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We’re allowed to manage propofol here without critical care. You do you, I’ll do me. Cheers

At my agency, as long as you do the right thing, the district backs you. A guy at my work did a finger thoracotomy on a pt before they had a protocol for it, and since it worked they backed him and wrote a protocol for it. I work for a hardcore progressive agency.

Propofol is short acting, and isn’t hard to manage as long as you have vasoactive drugs and airway control available. I’ve never felt uncomfortable managing a propofol drip, and I’m not critical care.

I’m an American. Never lived anywhere else. Critical Care Paramedics aren’t trained to the level of physicians, but they are trained to be autonomous like physicians. I don’t believe our critical care medics ever contact medical control for anything. I’ve never contacted medical control, I...

That’s your job. Mine is adamant about having our district operationally autonomous. No doctors or nurses on our trucks, because we don’t need them. Our staff is trained to handle any case thrown at them. Critical Care here does not have protocols, they have guidelines. Their care is based on...

Not an option for me. Even so, it’s what I want and nothing is really going to change that.

Honestly, those other places just don’t have what I want. It may seem stupid to most, but the SWAT thing is just want I’ve wanted to do since I was a kid. I’ll look into if MCHD or FBC has the same opportunity, and if they do I’ll probably try out there. I don’t know anything about HCEC or...

Well, that ain’t for me then. Like I said, I’d rather sign up to be a reserve with HCSO and do part time law enforcement as a reserve volunteer, than be paid as an unarmed TEMS guy who just waits in the truck. I’ll probably start at creek, and leave for FBC or MCHD if I don’t like it. There’s...

Are they all unarmed TEMS, or can you be a sworn armed member of the team if you have a post certification?

I’m not going to be apart of a pissing match. It doesn’t matter how long I’ve been a medic, your opinion is not superior to mine because of how long you’ve been in the field vs my time in the field. Cheers

How can you wait and call for a supervisor for RSI? If the patient is in respiratory arrest, you don’t really have time to wait around for a super..

Thanks for the advice dude. Do you know the hourly pay rate for MCHD?

Sorry if it offends you, but it’s just the way I feel.

I’m a medic now.

I’m from St. Louis. We seem to have a different dynamic out here than other places do. Nurses and medics not getting along is a daily problem. We also don’t have nurses or physicians ride along with us, ever. Our critical care division acts like supervisors and meets us at CCT calls in fly...

What the hell is a das

You have no idea how ****ty the hospital staff is in my area. I’ve seen a MD try to intubate a two year old with an an adult sized blade. First pediatric arrest I worked and they literally stopped chest compressions for a solid minute to check tube placement with an X ray. Couldn’t even find the...

We have intubation tarps, face shields, gowns, eye pro, and N-95’s. We’re supposed to wear gloves, eye pro and N-95 on every call, but most people don’t. Some people take off their masks in the back of the rig, which I find kinda gross. I wear my mask every time I walk into a scene or facility...

I place one because I have a suspicion that this patient is not as “stable” as the RN says she is. When the nurse whispers to me that she thinks the patient is faking it, and I look in the file and see the doctors narrative on what he found going on with their aorta, I do another IV because I’m...

idk where you work, but there’s only one hospital I know of in my area who won’t use EMS lines. Most of my transfers have EMS lines that are from anywhere from 4-24 hours old. Nurses here use whatever is established.