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It’s still really a mixed bag. There is now a company in San Bernardino that has CCT medics. They can operate ventilators and pumps with a select number of medications. However, when they get a 911 call they are not able to use the pumps or the ventilator.

For CA specifically that is pretty much explained in Title 22 state regulations. It lists out what all a paramedic can do and then what all a critical care paramedic or flight paramedic can do. Then because this is CA, your county will also get involved. Most counties do not have critical care...

There are already many 911 systems out there that carry and utilize pumps and ventilators. Critical care is much more than just pumps and vents. My personal opinion is that you have your normal 911 medics and then you have a separate group of paramedics who are your critical care paramedics...

Yeah, don’t use your dirty shears. Are you wanting to cause an infection? Use whatever clean and sterile device your OB kit comes with, either a scalpel or cord scissors.

Already having your FP-C does play a factor into hiring decisions. It can help to show motivation in the fact that you went out on your own to gain the education and pass the test. Also if you are at an agency in CA that utilizes the Unified Flight Medic scope, you now only have 1 year from...

So, I agree with being able to obtain FP-C/CCP-C prior to 3 years as I obtained mine at 2 years of being a medic. However you specifically said “so the "you have to have three years of experience before you can get hired for flight" doesn't make much sense to me personally.” Getting hired for...

Exactly. 3 years in a busy system is the absolute bare bones to qualify. 5 years is often preferred. I don’t think I have ever heard of anyone involved in the flight realm advocate to remove the minimum requirement…

How does having a minimum years of experience for flight not make sense to you?

In the report I read it said the ambulance was delayed because the officers were not sure if they were going to arrest the injured protester and the ambulance crew said they would not allow ICE to ride in on their ambulance unless the patient was in custody. So after a while it was decided the...

I don’t know about you but when I have a patient in the ambulance I will try to go to the hospital with them. I have shifted into drive and left my foot on the brake with people still in front of me and then once they move out of the way, I will release the brake. If that person isn’t going to...

We don’t know if their intentions of placing the ambulance into park were intentional or not?

Except for you know, he was standing in front of an ambulance that was wanting to leave the scene to transport their patient who was not charged with a crime nor under arrest.

California

Titles do very much matter in the realm of EMS. For example as a paramedic, I am not legally allowed to intubate a pediatric patient in my state or county. However once I clock in as a flight paramedic, which is just a paramedic with more education, I can now intubate a pediatric patient and it...

It’s not always that straightforward when it comes to state regulations. While I have no experience with KY, it can come down to issues with #2 and #3. #2: from everything I have seen before it is only allowed in the wilderness paramedic scope and not the general paramedic scope. The medic was...

I’ll bite. If this is a standard practice for your volunteer fire station then you will likely get the best answers from the staff who are currently doing this. Sure, we can give you recommendations however we don’t know your department. Ask around your station and find out what people are using...

I never had an issue with using it when we still had the kings. Use the right size and place a little bit of lube over the opening and it would glide straight down.

The king packaging was much better than the iGel. The king was just simply the airway inside the paper/plastic package so it was much more comparable to a normal ETT. We carry the CMACs and have over a 94% first pass success rate

We have had some issues with the gel in the desert heat and also in some super hyperthermic patients. The downward pressure that you identified is also an issue. If you use the elastic band you may have to readjust it during use as the band gets easily stretched. We stopped using the bands and...

You don’t have to preload the king with a gastric tube. You can place the OG after the King is inserted. The King also advertises that you can place a bougie down the main BVM port and it should be directed towards the glottic opening at which time you could essentially do a tube exchange via...