This is a good feeling

As of Wednesday I am now done with all classroom related coursework for my paramedic certification. I start my five weeks of internship tonight at 1945, working on a transport capable medic bus. I have 16 ALS calls completed as lead medic and I need a total of 50 by the end of five weeks. I’m really looking forward to this, I’m just hoping that I’m not the white cloud that I was when I was with fire for my first internship.
And I’m sending money and mags out today to trade for a Colt Delta Elite. I’m trading my G19, all accessories (6 15-rd mags, 1 33-rd mag), and about 400 rounds of 9mm. All of that for a near pristine Colt Delta Elite w/ 4 8-rd mags and about 300-350 rounds of 10mm ammo. Not too bad of a deal. Gotta get the G19 over to my FFL to ship to his FFL.

Now, I’m gonna sleep for a bit before I go to mail out the ammo and mags

So sick of this

I’m tired already of the fractured way EMS is performed here in the US. I’ve been talking to a lot of classmates and none of them seem to see anything wrong with the style of EMS here, but yet they complain that we don’t get paid on par with providers of other levels in other disciplines.

My personal opinion is that until EMS is taken out of the umbrella of Fire Depts and people that want EMS as a hobby, we will never go anywhere. There are some in FDs that want educational requirements kicked ever downward so they can get the numbers they need because they require at least EMT-B. And as long as people volunteer to do it for free, the pay will never catch up to what we actually do in the field.

Another thing that holds us ever farther back is education. I would really like to see an Associates degree as the absolute minimum to practice as a Pre-Hospital Medical Provider. That would take the place of the EMT-B, who is woefully inadequate to do anything except drive the bus. A bachelors degree would be the minimum to practice as a licensed paramedic, with hopefully a few months (6 would be good starting point) of internship before becoming fully licensed. Of course, this is not looked highly upon by the fire services right now because of their requirement that everyone be an EMT at a minimum.

Something else that would help would be to have a standardized set of provider levels nationwide. Right now it’s so confusing, with sometimes multiple different levels from county to county! Not to mention the differences from state to state. For example, what a medic here in NM can do would completely astound a medic in CA. The scopes are just that different. That doesn’t help our case to become a more unified branch of medicine.

All of this is one reason I’m glad that the college I’m going to for paramedic is offering an Associates Degree, and is really pushing the state DEMS to mandate the AAS as the minimum for practicing as a paramedic. I personally would be exstatic to see that happen. Maybe then they might pay medics a living wage here in this state.

Either way, there’s still nursing school too.

Wow…

My first pedi code that I helped work happened today. I was doing a rotation at a local ER for behavioral assessments along with some IVs and med pushes (of which I blew my requirements away by over double). I was about to head home when a woman runs in with her 4 year old in her arms. The kid was limp as limp could be.

Get him into one of the procedure rooms (small hospital with no real trauma room) and we start our assessments on him. Victim of a moped crash. He was the passenger on the back, with no helmet of course. Vitals were shit. unobtainable BP, agonal respirations, barely felt carotid pulse at around 40. CPR was started, a nurse started bagging the pt. I worked on starting as big a line as I could in the arm. Drove a 20 into the A/C.

Pt was put on the monitor showing Sinus Brady with some PVCs occasionally. The doc managed to get an ET Tube in place. Physical assessment showed a depressed skull fx, angulated femur on the right, plenty of road rash, and the left pupil was blown.

I fired Epi into the kiddo, trying to get the heart rate up a little bit. Didn’t work so we tried to pace. Couldn’t get capture. HR kept falling. Tried pushing Atropine. Fluid bolus running.

Kid crashed on us and nothing we did seemed to matter. I ran Epi in 6 times. I shot off anothe 2 doses of Atropine. Nothing happened… I feel like we failed this kid. It was my first time a ped I’ve been working on has died… And I hate it.
I’m gonna go get a drink or twenty now.

I'm alive

I promise. Medic school is thoroughly kicking my ass from here to the next county and back. I’m sure I should be using my time more wisely right now, due to the fact I just got back from an NICU clinical and I have my PALS and PEPP certifying tests tomorrow along with a Peds/OB final and a Toxicology test. I’m so fucked tomorrow…
Well, the NICU rotation was actually kinda fun. I found another course I want to eventually take… It’s called S.T.A.B.L.E. Looks like it might be nice, especially since pre-hospital providers don’t take care of Neonates too often, so any additional information is always useful.
I’m starting a new job soon. Meet and greet is a week from tomorrow. I’ll be a tech at the local downtown hospital on the Oncology floor. Not my ideal job, but pay is higher than I was making at Superior. And I can move to the ED after a few months and work there. Plus the schedule is such that I can work there and get a job at the local ambulance company after I get my medic license. Double dipping working nights with both (which means differential pay) will be nice.
And I like me my guns. Added two new ones to my collection. A Daewoo DR-200 and a Mossberg 500 12g shotgun. And I got a new vehicle. A 1983 Jeep CJ7. So I think I might be turning into a typical redneck.
Now… it’s time to finish some studying and then figure out what pre reqs I need for nursing school