Forum Asst. Chief
Ninja edit for niceness. Sideline? Sure. Lets go with that.
I'm glad you agree. It is a major problem with the cause being rooted in several factors, none of which are very likely to change anytime soon. A large part of the issue is still not just the number of rotary-wing companies, but that companies are being requested (both from the scene and by hospitals) to take patients who don't have a real need for a helicopter, and then agreeing to take those patients. Granted, this is due in part to the amount of competition, as well as the cost of running a company. The more this happens, and the more people (both in and out of the hospital) continue to request a helo without thinking about if one is actually needed, or having the ability to really determine if one is needed, and then get that helo, the longer this pattern will continue.Over-utilization in HEMS has always been an issue - just like it is with ground ALS - and it has gotten much worse since the early 2000's, when the American HEMS fleet has roughly tripled in size (with the majority of the newer HEMS bases concentrated around urban centers, FWIW).
It is also true that a majority of transports are not life-threatening; this has been proven in the literature repeatedly. I've commented numerous times on this forum about the lowering of "average patient acuity" and thus experience levels among both HEMS crew members and ground paramedics due to increasing numbers of paramedics and helicopters.
Really underhanded? If you mean pushing the envelope for weather conditions I certainly hope so, and to be fair my personal opinion is that doesn't happen a huge amount. If you mean not refusing to take patients who don't have a medical need...well...not so much.That said, the type of really underhanded practices alluded to here are really only common among a few (albeit large) community-based, corporate programs. A majority of programs don't operate that way. That's why in any of the numerous other threads on this forum where I replied to questions about getting into HEMS, I always say that it's very hard to get into a quality program. It's not necessarily that hard to get a job with one of the bottom-feeders.
Actually, if you can check your ego at the door I think you'll find that you don't have a lot to be upset about. Given that you actually AGREED with most of my assessment of the situation...is it just that a non-flight medic is pointing out current problems with rotary-wing EMS?I always love the snipes from the sideline experts. Contributes so much to the discussion.
Maybe Epipusher and triemal04 should just start a thread called "Never Been a Flight Paramedic, But Still Ask Me Anything."
Man, when I saw this post, and saw it was already at 4 pages I initially thought it was going to be a gold mine of information.
Turns out, it's got a few good insightful and educational posts, but mostly just a bunch of sniping back and forth. I think the OP wasn't looking for his post to go this route.
Problems are everywhere in EMS... Can this thread get back to being informational?
Coincidentally, at the time I wrote that I was taking a break from studying CAMTS and my ResQ Shop modules. Been studying for a few months intermittently, but most recently hitting it hard - 2-3 a day for the last 2 weeks. I have the ACE book and Faudree's Study Guide. I am sitting the FP-C in two weeks -expensive little buggar, $435. Getting ready to "rock and roll!"
Weight is service dependent. A lot of factors go into what they allow their crew to weigh. We operate an EC145 and our weight requirement is 240lbs. Very few of our crew members are close to weighing that, but that is where is it set. After talking with others it seems our weight requirement is higher then a lot out there.weight requirements for FP? i would like head in that direction with my career. but im 6'4 and im a gym rat with some meat on me.
Weight is service dependent. A lot of factors go into what they allow their crew to weigh. We operate an EC145 and our weight requirement is 240lbs. Very few of our crew members are close to weighing that, but that is where is it set. After talking with others it seems our weight requirement is higher then a lot out there.
So i decided last year about furthering my carrer in some direction. I have been working as a Firefighter for 11 years, been paramedic for the last 5 and EMT before that. I got into the fire service intially because of the EMS aspect that is asociated with it. I love EMS, love medical and trauma. But really wanted to expand my knowledge, want to teach others, be the person people could count on. So i told myself get another job in the hospital setting, (behind the look, kinda thing) I now have been working as a EKG tech for a year for one hospital, and ER tech for another hospital. Im still on the fence rather to go flight medic or nursing. But FCP is the real reason i have been taking the leeps to increase my skills. i bought a flight medic review book, which i honestly havent really dove into much. Some of it is over my head. I Will be attending conferences when i can, and prep class for CCP and FCP this year.
The fire department i currently work for is not a big department, 2 stations, about 750 calls a year.
My questions are:
Should i try CCP ground before pursuing Flight?, is ground experience requried ?
Would the jobs i currently have be looked at in a positive way for later applying for FCP jobs ?
Should i just get a part time job with the local ambulance company? (AMR) it doesnt have the best reputaion for this area.
Also thought about getting my AA in paramedicine, would that help ?
Im worried that my lack of actually working on a ambulance might hurt me.
Arizona is where i reside.