top if not one of the top paid for medics in the nation) but...
  17. CANMAN

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

    Maybe EMS instructors are well paid around your area, the local community college around my way wants to pay 45,000 for a Paramedic program instructor, department head makes around 85k with a Master's requirement, and this is in the expensive area of the D.C. Metro. Hardly well paid when you...
  18. CANMAN

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

    I'm in the exact same position pissedoffmedic.... Currently flying HEMS, but I have become frustrated at the system issues and over utilization for BS stuff in the IFT world, mostly driven by MD's schedules or desires to have non time sensitive patient's perfectly suited for cost effective...
  19. CANMAN

    Has anyone here performed and in field eschorotomy??

    I have done 1 as a HEMS provider with my previous program, and this was the exact scenario. Scene call at a farm, using gas to start a bonfire. Was standing order in our protocols. Typically the high PIP's on the vent, or even inability to move the chest with BVM ventilations and circumferential...
  20. CANMAN

    Can EMT set up IC?

    I may get flamed for this reply, and if so that's fine because my reply is strictly based off experience. The WHY is because Captain Chuck, who has LIKELY (not always) had more training due to his rank and likely more experience with commanding incidents that's why. Can "the ink is still wet on...
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