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The spring session of Ambulance Service Management begins April 1st, but is limited to twenty students. Management of Ambulance Services will teach management in EMS including finances, vehicle purchase, human resources, quality improvement, and more. Students will, as their skills develop...

We're offering a webinar on December 18 titled "Dr. Google Strikes Again." We will be covering how to assess and manage patient who do at-home procedures, self-medicate, and self-diagnose. We'll also be discussing common off-label uses for medications, essential oils, and how to take a history...

Good Evening, All The Star of Life Institute will be hosting an online Management of Ambulance Services class beginning February 2nd. There is a scholarship available as well. Topics covered will include purchasing an ambulance, tax millages, human resources, agency budgeting, and more. Click...

Good Evening, All In response to a need for enhanced leadership in the EMS industry and the realization that many leaders are picked for unrelated reasons (being a fantastic Paramedic, for example), I have launched an Introduction to EMS Leadership course. The course runs seven weeks and is...

I can't seem to find the answer to this. ECG's reflect a positive deflection when the current is travelling toward the positive electrode (example: Lead II measures between RA and LL. When we acquire a 12-Lead ECG, the precordial leads are the positive electrodes. What serves as the negative...

Good Evening, Folks I just learned that our agency will be getting a TXA protocol in the next few months. Who else out there has it, have you used it, and can you share any insight as to how well it's worked for you?

Good Afternoon, All This is something that's been discussed indirectly in other threads, but lacks an (intelligent) discussion of its own. The question: Is it good practice for providers to proceed to Paramedic-Level education immediately upon becoming an EMT? If so, why? If not, why, and...

Good Morning, All I'm in a rut. I'm a full-time field paramedic working in a small (4 medics, 25 volunteer EMT's) system, and I love running calls every day, but I want to do more. I want to be part of improving EMS throughout the region. I want to help develop new protocols, participate in...

Good Afternoon I'm looking into the idea of using an epinephrine drip in a cardiac arrest rather than using one dose of 1:10,000 epinephrine every 3-5 minutes. If you mix 10mg of 1:1000 epinephrine in 100mL and run at 3mL /min, it comes out to 1mg epinephrine every 3 minutes. Does anyone have...

I was thinking 2nd Degree, T2, but wanted to see if anyone had any insight.

The Jordan Valley EMS Authority is seeking a full-time Paramedic. Applicants should be licensed or able to be licensed in Michigan. If you're looking to live in a beautiful area of Northern Michigan and work in a family-oriented atmosphere, you've found your match. -Competitive Wage -Health...

After reading about some services with sepsis and septic shock protocols that include use of antibiotics, I'm wondering if anyone here has such a protocol. If so: 1. What antibiotics are in your protocol, and what guidelines do you have for their use? 2. What is the transport time to your...

You're dispatched to assist law enforcement at the side of a state highway. You arrive in a one-man rapid response vehicle (ALS) to find a woman with her hands cuffed behind her back laying on her left side at the side of the road. She appears to be convulsing. Three police officers are standing...

The option to dose medications in a drip form for more accurate need-based infusion (no more than necessary, that is) has peaked my interest lately, and I'm wondering what experiences you have had setting up drips for commonly bolused medications in the field. Specifically, I'm looking at...

I did this ECG on a 21 y/o female, and was curious as to your thoughts. No medical history of any sort. It seems abnormal for this age group, especially in the following ways: I'm noticing inverted p-waves on most leads I'm noticing what appears to be the beginning of a bundle branch block in...

There's a viewpoint to many in the EMS community that IV Solu-Medrol in the field is generally not recommended in allergic reactions, COPD, etc. because it takes 45 minutes to take effect. Could anyone who has used SM in the field share what they can about length of time to take effect, it's...

Hey Everyone I might have to say I'm a little stumped on this one. 90 y/o female, general malaise and/or failure to thrive. Patient has a pacemaker, but I'm not seeing pacer spikes. Obviously with the wide QRS, we're looking at a rhythm that is ventricular in origin, but even at the lower...

Can anyone out there give some insight as to what kind of luck you have had in using Amiodarone to treat atrial arrhythmia such as A-Fib with RVR? How does it compare to Cardizem or Verapamil? Yes, I realize that we're talking apples vs. oranges when comparing potassium channel blockers and...