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  1. drl

    Podcasts

    Even as a medical student, EMCrit is often above my head, but it's an excellent podcast. EM Basic is another great podcast that's more focused on the initial ED workup of various chief complaints, but it can be great for EMTs and medics as well in figuring out what the important questions are to...
  2. drl

    Best ambulance company to work for in Southern Orange County?

    If you're talking about the Care Ambulance that runs 911 in some areas of LA Co and Orange Co, they're a pretty good company to work for (and are now under Falck ownership, I believe). Now, if you're talking about Care Medical Transportation that does IFT mainly in San Diego... they're no better...
  3. drl

    Buffing Calls @ Private NYC Ambulances

    Interesting how that works in NYC. If I did that as an IFT EMT in my county, I'd be out of a job faster than I could open my mouth. Unless we're officially pulled into the 911 system, we're only allowed to control the scene and begin treatment for still alarms/MVAs that we happen on; for...
  4. drl

    Vanbulances (Type II) for ALS?

    Yep, I like the Sprinters a bit more than the Ford Type II's mainly because of the extra height in the back. I can sit on the bench with my back against the side wall and not be stooped over like in the Fords. That, and they ride better than the Fords and aren't completely gutless like the...
  5. drl

    STEMI transfers

    In my IFT service, we do STEMI transfers fairly often, and they're almost always CCT with heparin running, and often nitro as well.
  6. drl

    Leatherman Raptor

    Yep, it's been there for quite some time and there's no news on them discontinuing it. For more details, see here and make an account. At full price, definitely not worth it. At half price, I've found it to be a reasonable price for a useful tool.
  7. drl

    The flashlight thread

    I have the LED Lenser P6.2 for general use and a cheap company-issued penlight for pupils.
  8. drl

    What's your preferred shift?

    Unfortunately we only have 8-hour shifts, with two 24-hour cars and one 10-hour car at my IFT job. As of now, I work 5 days in a row of 8-hour shifts, occasionally picking up a 6th day. Really wish we had 12-hour shifts...
  9. drl

    Jump Bag

    I would keep it simple, focus on the immediate ABC stuff you can do before 911's arrival. Scratch the pulse ox, perhaps add a BVM instead of a CPR face mask.
  10. drl

    Taclite WP or GX-8

    +1 on the 5.11 ATAC Shield boots. Comfortable from day one and holding up great 4 months in, with only some minor scuffs. I believe 5.11 is currently running a 40% off sale as well with the code "511FAMILY".
  11. drl

    How does IFT work?

    SCCo is one of the most heavily regulated (ie best funded) EMS agencies in the Bay Area (partly due to the massive fines that R/M has been paying), and so they have the best integration of IFT units in the 911 system. Even then, 911 dispatch does not have GPS tracking of IFT units. Heck, in my...
  12. drl

    How does IFT work?

    There's definitely also an experience/competency difference between 911 and IFT as well: most anyone can land an IFT job, whereas 911 agencies tend to weed out the most incompetent providers through the competitive hiring process (although there are always exceptions). In CA's Santa Clara...
  13. drl

    Chest Pain Patient

    MI symptoms in women often vary from the "classic" presentations we look for--which are typical in men--and can include pain anywhere from the back to the abdomen and shortness of breath. From an EMT-B level, I'd consider this presentation to most likely be an MI rather than an aortic...
  14. drl

    Ride-Alongs

    Are you planning on working in the field? If so, I'd suggest doing your ride-alongs on an ambulance.
  15. drl

    Ride-Alongs

    Depending on where you do fire ride-alongs, you could get quite a few contacts as well. 24 hours isn't a whole lot of time, and you definitely won't learn the intricacies of being an EMT/FF, but it's a great "taste" of what it's like. Be well-prepared, be observant, ask good questions, and you...
  16. drl

    Falck - or the 900-pound gorilla no one is aware of

    It says that AMR accuses Falck of misrepresenting itself, but that's an accusation that ambulance companies make all the time when they lose out in the 9-1-1 bidding process. Just take a look at the McCormick versus CARE Ambulance bidding in LA Co. We'll just have to see how Falck does in...
  17. drl

    EMT Basic Question IV Transport

    As everyone said, it all depends on location and state/county protocols. In CA, EMT-B's are not allowed to start IVs as far as I'm aware. We do, however, transport patients on NS, dextrose, or lactated Ringer's all the time in Santa Clara and Alameda counties. PCA pumps are also okay, but...
  18. drl

    Man steals ambulance to go to topless bar

    In my area, it's standard practice for county 911 rigs to be left running outside the ER. Granted, they're usually locked since there's two sets of keys, and it's also county policy to always lock ambulances. I'd imagine it's even more of a regular practice to keep ambulances running in colder...
  19. drl

    How long do you think a course should be?

    There's pros and cons to accelerated/longer-term classes. Accelerated classes concentrate the time you're devoting to learning and practicing skills, so you develop a good muscle memory and intuition. That can get you set up very well to immediately take the NREMT and then land a job and start...
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