tag:blogger.com,1999:blog-329132972024-02-20T14:16:50.368-05:00The EMS NomadMusings of a Paramedic in Suburban Philadelphia, Pennsylvania.Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.comBlogger93125tag:blogger.com,1999:blog-32913297.post-35630218520511623682022-03-05T19:10:00.011-05:002022-03-05T19:15:10.106-05:00Travel Medic 101<p>Since the onset of the COVID pandemic, there’s been an increasing number of opportunities for EMS providers to take deployment or travel jobs, in some cases with significant financial incentives.</p><p>I’ve heard many people ask if they could be a travel medic, and what will the work be like?</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEjzthDdXHU1Lut70F4t-EooJTpvZ-PsM-CFcM_bfbrY9khl8Ct49eHOMx0pfw5En-_7uDPgtHmwIgQE5RmHkythXgKteYYt4J3-UEyrLljdDgWzD0W0kgfudi5RCAJ7BG4ejmsqJralEuKt005xNjgcK7xrQkyUZtYXFNctOSW-jyMmcBRQJA=s800" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="533" data-original-width="800" height="213" src="https://blogger.googleusercontent.com/img/a/AVvXsEjzthDdXHU1Lut70F4t-EooJTpvZ-PsM-CFcM_bfbrY9khl8Ct49eHOMx0pfw5En-_7uDPgtHmwIgQE5RmHkythXgKteYYt4J3-UEyrLljdDgWzD0W0kgfudi5RCAJ7BG4ejmsqJralEuKt005xNjgcK7xrQkyUZtYXFNctOSW-jyMmcBRQJA=s320" width="320" /></a></div><br /><p><br /></p><p>Assignments typically range from 2-13 weeks. Some have “normal” work schedules, typically with some element of planned/expectedOT - working 5-6 8+ hour days, 3-5 10 or 12 hour shifts. Some are 24x7 duty with no official downtime.</p><p>Common roles:</p><p>~COVID Testing/Vaccination</p><p>~Infusion Center for Monoclonal Antibody Therapy</p><p>~ED/ICU Tech</p><p>~Ground Ambulance staffing:</p><p>~~~Upstaffing an existing company (IFT and/or 911)</p><p>~~~FEMA / GMR Ground Ambulance Deployment (Typically IFT, can be 911 as well)</p><p><br /></p><p>Most commonly now, assignments are posted only a few days before they start. That means you may not have a ton of time to make a decision, or get required certifications taken care of. Some agencies or contracting authorities specifically want AHA classes - so if you can get AHA cards, it’ll open doors. Also work on making sure your affairs are in order so you can go - Do you have family responsibilities you are needed for - or can you disappear for weeks? Do you need a plan for pet care? Someone who can get the mail for you? An inexpensive place to park your car? Do you have appropriate luggage? (Plan on one checked bag, <50lbs, and a backpack)</p><p><br /></p><p>Some things to make life easier? Get a folder together with all your carts. Have an electronic file as well - Most places are going to require you to upload these things online, and having a dedicated folder to quickly grab all your cards will make that easier.</p><p><br /></p><p>When assessing compensation, look at what the employer is paying hourly, as well as per diem. Also look at what the total hours paid per week will be. Pay attention to what you’ll be responsible for paying for (hotel? Rental car?) and have a plan to ensure you can cover those costs within the allotted per diem. Per Diem is NOT taxable, so a contact that splits out a daily per diem may actually be better than one that has a higher hourly rate.</p><p><br /></p><p>Common certification needs for contract positions:</p><p>~EMT:</p><p>~~~NREMT, CPR (preferably AHA).If on an ambulance: EVOC/CEVO, HazMat Awareness, and ICS/NIMS (IS-100.C,IS-200.C,IS-700.B,800.D)</p><p>~Paramedic:</p><p>~~~NR-Paramedic, CPR/ACLS/PALS (preferably AHA). PHTLS, and all the above</p><p><br /></p><p>For ANY new job, expect to complete:</p><p>~Drug Screen</p><p>~I9 (DL + Social Security card, or Passport)</p><p>~Direct Deposit</p><p>~Physical (May be waived, especially if you have one in the last year)</p><p>~PPD/T-spot (May be waived, especially if you have one in the last year)</p><p><br /></p><p>Almost all COVID-related roles will require a complete COVID vaccine, potentially with booster.</p><p><br /></p><p>#Paramedic #EMT #TravelMedic #Advice</p>Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-66852425750883715512015-07-23T17:06:00.003-04:002015-07-23T17:11:30.656-04:00GrammarThose of you who know me, know that I am active on several different EMS forums, including serving as admin staff over at www.EMTLife.com and a few EMS-focused Facebook groups.<br />
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One of the things that makes me cringe on a regular basis is the grammar and spelling used by entry-level members of my profession. This has become clearer as I spend time reviewing PCR's at work and at volunteer agencies. Today, I was on a conference call for work, and an <i>executive </i>pointed out that word choice and PLACEMENT matter quite a bit.<br />
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For example, lets look at how one can open their narrative:<span style="font-size: large;"> </span><br />
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<span style="font-size: large;">"Arrived to find patient lying in bed w/ FD medics."</span></div>
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<span style="font-size: large;">vs. </span></div>
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<span style="font-size: large;">"Arrived to find patient lying in bed, with FD medics providing care."</span></div>
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Which makes you sound intelligent, and which makes you laugh? Is grammar more important now?<br /><br /><br />And, now for some levity, I give you Weird Al, a guy who's built his life around playing with words:<br />
<iframe allowfullscreen="" frameborder="0" height="270" src="https://www.youtube.com/embed/8Gv0H-vPoDc" width="480"></iframe><br />Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-22368132386452972692015-07-08T13:56:00.001-04:002015-07-08T13:56:32.787-04:00John Hinds and #ResusWankers<br />For those who read my smaccUS Day 1 blog, you know how much of an impact Dr. John Hind's lecture on a <span style="font-family: inherit;"><span style="line-height: 115%;">resuscitative </span></span><span style="font-family: inherit;"><span style="line-height: 115%;">thoracotomy </span></span>had on me.<br />
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I was beyond shocked when I woke up on Saturday morning to find out (through Twitter, how else) that he had died. One of the last things I did before walking out of McCormick Place on Friday, at the end of SMACC, was to get a chance to shake Dr. Hind's hand. I actually walked partially out of the building with him, and I explained how he had changed my opinion of a local EM Physician who did the same procedure in our local ED. I can't claim to have known him well, but I do know he will be sorely missed in the FOAMed community.<br />
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We are united in grief at the passing of one of the best.
RIP <a href="https://twitter.com/DocJohnHinds">@DocJohnHinds</a> <a href="http://t.co/1FVa9cEjSY">pic.twitter.com/1FVa9cEjSY</a></div>
— Saint Emlyn's (@stemlyns) <a href="https://twitter.com/stemlyns/status/617309426647588869">July 4, 2015</a></blockquote>
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A few points.<br />
#1: John had been campaigning for an Air Ambualnce for Northern Ireland. There is a Change.org petition to push for the same thing, as a fitting memorial to him. I know online petitions are mostly useless, but this one is a great cause, so go ahead and sign it <a href="https://www.change.org/p/the-northern-ireland-assembly-lets-push-ahead-with-dr-john-hinds-campaign-to-get-an-air-ambulance-off-the-ground-for-northern-ireland-as-he-no-longer-can-a-lasting-tribute-for-an-exceptional-man-rip-doc-hinds" target="_blank">HERE</a>.<br />
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#2: EmCrit has a podcast up with some never-before-heard audio from Dr. Hinds. Great stuff.<br />
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In Memory of our friend: Podcast 153 - <a href="https://twitter.com/DocJohnHinds">@docJohnHinds</a> - On How He Ran His Unit <a href="http://t.co/m6UcOM43Ga">http://t.co/m6UcOM43Ga</a> <a href="http://t.co/WEhP4s10gZ">pic.twitter.com/WEhP4s10gZ</a></div>
— Scott Weingart (@emcrit) <a href="https://twitter.com/emcrit/status/617725061282205698">July 5, 2015</a></blockquote>
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#3: SMACC has put up the video for Dr. Hind's SMACC lecture on "Crack the Chest, Get Crucified". Go watch it.<br />
<iframe allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/GFX_tocJShA" width="560"></iframe> <br />
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#4: <a href="http://ragepodcast.com/cases-races/" target="_blank">The RAGE Podcast</a> (Resuscitationist's Awesome Guide to Everything) has re-posted John's 2014 smaccGOLD talk "Cases from the Races". Here is the audio combined with the slides in a video format. Fantastic lecture.<br />
<iframe allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/MsZBXlTHPCg" width="560"></iframe><br />
<br />Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-25191759240056622372015-06-28T23:00:00.000-04:002015-07-08T13:39:09.988-04:00Post-smaccUSMy time at smaccUS is done. I flew home yesterday. Spent the day working today.<br />
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I've been to a LOT of EMS-focused conferences. I've never had more fun than I did in Chicago this week. The social network aspect was amazing, and I made a BUNCH of new friends. I had a fantastic time, and I've already booked my room for SMACC in Dublin next year. I would encourage all who are on the fence to come and join me in Dublin in June 2016.<br />
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While <a href="https://twitter.com/hashtag/smaccTAT?src=hash">#smaccTAT</a> may fade, the memories of <a href="https://twitter.com/hashtag/smaccUS?src=hash">#smaccUS</a> will last forever. <a href="https://twitter.com/hashtag/emswolfpack?src=hash">#emswolfpack</a> <a href="https://twitter.com/hashtag/PCDS?src=hash">#PCDS</a> <a href="http://t.co/aXoRiRn08R">pic.twitter.com/aXoRiRn08R</a></div>
— Jon B. (@JonEMTP) <a href="https://twitter.com/JonEMTP/status/615316277637287936">June 29, 2015</a></blockquote>
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Yesterday, I spent the day playing tourist. I saw the Field museum (which I hadn't seen during my previous visit to town). Yes, I'm a nerd, and I really enjoyed the exhibits. Even got a T-Rex Selfie!<br />
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<a href="https://twitter.com/hashtag/TRexSelfie?src=hash">#TRexSelfie</a> <a href="http://t.co/tpcLXJ6gew">pic.twitter.com/tpcLXJ6gew</a></div>
— Jon B. (@JonEMTP) <a href="https://twitter.com/JonEMTP/status/614832975209828352">June 27, 2015</a></blockquote>
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One of the funniest moments was when I tweeted I was on the plane headed home. Several folks pointed out that my first name was spelled wrong on my name badge. My response? I didn't really care - they got my Twitter handle correct, that was the most important!<br />
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Headed home from <a href="https://twitter.com/hashtag/smaccUS?src=hash">#smaccUS</a>. It's been a LOT of fun. Now home to Philly, work in the AM. <a href="https://twitter.com/hashtag/EMS?src=hash">#EMS</a> <a href="https://twitter.com/hashtag/paramedic?src=hash">#paramedic</a> <a href="https://twitter.com/hashtag/emswolfpack?src=hash">#emswolfpack</a> <a href="http://t.co/SEgyUuLm9Z">pic.twitter.com/SEgyUuLm9Z</a></div>
— Jon B. (@JonEMTP) <a href="https://twitter.com/JonEMTP/status/614974432428359680">June 28, 2015</a></blockquote>
<br /><script async="" charset="utf-8" src="//platform.twitter.com/widgets.js"></script>Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-11889633305504763102015-06-27T13:09:00.000-04:002015-07-08T13:32:56.502-04:00smaccUS - Day 3Day 3: The Last day.<br />
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Again, too many talks to sum up each one, and so many good talks going on at the same time. I can't wait for all the podcasts to come out so that I can catch up.<br />
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The most interesting lecture for me was Haney Mallemat's (<a href="https://twitter.com/CriticalCareNow" target="_blank">@CriticalCareNow</a>) discussion on fatigue and sleep schedules. It was discussed that commercial truck drivers have FAR greater restrcitions on their work hours than EMS providers do, yet us medics drive emergency vehicles, with greater risks than a long-haul trucker.<br />
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Of course, Simon Carley (<a href="https://twitter.com/EMManchester" target="_blank">@EMManchester</a>) talked of Dunning-Kruger, and gave me an opportinity to insert one of my favorite memes into the #smaccUS discussion.<br />
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And 5 min into the talk, <a href="https://twitter.com/EMManchester">@EMManchester</a> has already talked about <a href="https://twitter.com/hashtag/DunningKruger?src=hash">#DunningKruger</a> <a href="https://twitter.com/hashtag/smaacUS?src=hash">#smaacUS</a> <a href="http://t.co/8PCVtHuRwt">pic.twitter.com/8PCVtHuRwt</a></div>
— Jon B. (@JonEMTP) <a href="https://twitter.com/JonEMTP/status/614466427718864898">June 26, 2015</a></blockquote>
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<script async="" charset="utf-8" src="//platform.twitter.com/widgets.js"></script>.<br />
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The afternoon continued with a musical interlude - Cups song and a Frozen parody. Can't find the video, but I'm sure it exists.<br />
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At the end, the SMACCFinale was amazing. Set up as a game of Family Feud, with 70's era costumes. I've never seen two teams more intent on NOT winning a game, though. And there was this bombshell from the folks behind the conference:<br />
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<a href="https://twitter.com/hashtag/smaccUS?src=hash">#smaccUS</a> actually lost money. They don't do it for profit. They do it to bring medical minds together. Best conference ever!
<a href="https://twitter.com/smaccteam">@smaccteam</a></div>
— Goldilocks (@ERGoddessMD) <a href="https://twitter.com/ERGoddessMD/status/614550564446306304">June 26, 2015</a></blockquote>
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Finally, there was a last shot of the #<a href="https://twitter.com/hashtag/emswolfpack" target="_blank">EMSWolfpack </a>roll call. I put the hashtag up on the board to see if anyone noticed. Notice it they did. 22 folks claimed membership in the group on the board, and I think a few more were around.<br />
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<a href="https://twitter.com/hashtag/emswolfpack?src=hash">#emswolfpack</a> roll call 4/4. Who's 2nd from bottom? <a href="https://twitter.com/tingles005">@tingles005</a> <a href="https://twitter.com/EMS_Junkie">@EMS_Junkie</a> <a href="https://twitter.com/emscritcare">@emscritcare</a> <a href="https://twitter.com/parabrod">@parabrod</a> <a href="http://t.co/5iDl1a7wgv">pic.twitter.com/5iDl1a7wgv</a></div>
— Jon B. (@JonEMTP) <a href="https://twitter.com/JonEMTP/status/614799271402061824">June 27, 2015</a></blockquote>
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<br />Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-28993458067026256632015-06-26T09:35:00.000-04:002015-06-26T09:35:00.307-04:00smaccUS - Day 2<span style="font-family: inherit;">Alright. Day 2 at SMACC, and I'm starting to get the hang of it. LOTS of folks who are HUGE in the FOAM scene, and many are VERY cool about it. This <span style="line-height: 115%;">phenomenon</span>, of course, has a hashtag (<a href="https://twitter.com/search?q=%23Smaccsquee" target="_blank">#smaccSquee</a>) I got to talk with John Hinds and Mark Wilson after a session this afternoon, and both seemed genuinely interested in interacting with us mere mortals. <span style="line-height: 20.7000007629395px;">J</span>.</span><br />
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<span style="font-family: inherit;">Like yesterday, I'll do my 3 big takeaways:</span><br />
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<li><span style="font-family: inherit;">Impact Brain Apnea is a thing. While I'd never heard the term before, I've surely heard the phenomenon described. now, perhaps, I'll not write it off as simple bystander hysteria.</span></li>
<li><span style="font-family: inherit;">Some EM docs, even from "GREAT" hosptials, still don't understand what EMS is, what EMS does, and what tools we actually have. That was midly depressing, BUT quite a few EM docs in the room took to Twitter to defend "us", so things aren't really that bad.</span></li>
<li><span style="font-family: inherit;">Ultrasound looks REALLY REALLY cool, and I REALLY need to learn how to use it, because it's clearly the future of medicine, especially in the emergent environment.</span></li>
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<span style="font-family: inherit;">The conference closed for the day with SonoWars, a combination of education and contests for folks who know about ultrasound. As much as I KNOW I know nothing about ultrasound, I still found it VERY interesting. It's fairly clear that ultrasound technology is only going to become more portable and less expensive, and will likely continue to be embraced as a prehospital diagnostic tool.</span></div>
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<span style="font-family: inherit;">Like many things at SMACC, there was a song:</span></div>
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<span style="font-family: inherit;">Apparently these <a href="https://twitter.com/hashtag/smaacUS?src=hash">#smaacUS</a> folks love their <a href="https://twitter.com/hashtag/ultrasound?src=hash">#ultrasound</a> <a href="http://t.co/i6xQfO3m3k">pic.twitter.com/i6xQfO3m3k</a></span></div>
<span style="font-family: inherit;">— Jon B. (@JonEMTP) <a href="https://twitter.com/JonEMTP/status/614199206190936065">June 25, 2015</a></span></blockquote>
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<span style="font-family: inherit;">SMACC 2016 has been announced as Dublin, Ireland. There are so many variables at play, but I'm going. This has been so much fun that I can't imagine sitting on the sidelines and just watching next year. Come join me! There's already been talk of the #EMSWolfpack doing an AirBNB share or similar, <span style="line-height: 115%;">recognizing </span>we are all poor medics, and if we save money in housing, it gives us more money to play tourist.</span></div>
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<span style="font-family: inherit;">Looks like I'm going to go to Dublin next year. Guess I need to start saving now. <a href="https://twitter.com/hashtag/smaccDUB?src=hash">#smaccDUB</a> <a href="https://twitter.com/hashtag/smaacUS?src=hash">#smaacUS</a> <a href="http://t.co/1JOFt1jzJS">pic.twitter.com/1JOFt1jzJS</a></span></div>
<span style="font-family: inherit;">— Jon B. (@JonEMTP) <a href="https://twitter.com/JonEMTP/status/614179039121698816">June 25, 2015</a></span></blockquote>
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<span style="font-family: inherit;">After the conference proper, there was a gala dinner on Navy Pier. Live band, food, alcohol, and lots of SMACC-Talk made for a fun time. A highlight of the evening was seeing my old mentor "Sparky" (<a href="https://twitter.com/embasic" target="_blank">@EMBasic</a>) and how much a part of FOAMed he is, specifically with the <a href="http://embasic.org/" target="_blank">EMBasic blog</a> and podcast. A bunch of the "<a href="https://twitter.com/search?q=%23emswolfpack" target="_blank">#EMSWolfpack</a>"<span style="line-height: 115%;">crew ended up hanging out outside by the Blues Brothers car. Of course,
I wasn't there, but after meeting up with a few others, we met Henrick from
Sweden, who's a nurse anesthetist that works in EMS. We had a short discussion on
nurse-based EMS vs. medic-based EMS, and decided that we pretty much do the
same thing </span><span style="line-height: 115%;">J</span><span style="line-height: 115%;">.</span></span></div>
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<span style="font-family: inherit;"><a href="https://twitter.com/hashtag/emswolfpack?src=hash">#emswolfpack</a> found the Blues Bros-mobile at <a href="https://twitter.com/hashtag/smaccUS?src=hash">#smaccUS</a> gala. <a href="http://t.co/1S96sOwjGH">pic.twitter.com/1S96sOwjGH</a></span></div>
<span style="font-family: inherit;">— Josh (@pcpJosh) <a href="https://twitter.com/pcpJosh/status/614247700658323456">June 26, 2015</a></span></blockquote>
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<span style="font-family: inherit;">So a chunk of the <a href="https://twitter.com/hashtag/emswolfpack?src=hash">#emswolfpack</a> was hanging out and met <a href="https://twitter.com/wessman1022">@wessman1022</a> <a href="https://twitter.com/hashtag/smaacUS?src=hash">#smaacUS</a> <a href="https://twitter.com/DaveWakely">@DaveWakely</a> <a href="https://twitter.com/Medic4900">@medic4900</a> <a href="https://twitter.com/madmedic809">@madmedic809</a> <a href="http://t.co/7BfKLjtxh1">pic.twitter.com/7BfKLjtxh1</a></span></div>
<span style="font-family: inherit;">— Jon B. (@JonEMTP) <a href="https://twitter.com/JonEMTP/status/614258874523209728">June 26, 2015</a></span></blockquote>
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<span style="font-family: inherit;">Anyway - Today is the 3rd and final day. Please follow the hashtags and partcipate at least a bit. Once this is over, much of the material will be condensed into podcasts and other forms of FOAM.</span><br />
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Previous Coverage:<br />
<a href="http://www.jonemtp.com/2015/06/smaccus-day-0.html" target="_blank">smaccUS Day 0</a><br />
<a href="http://www.jonemtp.com/2015/06/smaccus-day-1.html" target="_blank">smaccUS Day 1</a></div>
Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-63243099342281766042015-06-25T16:00:00.000-04:002015-06-25T20:19:41.121-04:00smaccUS - Day 1<div style="margin-bottom: .0001pt; margin: 0in;">
<span style="font-family: inherit;">Yesterday was an absolute BLAST in Chicago for SMACC US.
Literally, a blast - the show opened with a confetti cannon!<o:p></o:p></span></div>
<div style="margin: 0in 0in 0.0001pt;">
<br /></div>
<br />
<div style="margin: 0in 0in 0.0001pt;">
<span style="font-family: inherit;">For those who don't know - SMACC stands
for Social Media and Critical Care. It's a conference put on by folks who are
very active in the FOAM (Free and Open Access Meducation) movement. They blog,
they podcast, and they present at conferences. The conference style is
something I've never seen before - mostly panel presentations, with various
speakers stepping forward to do a brief (15-25 minute) talk on a very focused
topic. It's something akin to TedTalks for FOAM. All questions are asked via
Twitter to a designated Twitter Moderator, and the lecture halls are FULL of
folks who are listening while using electronic devices to tweet and comment
about the topic being discussed.<o:p></o:p></span></div>
<div style="margin: 0in 0in 0.0001pt;">
<span style="font-family: inherit;"><br /></span></div>
<span style="font-family: inherit;">The day was full of educating moments. My top 3?</span><br />
<br />
<ol>
<li><span style="font-family: inherit;"><a href="https://twitter.com/DocJohnHinds" target="_blank">John Hinds</a> <span style="line-height: 115%;">talking about the fallout of a resuscitative thoracotomy outside of a
trauma bay </span> (inspiring the hashtag <a href="https://twitter.com/search?q=%23ResusWankers" target="_blank">#ResusWankers</a>). </span></li>
<li><span style="font-family: inherit;"><a href="https://twitter.com/emcrit" target="_blank">Scott Weingart</a> <span style="line-height: 115%;">presenting
a fairly compelling argument against protocol-driven trauma resuscitation, and
in reality ALL resuscitation/emergent medicine</span></span><div class="MsoNormal">
<span style="font-family: inherit;"><o:p></o:p></span></div>
</li>
<li><span style="font-family: inherit;"><span style="line-height: 115%;"><a href="https://twitter.com/amalmattu" target="_blank">Amal Mattu</a> presenting a humor-filled talk on how working in Emergency Medicine is tied very strongly to the Princess Bride. (Inconciveable!) </span></span></li>
</ol>
<br />
The biggest thing, though, wasn't the lectures. It was the attitude. When talking to folks while waiting in line, or over lunch, it became clear that no one viewed me as "just" a paramedic. In fact, I was simply viewed as another confernece attendees. Among other things, the confernece name badges don't have titles or post-nominal initials, at all, and that is FANTASTIC. You know what they do have? Twitter handles!<br />
<br />
<br />
Anyway - Continue to follow <a href="https://twitter.com/search?q=%23smaccUS" target="_blank">#smaccUS</a> and <a href="https://twitter.com/search?q=%23emswolfpack" target="_blank">#EMSwolfpack</a> for conference events as they happen, and I'll post about day II on Thursday morning.Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-6603387263555160402015-06-24T01:30:00.000-04:002015-06-26T03:02:27.940-04:00smaccUS - Day 0<span style="font-family: inherit;"><span style="line-height: 115%;">The last few weeks have been a whirlwind of preparation and working
extra shifts so that I could </span>afford to spend this coming week in Chicago for <a href="http://www.smacc.net.au/" target="_blank">SMACC:Chicago/SMACC:US</a> (<a href="http://twitter.com/search?q=%23smaccUS" target="_blank">#smaccUS</a>) - SMACC stands for Social Media and Critical Care. It's a combination of bloggers/podcasters/twitterers who have put on an annual conference in <span style="line-height: 115%;">Australia</span>, with a focus on Emergency Medicine/Critical Care. Best part? They open their doors to folks who aren't attending physicians - residents, interns, nurses, social workers, and even paramedics!</span><br />
<span style="font-family: inherit;"><br /></span>
<span style="font-family: inherit;">Anyway - I flew into Chicago on Tuesday, got checked into my hotel, and then met up with some folks I knew from Twitter to have dinner/drinks with the #EMSwolfpack: Apparently it's a thing. As best I can tell, it was started by a couple of Aussies (<a href="https://twitter.com/jrparamed" target="_blank">@jrparamed</a>, <a href="https://twitter.com/paramedickiwi" target="_blank">@paramedickiwi</a>, <a href="http://paramedic_al/" target="_blank">@paramedic_al</a>, and <a href="https://twitter.com/KablammoNick" target="_blank">@KablammoNick</a>)</span><br />
<span style="font-family: inherit;"><br /></span>
<span style="font-family: inherit;">Not only was it "a thing" - It was an amazing tweetup with great international connections made. There were Aussies, Canadians, Americans, and I think even a couple of folks from New Zealand).</span><br />
<span style="font-family: inherit;"><br /></span>
<br />
<blockquote class="twitter-tweet" lang="en">
<div dir="ltr" lang="und">
<span style="font-family: inherit;"><a href="https://twitter.com/hashtag/emswolfpack?src=hash">#emswolfpack</a> <a href="https://twitter.com/ChiPublicHouse">@ChiPublicHouse</a> <a href="https://twitter.com/hashtag/smaccUS?src=hash">#smaccUS</a> <a href="http://t.co/fixqwFCzKY">pic.twitter.com/fixqwFCzKY</a></span></div>
<span style="font-family: inherit;">— Alex Mckenzie (@paramedic_al) <a href="https://twitter.com/paramedic_al/status/613508462962540544">June 24, 2015</a></span></blockquote>
<span style="font-family: inherit;"><br /></span>
<br />
<div style="margin-bottom: .0001pt; margin: 0in;">
<span style="font-family: inherit;">In short, a bunch of folks who had never met each other had an
evening chatting like we'd known each other for years. We compared protocols
and scopes of practice, we swapped a few war stories, and we complained about
the same things all medics do. And we had 50+ prehosptial practitioners get to
know each other.<o:p></o:p></span></div>
<div style="margin: 0in 0in 0.0001pt;">
<br /></div>
<br />
<div style="margin: 0in 0in 0.0001pt;">
<span style="font-family: inherit;">Anyway - As the conference continues,
watch the #smaccUS and #EMSwolfpack hashtags for plenty of ongoing entertainment.</span><span style="font-size: 13.5pt;"><o:p></o:p></span></div>
<script async="" charset="utf-8" src="//platform.twitter.com/widgets.js"></script>Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-8389190714115618482015-05-13T08:56:00.001-04:002015-05-13T08:56:49.744-04:00Blue Lights and VolunteersOver the past few days, there's been a Change.org petition circulating to expand the privileges of volunteer firefighters and EMS personnel who use "courtesy lights". Here in PA, those lights are blue (and ONLY blue) and give you NO legal right to do anything more than an average driver.<div><br></div><div>In all my years in Fire/EMS, I've never used blue lights to respond to a call or a firehouse. Many of my volunteer originations have staffed the station in readiness for calls, and I've had no desire to spend money on lights for my car.</div><div><br></div><div>Anyway - the petition is here: https://www.change.org/p/pennsylvania-general-assembly-change-the-laws-regarding-volunteer-firefighters-courtesy-lights-in-pennsylvania - it calls for volunteer vehicles with "blue lights" to get the rights and privileges of emergency vehicles, and be able to use sirens/horns as warning devices too.</div><div><br></div><div><br></div><div>Want to know why the PA State Police and other agencies don't want us to have blue lights, and why we are our own worst enemy? Look at this picutre:<br><div class="separator" style="clear: both;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjh5HeaL0z1DdYwnShS1bshMNpbYF9_K1zEar-wO6n7SFtcmhxiSoayc9L5YRRF5F6TghxJ-nvKAPL4TkjebyfZQ1U05Sk16XG5oQGVBeARNR9cIAEW3wwhmi8xiGyOlks_uvhf/s640/blogger-image-1933301506.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjh5HeaL0z1DdYwnShS1bshMNpbYF9_K1zEar-wO6n7SFtcmhxiSoayc9L5YRRF5F6TghxJ-nvKAPL4TkjebyfZQ1U05Sk16XG5oQGVBeARNR9cIAEW3wwhmi8xiGyOlks_uvhf/s640/blogger-image-1933301506.jpg"></a></div></div><div class="separator" style="clear: both;"><br></div><div class="separator" style="clear: both;">Yesterday, I was driving eastbound on the PA Turnpike. As I passed the Mid-County interchange (76/476) in moderate traffic, this yellow BWM zipped past me in the shoulder with a blue dash light. He then proceeded to weave in and out of the exit lane, causing at least one car to have to swerve to miss him. He then continued east on the Turnpike, again driving on the shoulder (next exit was miles away).</div><div class="separator" style="clear: both;"><br></div><div class="separator" style="clear: both;">I don't know what the crisis was, but I can't fathom why s/he needed to drive like that, risking multiple accidents. There wasn't an accident on the Turnpike - just typical rush-hour traffic.</div><div class="separator" style="clear: both;"><br></div><div class="separator" style="clear: both;">Anyway - to those who swear by blue lights, this is your enemy too - s/he makes everyone look bad. Further - think - will your community be safer with moreemergency vehicles driving around for the same number of calls?</div>Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-63476637001130545982014-12-01T22:05:00.001-05:002014-12-06T14:32:08.460-05:002014 PA Scope of Practice Update<!--[if gte mso 9]><xml>
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On Saturday, 11/29/14, the Commonwealth of Pennsylvania
published an update to the EMS scope of practice in the PA Bulletin (<a href="http://www.pabulletin.com/secure/data/vol44/44-48/2479.html" target="_blank">Found here</a>).
I’m no lawyer, but as the document highlights that IN and IM (Autoinjector)
Narcan administration is OK immediately, I’m presuming that the entire scope of
practice is effective immediately. For reference sake, (<a href="http://pabulletin.com/secure/data/vol41/41-15/628.html" target="_blank">2011 here</a>)
is the prior Scope of Practice, dated 4/9/11.</div>
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<br></div>
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I've compared the old and new documents line-by-line and have the results attached as a spreadsheet </div>
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</div>
<a name="more"></a><br>
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Key below. Anything in <span style="color: red;">RED </span>is from the 2011 listing.</div>
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<br></div>
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<span style="font-family: "Arial Black","sans-serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Unchanged</span></div>
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<span style="color: black; font-family: "Arial Black","sans-serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Scope is same or similar to previously standing protocol</span></div>
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<span style="font-family: "Arial Black","sans-serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Clarification</span></div>
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<span style="color: black; font-family: "Arial Black","sans-serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Scope is similar, but has been changed to a minor degree</span></div>
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<span style="font-family: "Arial Black","sans-serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Variation</span></div>
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<span style="color: black; font-family: "Arial Black","sans-serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Significant change in scope</span></div>
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<span style="font-family: "Arial Black","sans-serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">New</span></div>
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<span style="color: black; font-family: "Arial Black","sans-serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">New scope of practice either granting or restricting</span></div>
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<span style="color: red;"><span style="font-family: "Arial Black","sans-serif"; font-size: 10pt;">Removed</span></span></div>
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<span style="color: black; font-family: "Arial Black","sans-serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Present in 2011, Absent in 2014</span></div>
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<br>
Here's ALL the changes as a Google Doc Spreadsheet - note the 4 tabs on the bottom<br>
https://docs.google.com/spreadsheets/d/1okvETk991oIDePwWxx4LxjJBWHgwoAd6qP6dMKjArfg/pubhtml</div>
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Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-38433040896057130772014-08-12T09:30:00.000-04:002014-08-12T23:05:45.679-04:00EMS and Firearms - Who Will Carry?<!--[if gte mso 9]><xml>
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<div class="MsoNormal">
There's one category I will say should be permitted to carry
firearms without much thought – that would be Tactical EMS providers, who function with a municipal
or regional SWAT/ERT team. They should be trained and meet qualification
standards set by the team, and be permitted to at least carry sidearms for defense
of themselves and other members of the team.</div>
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<br /></div>
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If it will be regular street providers, then who will they
be? Will they self-select? Will the service say that only certain people should
be able to carry? Will the service say that certain staff members (supervisors,
for example) should carry firearms? What qualifications will be required? What
laws apply? Does it change if the service is requiring providers to carry? </div>
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My personal opinion would be that the providers should
self-select. Carrying a firearm is a heavy responsibility, and something that
one really needs to think long and hard about before they do it. Forcing someone to do it isn't really a bright idea.</div>
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<br /></div>
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Many of us elect to carry firearms for self defense off-duty. Likely we would be the core individuals considering carry on duty.</div>
Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-73501678903551874402014-08-08T12:00:00.000-04:002014-08-08T12:00:00.669-04:00EMS and Firearms - What are the current laws pertaining to EMS carrying firearms?<div class="separator" style="clear: both; text-align: center;">
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What are the current laws
pertaining to EMS carrying firearms?</div>
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<a href="http://onlinecarrytraining.com/blog/wp-content/uploads/2014/04/gun-free-zone-concealed-carry.gif" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://onlinecarrytraining.com/blog/wp-content/uploads/2014/04/gun-free-zone-concealed-carry.gif" height="200" width="200" /></a></div>
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<br />
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PA is a rather pro-gun state. Commonwealth Licenses to Carry
Firearms (LCTF) are shall-issue, and inexpensively available from every county
sheriff. PA is also an Constitutional Open Carry state, wherein carrying of a
firearm openly visible in a holster is legal so long as you aren't in a vehicle
or in the City of Philadelphia. A LCTF is required to conceal a firearm in
public, or carry one openly in Philadelphia.</div>
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<br /></div>
<div class="MsoNormal">
If you are carrying a firearm as a duty of employment, then
you enter into territory governed by the same laws as armed security. That
requires some level of training and certification above the “average citizen”
in many states.</div>
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<br /></div>
<div class="MsoNormal">
There are a few places where carry is either legally
questionable or prohibited. These include primary/secondary schools,
jails/courthouses/correctional facilities, and areas that are federally
prohibited, like federal buildings and the secure section of airports.
Additionally, many other businesses post signs that indicate they would prefer
folks not bring firearms onto their premises.</div>
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Additionally, in Pennsylvania, the State Department of
Health currently requires that every licensed EMS agency prohibit non-LEO's
from carrying firearms on their ambulances. Even outside PA, most ambulance
companies prohibit firearms from their ambulances (and often buildings and
premises) as a matter of “good business practice”</div>
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Oh, and as always, I'm not a lawyer. This isn't legal advice, etc, etc, etc. </div>
<br />
Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-46138991474034745152014-08-07T18:53:00.001-04:002014-08-07T18:58:51.833-04:00EMS and Firearms – an Intro<!--[if gte mso 9]><xml>
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Over the last few years, I've been involved in multiple
discussions regarding EMS providers carrying firearms in the performance of
their duties. Many of my friends often assume that I'd take the pro-gun side,
but my answer is far more complex.<br />
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="http://r2.emsworld.com/files/cygnus/image/EMSR/2012/JUL/600x400/dt4ems-021_10741305.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" src="http://r2.emsworld.com/files/cygnus/image/EMSR/2012/JUL/600x400/dt4ems-021_10741305.jpg" height="213" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Credit to Kip Teitsort of <a href="http://www.dt4ems.com/" target="_blank">DT4EMS</a></td></tr>
</tbody></table>
</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
In the last week, this has risen to prominence in many EMS
circles, with several good friends doing podcasts on it.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
For those that don't know, in addition to being a paramedic,
I'm a state-licensed Agent under PA's Lethal Weapons Act 235. In short, I've
got a PA Armed Security Guard certification. I've carried a firearm for
employment, and had additional defensive tactics training. I occasionally work
in a gun store, I often carry a concealed firearm for self-defense, I've long
been involved in firearms-centric state-level political activism, and I'm a
NRA-credentialed instructor and life member. In short, compared with many, I
know a LOT about firearms.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Since I'm so pro-gun, folks assume I'm a proponent of EMS
being allowed to carry firearms. My response? Not so fast!</div>
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<br /></div>
<div class="MsoNormal">
First, let me say... I have NO reservations about on-duty
commissioned Law Enforcement Officers providing EMS or working on ambulances.
They complete significant defensive tactics and firearms training, and have a
duty belt full of tools to de-escalate situations if needed. I've been working
with folks like this all summer.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Secondly – I have a moderately strong understanding of
various firearms-related laws, because if I screw up, I could go to jail, and
lose my rights to own guns ever again. That said, I am not a lawyer. Nothing I
write should be construed as legal advice in any way/shape/form. </div>
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<br /></div>
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Thirdly – I will try to be general, but some of my answers
will be Pennsylvania specific, because that's the area I know best.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
If EMS is going to carry, there are a few questions that
must be addressed, and over the next week, I will expand on these questions:</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
What are the current laws pertaining to EMS carrying
firearms?</div>
<div class="MsoNormal">
Who will carry firearms?</div>
<div class="MsoNormal">
How will they be carried?</div>
<div class="MsoNormal">
Why is EMS carrying firearms?</div>
<div class="MsoNormal">
What are the risks of EMS carrying firearms?</div>
<div class="MsoNormal">
Where can EMS carry firearms?</div>
<div class="MsoNormal">
What qualifications/training are required?</div>
<div class="MsoNormal">
Who is going to certify those qualifications are met?</div>
<div class="MsoNormal">
How will firearms carry change how EMS is perceived?</div>
<div class="MsoNormal">
Who is going to be liable for EMS providers USING firearms
for self-defense?</div>
Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-49250766785384219312014-08-07T12:25:00.000-04:002014-08-07T18:53:29.416-04:00Weird AlIn the last few weeks, "Weird" Al Yankovic has been all over social media.<br />
<br />
His most recent album proves that he's still relevant, and his parodies are just as appreaciated today as they have been for the last 30+ years. I think this album is his best yet.<br />
<br />
I enjoy the "Royals" parody the most... partially because I occasionally interact with the "tin foil hat" crowd in my travels.<br />
<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.youtube.com/embed/urglg3WimHA?feature=player_embedded' frameborder='0'></iframe></div>
<br />Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-81321833298771132452014-07-29T20:59:00.001-04:002014-07-29T21:03:00.108-04:00TravelWell, it's been a busy few weeks out here.<br />
<br />
I flew home last week during my 3 days off to see some folks, and pick up a shift at my one job. Why did I need to pick up a shift? Because they said if I didn't work within 90 days, I'd be off the schedule. So I'm now good to have a job to go back to when I finish my temporary government job up here.<br />
<br />
Anyway, my encounters with the Thousands Standing Around (http://www.tsa.gov) were unremarkable. Flying out of McCarren, I was running late for a 6am flight, but thankfully there was NO line at security. I opted out of the invasive scanner, and got my free Obamacare health screening from a polite TSA worker.<br />
<br />
My Southwest flight home was uneventful. I ended up with a middle seat in an exit row. The flight attendant was VERY clear on making sure those of us seated in that row knew what our roles were, and the flight was slightly early into BWI. As we exited the aircraft, I became aware that the woman sitting across the aisle from me was a sitting US Congresswoman. True to her party, she was sitting on the left side of the plane - but hey, she's flying Southwest, so she's at least attempting to be fiscally Conservative.<br />
<br />
Heading back, there was quite a line at 6am at BWI, however it moved rapidly, and I got "randomly selected" for TSA Pre-Check. That was nice. Kept my shoes on, and didn't get groped by some random guy.<br />
<br />
The flight home Friday morning was a little bumpy, but otherwise uneventful. I still haven't seen a singing or rapping Southwest flight attendant, and the flight crew going back seemed less enthusiastic than the ones I had Tuesday. We landed back in Vegas on time. I drove straight to work from the airport, and made it in plenty of time.<br />
<br />
<br />
<br />
PS... TSA Pre-Check rant: Because I work for the FedGov, I currently hold a HSPD-12 smart card. If I were a DOD civilian, I would be automatically eligible for Pre-Check, but since I work for a different agency, I'm not. Even though I've had a background check more thorough than TSA's. Government Efficiency right there.<br />
<br />Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-80989652138875030152014-07-18T10:57:00.000-04:002014-07-18T10:57:00.150-04:00Wildfire<div style="font-family: Helvetica; font-size: 12px; margin: 0px;">
The other week, I finally got the opportunity to complete my Pack Test, or “Work Capacity Test” for my current job. It’s the arduous-level wildland fire physical fitness test. You wear a vest or carry a pack weighing 45 pounds, and walk 3 miles, in under 45 minutes.</div>
<div style="font-family: Helvetica; font-size: 12px; margin: 0px; min-height: 15px;">
<br /></div>
<div style="font-family: Helvetica; font-size: 12px; margin: 0px;">
This test was the biggest thing that scared me about my new job. Somehow I missed the requirement to pass the test on the application, and I didn’t realize I’d need to complete it until I was in the process of accepting the position. Over 2 months, I was able to work up to the required time and weight, and now my biggest goal is keeping at it, so that the test doesn’t scare me in the future.</div>
<div style="font-family: Helvetica; font-size: 12px; margin: 0px; min-height: 15px;">
<br /></div>
<div style="font-family: Helvetica; font-size: 12px; margin: 0px;">
Anyway – I took the pack test on July 6th, which was a significant day in the history of wildland fire. On July 6th, 1994, 14 experienced firefighters died on <a href="https://www.iaff.org/hs/LODD_Manual/LODD%20Reports/South%20Canyon,%20CO%20-%2014%20LODDs.pdf" target="_blank">Storm King Mountain in Colorado</a>. The week before, June 30th, was the first anniversary of the deaths of 19 Granite Mountain Hotshots on the Yarnell Hill fire in Arizona. July 10th was the 13th anniversary of the Thirty Mile fire, a fire in Washington State that took the lives of 4 Forest Service firefighters.</div>
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That’s 3 major anniversaries in wildland firefighting in 11 days. I’ve read much about all three incidents, including <a href="http://www.amazon.com/John-N.-Maclean/e/B001H6QEZQ/ref=sr_ntt_srch_lnk_1?qid=1405676142&sr=1-1" target="_blank">John Maclean’s books</a> on the South Canyon (Storm King) Fire, and the Thirty Mile Fire. He’s a good author, and does a decent job summing up the various investigations, as well as re-interviewing involved parties and trying to put a fuller perspective on the events.</div>
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<div style="font-family: Helvetica; font-size: 12px; margin: 0px;">
Anyway – One thing I’ve learned in my wildland training is that the <a href="http://www.fs.fed.us/fire/safety/10_18/10_18.html" target="_blank">10 and 18 (Standard Firefighting Orders and Watchout Situations) </a>have been written in blood. Yeah, I’m idealistic because I haven’t actually worked a wildfire, but I just can’t understand why the same things happen over and over again.</div>
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<div style="font-family: Helvetica; font-size: 12px; margin: 0px;">
As the summer continues, to my friends that wear yellow nomex – as the 10 & 18 say: Fight fire aggressively, having provided for safety first.</div>
Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-14760362276171641622014-07-16T15:30:00.000-04:002014-07-16T15:30:01.300-04:00Helicopters<!--[if gte mso 9]><xml>
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I've long been a believer in the <a href="http://www.jems.com/article/vehicle-ops/reducing-inappropriate-helicop" target="_blank">Bryan Bledsoe School ofHelicopter EMS (HEMS) Usage</a>. Essentially, they have a place in EMS, but they
should be like abortion – safe, legal, and rare.</div>
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Back home in Pennsylvania, I've been outspoken over the
asinine use of HEMS. When you're within a mile of an open and functional trauma
center, there is no good reason that you need to land a helicopter to transport
your patient... yet I've seen and heard that happen.</div>
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Don't get me wrong, HEMS has its place in EMS. The providers
often have more advanced tools and drugs, especially for securing airways in
traumatically injured patients. </div>
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<br /></div>
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One of my most common places to use HEMS back home is actually
at a prison that we cover. We often have some time delays in accessing,
packaging, and removing the inmate to the ambulance, and the facility also has
a true helipad. If I call for the helicopter when I'm in the facility, it's on
the ground or landing by the time I can load the patient and move to the LZ
(Landing Zone). Depending on the time of day and road conditions, my drive time
from the facility to a Level II trauma center can be as little as 30 minutes,
or as much as 45 minutes or more. That meets criteria, in most cases, to allow
HEMS usage. And HEMS is actually faster if they are on the ground at the same
time that I could start driving.</div>
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Now out here, I’ve got extended drive times from much of my
territory to trauma centers, and in some places, even a hospital. My two closest hospitals for much of my territory are community hospitals, one of which is technically a "critical access hospital." Additionally,
when my patient is down a trail, or on a boat, I’m rarely sitting waiting for a
helicopter to land to take my patient away. The crews I’ve worked with are
great at minimizing scene time, and usually are in the air within 5-6 minutes
of climbing into my ambulance.</div>
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Now here’s the fun part. Often, when I send patients by
helicopter, they go to the hospital Dr. Bryan Bledsoe works at. That’s just
ironic, isn’t it?</div>
Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com1tag:blogger.com,1999:blog-32913297.post-41375969391169295312014-07-15T20:20:00.002-04:002014-07-15T20:20:12.506-04:00Code 4<!--[if gte mso 9]><xml>
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A few months ago, I blogged about “<a href="http://www.jonemtp.com/2014/01/plain-speech.html" target="_blank">plain speak</a>” and how terminology changes from place to place. Now that I'm working in the Western
US, I've learned a NEW term for an ambulance – out here, it's called a
“Rescue”. They have “Heavy Rescue” or “Technical Rescue” units – those are the
“rescue” trucks I'm used to talking about.</div>
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<br /></div>
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Anyway – the agency I work for still uses some 10-codes.
Things like “give me a 21”, short for 10-21, meaning: call dispatch via phone. Some folks use 10-7/10-8 for out of service/in service, and there's a smattering of other ones, too.
There's a new one for me, “Code 4”. It's actually the same as a 10-code I'm
used to from the police back home, “10-92”. Code 4, 10-92, or even “92” mean
the same thing, ostensibly, “status OK”. That said, the code means so much more
than that. The use is very context-dependent. Most often, it's how I answer
status checks by dispatch when my unit hasn't been on the air recently.</div>
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We also use it for other things. Talking about a disabled
motorist: “He's code 4, waiting for AAA.” Or, after a property damage
collision, “occupants are all Code 4, just want to file a report.”</div>
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An example, from an EMS perspective, is a call I had at the
University EMS service, while I was a supervisory lieutenant. I was onscene for
a psychiatric emergency, and the other lieutenant arrived, and asked me on our
ops channel if I needed anything. My response was “Nope, we're 92 in here, just
let me know when the BLS arrives.” Suddenly, by using that 10-code, he knew
that a University police officer and myself weren't doing anything useful
inside, and were simply waiting for the ambulance to arrive, so the person
could go to the hospital for care, after their cry for help.</div>
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Another great use from the EMS side is when we are
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house, dealing with securing property, that sort of thing. Over the years, when
I've request a LE unit for something minor, it's not uncommon to get more than
one, because they all come, just in case I'm in trouble. It's great to know the cavalry will come when I call, but it's
also a waste of resources. Being able to use a code that the dispatcher and LE
know, that says “I'm OK” can help ensure that my LE friends don't get hurt
racing to “assist EMS” for something dumb.</div>
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<br /></div>
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“Code 4” isn't some huge secret. It's online, and can be
heard on most scanner apps for western LE agencies. Its use is varied, and very
flexible. It, and 10-92, the 10-code from back home, are one of the more useful
LE “codes” that I've used.</div>
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<br /></div>
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<br /></div>
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Jon</div>
Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-65994899360750182532014-07-04T13:30:00.000-04:002014-07-04T13:30:00.403-04:00Fellowship <!--[if gte mso 9]><xml>
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I’ve had the opportunity this spring to be involved in
something really cool. I’ve been involved with a new group, called the American
College of Paramedics. Here’s the idea – Paramedics in the United States
becoming a self-regulating body, like is seen in many Commonwealth countries.</div>
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<br /></div>
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From the website:</div>
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The title of “Fellow of American College of Paramedicine”
represents an EMS practitioner’s commitments to clinical excellence in the
prehospital environment, the promotion of evidence-based EMS practice, and
development of the EMS profession into that of true allied health professionals.
Candidates for FACPM will have demonstrated the following during a
5-year candidacy period</div>
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http://acparamedic.org/fellowship/</div>
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<br /></div>
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I’m proud to say I’m part of the fellowship committee, and
the Board members seem to be working diligently to make this happen. I think
this is a great next step for American EMS. What do you think?</div>
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<br /></div>
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Check out the website:</div>
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<a href="http://acparamedic.org/">http://acparamedic.org/</a></div>
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<br /></div>
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And the Facebook page:</div>
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<a href="https://www.facebook.com/Paramedichope">https://www.facebook.com/Paramedichope</a></div>
<div class="MsoNormal">
<br /></div>
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<br /></div>
<div class="MsoNormal">
Jon </div>
Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-1192374032018989852014-07-03T21:26:00.001-04:002014-07-03T21:26:42.878-04:00Philly Fire at Level Zero<!--[if gte mso 9]><xml>
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Philadelphia Daily News has an inflammatory
headline today: <a href="http://www.philly.com/philly/news/homepage/20140703_In_case_of_emergency__say_a_prayer_.html" target="_blank">In case of emergency, say a prayer?</a> Sad part - It's spot on. Getting EMS care in Philadelphia is as much luck as it is anything else. It's a finite resource that has long been neglected. </div>
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Tuesday brought seasonally expected high temperatures, and with that, predictable
high EMS call volumes. That’s NOT a surprise to anyone who follows the saga of
PFD*EMS. Add in a small-scale disaster, such as the food truck explosion that happened
Tuesday afternoon, and the system went back to Level Zero. And was there a
couple other times during the day.</div>
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Level Zero is a term in the EMS industry. It means the City
has ZERO available transport EMS resources – everything is committed (on calls,
at hospitals, cleaning up, completing post-run paperwork, restocking, or out of
service for training).</div>
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Here’s the thing. Even when Philly DOES have EMS units available…
they may not be in every neighborhood. On busy days, it’s routine to see
ambulances leapfrog across the city, getting sent on 20 or 30 minute responses
as soon as they clear a hospital. Is there really a difference if it takes 10
minutes to dispatch an ambulance that’s coming from 20 minutes away, or if an ambulance
from 30 minutes away is dispatched without a delay? Other than the statement of
“no medic available” on the radio? The scene gets the closest available suppression
apparatus, and they wait for an ambulance.</div>
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It’s common in major cities to supplement municipal EMS
resources with mutual aid providers. In some towns, that consists of agreements
with adjoining towns to help provide coverage for normal flows of service. In
other towns, that involves a public-private partnership where ambulances that
are primarily used for non-emergent transport are used to supplement the 911
system. Some areas do this more frequently than others, but it’s a common
solution.</div>
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Philadelphia doesn’t seem to know how to call for help. They
have a procedure where quite a few agencies have radios mounted in ALS
ambulances that can communicate with PFD’s dispatch so that these units can be
used in a disaster. These radios are used in the annual airport drill, and regularly
tested, and that’s the end of it.</div>
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Philadelphia invested money in the system, and <a href="http://philaoem.blogspot.com/2010/08/mayor-nutter-announces-enhanced.html" target="_blank">unveiled it 4years ago</a>.
Yet, to my knowledge, it has never been used for an actual event. Especially
these occasional surge events that happen EVERY SINGLE SUMMER. These surges happen in extremely hot weather, and also on warm summer evenings when the city's "knife and gun club" starts up, and fills the hospital trauma bays with battered and bleeding individuals.</div>
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Philly is planning to “fix” their EMS system by hiring a
whole bunch of EMS-only EMT’s to ride ambulances, paired with Paramedics,
allowing them to return to a all-ALS deployment with more units. That’s the
stated goal, anyway. That isn’t going to happen overnight, though. The City
should use the resources it has available to cover it’s requirement to provide
EMS until PFD*EMS is on a better footing.</div>
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Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-13815060582391847262014-06-25T07:24:00.001-04:002014-06-25T07:31:49.454-04:00Stars <span style="-webkit-composition-fill-color: rgba(130, 98, 83, 0.0980392); color: rgba(0, 0, 0, 0.701961); font-family: UICTFontTextStyleBody; font-size: 17px; line-height: 22px;">Over the years, I've spent many nights sleeping outdoors, and many more nights outside with friends. One thing I've never gotten tired of is starting at a sky full of stars. </span><br />
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Where I live, there's just a little too much light pollution to be able to look up at the sky and truly enjoy the view. Some of my favorite memories of the outdoors are of my time under the stars. Like the night, as a scout, I joined in with a dozen others and slept out on a tarp brought by a friend. Going to sleep under a blanket of stars is magical. Or the year I was Camp Health Officer - after our senior staff celebrated our final night with a BBQ and campfire, I wandered out into the deserted field in the middle of the camp and ended up laying back, contemplating the heavens.</div>
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Some other great times have been with friends at caving events in West Virginia. When you're 20 miles from the nearest strip mall, the view gets so much better.</div>
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Even now, in my temporary home 25 miles from the midnight sun of the Las Vegas Strip, I get to see the night sky. My little neighborhood only has moderate light pollution, so the view is pretty good. Of course, I'm living under a major approach route to McCarran International Airport, so my stargazing is punctuated by an ever-changing constellation of planes stacked up, traveling west across the lake into Vegas.</div>
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Anyway... The night sky never gets old. I love the mysticism behind the constellations, and technology now makes it easier than ever to identify stars and constellations. I use Sky Guide, but there are other apps out there too.</div>
Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-57064652893985397362014-06-12T21:33:00.001-04:002014-07-03T20:50:13.241-04:00Big Change - For real this timeSo, it's been over a month since I posted. Sorry... I've been a little busy.<br />
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I decided to take my blog title seriously, and I accepted a seasonal position as a Paramedic for the National Park Service at Lake Mead. That means that the last week of April, I moved cross-country for the summer.</div>
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-My new ambulance. Credit to my friend Matt Goldberg for this</div>
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It's been a very interesting transition. After a month, I'm getting used to the desert. It's been very ironic that the East Coast has been hit with some very nasty rainstorms and flooding, while out here, weq've had rain sprinkles one night, and the local weather folks got all excited over a few drops of rain.</div>
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I've also had to get used to the altitude, and that's been a gradual thing as well.</div>
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The land is beautiful, even if it is in a drought.</div>
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Anyway.... Sorry for the absence. It's been a busy couple of months with getting prepared, tentatively accepting the position, buying a new car, actually getting the official job offer, then packing up and moving, and then getting settled out here. I've got some posts pending about some of my adventures on my road trip, as well as my adventures on my days off. Oh, I'll talk a bit about some of the differences in my role out here, but the usual privacy stuff applies, so I've got to be careful.</div>
Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-2725766154827973682014-04-14T18:49:00.000-04:002014-04-17T06:49:50.567-04:00NR-PI got a nice letter in the mail today.<br />
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Effective last week, I'm now a Nationally Registered Paramedic. That means that I'm no longer "NREMT-P", instead I'm "NR-P".<br />
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And if I decide to pay money for a new patch, it will look like this (From NREMT website):<br />
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I'm glad that NREMT has gone back to the traditional old rocker patch for paramedics. It's a nice nod to tradition. As for NR-P? Doesn't matter much to me right now. I know my home state, Pennsylvania, will be transitioning to the new standards soon, and it's unclear what transition I'll need to do at the state level. With the NREMT, I challenged the exam for recert, so I automatically transitioned.<br />
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<br />Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-74170794023285575402014-04-08T06:39:00.000-04:002014-04-17T06:39:43.917-04:00Felons and Guns?One of the big gun blogs, <a href="http://www.thetruthaboutguns.com/2014/04/robert-farago/question-of-the-day-should-felons-be-able-to-keep-and-bear-arms/#more-309067" target="_blank">TTAG, raises the question of felons owning firearms in a blog on Friday</a>.<br />
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<blockquote class="tr_bq">
Live by the gun, die by the gun? Create a federal system for the restoration of felons’ gun rights? Or full rights restoration for felons upon release? Where do you stand on gun rights restoration?</blockquote>
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So, the root question is: should felons be able to own guns? I've actually had this discussion with my brother and some other firearm enthusiasts over the last few years. The answer isn't simple, but I'll submit that at least in some cases, felons should have a system to regain their rights.<br />
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The goal of prison, as far as I understand it, is to both punish those who commit crimes, as well as rehabilitate the inmates so that they don't re-offend. Or, to think about it another way, people are in prison because they aren't safe to interact in regular society.<br />
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If they have served their time, and it's deemed safe for them to be released into regular society, they should have a way to regain their rights. If they are so dangerous that they shouldn't be able to regain their rights... then they should still be in custody. They shouldn't be out in public where there are ample unprotected targets.<br />
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If prisoners are so dangerous that they can't ever be trusted with firearms again, they belong in prison, sequestered from the rest of the population, where they can't hurt anyone. If they don't need that, then there should be a path for restoration of rights. Call it an extended probation, call it what you will. What if, 10 years after being released from prison, and being released from parole, they have a way to petition (easily) to get their rights restored?<br />
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<br />Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0tag:blogger.com,1999:blog-32913297.post-90789231813604579222014-04-04T14:44:00.001-04:002014-04-08T02:00:07.414-04:00Gear Review - Mophie Powerstation DuoI've been using the Mophie Powerstation Duo since this summer. I actually bought it on the way to the 2013 Boy Scout Jamboree to replace the portable battery I'd forgotten to pack. Picked it up at a Best Buy for the MSRP of $100. It's a 6000mAh battery for USB-powered devices.<br />
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<a href="http://www.mophie.com/shop/smartphones/powerstation-duo-smart-phones-tablets" target="_blank">Link to product HERE</a></div>
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If you know me, you know I'm addicted to my iPhone. The problem is that I use my phone so much, it's not uncommon to need a second full charge during the day to make my phone last all day.</div>
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Since I use a LifeProof iPhone case, I can't use a case with built-in battery power. That means I'm stuck carrying a USB power supply with me almost all the time, because I hate having a dead phone.</div>
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I like the Mophie battery. I've used it regularly over the last 9 months, and it still appears to hold a charge without issue. On average, I get 2 full charges of my iPhone, or a full charge of my iPad off of a fully-charged battery. That's while I'm using it, so it's by no means "perfect" conditions. The battery takes ~4 hours or so to charge completely from empty.</div>
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The battery is small enough to fit in a coat pocket or my work trouser cargo pocket when I want to travel light, and it usually lives in my "satchel" that I carry to work with my iPad and various charging cables. It also appears well designed and durable. I've dropped the battery a couple of times and it's still working fine.</div>
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The 2nd USB port is very handy for charging my iPhone and iPad at the same time, or charging a friend or co-workers device. The battery charges off of any standard Micro USB cable, so recharging isn't difficult. <span style="font-family: 'Helvetica Neue Light', HelveticaNeue-Light, helvetica, arial, sans-serif;">Out of the whole product line, it's probably the best combination of capacity and compactness in their line</span></div>
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<span style="font-family: 'Helvetica Neue Light', HelveticaNeue-Light, helvetica, arial, sans-serif;">If you're on GovX, the device can be had for a decent discount, but I also don't think the device wasn't worth what I paid for it. If you're looking for a portable battery for your digital devices, I think this is a good product.</span></div>
Jonhttp://www.blogger.com/profile/12828468428842914984noreply@blogger.com0