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    Professional development / tuition reimbursement at your agency

    BLS/ALS/CCT IFT agency in LA County: 1. New EMT's get up to $2k reimbursement for EMT class taken through a community college 2. EMT's who have been with the company for a minimum of 1yr can get $5k towards medic school through 3 community colleges (no contract required) 3. If an RN wants to...
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    ASHI

    Used to be AHSI instructor and it was so much easier than AHA. I took a 2 day 16hr instructor course and after passing their tests, I was approved right away to start teaching. I didn't have to shadow an instructor and have an instructor shadow me like the AHA requires. Also, the training...
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    Best ems vent right now?

    Agreed 100%. Once you get it down, pretty easy to use. 90% of our vent calls are ACVC or BiPap and you can set the vent up and have the settings programmed in like 2 minutes.
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    Best ems vent right now?

    Zoll for EMS LTV1200 for CCT. It is an agressive vent but can match pretty much any setting the hospital has.
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    Controlled Substances

    LA County is marked as the "First and Worst" EMS system, so it doesn't surprise me. You have to get EMS Board approval to carry anything beyond the drugs they allow and AED's aren't even required on a BLS ambulance. We take intubated patients daily, (knock on wood), nothing has happened yet...
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    Controlled Substances

    Nah. If a patient needs pain medicine we always ask the staff to pre-medicate the patient right before transport (assuming they haven't been recently enough) and/or we will ask they staff to provide medication to medicate during transport if it is anything other than morphine, which we carry...
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    Controlled Substances

    Los Angeles Ground CCT: Morphine - 36mg Versed - 30mg Never had to use either one and don't like them. Since we are IFT, the sending hospital provides whatever medication we need or want lol.
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    Patient Friendly Jokes

    I know it's a 2yr old post you made, but that's almost the same thing our transport RN says: "I need a quick signature from you saying it's ok for us to transfer you. We wouldn't want to kidnap you because you're lovely" Gets em everytime.
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    Patient Friendly Jokes

    You know french fries aren't made in France? They are made in Grease!
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    Renal failure and Sepsis/hyperglycemia

    I I’m not talking about CRRT, I’m talking about lasix if u overload a little too much. Just saying we don’t do that, we’ll let the ER/ICU do that if we give them a bit too much
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    Renal failure and Sepsis/hyperglycemia

    If someone is septic and symptomatic, we aren't withholding or limiting our fluids initially. The ER/ICU can always diurese them later if needed. Our protocols do state we need to re-assess every 250ml in the field.
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    COVID VACCINE - The Megathread

    I got the first vaccine but nothing since. Never got covid and we transported many confirmed covid patients every shift. Something didn't sit right with me. A lot of people I knew got covid after getting their second shot, some female friends had menstrual issues for months after getting the...
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    EMSA Ambulance Catches Fire

    Wow. We've had one of our Transit CCT units blow up on the side of the freeway a couple years ago. The crew said they were driving down the freeway when suddenly it lost all power, they were able to baby it to the shoulder and it just started smoking. It then fully engulfed about 3min later...
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    Phoenix AZ Respiratory Therapist CCT

    We see RT's on PICU/NICU transport teams and on private ambulance companies. The ones on private ambulance companies pretty much just run calls with a BLS crew (SNF to ER, ER to SNF, discharge with vent, etc.). I don't know the pay in AZ but the private ambulance RT's only make $32/hr roughly...
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    STEMI - Inter Facility Transfer

    Exactly what we thought and what we did. The sending facility basically let him sit there in shock for hours and didnt do any treatment until we arrived and asked for it
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    STEMI - Inter Facility Transfer

    As stated above, BP improves to 112/92 enroute with a HR still in the 110's. As soon as you arrive at the STEMI center and are backing into the ambulance bay, patient goes into PEA arrest. You start CPR, give 1 dose of epi and transfer the patient to the ER staff. After 25min of resus efforts...
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    STEMI - Inter Facility Transfer

    Levophed then dopamine. No additional 12 lead as the stemi transfer was already initiated. Cant remember why dopamine was also requested. In LA County, CCT-RN’s are not allowed to intubate on ground transport, only use i-gels which is why a Dr might be helpful. BP raises to 112/92 halfway...
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    STEMI - Inter Facility Transfer

    The info we got was that was the only 12 lead done prior to getting the call for a stemi transfer. Didn’t get exact lab values on this call but remember the RN saying the trop was “high”. No other meds given at all besides 1L NS bolus. First time producing blood yes Temp was normal and lung...
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    STEMI - Inter Facility Transfer

    I'm gonna throw in a call we had. Interesting stuff happened. You are a CCT crew called code 3 to a hospital's telemetry floor for an urgent STEMI transfer to a hospital with a cath lab. Your transport time will be 11min from hospital to hospital and you have 1 CCT-RN and 2 EMT's on board...
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    InterFacility Transfer - Chest Pain

    Original plan was to transfer to the hospital with cardiac cath and then send her to the hospital closest to her after. When she refused cath, they decided to send her to the non cath hospital closest to her with a plan to transfer her back and forth for the cath if she decided to do it. In...
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