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We run a cascade system. I literally cringe with every opening of a valve. I keep worrying that I'll be blown to pieces with shrapnel. I hate cascade systems.

I don't think I'm smarter than everyone else, matter fact, I consider myself pretty stupid. I simply think that EMS in general is going down the drain because incoming EMTs aren't reading their books and aren't using their brains and want everything on a platter. Ask yourself this: Are...

I'm just going to rant a little, so excuse the comma splices. Sometimes I cry a little, I mean, I keep it on the inside obviously, but when I read posts like this and I'm here working the hardest I can to become the best medical professional I can, I can't help but just get depressed. I feel...

This isn't a serious question, right?

lol Sorry.

I long for the day when whacker assclowns get out of EMS and the rest of us can be regarded as Medical Professionals.

I'm envious. I wish my medical director had the common sense to allow multiple pharmacological options to the provider.

I have spent 21,000 dollars to become a Paramedic, and that's just in tuition.

They run two programs a year. They cost less than 10,000 dollars and are much better than Northeastern's Program.

PROFESSIONAL AMBULANCE runs an excellent Paramedic Program, which though is in it's infancy, has outstanding instructors. Want to be a smart, thinking Paramedic? Go for them.

You need help.

Well, although I do believe that there still thousands of Paramedics fail to manage and understand CHF adequately, research has found that patients with pulmonary edema are more prone to having a hyper-reactive airway with broncho-constriction. Thus, this question and debate is still valid.

But isn't that the underlying issue here? The age/size ratio is disproportionate. On top of that, I'd be curious to find out if liver and renal function are affected by this disorder. Rid, did you get the code back?

Wait, you wrote this post on Jan 20th. You're telling me that in 20 days, you've responded to 950 calls? Just amazed at such a spike!

What the..? A shortage of NS? Where the hell are you guys working? Kenya?

My reply isn't directed towards you.

Okay, time for your much needed reality check and you'll have to excuse me if I'm a little harsh but there are times where it's needed. You are not MFR, WFR, EMT, BLS nor ALS. You are no different than your next door neighbor. You operate at the same level and protocols as Bill Clinton does...

Okay, see that? That's what we call a bad decision. Contact the hospital Infection Control personnel. On top of that, your department needs to be advised of the incident.

Because in all reality, that happens so rarely it's simply not worth the risk. Stop lying to yourself, YOU GO FASTER WHEN THEY'RE ON. NOBODY goes the speed limit with lights on.

I did a search for posts covering it and didn't find any, my search fu must be weak. Do you have any idea which threads that info might be in?