"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)…"
"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…"
"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…"
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.…"