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    first unit in is the last unit out

    Say you are the first unit on scene with 3-4 patients mostly non-critical; should you be the last unit to leave the scene or can you just go ahead and load and transport the most critical patient as long as there is a fire officer on scene?
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    Is EMS culture affecting EMS progression

    What is the culture like in your area. In Austin area it was back in 2014 a culture of competition and legitimacy. Many pretentious attitudes and punitive environment. Arriving on the Mexican border it was a breath of fresh air. The medicine is a bit antiquated but the environment is real trust...
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    Patient centered approach at clinics

    Have y'all encountered a scenerio where in a clinic the doctor does not give the patient options? On multiple occasions nursing homes stand alone ER and clinics the doctor directs the patient exactly where to go and they must go my EMS, without options. Recently I pushed adenosine in a clinic...
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    Longest shift, mood on shift and stress

    What's the longest shift you guys have done. I'm trying to buy a house soon and I'm on day 3of 10. I haven't seen home much and I'm having trouble with my mood. How do you guys deal with your mood on shift and high stress?
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    CMS rural billing rate

    My department always transports more than 30 min. Our area is very dense and wealthy. I worked at another service that was similar or shorter transport but does bill as rural EMS. How do you get classified as rural EMS and is it even a thing you can apply for with CMS?
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    EMS culture, your experience

    I started as a paramedic 11 years ago in a very urban environment and almost immediately worked as a critical care paramedic. I guess through cultural osmosis I became invested academically in progressive and critical care medicine. I also realized some of my old friends reacted to me...
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    EMS grant database

    I have found only a few EMS grants and it seems like there are paywalls for access to some of this information.
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    Grant writing where to start.

    I am doing a class on grant writing this semester for emergency health science degree. It is a self study class and I just have to keep myself on topic and busy. Do you guys know where I should start?
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