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Depends on a few things. First is there a pre-requisite of work experience as a BLS provider by either the program or the state? If not then does the program provide a built in EMT program because having an EMT certification is required to become a paramedic. Then of course there is the year...

Oh for sure. Spokane and Spokane Valley are saturated with medics in my opinion. I worked arrests with 6 medics on scene.

That being said, 3/4 of the full-time firefighters in Spokane County are EMTs. Obviously, the rest are medics. To the OP, my time around AMR in Spokane was great during medic school but its already been 7 years (damn). Its a good place to work but you may not get what you want out of it as an...

I hate starting an IV on a particularly hard stick only to walk into their room to say goodbye/grab the signature and seeing the RN/tech starting another line or drawing blood from a butterfly needle. So I have reached the point of unless I really need one, leave it to the ER because they are...

In all fairness to the well thought out responses, the original post was the stupidest thing I have read in quite some time.

No hard figures but first hand knowledge of NYC EMS providers. Yes, no one lives in Manhattan. Outer boroughs, suburbs, New Jersey, CT, PA. And as a former resident in western Washington, I can tell you the real estate prices aren't as bad as the greater NYC area it's but getting close. The...

As of a year ago, FDNY was desperate for dispatchers and was sending upwards of half of their EMT academy classes straight into dispatch (an automatic 2 year assignment). This could be as high as 75 people every few months. Since then, the staffing problems have improved but soon they will be...

Arrests Drowns Chokes Chest Pain Difficulty breathing (which is somehow different than the BLS-level respiratory distress) Altered mental status Unconscious MVA with entrapments Only arrests, drowns, and chokes get automatic BLS response with ALS. Otherwise, ALS is solo (unless their...

You were saying?

The exact same.

How involved was the medic in this process? His/her name should be on that paperwork as the higher medical authority. At least in my neck of the woods.

The LT test has always been open to EMTs but you cannot be promoted until you have your medic. Lots of "paper medics" wearing light blue and white shirts. There are rumors they may go back to allowing EMTs to promote without getting their medic but we shall see.

Apply. Seriously at some places (places where you will quickly find out that you should not be working there) that is all it takes.

Seriously, what is this thing?

DING DING DING I never did as many hip fractures/pelvic sheet splints as I did in my relatively brief AMR Seattle stint. I honestly cannot think of a decent rationalization as to why.

What's the matter, rook? Can't get the line?

Louisville has non-fire based municipal 911 EMS but if you're closer to Dayton that's quite a trip.

Cannot overstate how important it is for you to get a good DUI attorney.

The ER doc, the anesthesiologist, the chest x-ray, the absent lung sounds, and the lack of wave form capnography on scene all said I had an esophageal intubation but I personally feel that I got the tube.

My place of work is the granddaddy of "Well that's the way we've always done it" but that doesn't make it right or any less stupid. Plenty of places (like, all of them) are able to hire and assess new paramedics without having them spending a year working as a basic. C'est la vie.