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My boss wants to use this protocol for RSI. I wanted to use the AEL protocol The main problem I have is no amnesia from Fentanyl in post intubation. I'm just going to copy down the short and sweet of it. There is a long list of contraindications, some are less than 2 yrs of age, epiglottis...

When we got our Christmas bonus I asked my boss to give me some extra work. He says he wants me to give an RSI class so we can update our protocols. I think we are just going to copy the AEL protocol. Basically I am going to show the ACE SAT video on airway management and then I am going to show...

I work for an EMS agency that still practices medicine from a decade ago and I am trying to convince my boss that we should not be pushing people out the door when we can be performing compressions and cardioverting. I have been collecting research to show him please help me with my collection...

Here I am at the vacation station for 5 shifts in a row. I would like to configure an algorithm for 12 lead EKG interpretation I am most of the way done with it but I am taking some time to research and seek the input of you guys and girls. The areas of the algorithm that are incomplete right...

Whats the highest paying paramedic job you know of? I have always felt an obligation to help people in our society and after 9 years in EMS the feeling is persistent. However a few things scare me about this job. I dont want to be 60 years old and chugging a red bull on the way a 911 scene at...

I'm trying to help my department with some funding and have heard of several departments in Texas use the waiver successfully. Anyone here had experience with the 1115 waiver? Anyone know how to start persuing this. I also read that it is going to stop in sept 2016. Thanks for yalls help.

What do y'all say to a hospice patient when you drop them at the er or transfer them home? Everyone else I say: I hope you feel better, nice meeting you. Sometimes I say god bless you.

I have been having high stress and depression for the past year. In order of least to most effective the things that help so far are: Exercise, stand up comedy or anything that makes you laugh, family and volunteer work or helping others. Anyone tried anything else?

Don't say flight medic nurse ER tech or something like that.

So I got fired about 5 months ago and I have been applying for every 911 job in Alaska with no success. I have also been taking some card classes to try and make myself look better. So far I have AMLS, ACLS, PHTLS, PALS and the FC-P. I am about to schedule another test for the CCP-C and I am...

Anyone subscribe to a research based emergency medical journal? I would love to read medical research regularly. I am going to look into it and let you guys know what I find later. It would be nice to have something in a hard copy that comes in the mail.

I had an interview with AMR for a 911 position around 1 week ago. I was extremely nervous and practically begged for the job. I got fired from my 911 job in October and have been rejected many times since then. Now my nerves are starting to get the best of me. Should I give them a call or just wait?

Anyone know of an easy place to get a 911 job in Texas preferably in south Texas? My resume is not looking as good as it used to and I will do anything to get out of doing IFT. I don't care how poor the program is just as long as I will get to practice some clinical assessment and skills.

I just recertified with Texas and they never asked to see my proof of retesting or CE hours. Anyone know if it is just an honor system or something or will need to produce these things? The website already states I am good until 2019.

I just cleared up from a call where my pt refused the 2nd round of nitro after the first round did not effect pain. The pt had a change in morphology on the shock room table and a stemi alert was called. I have read conflicting reasearch on the effectiveness of nitro via google scholar. I was...

I already payed for the fpc test and I guess now I need to study for it. I have the ACESAT the newest eddition of the ASTNA and I have Flight BridgeED FP-C and CFRN cert exam. What else do I need to buy???? Thanks for all the help. BTW Flight BridgeED FP-C and CFRN cert exam was a waist of...

I got fired from my job at a city/county not for profit service after a nurse complained on me and I got poor evaluations during my pip. I have applied for every er tech job within 1.5 hrs drive and every 911 service in 1.5 hrs drive. I have gotten 1 interview that I did not gain employment with...

I got fired from my job a Paramedic in a city and county service I was at for 2 years after a nurse complained on me over a radio report where the ER misunderstood something I said and requested for me to start an IO in which I did not do because it was not indicated. I have an interview for...