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Same here. The beauty of big city urban EMS.

drunk urban outdoorsmen Sent from my iPhone using Tapatalk

It's sort of a fire suppression thing.. I felt weird wearing one as a paramedic for a private company. Anyways, I didn't like it. At times I felt like it looked cool, but to be honest it was kind of a hassle, when you sit down you have to keep taking it off and hanging it up. Sent from my...

Yeah AMR was salty cause a lot of guys in IFT were laid off. Some were 25-30 year EMTs. Some went to ALS side, but some were unable to transfer.

Rural metro is owned by AMR now but nothing has changed at the field level. They're doing IFT and have the kaiser contract. The coco911 system does not do IFT or have BLS

IN and IM take 2-5 minutes in my experience. IV is immediate of course. IN is easiest, and doesn't require you sticking a needle in someone who likely has hep c or HIV. They all work, however. If the guy is completely apneic, I would have partner bag him and give it IV. If he's unresponsive but...

The iPad's replaced the MDT. They're mounted in the rigs

Loris, The only major change is that dispatch was moved from AMR Sacramento to fire station 2 on Geary rd in Walnut creek (con fire dispatch). The new dispatch system along with the new iPads pretty much suck, so you'll hear lots of b*tching about that. Otherwise, nothing has changed at all...

I would turn down the size on the monitor first. Too hard to read otherwise. RBBB with st depression from what I can see, but again it's hard with the massive qrs, gotta turn it down to 1 on the monitor

I think it's great. Just cause we don't see the result doesn't mean the patient won't benefit. Should we not give aspirin or lasix either because it takes awhile?

Fluid challenge, positioning, oxygen would be first. If no result, I'd try atropine 0.5mg IV. If no improvement I'd medicate for pain and begin pacing. Consider glucagon. Likely due to her beta blocker (metoprolol) based upon he history stated. It appears to be a junctional rhythm with a...

Your EMT won't be revoked. I've known medics and emts with duis. However you will have trouble getting a job. Ask the judge if you can get a provisional license to use at work, and to drive to/from work. Or wait the 6 months or whatever to get your license back. It will always haunt you u for...

You hate interfacility transfers not EMS

I used to take people to the dentist, I wanted to rip off my Emt patch. It's a starting point, you learn basic skills, and most systems will pull them into the 911 system during MCI. But no, it's more "MS" than EMS

Lol. Is this for real? She will have more days off than any of her friends.

Underoath, you're incorrect. Anxiety, which stems from an overactive amygdala (your bodies alarm center) did in fact have benefits thousands of years ago. Stress and anxiety evolved for protective reasons. For instance, when a saber tooth tiger was near, the sympathetic nervous system would kick...

Anxiety is a defense mechanism, those with anxiety likely lived longer in the caveman days and were more alert, careful etc. it's just not as helpful in modern society Control your breathing, and think about the immediate moment, not the future or past.

Everyone is different.. Some people take 5+ years I've seen to be completely comfortable, and some medics that are more high strung are always a little nervous even after decades. I agree, it's not my emergency. Don't want to sound like a ****, but if someone codes or has a STEMI it really isn't...

It will happen with time. Don't overthink it, just take the situation as it unfolds at the scene. Also, training. The more training and extra classes and extra time going over equipment and protocols the more confident you become. Some adrenaline with critical calls is normal. Also, stress in...

The risk for infection Would be high. It's a surgical procedure that involves high level of training and assistance from surgical techs, anestesiologists, nurses etc. A paramedic with a relatively small amount of training is not the standard of care for this, and it's not what we do, we deal...