Last On: 5:31PM, 16 Aug 12
EMS_Fanatic
  • Male
  • Milan, Italy
  • Italy
  • Nurse
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EMS_Fanatic's Discussions

Paramedics: too many esophageal intubation...
37 Replies

In Italy we are trying to introduce the Paramedic figure into the EMS in order to reduce the presence (and the costs!!!!) of the emergency phisicians and nurses in the EMS veichles. This is a long…Continue

Started this discussion. Last reply by Justin P Sep 8, 2012.

Types of veichles in the italian EMS

FAST RESPONSE VEICHLE (FRV): two tipes on FRV:1) medical car: a critical care nurse (from ICU or ER) and an emergency doctor (from ICU or ER).2) nurse car: two critical care nurses (from ICU or…Continue

Started Aug 10, 2012

Which are the differences between a paramedic and a critical care nurse?
10 Replies

Which are the differences between a paramedic (in general, accross the USA) and a critical care nurse in terms of: education and skills?There are competences or skills that belong only to nurses and…Continue

Started this discussion. Last reply by EMS_Fanatic Aug 10, 2012.

How you become a paramedic in FDNY?

Hi, I'm Dave, I'm an italian intensive care nurse and EMT. I'd like to know how you become a paramedic in FDNY. There's a degree course? How long is the course to get the certification in New York…Continue

Started Aug 9, 2012

 

EMS_Fanatic's Page

Latest Activity

Justin P replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation...
"Agreed, but if it takes 3 or more attempts to intubate a patient they should be documented along with the factors that lead to prolonged intubation, ie anterior airway, ambiguous anatomy, facial trauma and interventions used to prevent hypoxia…"
Sep 8, 2012
dr-exmedic replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation...
"Which is interesting, because I always dictate how many attempts, and don't know anyone who doesn't. I'm pretty sure that when I was a resident, the pre-printed "T-sheet" charts we used had a space for attempts, though I…"
Sep 6, 2012
Justin P replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation...
"I agree with your assessment Rob, I think that that type of mentality (recognizing esophageal intubation and correcting it on the second try and counting it as a 50% success rate) is part of the problem in EMS not the solution. When you have that…"
Sep 2, 2012
Rob Theriault replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation...
"Missed intubations is an issue of education, adequate training and experience or exposure in the field. Failed intubations and unrecognized esophageal intubations has nothing to do with the prehospital setting or paramedicine in…"
Sep 1, 2012
Justin P replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation...
"I agree, but tings need to be addressed, I have filed a complaint about her with the JEMS connect web chief I encourage the rest of you all to do the same "
Aug 29, 2012
Scott Lancaster replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation...
"Joe, et al. I wouldn't continue in a back and forth with Geri. I did that a couple of months ago and there is no end to it and it only distracts from the OP's original question. I left jemsconnect for a little bit, even shut down my…"
Aug 28, 2012
Justin P replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation...
"So Geri, the 80% of HEMS programs (Helicopter EMS) that run Medic RN don't track a Medics competency? Are you stating that one has to be an RN to be competent at critical care? The fact is most HEMS programs (except yours) run Medic/RN because…"
Aug 28, 2012
Justin P replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation...
"Right Skip, 'another one bites the dust...another one bites the dust....'  "
Aug 28, 2012
Skip Kirkwood replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation...
"Another wasted thread. And people wonder why the originators choose to close down their threads run amok! "
Aug 27, 2012
Paula Miller replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation...
"Oh--I am not bitter.  I actually have advanced my education beyond the level of a diploma, and left the field of nursing mainly due to my frustration with the narrow minded defensive attitudes  perpetuated…"
Aug 27, 2012
Justin P replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation...
"Great points Joe, I like how they said that paramedics were equipped with "A new, life saving device that only paramedics are capable of utilizing", hilarious that airway is a BLS skill in most of the US and has been for almost 10 years; I…"
Aug 27, 2012
Joe Smith replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation...
"Geri, Really, enough already. I haven't nursed bashed at all. If I have, please point it out. You are obviously an insecure person who can not hold a civil conversation with anyone who may not fully agree with everything you have to say. Every…"
Aug 26, 2012
Geri Jacobson replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation...
"I can't see having that many students in one ICU. We only allow one school at a time in each area. Sounds like some poor planning on everyone's part.    Nurses at least should understand the importance of training for a…"
Aug 26, 2012
Geri Jacobson replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation...
" "
Aug 26, 2012
Paula Miller replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation...
"Probably a bad time to mention that in the (gasp) nursing diploma program I attended, we spent several months, 3 days  a week, in ICU!  And worked with lines quite a bit.  However, this clearly did not qualify us…"
Aug 26, 2012
Paula Miller replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation...
"Can't we all just get along and respect one another for what we bring to the table, rather than being defensive and downright nasty at times?   "
Aug 26, 2012

Profile Information

Employer/Affiliation
Nurse
Primary Agency/Department Type
Hospital
Primary Department/Agency Name
Department of Intensive Care
Years in EMS/Public Safety
5
Other Past or Current Departments
5 years in the EMS as EMT-B before becoming an intensive care nurse.
I Love Being in EMS Because
I'm a part of something greater than me and this accelerate my life.
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Married

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