Re: Something new to discuss

[Guest guest]

Hi every one i'm from Alvin tx, and i got to A.C.C. college to become a E.M.T.

And i heard the same thing about droping the intermediate level. And

something else i want to know is i heard that E.M.T-b's and intermediate are

almost the same.

what is the diff: from yall's point of view ?

thanx

Austin

[Guest guest]

I heard the same thing Tuesday in class.

At 06:44 PM 8/30/2000, you wrote:

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>

>Now this is a discussion group!

>

>Lets talk about something else?

>

>I heard the state was thinking about doing away with the intermediate level.

>Is this true? My opinion, either they need a MONITOR or they don't! What

>good is an IV without a monitor?????????

>

>

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[Guest guest]

My opinion, either they need a MONITOR or they don't! What good is an IV

without a monitor?

Good for several things. Off the top of my head:

1> fluid resuscitation/BP maintainence for trauma patients,

2> fluid administration/temperature reduction for heat injury patients,

3> medication route for unc/unr patients with known etiology (drug OD,

Hypoglycemic emergencies).

Then there is the aspect that many services cannot afford Paramedics

(volunteer agencies for example) and rely on the EMT-I to provide a higher

level of care than the EMT-B (such as intubation). Keep in mind that the

EMT-I might get there BEFORE the patient starts and has a better chance of

hitting that vein, therefore giving you a med route when you show up with

all your hoooah stuff to save their live.

Then there is that fact that working with an EMT-I makes the EMT-P's job

much easier. Here in Missouri they only have the EMT-B and the EMT-P. The

EMT-P winds up in back on every single call in which ALS is required. This

includes such things a transfers in which the patient has a heplock (an ALS

procedure). This gets old.

It is also nice to know that when you are having a 'bad IV day' there is

someone there to take a shot after you have missed twice. Before one of you

goes off on how good you are with an IV catheter, I am darn good, but I miss

sometimes. I like having the back-up for when I am having the " can't hit the

broadside of a barn " moments.

Anyhow, that is just my opinion. I am sure the socioeconomic experts on here

will now tell me how I am advocating diluting the pay scale and allowing

services to get away with a lower level of service than provided by an MICU

service.

Webb, LP

FLW EMS, MO

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[Guest guest]

Are you saying that every patient that has an IV needs a monitor? Are you

saying that if you don't have a monitor, then the IV is useless? This

doesn't even make sense. How many times have we all seen hospital patients

(including patients in the ER) with IV but not on monitors? Don't know

about the rest of you, but we see it pretty often.

Maxine

----- Original Message -----

My opinion, either they need a MONITOR or they don't! What

> good is an IV without a monitor?????????

>

>

> _________________________________________________________________________

> Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com.

>

> Share information about yourself, create your own public profile at

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>

>

>

[Guest guest]

Well, if EMT-I being dropped I wish someone would tell me so I wouldn't keep

giving TDH the money for the classes. No, EMT-I is still here and probably will

continue to be. Whoever told you there is no difference between EMT-B and EMT-I

doesn't know what they are talking about. Come vista my class and see for

yourself. It meets M, Tu, W, from 6pm-9:30pm.

Eddie EMS Coordinator

Brazosport College

h0temt4u@... wrote:

>

> Hi every one i'm from Alvin tx, and i got to A.C.C. college to become a E.M.T.

> And i heard the same thing about droping the intermediate level. And

> something else i want to know is i heard that E.M.T-b's and intermediate are

> almost the same.

> what is the diff: from yall's point of view ?

>

> thanx

>

> Austin

[Guest guest]

Personally, I feel it would be great if we could have an MICU on every

corner. However, sooner or later, reality sets in. If we go back to the

basics, we remember our ABCs, with Airway being the golden priority.

Intermediates can intubate and basics can't. Advanced airway procedures

alone can save a patient's life. Intermediates are also wonderful for

trauma, diabetics, and narcotics overdoses. While I would personally put a

monitor on all of these patients, it is just not feasible for paramedics to

be everywhere.

We have to remember the large, extremely rural components of our state.

There are areas that only provide BLS services. It is much more reasonable

for them to upgrade their service to the EMT-I level than it is for them to

attack the daunting task of upgrading the EMT-P level. The EMT-I also

allows services to upgrade in small steps rather than one big leap.

One could make some of the same monitor arguments about the EMT-B and their

treatments. If I give a patient NTG, Albuterol, or EPI, I am going to have

them on a monitor and probably start a line. However, EMT-B's can

administer these medications without either. I think this is all a matter

of a little bit of treatment of treatment is better than nothing.

Take Care!

Trey Wood, LP

[texasems-L] Something new to discuss

Now this is a discussion group!

Lets talk about something else?

I heard the state was thinking about doing away with the intermediate level.

Is this true? My opinion, either they need a MONITOR or they don't! What

good is an IV without a monitor?????????

_________________________________________________________________________

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Share information about yourself, create your own public profile at

http://profiles.msn.com.

[Guest guest]

Basically where I went to school at the only difference between the EMT-I and

the

paramedic was ACLS; in alot of cases my intermediate education exceeded alot of

the

education for medics.........but truly the only difference I've seen in the over

all

point of view is ACLS, drug interaction physiology, and EKG interpretation which

most Intermediates pickup with their first year of working.....

Eddie wrote:

>

> Well, if EMT-I being dropped I wish someone would tell me so I wouldn't keep

> giving TDH the money for the classes. No, EMT-I is still here and probably

will

> continue to be. Whoever told you there is no difference between EMT-B and

EMT-I

> doesn't know what they are talking about. Come vista my class and see for

> yourself. It meets M, Tu, W, from 6pm-9:30pm.

>

> Eddie EMS Coordinator

> Brazosport College

>

> h0temt4u@... wrote:

>

> >

> > Hi every one i'm from Alvin tx, and i got to A.C.C. college to become a

E.M.T.

> > And i heard the same thing about droping the intermediate level. And

> > something else i want to know is i heard that E.M.T-b's and intermediate are

> > almost the same.

> > what is the diff: from yall's point of view ?

> >

> > thanx

> >

> > Austin

>

>

[Guest guest]

Speaking of having a bad IV day - I had an incident while I was in Paramedic

School (in Texarkana, Tx.). We picked up a pt at a local nursing home for

decreased LOC, the medic was still in the nursing home getting info/paperwork

rounded up, while his partner and I loaded the pt. It had already been

decided to start an IV on this pt. So, being the student, I had first dibs

on the stick. I tried twice and missed both. The Medics partner was an

EMT-I, she tried twice and missed both. (This pt had excellent looking veins)

By this time the Medic had come back out to the truck and he tried twice

with no success. This poor little old lady looked like a pincushion by the

time we got through, (6 attempts 0 success). So there are just " Bad IV days " .

Hang in there things will get better.

Mike Stockton, AAS-EMT-P

Firefighter/Paramedic

Arklatxemt@...