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asysin2leads said:Okay....can't keep my mouth shut on that one you obvious "has been"....I'm guessing what ever service you have "worked for" has chosen to chew you up and spit you out.....I know I would have. You have an absolute DISRESPECT for anyone in this line of work. Better pray your not on the recieving end of a da** good EMT someday while your gasping for breath in the twisted wreckage that was your car.....MY EMT's handle that EVERY SINGLE DAY. Drive careful.....the God's are watching.Wow, I really hit a nerve here. As for everyone's little temper tantrums, here it is. First off, patient assesment is a basic skill. QUALITY assessment, enough to formulate a good presumptive diagnosis, is probably the single most important part of paramedic school. The part that I believe is most important is at the end, when you can tie all the knowledge you've learned so that you can actuallly think and not just use mnemonics, is more important than any of the skills or individual facts.
I've also heard that "You can't some stuff learn from textbooks." Yes, there are a few tips and tricks you pick up working in the field, such as how much room you need to turn the ambulance around, where the 24 hour diners are, which RN's are the friendly ones, and not to stand directly in front of the door when you knock. Other than that, the notion that there is some sort of mystical "street knowledge" that you must spend years and years and years as an EMT to obtain is a load of nonsense. Its a myth, fostered as an excuse to keep people out of employment as a paramedic or entry into paramedic school.
Its also usually told by the guys with three teeth chain smoking with the star of life and tasmanian devil tattoos.
It has nothing to do with disrespect for EMT-B's. It has everything to do with reconsidering who how we consider "good paramedics". And I stand by my assertion that in modern EMS, the amount of experience as an EMT-Basic is overplayed. Which it is.
David Karlstrand said:Ok, I have been reading all the post on here. I have been an EMT for 15 years and Iam very proud of that. For you to say that not needing the time on the streets before becoming a Medic is just unbelievable. There is nothing in your books and classes that will ever replace what you see and experience on the streets... If you didn't have good BASIC SKILLS you would never be a good Medic. Even if you didn't start out as a basic, a lot of your skills are basic and you need to remember that. Atlest on the service that Iam a proud part of, the EMTs and Medics respect each other. Maybe asysin2leads needs to try that.
If its all the same to you, I'd rather be worked on by a da** good paramedic. And preferably one with less mental issues than you. Get help. People get on my behind for being a little snotty. Then Annette hopes I get in a car accident and people give her a hearty "you go girl." I'm confused. Annette, save your melodrama for someone else. I'm immune.
Annette L. Smith said:asysin2leads said:Okay....can't keep my mouth shut on that one you obvious "has been"....I'm guessing what ever service you have "worked for" has chosen to chew you up and spit you out.....I know I would have. You have an absolute DISRESPECT for anyone in this line of work. Better pray your not on the recieving end of a da** good EMT someday while your gasping for breath in the twisted wreckage that was your car.....MY EMT's handle that EVERY SINGLE DAY. Drive careful.....the God's are watching.Wow, I really hit a nerve here. As for everyone's little temper tantrums, here it is. First off, patient assesment is a basic skill. QUALITY assessment, enough to formulate a good presumptive diagnosis, is probably the single most important part of paramedic school. The part that I believe is most important is at the end, when you can tie all the knowledge you've learned so that you can actuallly think and not just use mnemonics, is more important than any of the skills or individual facts.
I've also heard that "You can't some stuff learn from textbooks." Yes, there are a few tips and tricks you pick up working in the field, such as how much room you need to turn the ambulance around, where the 24 hour diners are, which RN's are the friendly ones, and not to stand directly in front of the door when you knock. Other than that, the notion that there is some sort of mystical "street knowledge" that you must spend years and years and years as an EMT to obtain is a load of nonsense. Its a myth, fostered as an excuse to keep people out of employment as a paramedic or entry into paramedic school.
Its also usually told by the guys with three teeth chain smoking with the star of life and tasmanian devil tattoos.
It has nothing to do with disrespect for EMT-B's. It has everything to do with reconsidering who how we consider "good paramedics". And I stand by my assertion that in modern EMS, the amount of experience as an EMT-Basic is overplayed. Which it is.
David Karlstrand said:Ok, I have been reading all the post on here. I have been an EMT for 15 years and Iam very proud of that. For you to say that not needing the time on the streets before becoming a Medic is just unbelievable. There is nothing in your books and classes that will ever replace what you see and experience on the streets... If you didn't have good BASIC SKILLS you would never be a good Medic. Even if you didn't start out as a basic, a lot of your skills are basic and you need to remember that. Atlest on the service that Iam a proud part of, the EMTs and Medics respect each other. Maybe asysin2leads needs to try that.
ooooh goodness! I guess you're NOT the only one who can WHACK some nerves! Thankyou, thankyouverymuch....I really sincerely apologize for losing my temper, (Irish heritage) but you see I, teach, lead and work with EMT's who go way above their call of duty. EMT's that have been at that level of certification for quite sometime by their own choice. So its a natural reaction for me to defend them. I never did wish an accident upon you. I was trying to get the point across that BLS skills save LIVES in a traumatic situation. But statisticaly speaking, since you have so much knowledge in this area and all others, you should understand that we're all at risk....idiots behind the wheel are job security for us all. The "god's" I was reffering to is God himself....ya know....The Alpha and The Omega....Jesus' dad.....for he runs this little show. I was just trying to be considerate of the many other people on this site that might not be Christian. I'm still learning...and always will be. And by the way.....I don't wear a patch on my arm either. People know who I am without having to scream it. I really don't think there is any discussing the value of having EMT Basic experience before you move on the ALS with you....you don't listen or learn, and refuse to consider many other opinions, not only mine. Your the one BLASTING his arrogance at us. If you have been treated badly by your peers in the past, my guess would be there was a whole lot more to that story....but we still, know nothing about your present occupation, or your past. But if you have since been enlightened and wish to talk about it....please....I'd luuuuv to hear it.Okay, I didn't mean to reply to my own post, but I needed to follow up here. I had to write that first short and sweet response to Annette because my little girl was tugging on my shirt and needed her pajamas to be put on. But let me make this clear. The real reason I have a low opinion of many EMT-B's is EXACTLY because of my run ins with people like Annette, and trust me, there are a lot of them out there. For every five or six people with years of education and experience doing prehospital care, there are fifty or sixty Annette's running around with patches on their arms, spouting off, running their mouths, and repeating stuff that makes them look like morons. Get this through your head, Annette, I don't give a crap what "your" EMT's have to see "each and every day" I give less of a crap about how you came to your conclusion that I'm a "has been" and I give even less of crap what you or your Gods, or your squad, really friggin' think. Rambling, Brian, pretty much everyone else, if you want to continue a discussion about the merits of experience as an EMT-Basic and whether or not they make for a good quality paramedic, that's fine with me, lets discuss. I'll lay off the sarcasm and we can go back to having a good discussion. But I'm not going to drag anyone down to Annette's level. Its just embarrassing.
asysin2leads said:If its all the same to you, I'd rather be worked on by a da** good paramedic. And preferably one with less mental issues than you. Get help. People get on my behind for being a little snotty. Then Annette hopes I get in a car accident and people give her a hearty "you go girl." I'm confused. Annette, save your melodrama for someone else. I'm immune.
Annette L. Smith said:asysin2leads said:Okay....can't keep my mouth shut on that one you obvious "has been"....I'm guessing what ever service you have "worked for" has chosen to chew you up and spit you out.....I know I would have. You have an absolute DISRESPECT for anyone in this line of work. Better pray your not on the recieving end of a da** good EMT someday while your gasping for breath in the twisted wreckage that was your car.....MY EMT's handle that EVERY SINGLE DAY. Drive careful.....the God's are watching.Wow, I really hit a nerve here. As for everyone's little temper tantrums, here it is. First off, patient assesment is a basic skill. QUALITY assessment, enough to formulate a good presumptive diagnosis, is probably the single most important part of paramedic school. The part that I believe is most important is at the end, when you can tie all the knowledge you've learned so that you can actuallly think and not just use mnemonics, is more important than any of the skills or individual facts.
I've also heard that "You can't some stuff learn from textbooks." Yes, there are a few tips and tricks you pick up working in the field, such as how much room you need to turn the ambulance around, where the 24 hour diners are, which RN's are the friendly ones, and not to stand directly in front of the door when you knock. Other than that, the notion that there is some sort of mystical "street knowledge" that you must spend years and years and years as an EMT to obtain is a load of nonsense. Its a myth, fostered as an excuse to keep people out of employment as a paramedic or entry into paramedic school.
Its also usually told by the guys with three teeth chain smoking with the star of life and tasmanian devil tattoos.
It has nothing to do with disrespect for EMT-B's. It has everything to do with reconsidering who how we consider "good paramedics". And I stand by my assertion that in modern EMS, the amount of experience as an EMT-Basic is overplayed. Which it is.
David Karlstrand said:Ok, I have been reading all the post on here. I have been an EMT for 15 years and Iam very proud of that. For you to say that not needing the time on the streets before becoming a Medic is just unbelievable. There is nothing in your books and classes that will ever replace what you see and experience on the streets... If you didn't have good BASIC SKILLS you would never be a good Medic. Even if you didn't start out as a basic, a lot of your skills are basic and you need to remember that. Atlest on the service that Iam a proud part of, the EMTs and Medics respect each other. Maybe asysin2leads needs to try that.
Good post.asysin2leads said:ooooh goodness! I guess you're NOT the only one who can WHACK some nerves! Thankyou, thankyouverymuch....I really sincerely apologize for losing my temper, (Irish heritage) but you see I, teach, lead and work with EMT's who go way above their call of duty. EMT's that have been at that level of certification for quite sometime by their own choice. So its a natural reaction for me to defend them. I never did wish an accident upon you. I was trying to get the point across that BLS skills save LIVES in a traumatic situation. But statisticaly speaking, since you have so much knowledge in this area and all others, you should understand that we're all at risk....idiots behind the wheel are job security for us all. The "god's" I was reffering to is God himself....ya know....The Alpha and The Omega....Jesus' dad.....for he runs this little show. I was just trying to be considerate of the many other people on this site that might not be Christian. I'm still learning...and always will be. And by the way.....I don't wear a patch on my arm either. People know who I am without having to scream it. I really don't think there is any discussing the value of having EMT Basic experience before you move on the ALS with you....you don't listen or learn, and refuse to consider many other opinions, not only mine. Your the one BLASTING his arrogance at us. If you have been treated badly by your peers in the past, my guess would be there was a whole lot more to that story....but we still, know nothing about your present occupation, or your past. But if you have since been enlightened and wish to talk about it....please....I'd luuuuv to hear it.Okay, I didn't mean to reply to my own post, but I needed to follow up here. I had to write that first short and sweet response to Annette because my little girl was tugging on my shirt and needed her pajamas to be put on. But let me make this clear. The real reason I have a low opinion of many EMT-B's is EXACTLY because of my run ins with people like Annette, and trust me, there are a lot of them out there. For every five or six people with years of education and experience doing prehospital care, there are fifty or sixty Annette's running around with patches on their arms, spouting off, running their mouths, and repeating stuff that makes them look like morons. Get this through your head, Annette, I don't give a crap what "your" EMT's have to see "each and every day" I give less of a crap about how you came to your conclusion that I'm a "has been" and I give even less of crap what you or your Gods, or your squad, really friggin' think. Rambling, Brian, pretty much everyone else, if you want to continue a discussion about the merits of experience as an EMT-Basic and whether or not they make for a good quality paramedic, that's fine with me, lets discuss. I'll lay off the sarcasm and we can go back to having a good discussion. But I'm not going to drag anyone down to Annette's level. Its just embarrassing.
asysin2leads said:If its all the same to you, I'd rather be worked on by a da** good paramedic. And preferably one with less mental issues than you. Get help. People get on my behind for being a little snotty. Then Annette hopes I get in a car accident and people give her a hearty "you go girl." I'm confused. Annette, save your melodrama for someone else. I'm immune.
Annette L. Smith said:asysin2leads said:Okay....can't keep my mouth shut on that one you obvious "has been"....I'm guessing what ever service you have "worked for" has chosen to chew you up and spit you out.....I know I would have. You have an absolute DISRESPECT for anyone in this line of work. Better pray your not on the recieving end of a da** good EMT someday while your gasping for breath in the twisted wreckage that was your car.....MY EMT's handle that EVERY SINGLE DAY. Drive careful.....the God's are watching.Wow, I really hit a nerve here. As for everyone's little temper tantrums, here it is. First off, patient assesment is a basic skill. QUALITY assessment, enough to formulate a good presumptive diagnosis, is probably the single most important part of paramedic school. The part that I believe is most important is at the end, when you can tie all the knowledge you've learned so that you can actuallly think and not just use mnemonics, is more important than any of the skills or individual facts.
I've also heard that "You can't some stuff learn from textbooks." Yes, there are a few tips and tricks you pick up working in the field, such as how much room you need to turn the ambulance around, where the 24 hour diners are, which RN's are the friendly ones, and not to stand directly in front of the door when you knock. Other than that, the notion that there is some sort of mystical "street knowledge" that you must spend years and years and years as an EMT to obtain is a load of nonsense. Its a myth, fostered as an excuse to keep people out of employment as a paramedic or entry into paramedic school.
Its also usually told by the guys with three teeth chain smoking with the star of life and tasmanian devil tattoos.
It has nothing to do with disrespect for EMT-B's. It has everything to do with reconsidering who how we consider "good paramedics". And I stand by my assertion that in modern EMS, the amount of experience as an EMT-Basic is overplayed. Which it is.
David Karlstrand said:Ok, I have been reading all the post on here. I have been an EMT for 15 years and Iam very proud of that. For you to say that not needing the time on the streets before becoming a Medic is just unbelievable. There is nothing in your books and classes that will ever replace what you see and experience on the streets... If you didn't have good BASIC SKILLS you would never be a good Medic. Even if you didn't start out as a basic, a lot of your skills are basic and you need to remember that. Atlest on the service that Iam a proud part of, the EMTs and Medics respect each other. Maybe asysin2leads needs to try that.
. I was trying to get the point across that BLS skills save LIVES in a traumatic situation...and they save lives medically too!
THIS SAYS IT ALL.
Okay it's my turn again..
See that up there^^^^^^^^^^? That statement...^^^^^^^^up there?
This is the basic premise of ALL EMS!!
Last I knew, taught, did, do, is that...UP THERE...^^^^^^^^...In the event anyone forgot that up there as stated^^^^^^^^IIS THE BASIC SKILL THAT IS TAUGHT, RETAUGHT, DRILLED TO AUTOMATIC NO THINKING INVOLVED AT ALL LEVELS AND AT A PARAMEDIC LEVEL ALSO--- IF YOU DO NOT AGREE --MAYBE A PROFESSION CHANGE SHOULD BE SAUGHT!..........This is a no brainer with absolutely no basis to argue or become arrogant...WTF? Why is this so hard for people to grasp! IT WORKS.
KUDO'S...........OMG................Tracey
OH ASYSIN2leads........All I can say is this: In the event you were ever my student, quickly you would either bat it down several notches or probably have to be kicked out of class. There is no excuse for some of your MEDIC driven..and very 'ego-maniacle' thinking..none. You put people at severe risk with the 'all or nothing thinking' honey..You really need to re-think some things. You can try to be the best ever, but you must pick your battles and win them..You are losing your battles because you are not seeing the 'Forrest through the trees!!' Your thinking is sooo far from the basics that you are destined to either fail or be rather disrespected. I am sorry but I seriously would have to consider that your attitude is really dangerous in many, many regards....In this post and the other one... Just to far out to the left!.........but not RIGHT!........Tracey
asysin2leads said:I fully agree every paramedic should be fully proficient with BLS skills, and that they should be second nature to the paramedic and be able to be performed without conscious thought.
But for the record, and I hate to break it to all the trauma junkies out there, in a traumatic situation, BLS skills do not save the patient. Neither to ALS skills. What saves the patient is rapid delivery to a properly equipped surgical facility. I used to have the run-of-the-mill EMT/Vascular-Shock-Trauma-Support-Specialist give me the line "What can ALS do for trauma? Nothing!" Rather than pointing out advanced airway management, chest decompression, etc, I used to reply "What can BLS do for trauma? Even less than ALS can." Yes, a properly applied tourniquet can be the difference between exsanguination and survivability. Yes, proper c-spine precautions can mean the difference between paralysis and walking, and yes, a properly ventilated (and preferably intubated, for all of those in the other thread) patient has a far greater chance of surviving than one who doesn't However, by in large, all of those things that usually kill the trauma patient, internal bleeding, throacic trauma, pericardial tamponade, brain injury, BLS can do almost nothing for, and ALS can do very little for. BLS skills are extremely important. I never doubt it for a second. However, I think we'd do better to view both BLS and ALS skills in the context of the chain of survivability, rather than the current chest beating "I'm an EMT! I save lives! What do you do?" mantra we have now. If for no other reason than it probably annoys a lot of hard working vascular, thoracic, neurological, and orthopaedic surgeons, not to mention ICU nurses, respiratory therapists, and ER attendings. I say stop trying to save lives and start trying to treat the patient to the best of your abilities. That's my position. Rambling Thoughts said:. I was trying to get the point across that BLS skills save LIVES in a traumatic situation...and they save lives medically too!
THIS SAYS IT ALL.
Okay it's my turn again..
See that up there^^^^^^^^^^? That statement...^^^^^^^^up there?
This is the basic premise of ALL EMS!!
Last I knew, taught, did, do, is that...UP THERE...^^^^^^^^...In the event anyone forgot that up there as stated^^^^^^^^IIS THE BASIC SKILL THAT IS TAUGHT, RETAUGHT, DRILLED TO AUTOMATIC NO THINKING INVOLVED AT ALL LEVELS AND AT A PARAMEDIC LEVEL ALSO--- IF YOU DO NOT AGREE --MAYBE A PROFESSION CHANGE SHOULD BE SAUGHT!..........This is a no brainer with absolutely no basis to argue or become arrogant...WTF? Why is this so hard for people to grasp! IT WORKS.
KUDO'S...........OMG................Tracey
I guess I don't get it....No you do not and this is the first thing you SHOULD be aware of: You do not get it!
I suggest people stop trying to be heroes up on a pedastle with magical life giving skills, and start thinking about the big picture of being a professional prehospital care provider, and just to focus on doing their jobs, and I get accused of being ego-maniacal? Has nothing to do with being a hero but with doing what is right. Basic life skills work and have worked. Therefore, you always start there and advance. Ego-Maniacal-Goggle it please. When you fail to work as a team and are ALWAYS right you loss sight of the whole picture!
Can you explain that? YOU look it up. I need not explain it..it is directed to you!
Are you saying its necessary for the good order and function of EMS for people to live in the lands of guardian angels and magical backboards?..This is pure sarcasm and delineates any need to respond.
And I'm really sorry if you consider my views on taking all studies with a grain of salt and to consider all possibilities as being far out there. Its just the way I think. I deal with facts and logic, and try to apply my knowledge to treat my patients to the best of my abilities.....
And therefore maybe you should realize this:
Studies should be studied.
For every study you read, another will prove the nest unequivocally wrong.
Do not take with a grain of salt but with a pound of salt.
I deal with facts and logic, and try to apply my knowledge to treat my patients to the best of my abilities....
No you do not. You have no logic. None. You apply your thinking and assimilation to "A Study" and trust it as truth! You deny basic skills and make some unbelievable statement about people walking to radiology INTUBATED???? That is not even LOGICAL...AT ALL! If you were logical, IF, you WOULD get it. You can not even defend your own argument. So, seeing that you are not logical and focus on being cocky-you get blown out as you just did, by stating erroneous statements for defending mortality of BLS skills with walking to radiology VS. X-rays for ALS skills!! Um....NO!....
Furthermore, you can not handle when you can not argue something because every time you do you get thrown under the bus by yourself! Again, though I do state experience does not equal competence: IN YOUR CASE..It should be a prerequisite as your attitude and lack of knowlege for TRUTH will kill someone!......................That is the LOGIC!...............Tracey
YUP.........Let other people decide. Just poor! VERY POOR!...Tracey
STILL LMAO......
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