"Douglas, Check out the Crestline brand of trucks, I like the Apex it is quite versatile, has all the latest safety features, and performs well in crashes (I used to work for a company that had one and it got rear ended at 45 mph while sitting at a…"
"Sounds like you need a fleet manager, not your Hospital's Maintenance person. These people are typically geared towards fixing equipment, doors, leaky faucets etc...
I would recommend that you recommend to the administration that they hire a…"
Just wanted to know if anybody has any experience working in SE Virginia (Near Hampton, VA Beach, etc...) I am thinking of relocating there to further my career.I started my EMS career in New England in the late 90's, attended medic school in Florida in 2003 and have been in Texas since 2006.Any recommendations as far as good companies to work for?Thanks allJPSee More
"I agree with the foregoing sentiments--the monitor (and at least some type of Jump kit) should go in on every call. The only exception to this is on MVC's then I take a c collar, stethoscope, and small trauma bag with me to the…"
Great question there. I have never seen a 'written' policy to address this but I have always fallen back on what I was taught in my EMT basic course many many moons ago--if it looks old get rid of it! More specifically if you…"
"Bob, when I first became a medic (10 years ago) they were teaching us not to use albuterol in CHF because they told us we'd 'drown em'. I have found (based on talking to a lot of cardiologists, pulmonologists, and ER docs) that…"
"It wouldn't be my first choice, because its primary mechanism of action (analgesia) is not needed; however your STEMI patient is likely to have a great deal of anxiety so I would consider some versed or ativan instead which will reduce…"
"I agree with you entirely, the question is what do we consider an emergency? Medicare has a different view of this than the general public. To many people if you bang your knee and it hurts that's an emergency; medicare would say that in order…"
"I think one of the biggest problems we have in clinical education is that we send paramedics (who focus on a very narrow acute medical model scope) and send them into hospital ER's to do clinical rotations where they are usually working…"
"I've seen many instances where a short partner is quite helpful (squeezing into the back of a wrecked car to hold c spine comes to mind) sometimes its a challenge to lift a manual cot with a short partner but I put them on the foot end (which…"
"Hey Skip, I see your point on this one but its factually inaccurate. Medicare doesn't define an 'emergency' by what number a patient called to get an ambulance. It doesn't matter if they called 911, a seven digit number, or a…"
"Great point about billing, although we are not EMS billers we are EMS providers, if a patient is requesting to go to ER C and you are bypassing ER's A and B to get there then having them sign an ABN (Advanced Beneficiary Notice) would make your…"
"Yes, there is a protocol that addresses the issue; sort of. The protocol in question actually addresses the issue of by passing lower level community hospitals to transport a patient to a specialty care center such as a trauma center, pediatric…"
"There is a continual transition from first responder to paramedic where there is a higher emphasis on foundational education as we all know. I agree that the powerpoints we find associated with most EMS texts (particularly at the paramedic level)…"