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Last On: 4:52AM, 19 Feb 13
Justin P
  • Male
  • Arlington, TX
  • United States
  • Paramedic/EMT-I/EMT-D
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Latest Activity

Justin P replied to Stu's discussion Precepting Students as a paramedic
"Great point Skip, I have this book and really like the methods/ ideas; I got mine for 5 bucks from a Half Price Books shop in Dallas "
Apr 28
Justin P replied to Bob Sullivan's discussion Albuterol/CHF
"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…"
Apr 28
Justin P replied to Mike Bjarköy's discussion Morphine for STEMI with NO chest pains
"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…"
Apr 28
Justin P replied to Marty Hrinko's discussion PA BLS Protocol
"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…"
Feb 19
Justin P replied to Ben Dowdy's discussion Functional vs. Foundational Education
"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…"
Feb 19
Justin P replied to danilo narciso's discussion There is height requirements for the applicant for EMT's? height is important? or life saving skills?
"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…"
Feb 18
Justin P replied to Marty Hrinko's discussion PA BLS Protocol
"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…"
Feb 18
Justin P replied to Marty Hrinko's discussion PA BLS Protocol
"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…"
Feb 17
Justin P replied to Marty Hrinko's discussion PA BLS Protocol
"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…"
Feb 17
Justin P replied to Marvin McLellan's discussion What does your local hospital have in their EMS lounge?
"Shit I need to go work there, best we can get here is off brand soda and nasty bologna and cheese on white bread that evaporates in your mouth; and old bananas and junk food. "
Jan 28
Justin P replied to Ben Dowdy's discussion Functional vs. Foundational Education
"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)…"
Jan 26
Justin P replied to Noel Carr's discussion Volunteer Rescue Squads Close to Chicago
"Seems like a nice little town been through there several times "
Dec 16, 2012
Justin P replied to Noel Carr's discussion Volunteer Rescue Squads Close to Chicago
"I believe that Marengo IL has a volunteer rescue squad its closer to Rockford than Chicago, and would put you at the higher end of 45 minutes to an hour from the city."
Dec 16, 2012
Justin P replied to John Haskins's discussion Needing A little Help
"Generally the bulk of your time should be focused on Pt assessment and Respiratory and Cardiovascular as the new EMR test hammer assessment based management and ABC's. If you have 60 hours for your course you should probably devote 8 hours to…"
Dec 7, 2012
Justin P replied to John Haskins's discussion Needing A little Help
"Excellent point Bill, the test bank makers are way behind the curve on this one. You may actually find better test questions in an EMT-Basic book from a few years ago as those questions are a little more in depth as you might say. I recently picked…"
Dec 6, 2012
Justin P replied to John Haskins's discussion Needing A little Help
"John, Here is a link to the PDF file from the National Highway & Transportation Safety Administration that guides current EMR training. It is about 348 pages long and includes the background that went into developing the current EMR curriculum.…"
Dec 6, 2012

Profile Information

Employer/Affiliation
Paramedic/EMT-I/EMT-D
Primary Agency/Department Type
Paid Fire/EMS Department
Primary Department/Agency Name
In transition
Years in EMS/Public Safety
14
Other Past or Current Departments
Northstar EMS-Houston
Acadian EMS-Austin
Southwest Ambulance-Mesa, AZ
Med-Care Ambulance-Mexico, ME
My Training:
City College-Fort lauderdale Florida
Southern Maine Technical College-So Portland, Maine
I Love Being in EMS Because
Making a difference in someone's day wether its saving their life or just hold their hand in a time of crisis
Relationship Status
In a Relationship

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