Last On: 9:32AM, 4 Apr 11
Stephen Stokes
  • Male
  • Westerly, RI
  • United States
  • Paramedic/EMT-I/EMT-D
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Combination Departments; Problem or Potential?
23 Replies

           While there are many forms of EMS today; volunteer, fire based, paid third services, private and many others, one thing remains the same, the job. As it would take years to describe all…Continue

Tags: Department, Fire, Combination, Career, Volunteer

Started this discussion. Last reply by Scott RB Jan 26, 2011.

 

Stephen Stokes's Page

Latest Activity

Stephen Stokes replied to Sam Oxford's discussion Blood Glucose check on every pt
"Joe, you took the words right out of my keyboard...  "
Feb 1, 2011
Stephen Stokes replied to Sam Oxford's discussion Blood Glucose check on every pt
"Rouge,   I do see your point. I do know that there are some states, CT for example, that allows the instructor judgment. You may pass the class with flying colors and scores, but if the instructor is not comfortable with your skills or ability…"
Feb 1, 2011
Stephen Stokes replied to Sam Oxford's discussion Blood Glucose check on every pt
"  Rogue,   "It isn't the amount of time in school that matters, but the quality of the education."   Agreed, the reason I say a college program is not to say that they are better or worse, only that there is a clear…"
Feb 1, 2011
Stephen Stokes replied to Sam Oxford's discussion Blood Glucose check on every pt
"  So here is the million dollar question (although it may cost more to do it).   How do we make better training programs?   My vote (and I know I will get a hit for this) is to require paramedics to go to college. I know there are 2…"
Jan 31, 2011
Stephen Stokes replied to Sam Oxford's discussion Blood Glucose check on every pt
"Couldn't agree more. and I will take a look at the article. Thanks "
Jan 30, 2011
Stephen Stokes updated their profile
Jan 30, 2011
Stephen Stokes replied to Sam Oxford's discussion Blood Glucose check on every pt
"Rogue,   Are you talking of infusing D10 instead of using the D50? I know we have been doing that for a while due to that med shortage a few months ago. It seems to be working just fine. Now that we have D50 back, we still have a few boxes of…"
Jan 30, 2011
Stephen Stokes replied to Sam Oxford's discussion Blood Glucose check on every pt
"Doc, That was my point. I was not saying that every single patient should be getting BGL's and 12 Leads. What I was saying is that there are indications for those tests on several patients and they should be done. I also agree that not all…"
Jan 30, 2011
Stephen Stokes replied to Sam Oxford's discussion Blood Glucose check on every pt
"Neil,   I can see where my initial post was misleading. I did put in there that it was not every patient, it was most that exhibited some symptoms that could be related to heart concerns. If I was not as clear as I should have been, shame on…"
Jan 30, 2011
Stephen Stokes replied to Sam Oxford's discussion Blood Glucose check on every pt
"Sarcasm is never pointless and judging by your reference to it the desired effect was had. But enough of that nonsense.   I AGREE!   You are missing my point;   Neil said "Trauma..."toolbox"...bradycardia...healthy…"
Jan 29, 2011
Stephen Stokes replied to Sam Oxford's discussion Blood Glucose check on every pt
"Skip,   I don't think that we are that far off in our opinion. I do agree with you that there is a limit to the tests we do based on the patient and if my above post eluded to anything more then that then I am sorry. However, I would like…"
Jan 29, 2011
Stephen Stokes replied to Sam Oxford's discussion Blood Glucose check on every pt
"I am not for or against the use of BGL on every patient. However, we as a service have been moving towards a standard of care to bring the ER/ED the best painted picture we can to reduce slow downs in the emergency system. For us, that entails…"
Jan 28, 2011
Scott RB replied to Stephen Stokes's discussion Combination Departments; Problem or Potential?
"Chances are that that lawyer would do the job for pay on a PRN basis.  I've known plenty of medics and EMTs who worked fulltime in more lucrative careers (e.g. IT, engineering, piloting planes), but stayed in (or joined) EMS on a PT basis…"
Jan 26, 2011
dr-exmedic replied to Stephen Stokes's discussion Combination Departments; Problem or Potential?
"If a lawyer is advocating laws and isn't doing it out of the goodness of his or her heart, that means you're probably describing a paid lobbyist...who can advocate good or bad things.  But is a lawyer who is also a volunteer EMT…"
Jan 25, 2011
Joe Paczkowski replied to Stephen Stokes's discussion Combination Departments; Problem or Potential?
"I think that this is one of those things that really depends on the paid service. Is an EMT at a high call volume necessarily getting experience if he views his job as only driving the ambulance and handing random items to the paramedic? Granted,…"
Jan 25, 2011
Skip Kirkwood replied to Stephen Stokes's discussion Combination Departments; Problem or Potential?
"Marshall, those things might be good for a particular volunteer organization, but I would submit that they don't contribute to the development of EMS very much.  Most volunteers (and I was an EMS volunteer for many years) do, and want to…"
Jan 25, 2011

Profile Information

Employer/Affiliation
Paramedic/EMT-I/EMT-D
Primary Agency/Department Type
Private EMS, Municipal Agency, Non-Profit
Primary Department/Agency Name
Westerly
Years in EMS/Public Safety
14
Day Job
EMS Administrator
I Love Being in EMS Because
I wouldn't survive as a laborer.
Relationship Status
Single

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