"We try and call it straight. I've never liked the "exceptions" game, like "train delay" or bad weather - we know those things happen and we should ethically plan for and around them. It's also too difficult…"
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Charles Drollette
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- Newark, NY
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- Paramedic/EMT-I/EMT-D
Last On: 10:56AM, 21 Mar 12
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Charles Drollette's Discussions
New Vasopressin data not showing good neurologic benefits in ROSC... Studies will be coming to view
1 Reply
I am in CCEMTP refresher and just learned that Vasopresin is being found to leave ROSC patients Neurologically compromised in the event if survival from Cardiac Arrest. Studies to be posted as soon…Continue
Started this discussion. Last reply by Skip Kirkwood Mar 10, 2012.
RSI preparedness
49 Replies
I am so happy over all of the discussion comments so far I have another to post. So as a mentor for the local College Paramedic program I walked out of the class with a burning question on my mind.…Continue
Started this discussion. Last reply by Ben Waller Mar 31, 2012.
KING LT or Intubation
26 Replies
There is a heated discussion going around my co workers and I on advisements from regional medical directors that is advising us to go directly to King LT Blind insertion Airways during the presence…Continue
Started this discussion. Last reply by Ben Waller Mar 24, 2012.
National standing on 24 hr shifts
34 Replies
Question all, I recently worked at a agency that was employee driven wanting 24 hr shifts with 72 interem off. What are the national ranking on 24 hr shifts and your personal thoughts on them.Continue
Started this discussion. Last reply by Skip Kirkwood Apr 28, 2012.
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Johnson Smithwood replied to Charles Drollette's discussion National standing on 24 hr shifts"Skip, once again, you show that your agency is more enlightened than most I've been affiliated with. Your agency probably declines to engage in the time honored "performance" EMS practices of juking the stats with…"
Skip Kirkwood replied to Charles Drollette's discussion National standing on 24 hr shifts"Johnson,
While there is a classic definition of UHU promulgated by Jack Stout, the term has been adopted throughout the industry as a measure of busy-ness of a crew. In our system, we ignore classic UHU (because transports/hour doesn't…"
Charles Drollette's discussion was featuredNational standing on 24 hr shifts
Question all, I recently worked at a agency that was employee driven wanting 24 hr shifts with 72 interem off. What are the national ranking on 24 hr shifts and your personal thoughts on them.See More
Johnson Smithwood replied to Charles Drollette's discussion National standing on 24 hr shifts"While I haven't read all of the posts presented, most of these posts revolve around the UHU as a measure of "productivity". The measured UHU reflects the revenue generating (or possibly revenue generating) activity. It in no way…"
Bob Sullivan replied to Charles Drollette's discussion National standing on 24 hr shifts"I applaud Austin/Travis County EMS for hiring a sleep consulting company to design a more sleep friendly shift. We have EMS-specific research about how dangerous lack of sleep is thanks to Dan Patterson. We can't pretent to be…"
Neil White replied to Charles Drollette's discussion National standing on 24 hr shifts"Interestingly, 7 years ago there was zero interest in anything except 24s. Today, we are half-way converted and there is a long waiting list of people wanting to move to 12s as soon as it can happen. New generation? Different…"
Skip Kirkwood replied to Charles Drollette's discussion National standing on 24 hr shifts"Ben is correct on both points.
I doubt that there is a correlation between 24 hour shifts and high UHU (except in the most insane systems). If you had a UHU (dispatched, adjusted for time on task), or a traditional UHU (transports per hour)…"
Ben Waller replied to Charles Drollette's discussion National standing on 24 hr shifts"Another point on studying small groups - like an EMS system with only 10 employees. There is always the ability to study several small groups at a time to create an adequate study population, as well as to lengthen the study time.
Just…"
Ben Waller replied to Charles Drollette's discussion National standing on 24 hr shifts"That assumes high UHUs correlate to 24 hour shifts. That is not always the case. That's whe we need to get better research that gives us a better idea of what kind of call volume and call patterns correlate to "sleep…"
Ben Waller replied to Charles Drollette's discussion RSI preparedness""Think of short-term as the first day or 2..."
In EMS terms, that's not short term, it's almost forever. :-)"
dr-exmedic replied to Charles Drollette's discussion RSI preparedness"Think of short-term as the first day or 2, not the first hour or 2. Does that change your answer a bit?
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Nathan replied to Charles Drollette's discussion RSI preparedness"But why is it the only "treatment of choice"? What is that based on? I can think of some reasons for the long term but for the short term?? I guess that depends on the definition of short term..
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Tim Bayers replied to Charles Drollette's discussion National standing on 24 hr shifts"Hi Skip
I agree with you 100% sleep deprivation is just that regardless of the profession, There has recently been a couple of studies out there one in paticuliar from the university of Pittsburg I believe that was on EMS practioneers and the…"
Charles Drollette's discussion was featuredNational standing on 24 hr shifts
Question all, I recently worked at a agency that was employee driven wanting 24 hr shifts with 72 interem off. What are the national ranking on 24 hr shifts and your personal thoughts on them.See More
Profile Information
- Primary Role in EMS
- Paramedic/EMT-I/EMT-D
- Primary Agency/Department Type
- Volunteer Fire/EMS Department, Paid Fire/EMS Department, Educational
- Primary Department/Agency Name
- Wayne County ALS
- Years in EMS/Public Safety
- 12
- Other Past or Current Departments
- Finger Lakes Ambulance
Victor-Farmington Ambulance
Yates County ALS
East Bloomfield-Holcomb Fire/EMS
West Bloomfield Fire Dept
Newark Fire Dept
- My Training:
- Firefighting/Ontario County Smoke Diver
CFR through CCEMTP training
AHA CPR/ACLS/PALS Certified and Instructorship
FLCC Paramedic Class Alumni
FLCC Paramedic Class Mentor
- About Me
- I am a 32 year old country raised Paramedic who has been blessed and burdened with having some great mentors and friends in my life. I own a preverbial black cloud at times and still enjoy the rush of adrenaline from ems just as much as the friendships formed during my time of practice. I am a reforming bull in a china shop and I have hopes of taking my career up to the next level with med school.
- Day Job
- Paramedic
- I Love Being in Fire/EMS Because
- You get a chance to help a person at their worst moment potentially in life and I get to meet some fascinating physicians and healthcare workers forming some incredible friendships
- Relationship Status
- In a Relationship
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