Your Controversial EMS-Related Opinion

Opinion - the psychomotor skill of intubation is nowhere near as difficult as we make it out to be.
 
FiremanMike said:
Opinion - the psychomotor skill of intubation is nowhere near as difficult as we make it out to be.
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while I agree, I would also add that those who can't monitor ETC02 for the duration of the treatment and transport should not be permitted to intubate.
 
DrParasite said:
while I agree, I would also add that those who can't monitor ETC02 for the duration of the treatment and transport should not be permitted to intubate.
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I freaking love etco2, I use that **** on everything, well almost everything.

I think intubating is an easy skill in the classroom it’s when someone has a **** airway that makes it a difficult skill plus add the stress of the call itself.
 
DrParasite said:
while I agree, I would also add that those who can't monitor ETC02 for the duration of the treatment and transport should not be permitted to intubate.
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The skill itself is easy, it's everything that goes into intubating that makes it hard. But we (accreditation boards, teachers, managers) focus on "you must have XX number of intubations to be competent.

I'd argue you must have XX exposure to stress management and critical thinking to be successful at airway management. Shock index and acid/base balance (yes, that is actually important in clinical practice) can be taught in the classroom and reinforced through simulation to the point where it becomes second nature and will be easily incorporated into live airway management situations.
CbrMonster said:
I freaking love etco2, I use that **** on everything, well almost everything.

I think intubating is an easy skill in the classroom it’s when someone has a **** airway that makes it a difficult skill plus add the stress of the call itself.
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I disagree, the actual skill of intubation is not difficult in a live situation as long as you have the stress management and the wherewithal to work through any issues that come up..

There aren't really an infinite number of possibilities that can happen when you get in there, there's only a few..
 
Not exclusive to this field in particular, but ever prevalent. Defining one's self by what it is that they do for a living.

I've found this to be such a simple, yet often not easy thing for many to let go of, myself included. However, once this realization is met, the luxuries it affords are phenomenal.

Liking what you do for a living is much different than loving it. The former appears to be a much healthier approach to one's sanity than the latter. Never let a job define you, it won't love you back. Ever.
 
VentMonkey said:
Not exclusive to this field in particular, but ever prevalent. Defining one's self by what it is that they do for a living.

I've found this to be such a simple, yet often not easy thing for many to let go of, myself included. However, once this realization is met, the luxuries it affords are phenomenal.

Liking what you do for a living is much different than loving it. The former appears to be a much healthier approach to one's sanity than the latter. Never let a job define you, it won't love you back. Ever.
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I long ago stopped saying I was a firefighter/medic, now if people ask me what I do, I tell them I work for a fire department and leave it at that..
 
Opinion: computet based training is no substitute for a knowledgeable instructor when teaching new materials...simply because computer can not change the way the material is presented to help a student understand something they are having difficulty with.
 
FiremanMike said:
I long ago stopped saying I was a firefighter/medic, now if people ask me what I do, I tell them I work for a fire department and leave it at that..
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So, I don’t have a problem telling people what it is I do for a living, I was meaning more along the lines of not living that paramedic life.
 
ffemt8978 said:
Opinion: computet based training is no substitute for a knowledgeable instructor when teaching new materials...simply because computer can not change the way the material is presented to help a student understand something they are having difficulty with.
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Opinion: computer based or 100% online training has little real world value, has a much lower retention period for students than in class education, and other than satisfying a regulatory requirements (ie, checking a box to say you completed the training), provides 0 benefit to public safety or healthcare employees.
 
DrParasite said:
Opinion: computer based or 100% online training has little real world value, has a much lower retention period for students than in class education, and other than satisfying a regulatory requirements (ie, checking a box to say you completed the training), provides 0 benefit to public safety or healthcare employees.
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This is demonstrably untrue, at least a good portion of the time. There’s quite a bit of research in support of computer based education.
 
Carlos Danger said:
This is demonstrably untrue, at least a good portion of the time. There’s quite a bit of research in support of computer based education.
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can you provide a link to that research that backs up that claim? because that hasn't been my experience at all....
 
DrParasite said:
can you provide a link to that research that backs up that claim? because that hasn't been my experience at all....
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It’s out there and it is easy to find.
 
DrParasite said:
Opinion: computer based or 100% online training has little real world value, has a much lower retention period for students than in class education, and other than satisfying a regulatory requirements (ie, checking a box to say you completed the training), provides 0 benefit to public safety or healthcare employees.
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We've benefited from an LMS platform significantly. We get training out on new equipment in a standard and quick way. Our in-service times have gone way down on everything from cardiac monitors to supply hose and we have less hiccups with everyone having a video to refer to.
 
Carlos Danger said:
It’s out there and it is easy to find.
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That's not how this works... you made a claim that you said was backed up by research... and when you are asked to provide that research, it falls to you to provide the research that you came exists. If you want, I will say I looked and its not there... since it's that easy, why don't you share all the research that you came exists?
Tigger said:
We've benefited from an LMS platform significantly. We get training out on new equipment in a standard and quick way. Our in-service times have gone way down on everything from cardiac monitors to supply hose and we have less hiccups with everyone having a video to refer to.
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No disagreement that they are quicker, and it checks a box, but are they retaining the information? if you were to quiz a person on a random new feature from the cardiac monitor at 3am, will they be able to explain what they learned? Ditto your supply hose, 2 weeks later, can everyone explain what are the new features of the supply hose?
mgr22 said:
These are all opinions, right? They don't have to be vetted.
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right, unless someone claims there is research that an opinion is wrong... in that case, I think it's completely acceptable to request a vetting when someone claims that facts actually exist.
 
DrParasite said:
right, unless someone claims there is research that an opinion is wrong... in that case, I think it's completely acceptable to request a vetting when someone claims that facts actually exist.
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You presented an opinion about online training. Whether I agree with it or not, you're still entitled to it. If you're ok with someone asking you to validate it, well, that's up to you.

In my opinion, there's a much bigger problem with opinions, or even wishful thinking, being presented as facts.
 
VentMonkey said:
So, I don’t have a problem telling people what it is I do for a living, I was meaning more along the lines of not living that paramedic life.
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I don't begrudge anyone who does, but for me it was an important mental separation to no longer consider myself a firefighter.. Just a dude who works at a fire department..

It came to a head for me a few years ago when I secured a pretty lucrative educational position outside of the FD, a position that was legitimately created for me and retooled several times to bring the pay to where I needed it to be. I began having a giant amount of anxiety over "can I really NOT be a fireman anymore?" I ultimately turned the position down for boring pension reasons..

That was the moment I realized how much of my identity was wrapped up in being a fireman, even if I didn't realize it. So I've tried to separate myself from that mindset..
 
Stating an opinion in this thread (or elsewhere) doesn't need to be backed up because it is just that...an opinion. Stating something as a fact needs to be able to be backed up with more than google it for yourself.
 
DrParasite said:
No disagreement that they are quicker, and it checks a box, but are they retaining the information? if you were to quiz a person on a random new feature from the cardiac monitor at 3am, will they be able to explain what they learned? Ditto your supply hose, 2 weeks later, can everyone explain what are the new features of the supply hose?
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It has improved it. Video based training has forced the training division to create videos and easily post reference materials that exist in perpetuity.
 
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