Last On: 1:52AM, 10 Apr 10
BostonMedic109
  • Male
  • South Weymouth, MA
  • United States
  • Paramedic/EMT-I/EMT-D
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Paramedic Staffing versus Quality of Care
92 Replies

Started this discussion. Last reply by Skip Kirkwood Feb 8, 2011.

Etomidate
5 Replies

Started this discussion. Last reply by BostonMedic109 Jul 28, 2009.

CPAP for BLS
42 Replies

Started this discussion. Last reply by Gregory Kyle Beard May 2, 2009.

 

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Latest Activity

Bryan Bjork left a comment for BostonMedic109
"Do you have any Boston EMS patches available? B. Bjork"
Jan 2, 2014
BostonMedic109's discussion was featured

Paramedic Staffing versus Quality of Care

Seem to remember recently a study which established that two attending paramedics is incontrovertibly superior than a single provider, but it also stated that additional medics not only did not improve care but actually had a negative impact. Basically article or study said two is best, better than one or more than two. Is this another one of my chronologically induced fantasies or does anyone know the reference so that I can use it in support of some local staffing challenges
Sep 20, 2012
BostonMedic109 replied to EMS_Fanatic's discussion Paramedics: too many esophageal intubation...
"I believe I can speak to this issue from both perspectives,having retired from Boston EMS after 35 years in clinical and educational roles and having been educated in Firenze and serving for a brief period with the Miscordia. Initial training and…"
Aug 21, 2012
BostonMedic109 replied to dr-exmedic's discussion IO for naloxone?
"Absoulutely not, my objections and rationale have been basically been expressed by the earlier comments. But as to the irresponsible comments of a PALS faculty member this should be brought to the atention of the coordinator tof the program. For…"
Apr 10, 2011
Skip Kirkwood replied to BostonMedic109's discussion Paramedic Staffing versus Quality of Care
"Jamie,   First, thanks for taking the time to actually do research.  Your study sets a good foundation for what comes next.  Such as "Does scene time matter for a significant number of patients?" etc.   One study builds…"
Feb 8, 2011
Skip Kirkwood replied to BostonMedic109's discussion Paramedic Staffing versus Quality of Care
"I don't think so.  You'd have to look pretty hard to find a clinically lazy medic in this organization.  I think it more has to do with work practices and work flow, and the way teams function. Our medics also don't find…"
Feb 8, 2011
Jamie Syrett replied to BostonMedic109's discussion Paramedic Staffing versus Quality of Care
"I published on the 2 vs 1 paramedic issue back in 2003. Below is the abstract......it may be interesting to repeat the study since our paramedics have expanded their scope of practice and now do more.   ARE TWO PARAMEDICS BETTER THAN ONE?…"
Feb 8, 2011
Ben Waller replied to BostonMedic109's discussion Paramedic Staffing versus Quality of Care
"There is not a lot of easy-to-find data on Lincoln's system but I did find this.   It seems to indicate that the fire department is chronically underfunded and that they try to fund EMS entirely from transport revenues - something else…"
Feb 5, 2011

Profile Information

Employer/Affiliation
Paramedic/EMT-I/EMT-D
Primary Agency/Department Type
Municipal Agency, Educational
Primary Department/Agency Name
Boston EMS Retired/ Now consultant/educator
Department/Agency Web Site
http://www.emstrainingltd.com
Years in EMS/Public Safety
39

Comment Wall (3 comments)

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At 6:49pm on January 2, 2014, Bryan Bjork said…

Do you have any Boston EMS patches available?

B. Bjork

At 8:25pm on March 28, 2010, rob elliott said…
hi mate i am a rescue man from nsw australia and i have just started to collect patches and so far i have 3 patches to my collection and was wondering if you could send me 2 of your department patches for my collection i am just starting my emergency medical training level 1 here is my postal address

r elliott
658 princes highway
russell vale nsw 2517
australia
At 8:25pm on March 30, 2009, Trisha Woody-Finley said…
Thankyou very much for your comment on my DUI. I wanted to ask you if you thought by starting back to school to complete my paramedic is an idea for what you are saying getting my feet wet. Most schools in my area are tied in with some kind of agency. I am hoping that if I did that the people that are instructors and that I do my ride time with see me as a responsible and upstanding student they may reccomend me for employment even though I have this in my past.
 
 
 
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