Its ok. I worked privates once too... Sucks dont it? I learned how to operate the vent and the pump. But, I'm not a ccp though<_< Yea, I dont know extensive stuff about PH levels, or ATP, or anything else like that. But I always thought real emergency care didnt go that deep. Especially since a drugbox on a truck isnt exactly a pharmacy. The company did want to send me to CCP school pretty bad though. I mean why not? They were gonna pay me to go to school, AND i would have been able to put all kinds of sweet little titles under my forum name. And if you dont know the difference between street smarts and book smart. And the difference it makes in pt. care (specifically, high-pressure situations). You must be the latter.
*Yea, I do work 14 days a month. Fourteen 12 hour shifts. And we do have trucks that are two years old on the road (x rigs). But our trucks actually get replaced once a year. But thats not a good thing. When you pull an average of 13 calls in a 12 hour shift, they take a beating. But who ever said that more calls and more pt. contact is actually more experience? I must be in the wrong place for experience then. My unit is up to 1000 runs as of yesterday morning for the new year. Another unit is beating us right now. They are at 1210. But thats nothing to be proud of right? LOL
Not really. More calls has never been proven to make anyone smarter, and again my unit responds to 12 to 15 calls per truck a shift but our responses maybe over thirty miles away and transports maybe 60 miles so being busy is relative. Personally, I think it sucks that EMS systems would place that high of demand on either one. I have also never worked for a private agency, mine is a third party, simply EMS not fire, police, hospital, private, or attached to anything. I personally feel your system sucks if they do not want place more trucks and continue to allow personnel to be endangered. That's not smarts, no matter how you look at it.. book smarts or street sense.
There is NO street medicine or "book type". There is medicine and if you don't think emergency medicine is that in-depth; obviously then you don't know emergency medicine nor emerrgency care by making such a remark. Yes, my drug box has more than 12 med.s in it and yes, I start infusion drips in the field for patients...why? Because they need it.
Before comparring systems, and the attached bragging rights to it. One better know medicine for that is and what we are supposed to be delivering. Steet smart's has nothing to do with that. Street smarts are how to survive to be able to provide that care and in the working environment.
As well, because I am educated does not mean I have never worked in the field. One does not stay in EMS over thirty years and worked in multiple systems including flight, Tactical, and even..."gulp" Fire Service. Like I described, I worked in large EMS in large cities as well as one of the largest trauma center in the nation. Seriously, do you think they pick flight nurses and Paramedics without extensive work history?
Each system has its own quirks and problems. Those in large areas one may get treated like crap and most want only those that have a pulse and a patch. The rural area, you are the only one with the patient for maybe hours... so you cannot just hand them off. I've been at both places and realize there are great medics and lousy medics at both.
Remember this, not all places are the "bronx" type. Not all have to have the hard street jargon or attitude associated with it. It really does not impress anyone. Let's leave that for t.v.
I am sure your intent is great, but; the way your presenting it is not the best representation for you or Detroit EMS.
R/r 911
