Re: RE: Ambulance Companies Say Medicare... (Now EMTEducation)

[Guest guest]

Champion EMS

Sent from my Verizon Wireless BlackBerry

Re: RE: Ambulance Companies Say Medicare... (Now EMT

Education)

Can anyone name any Service in Texas that requires a behind the wheel EVOC

Course before a person at any level can operate an ambulance?

Louis N. Molino, Sr. CET

FF/NREMT/FSI/EMSI

Training Program Manager

Fire & Safety Specialists, Inc.

Typed by my fingers on my iPhone.

Please excuse any typos.

(Cell)

(Office)

(Office Fax)

LNMolino@...

Lou@...

On Mar 4, 2011, at 11:26, Springfield

cspringfield936@...> wrote:

> Coug,

>

> I don't often post here, but do monitor the list daily. You have some great

> points I want to discuss. Namely, EVOC in EMT school. I also believe 110% that

> EVOC should be a part of EMT curriculum. In my experience, EMT’s do a vast

> majority of the driving in EMS. Depending on the staffing scenario, the EMT

may

> well be driving all the time. I would estimate that about 75% (not researched,

> not qualified by any studies… just my guess) of the Houston EMT’s day is

spent

> driving the truck. Seems silly to spend months going through a course and

1,000

> + page EMT text and still lack the skill to handle 75% of the daily routine on

a

> truck. Several of the better services in Houston do mandate EVOC or CEVO

> courses for all of their drivers, so that helps. Still, it would serve the

> entire industry well to add this to the EMT curriculum and insure that ALL

EMT’s

> are actually trained to drive those massive, heavy, unwieldy boxes (and vans)

> through technically challenging and sometimes adrenaline-pumping situations.

> Everyone, EMS and the general public would be safer.

>

>

> Concerning the ability of most EMT’s to handle a variety of situations, I

would

> say that depends. Personally, my past experience as a combat medic in the Army

> Reserve has served me exceptionally well. Training to triage and tend to

> multiple wounded soldiers as the sole medic while under the stress of weapons

> fire, grenades, explosive devices, etc. made an MVA (or MVC, or whatever

people

> are calling it today) seem pretty cut and dry. I highly doubt civilian EMT

> instructors have those resources available, but extra time and attention spent

> on scenario based training with moulaged patients goes a long way to help. If

> they do not get this kind of training during their course, they need to seek

out

> some ITLS, PHTLS, or other courses and participate.

>

>

> For those EMT’s who get into EMS for whatever reason and decide they are

happy

> scraping by with the bare minimum of knowledge and just show up for a

paycheck,

> I have no tolerance. This is an extremely dynamic industry requiring constant

> education to stay on top of changes that improve patient outcomes. Getting the

> mandated CE to recertify does not cut it. I have worked with plenty of those

> types and can’t encourage them to go find a higher paying job in a different

> industry fast enough.

>

> OK, getting off my soap box, too.

>

> Springfield

>

>

>

>

>

[Guest guest]

Champion EMS

Sent from my Verizon Wireless BlackBerry

Re: RE: Ambulance Companies Say Medicare... (Now EMT

Education)

Can anyone name any Service in Texas that requires a behind the wheel EVOC

Course before a person at any level can operate an ambulance?

Louis N. Molino, Sr. CET

FF/NREMT/FSI/EMSI

Training Program Manager

Fire & Safety Specialists, Inc.

Typed by my fingers on my iPhone.

Please excuse any typos.

(Cell)

(Office)

(Office Fax)

LNMolino@...

Lou@...

On Mar 4, 2011, at 11:26, Springfield

cspringfield936@...> wrote:

> Coug,

>

> I don't often post here, but do monitor the list daily. You have some great

> points I want to discuss. Namely, EVOC in EMT school. I also believe 110% that

> EVOC should be a part of EMT curriculum. In my experience, EMT’s do a vast

> majority of the driving in EMS. Depending on the staffing scenario, the EMT

may

> well be driving all the time. I would estimate that about 75% (not researched,

> not qualified by any studies… just my guess) of the Houston EMT’s day is

spent

> driving the truck. Seems silly to spend months going through a course and

1,000

> + page EMT text and still lack the skill to handle 75% of the daily routine on

a

> truck. Several of the better services in Houston do mandate EVOC or CEVO

> courses for all of their drivers, so that helps. Still, it would serve the

> entire industry well to add this to the EMT curriculum and insure that ALL

EMT’s

> are actually trained to drive those massive, heavy, unwieldy boxes (and vans)

> through technically challenging and sometimes adrenaline-pumping situations.

> Everyone, EMS and the general public would be safer.

>

>

> Concerning the ability of most EMT’s to handle a variety of situations, I

would

> say that depends. Personally, my past experience as a combat medic in the Army

> Reserve has served me exceptionally well. Training to triage and tend to

> multiple wounded soldiers as the sole medic while under the stress of weapons

> fire, grenades, explosive devices, etc. made an MVA (or MVC, or whatever

people

> are calling it today) seem pretty cut and dry. I highly doubt civilian EMT

> instructors have those resources available, but extra time and attention spent

> on scenario based training with moulaged patients goes a long way to help. If

> they do not get this kind of training during their course, they need to seek

out

> some ITLS, PHTLS, or other courses and participate.

>

>

> For those EMT’s who get into EMS for whatever reason and decide they are

happy

> scraping by with the bare minimum of knowledge and just show up for a

paycheck,

> I have no tolerance. This is an extremely dynamic industry requiring constant

> education to stay on top of changes that improve patient outcomes. Getting the

> mandated CE to recertify does not cut it. I have worked with plenty of those

> types and can’t encourage them to go find a higher paying job in a different

> industry fast enough.

>

> OK, getting off my soap box, too.

>

> Springfield

>

>

>

>

>

[Guest guest]

AMR

Sent via BlackBerry by AT&T

Re: RE: Ambulance Companies Say Medicare... (Now EMT

Education)

Can anyone name any Service in Texas that requires a behind the wheel EVOC

Course before a person at any level can operate an ambulance?

Louis N. Molino, Sr. CET

FF/NREMT/FSI/EMSI

Training Program Manager

Fire & Safety Specialists, Inc.

Typed by my fingers on my iPhone.

Please excuse any typos.

(Cell)

(Office)

(Office Fax)

LNMolino@...

Lou@...

On Mar 4, 2011, at 11:26, Springfield

cspringfield936@...> wrote:

> Coug,

>

> I don't often post here, but do monitor the list daily. You have some great

> points I want to discuss. Namely, EVOC in EMT school. I also believe 110% that

> EVOC should be a part of EMT curriculum. In my experience, EMT’s do a vast

> majority of the driving in EMS. Depending on the staffing scenario, the EMT

may

> well be driving all the time. I would estimate that about 75% (not researched,

> not qualified by any studies… just my guess) of the Houston EMT’s day is

spent

> driving the truck. Seems silly to spend months going through a course and

1,000

> + page EMT text and still lack the skill to handle 75% of the daily routine on

a

> truck. Several of the better services in Houston do mandate EVOC or CEVO

> courses for all of their drivers, so that helps. Still, it would serve the

> entire industry well to add this to the EMT curriculum and insure that ALL

EMT’s

> are actually trained to drive those massive, heavy, unwieldy boxes (and vans)

> through technically challenging and sometimes adrenaline-pumping situations.

> Everyone, EMS and the general public would be safer.

>

>

> Concerning the ability of most EMT’s to handle a variety of situations, I

would

> say that depends. Personally, my past experience as a combat medic in the Army

> Reserve has served me exceptionally well. Training to triage and tend to

> multiple wounded soldiers as the sole medic while under the stress of weapons

> fire, grenades, explosive devices, etc. made an MVA (or MVC, or whatever

people

> are calling it today) seem pretty cut and dry. I highly doubt civilian EMT

> instructors have those resources available, but extra time and attention spent

> on scenario based training with moulaged patients goes a long way to help. If

> they do not get this kind of training during their course, they need to seek

out

> some ITLS, PHTLS, or other courses and participate.

>

>

> For those EMT’s who get into EMS for whatever reason and decide they are

happy

> scraping by with the bare minimum of knowledge and just show up for a

paycheck,

> I have no tolerance. This is an extremely dynamic industry requiring constant

> education to stay on top of changes that improve patient outcomes. Getting the

> mandated CE to recertify does not cut it. I have worked with plenty of those

> types and can’t encourage them to go find a higher paying job in a different

> industry fast enough.

>

> OK, getting off my soap box, too.

>

> Springfield

>

>

>

>

>

[Guest guest]

AMR

Sent via BlackBerry by AT&T

Re: RE: Ambulance Companies Say Medicare... (Now EMT

Education)

Can anyone name any Service in Texas that requires a behind the wheel EVOC

Course before a person at any level can operate an ambulance?

Louis N. Molino, Sr. CET

FF/NREMT/FSI/EMSI

Training Program Manager

Fire & Safety Specialists, Inc.

Typed by my fingers on my iPhone.

Please excuse any typos.

(Cell)

(Office)

(Office Fax)

LNMolino@...

Lou@...

On Mar 4, 2011, at 11:26, Springfield

cspringfield936@...> wrote:

> Coug,

>

> I don't often post here, but do monitor the list daily. You have some great

> points I want to discuss. Namely, EVOC in EMT school. I also believe 110% that

> EVOC should be a part of EMT curriculum. In my experience, EMT’s do a vast

> majority of the driving in EMS. Depending on the staffing scenario, the EMT

may

> well be driving all the time. I would estimate that about 75% (not researched,

> not qualified by any studies… just my guess) of the Houston EMT’s day is

spent

> driving the truck. Seems silly to spend months going through a course and

1,000

> + page EMT text and still lack the skill to handle 75% of the daily routine on

a

> truck. Several of the better services in Houston do mandate EVOC or CEVO

> courses for all of their drivers, so that helps. Still, it would serve the

> entire industry well to add this to the EMT curriculum and insure that ALL

EMT’s

> are actually trained to drive those massive, heavy, unwieldy boxes (and vans)

> through technically challenging and sometimes adrenaline-pumping situations.

> Everyone, EMS and the general public would be safer.

>

>

> Concerning the ability of most EMT’s to handle a variety of situations, I

would

> say that depends. Personally, my past experience as a combat medic in the Army

> Reserve has served me exceptionally well. Training to triage and tend to

> multiple wounded soldiers as the sole medic while under the stress of weapons

> fire, grenades, explosive devices, etc. made an MVA (or MVC, or whatever

people

> are calling it today) seem pretty cut and dry. I highly doubt civilian EMT

> instructors have those resources available, but extra time and attention spent

> on scenario based training with moulaged patients goes a long way to help. If

> they do not get this kind of training during their course, they need to seek

out

> some ITLS, PHTLS, or other courses and participate.

>

>

> For those EMT’s who get into EMS for whatever reason and decide they are

happy

> scraping by with the bare minimum of knowledge and just show up for a

paycheck,

> I have no tolerance. This is an extremely dynamic industry requiring constant

> education to stay on top of changes that improve patient outcomes. Getting the

> mandated CE to recertify does not cut it. I have worked with plenty of those

> types and can’t encourage them to go find a higher paying job in a different

> industry fast enough.

>

> OK, getting off my soap box, too.

>

> Springfield

>

>

>

>

>

[Guest guest]

Cy-Fair Fire/EMS

Sent from my iPhone

> AMR

> Sent via BlackBerry by AT&T

>

> Re: RE: Ambulance Companies Say Medicare... (Now EMT

Education)

>

>

>

> Can anyone name any Service in Texas that requires a behind the wheel EVOC

Course before a person at any level can operate an ambulance?

>

> Louis N. Molino, Sr. CET

> FF/NREMT/FSI/EMSI

> Training Program Manager

> Fire & Safety Specialists, Inc.

> Typed by my fingers on my iPhone.

> Please excuse any typos.

> (Cell)

> (Office)

> (Office Fax)

>

> LNMolino@...

> Lou@...

>

> On Mar 4, 2011, at 11:26, Springfield

cspringfield936@...> wrote:

>

> > Coug,

> >

> > I don't often post here, but do monitor the list daily. You have some great

> > points I want to discuss. Namely, EVOC in EMT school. I also believe 110%

that

> > EVOC should be a part of EMT curriculum. In my experience, EMT’s do a vast

> > majority of the driving in EMS. Depending on the staffing scenario, the EMT

may

> > well be driving all the time. I would estimate that about 75% (not

researched,

> > not qualified by any studies… just my guess) of the Houston EMT’s day is

spent

> > driving the truck. Seems silly to spend months going through a course and

1,000

> > + page EMT text and still lack the skill to handle 75% of the daily routine

on a

> > truck. Several of the better services in Houston do mandate EVOC or CEVO

> > courses for all of their drivers, so that helps. Still, it would serve the

> > entire industry well to add this to the EMT curriculum and insure that ALL

EMT’s

> > are actually trained to drive those massive, heavy, unwieldy boxes (and

vans)

> > through technically challenging and sometimes adrenaline-pumping situations.

> > Everyone, EMS and the general public would be safer.

> >

> >

> > Concerning the ability of most EMT’s to handle a variety of situations, I

would

> > say that depends. Personally, my past experience as a combat medic in the

Army

> > Reserve has served me exceptionally well. Training to triage and tend to

> > multiple wounded soldiers as the sole medic while under the stress of

weapons

> > fire, grenades, explosive devices, etc. made an MVA (or MVC, or whatever

people

> > are calling it today) seem pretty cut and dry. I highly doubt civilian EMT

> > instructors have those resources available, but extra time and attention

spent

> > on scenario based training with moulaged patients goes a long way to help.

If

> > they do not get this kind of training during their course, they need to seek

out

> > some ITLS, PHTLS, or other courses and participate.

> >

> >

> > For those EMT’s who get into EMS for whatever reason and decide they are

happy

> > scraping by with the bare minimum of knowledge and just show up for a

paycheck,

> > I have no tolerance. This is an extremely dynamic industry requiring

constant

> > education to stay on top of changes that improve patient outcomes. Getting

the

> > mandated CE to recertify does not cut it. I have worked with plenty of those

> > types and can’t encourage them to go find a higher paying job in a

different

> > industry fast enough.

> >

> > OK, getting off my soap box, too.

> >

> > Springfield

> >

> >

> >

> >

> >

[Guest guest]

Add County ESD-1 and Cypress Creek EMS to the list as providing driver

training.

Springfield

> Cy-Fair Fire/EMS

>

> Sent from my iPhone

>

>

>

> > AMR

> > Sent via BlackBerry by AT&T

> >

> > Re: RE: Ambulance Companies Say Medicare... (Now EMT

Education)

> >

> >

> >

> > Can anyone name any Service in Texas that requires a behind the wheel EVOC

Course before a person at any level can operate an ambulance?

> >

> > Louis N. Molino, Sr. CET

> > FF/NREMT/FSI/EMSI

> > Training Program Manager

> > Fire & Safety Specialists, Inc.

> > Typed by my fingers on my iPhone.

> > Please excuse any typos.

> > (Cell)

> > (Office)

> > (Office Fax)

> >

> > LNMolino@...

> > Lou@...

> >

> > On Mar 4, 2011, at 11:26, Springfield

cspringfield936@...> wrote:

> >

> > > Coug,

> > >

> > > I don't often post here, but do monitor the list daily. You have some

great

> > > points I want to discuss. Namely, EVOC in EMT school. I also believe 110%

that

> > > EVOC should be a part of EMT curriculum. In my experience, EMT’s do a

vast

> > > majority of the driving in EMS. Depending on the staffing scenario, the

EMT may

> > > well be driving all the time. I would estimate that about 75% (not

researched,

> > > not qualified by any studies… just my guess) of the Houston EMT’s day

is spent

> > > driving the truck. Seems silly to spend months going through a course and

1,000

> > > + page EMT text and still lack the skill to handle 75% of the daily

routine on a

> > > truck. Several of the better services in Houston do mandate EVOC or CEVO

> > > courses for all of their drivers, so that helps. Still, it would serve the

> > > entire industry well to add this to the EMT curriculum and insure that ALL

EMT’s

> > > are actually trained to drive those massive, heavy, unwieldy boxes (and

vans)

> > > through technically challenging and sometimes adrenaline-pumping

situations.

> > > Everyone, EMS and the general public would be safer.

> > >

> > >

> > > Concerning the ability of most EMT’s to handle a variety of situations,

I would

> > > say that depends. Personally, my past experience as a combat medic in the

Army

> > > Reserve has served me exceptionally well. Training to triage and tend to

> > > multiple wounded soldiers as the sole medic while under the stress of

weapons

> > > fire, grenades, explosive devices, etc. made an MVA (or MVC, or whatever

people

> > > are calling it today) seem pretty cut and dry. I highly doubt civilian EMT

> > > instructors have those resources available, but extra time and attention

spent

> > > on scenario based training with moulaged patients goes a long way to help.

If

> > > they do not get this kind of training during their course, they need to

seek out

> > > some ITLS, PHTLS, or other courses and participate.

> > >

> > >

> > > For those EMT’s who get into EMS for whatever reason and decide they are

happy

> > > scraping by with the bare minimum of knowledge and just show up for a

paycheck,

> > > I have no tolerance. This is an extremely dynamic industry requiring

constant

> > > education to stay on top of changes that improve patient outcomes. Getting

the

> > > mandated CE to recertify does not cut it. I have worked with plenty of

those

> > > types and can’t encourage them to go find a higher paying job in a

different

> > > industry fast enough.

> > >

> > > OK, getting off my soap box, too.

> > >

> > > Springfield

> > >

> > >

> > >

> > >

> > >

[Guest guest]

Add County ESD-1 and Cypress Creek EMS to the list as providing driver

training.

Springfield

> Cy-Fair Fire/EMS

>

> Sent from my iPhone

>

>

>

> > AMR

> > Sent via BlackBerry by AT&T

> >

> > Re: RE: Ambulance Companies Say Medicare... (Now EMT

Education)

> >

> >

> >

> > Can anyone name any Service in Texas that requires a behind the wheel EVOC

Course before a person at any level can operate an ambulance?

> >

> > Louis N. Molino, Sr. CET

> > FF/NREMT/FSI/EMSI

> > Training Program Manager

> > Fire & Safety Specialists, Inc.

> > Typed by my fingers on my iPhone.

> > Please excuse any typos.

> > (Cell)

> > (Office)

> > (Office Fax)

> >

> > LNMolino@...

> > Lou@...

> >

> > On Mar 4, 2011, at 11:26, Springfield

cspringfield936@...> wrote:

> >

> > > Coug,

> > >

> > > I don't often post here, but do monitor the list daily. You have some

great

> > > points I want to discuss. Namely, EVOC in EMT school. I also believe 110%

that

> > > EVOC should be a part of EMT curriculum. In my experience, EMT’s do a

vast

> > > majority of the driving in EMS. Depending on the staffing scenario, the

EMT may

> > > well be driving all the time. I would estimate that about 75% (not

researched,

> > > not qualified by any studies… just my guess) of the Houston EMT’s day

is spent

> > > driving the truck. Seems silly to spend months going through a course and

1,000

> > > + page EMT text and still lack the skill to handle 75% of the daily

routine on a

> > > truck. Several of the better services in Houston do mandate EVOC or CEVO

> > > courses for all of their drivers, so that helps. Still, it would serve the

> > > entire industry well to add this to the EMT curriculum and insure that ALL

EMT’s

> > > are actually trained to drive those massive, heavy, unwieldy boxes (and

vans)

> > > through technically challenging and sometimes adrenaline-pumping

situations.

> > > Everyone, EMS and the general public would be safer.

> > >

> > >

> > > Concerning the ability of most EMT’s to handle a variety of situations,

I would

> > > say that depends. Personally, my past experience as a combat medic in the

Army

> > > Reserve has served me exceptionally well. Training to triage and tend to

> > > multiple wounded soldiers as the sole medic while under the stress of

weapons

> > > fire, grenades, explosive devices, etc. made an MVA (or MVC, or whatever

people

> > > are calling it today) seem pretty cut and dry. I highly doubt civilian EMT

> > > instructors have those resources available, but extra time and attention

spent

> > > on scenario based training with moulaged patients goes a long way to help.

If

> > > they do not get this kind of training during their course, they need to

seek out

> > > some ITLS, PHTLS, or other courses and participate.

> > >

> > >

> > > For those EMT’s who get into EMS for whatever reason and decide they are

happy

> > > scraping by with the bare minimum of knowledge and just show up for a

paycheck,

> > > I have no tolerance. This is an extremely dynamic industry requiring

constant

> > > education to stay on top of changes that improve patient outcomes. Getting

the

> > > mandated CE to recertify does not cut it. I have worked with plenty of

those

> > > types and can’t encourage them to go find a higher paying job in a

different

> > > industry fast enough.

> > >

> > > OK, getting off my soap box, too.

> > >

> > > Springfield

> > >

> > >

> > >

> > >

> > >

[Guest guest]

Montgomery County Hospital District also.

Marshall

Assistant EMS Director

- Office

- Cellular

- Dispatch Center

________________________________

From: texasems-l texasems-l >

To: texasems-l texasems-l >

Cc: texasems-l texasems-l >

Sent: Sat Mar 05 07:04:12 2011

Subject: Re: RE: Ambulance Companies Say Medicare... (Now

EMTEducation)

Add County ESD-1 and Cypress Creek EMS to the list as providing driver

training.

Springfield

On Mar 4, 2011, at 22:37, Binkley

shawn.binkley@...> wrote:

> Cy-Fair Fire/EMS

>

> Sent from my iPhone

>

> On Mar 4, 2011, at 21:43,

angelanettles103@... wrote:

>

> > AMR

> > Sent via BlackBerry by AT&T

> >

> > Re: RE: Ambulance Companies Say Medicare... (Now EMT

Education)

> >

> >

> >

> > Can anyone name any Service in Texas that requires a behind the wheel EVOC

Course before a person at any level can operate an ambulance?

> >

> > Louis N. Molino, Sr. CET

> > FF/NREMT/FSI/EMSI

> > Training Program Manager

> > Fire & Safety Specialists, Inc.

> > Typed by my fingers on my iPhone.

> > Please excuse any typos.

> > (Cell)

> > (Office)

> > (Office Fax)

> >

> > LNMolino@...

> > Lou@...

> >

> > On Mar 4, 2011, at 11:26, Springfield

cspringfield936@...

> wrote:

> >

> > > Coug,

> > >

> > > I don't often post here, but do monitor the list daily. You have some

great

> > > points I want to discuss. Namely, EVOC in EMT school. I also believe 110%

that

> > > EVOC should be a part of EMT curriculum. In my experience, EMT’s do a

vast

> > > majority of the driving in EMS. Depending on the staffing scenario, the

EMT may

> > > well be driving all the time. I would estimate that about 75% (not

researched,

> > > not qualified by any studies… just my guess) of the Houston EMT’s day

is spent

> > > driving the truck. Seems silly to spend months going through a course and

1,000

> > > + page EMT text and still lack the skill to handle 75% of the daily

routine on a

> > > truck. Several of the better services in Houston do mandate EVOC or CEVO

> > > courses for all of their drivers, so that helps. Still, it would serve the

> > > entire industry well to add this to the EMT curriculum and insure that ALL

EMT’s

> > > are actually trained to drive those massive, heavy, unwieldy boxes (and

vans)

> > > through technically challenging and sometimes adrenaline-pumping

situations.

> > > Everyone, EMS and the general public would be safer.

> > >

> > >

> > > Concerning the ability of most EMT’s to handle a variety of situations,

I would

> > > say that depends. Personally, my past experience as a combat medic in the

Army

> > > Reserve has served me exceptionally well. Training to triage and tend to

> > > multiple wounded soldiers as the sole medic while under the stress of

weapons

> > > fire, grenades, explosive devices, etc. made an MVA (or MVC, or whatever

people

> > > are calling it today) seem pretty cut and dry. I highly doubt civilian EMT

> > > instructors have those resources available, but extra time and attention

spent

> > > on scenario based training with moulaged patients goes a long way to help.

If

> > > they do not get this kind of training during their course, they need to

seek out

> > > some ITLS, PHTLS, or other courses and participate.

> > >

> > >

> > > For those EMT’s who get into EMS for whatever reason and decide they are

happy

> > > scraping by with the bare minimum of knowledge and just show up for a

paycheck,

> > > I have no tolerance. This is an extremely dynamic industry requiring

constant

> > > education to stay on top of changes that improve patient outcomes. Getting

the

> > > mandated CE to recertify does not cut it. I have worked with plenty of

those

> > > types and can’t encourage them to go find a higher paying job in a

different

> > > industry fast enough.

> > >

> > > OK, getting off my soap box, too.

> > >

> > > Springfield

> > >

> > >

> > >

> > >

> > >

[Guest guest]

Angleton Area Emergency Medical Corps does + annual recert

Lucille Maes, LP

Director

Angleton Area Emergency Medical Corps

PO Box 1420

Angleton, TX 77516-1420

Office

Fax

Reply-To: com texasems-l >

Date: Sat, 5 Mar 2011 07:43:22 -0600

To: com texasems-l >

Subject: Re: RE: Ambulance Companies Say Medicare... (Now

EMTEducation)

Montgomery County Hospital District also.

Marshall

Assistant EMS Director

- Office

- Cellular

- Dispatch Center

________________________________

From: texasems-l

texasems-l >

To: texasems-l

texasems-l >

Cc: texasems-l

texasems-l >

Sent: Sat Mar 05 07:04:12 2011

Subject: Re: RE: Ambulance Companies Say Medicare... (Now

EMTEducation)

Add County ESD-1 and Cypress Creek EMS to the list as providing

driver training.

Springfield

On Mar 4, 2011, at 22:37, Binkley shawn.binkley@...

>

wrote:

> Cy-Fair Fire/EMS

>

> Sent from my iPhone

>

> On Mar 4, 2011, at 21:43, angelanettles103@...

wrote:

>

> > AMR

> > Sent via BlackBerry by AT&T

> >

> > Re: RE: Ambulance Companies Say Medicare... (Now EMT

Education)

> >

> >

> >

> > Can anyone name any Service in Texas that requires a behind the wheel EVOC

Course before a person at any level can operate an ambulance?

> >

> > Louis N. Molino, Sr. CET

> > FF/NREMT/FSI/EMSI

> > Training Program Manager

> > Fire & Safety Specialists, Inc.

> > Typed by my fingers on my iPhone.

> > Please excuse any typos.

> > (Cell)

> > (Office)

> > (Office Fax)

> >

> > LNMolino@...

> > Lou@...

> >

> > On Mar 4, 2011, at 11:26, Springfield cspringfield936@...

> wrote:

> >

> > > Coug,

> > >

> > > I don't often post here, but do monitor the list daily. You have some

great

> > > points I want to discuss. Namely, EVOC in EMT school. I also believe 110%

that

> > > EVOC should be a part of EMT curriculum. In my experience, EMT¹s do a vast

> > > majority of the driving in EMS. Depending on the staffing scenario, the

EMT may

> > > well be driving all the time. I would estimate that about 75% (not

researched,

> > > not qualified by any studiesŠ just my guess) of the Houston EMT¹s day is

spent

> > > driving the truck. Seems silly to spend months going through a course and

1,000

> > > + page EMT text and still lack the skill to handle 75% of the daily

routine on a

> > > truck. Several of the better services in Houston do mandate EVOC or CEVO

> > > courses for all of their drivers, so that helps. Still, it would serve the

> > > entire industry well to add this to the EMT curriculum and insure that ALL

EMT¹s

> > > are actually trained to drive those massive, heavy, unwieldy boxes (and

vans)

> > > through technically challenging and sometimes adrenaline-pumping

situations.

> > > Everyone, EMS and the general public would be safer.

> > >

> > >

> > > Concerning the ability of most EMT¹s to handle a variety of situations, I

would

> > > say that depends. Personally, my past experience as a combat medic in the

Army

> > > Reserve has served me exceptionally well. Training to triage and tend to

> > > multiple wounded soldiers as the sole medic while under the stress of

weapons

> > > fire, grenades, explosive devices, etc. made an MVA (or MVC, or whatever

people

> > > are calling it today) seem pretty cut and dry. I highly doubt civilian EMT

> > > instructors have those resources available, but extra time and attention

spent

> > > on scenario based training with moulaged patients goes a long way to help.

If

> > > they do not get this kind of training during their course, they need to

seek out

> > > some ITLS, PHTLS, or other courses and participate.

> > >

> > >

> > > For those EMT¹s who get into EMS for whatever reason and decide they are

happy

> > > scraping by with the bare minimum of knowledge and just show up for a

paycheck,

> > > I have no tolerance. This is an extremely dynamic industry requiring

constant

> > > education to stay on top of changes that improve patient outcomes. Getting

the

> > > mandated CE to recertify does not cut it. I have worked with plenty of

those

> > > types and can¹t encourage them to go find a higher paying job in a

different

> > > industry fast enough.

> > >

> > > OK, getting off my soap box, too.

> > >

> > > Springfield

> > >

> > >

> > >

> > >

> > >

[Guest guest]

Angleton Area Emergency Medical Corps does + annual recert

Lucille Maes, LP

Director

Angleton Area Emergency Medical Corps

PO Box 1420

Angleton, TX 77516-1420

Office

Fax

Reply-To: com texasems-l >

Date: Sat, 5 Mar 2011 07:43:22 -0600

To: com texasems-l >

Subject: Re: RE: Ambulance Companies Say Medicare... (Now

EMTEducation)

Montgomery County Hospital District also.

Marshall

Assistant EMS Director

- Office

- Cellular

- Dispatch Center

________________________________

From: texasems-l

texasems-l >

To: texasems-l

texasems-l >

Cc: texasems-l

texasems-l >

Sent: Sat Mar 05 07:04:12 2011

Subject: Re: RE: Ambulance Companies Say Medicare... (Now

EMTEducation)

Add County ESD-1 and Cypress Creek EMS to the list as providing

driver training.

Springfield

On Mar 4, 2011, at 22:37, Binkley shawn.binkley@...

>

wrote:

> Cy-Fair Fire/EMS

>

> Sent from my iPhone

>

> On Mar 4, 2011, at 21:43, angelanettles103@...

wrote:

>

> > AMR

> > Sent via BlackBerry by AT&T

> >

> > Re: RE: Ambulance Companies Say Medicare... (Now EMT

Education)

> >

> >

> >

> > Can anyone name any Service in Texas that requires a behind the wheel EVOC

Course before a person at any level can operate an ambulance?

> >

> > Louis N. Molino, Sr. CET

> > FF/NREMT/FSI/EMSI

> > Training Program Manager

> > Fire & Safety Specialists, Inc.

> > Typed by my fingers on my iPhone.

> > Please excuse any typos.

> > (Cell)

> > (Office)

> > (Office Fax)

> >

> > LNMolino@...

> > Lou@...

> >

> > On Mar 4, 2011, at 11:26, Springfield cspringfield936@...

> wrote:

> >

> > > Coug,

> > >

> > > I don't often post here, but do monitor the list daily. You have some

great

> > > points I want to discuss. Namely, EVOC in EMT school. I also believe 110%

that

> > > EVOC should be a part of EMT curriculum. In my experience, EMT¹s do a vast

> > > majority of the driving in EMS. Depending on the staffing scenario, the

EMT may

> > > well be driving all the time. I would estimate that about 75% (not

researched,

> > > not qualified by any studiesŠ just my guess) of the Houston EMT¹s day is

spent

> > > driving the truck. Seems silly to spend months going through a course and

1,000

> > > + page EMT text and still lack the skill to handle 75% of the daily

routine on a

> > > truck. Several of the better services in Houston do mandate EVOC or CEVO

> > > courses for all of their drivers, so that helps. Still, it would serve the

> > > entire industry well to add this to the EMT curriculum and insure that ALL

EMT¹s

> > > are actually trained to drive those massive, heavy, unwieldy boxes (and

vans)

> > > through technically challenging and sometimes adrenaline-pumping

situations.

> > > Everyone, EMS and the general public would be safer.

> > >

> > >

> > > Concerning the ability of most EMT¹s to handle a variety of situations, I

would

> > > say that depends. Personally, my past experience as a combat medic in the

Army

> > > Reserve has served me exceptionally well. Training to triage and tend to

> > > multiple wounded soldiers as the sole medic while under the stress of

weapons

> > > fire, grenades, explosive devices, etc. made an MVA (or MVC, or whatever

people

> > > are calling it today) seem pretty cut and dry. I highly doubt civilian EMT

> > > instructors have those resources available, but extra time and attention

spent

> > > on scenario based training with moulaged patients goes a long way to help.

If

> > > they do not get this kind of training during their course, they need to

seek out

> > > some ITLS, PHTLS, or other courses and participate.

> > >

> > >

> > > For those EMT¹s who get into EMS for whatever reason and decide they are

happy

> > > scraping by with the bare minimum of knowledge and just show up for a

paycheck,

> > > I have no tolerance. This is an extremely dynamic industry requiring

constant

> > > education to stay on top of changes that improve patient outcomes. Getting

the

> > > mandated CE to recertify does not cut it. I have worked with plenty of

those

> > > types and can¹t encourage them to go find a higher paying job in a

different

> > > industry fast enough.

> > >

> > > OK, getting off my soap box, too.

> > >

> > > Springfield

> > >

> > >

> > >

> > >

> > >

[Guest guest]

It would be nice if ALL companies would require EVOC training--but-that's

another story and wishful thinking due to $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$.

> >

> > > Coug,

> > >

> > > I don't often post here, but do monitor the list daily. You have some

great

> > > points I want to discuss. Namely, EVOC in EMT school. I also believe 110%

that

> > > EVOC should be a part of EMT curriculum. In my experience, EMT¹s do a

vast

> > > majority of the driving in EMS. Depending on the staffing scenario, the

EMT may

> > > well be driving all the time. I would estimate that about 75% (not

researched,

> > > not qualified by any studiesŠ just my guess) of the Houston EMT¹s day is

spent

> > > driving the truck. Seems silly to spend months going through a course and

1,000

> > > + page EMT text and still lack the skill to handle 75% of the daily

routine on a

> > > truck. Several of the better services in Houston do mandate EVOC or CEVO

> > > courses for all of their drivers, so that helps. Still, it would serve the

> > > entire industry well to add this to the EMT curriculum and insure that ALL

EMT¹s

> > > are actually trained to drive those massive, heavy, unwieldy boxes (and

vans)

> > > through technically challenging and sometimes adrenaline-pumping

situations.

> > > Everyone, EMS and the general public would be safer.

> > >

> > >

> > > Concerning the ability of most EMT¹s to handle a variety of situations, I

would

> > > say that depends. Personally, my past experience as a combat medic in the

Army

> > > Reserve has served me exceptionally well. Training to triage and tend to

> > > multiple wounded soldiers as the sole medic while under the stress of

weapons

> > > fire, grenades, explosive devices, etc. made an MVA (or MVC, or whatever

people

> > > are calling it today) seem pretty cut and dry. I highly doubt civilian EMT

> > > instructors have those resources available, but extra time and attention

spent

> > > on scenario based training with moulaged patients goes a long way to help.

If

> > > they do not get this kind of training during their course, they need to

seek out

> > > some ITLS, PHTLS, or other courses and participate.

> > >

> > >

> > > For those EMT¹s who get into EMS for whatever reason and decide they are

happy

> > > scraping by with the bare minimum of knowledge and just show up for a

paycheck,

> > > I have no tolerance. This is an extremely dynamic industry requiring

constant

> > > education to stay on top of changes that improve patient outcomes. Getting

the

> > > mandated CE to recertify does not cut it. I have worked with plenty of

those

> > > types and can¹t encourage them to go find a higher paying job in a

different

> > > industry fast enough.

> > >

> > > OK, getting off my soap box, too.

> > >

> > > Springfield

> > >

> > >

> > >

> > >

> > >

[Guest guest]

It should not be on the companies. The ones who do it, do so to help protect

their equipment, Insurance premiums, and public safety. A successful Driver

Safety Training Course is REQUIRED to obtain a Texas Driver's License.

Why does the City of Houston not require EVOC or equivalent, to obtain an

Emergency Ambulance Driver's Permit? It should at least be on the City to

require it, You are right, there is $$ involved in teaching it, so it shouldn't

be on the companies, OR the colleges. It should be on the EMT. Either take an

EVOC course to get the permit......or ride in the back and do all the paperwork

till you decide to save up and pay for the course.

Simple and Safer for all of us.

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

> >

> > > Coug,

> > >

> > > I don't often post here, but do monitor the list daily. You have some

great

> > > points I want to discuss. Namely, EVOC in EMT school. I also believe 110%

that

> > > EVOC should be a part of EMT curriculum. In my experience, EMT¹s do a

vast

> > > majority of the driving in EMS. Depending on the staffing scenario, the

EMT may

> > > well be driving all the time. I would estimate that about 75% (not

researched,

> > > not qualified by any studiesŠ just my guess) of the Houston EMT¹s day is

spent

> > > driving the truck. Seems silly to spend months going through a course and

1,000

> > > + page EMT text and still lack the skill to handle 75% of the daily

routine on a

> > > truck. Several of the better services in Houston do mandate EVOC or CEVO

> > > courses for all of their drivers, so that helps. Still, it would serve the

> > > entire industry well to add this to the EMT curriculum and insure that ALL

EMT¹s

> > > are actually trained to drive those massive, heavy, unwieldy boxes (and

vans)

> > > through technically challenging and sometimes adrenaline-pumping

situations.

> > > Everyone, EMS and the general public would be safer.

> > >

> > >

> > > Concerning the ability of most EMT¹s to handle a variety of situations, I

would

> > > say that depends. Personally, my past experience as a combat medic in the

Army

> > > Reserve has served me exceptionally well. Training to triage and tend to

> > > multiple wounded soldiers as the sole medic while under the stress of

weapons

> > > fire, grenades, explosive devices, etc. made an MVA (or MVC, or whatever

people

> > > are calling it today) seem pretty cut and dry. I highly doubt civilian EMT

> > > instructors have those resources available, but extra time and attention

spent

> > > on scenario based training with moulaged patients goes a long way to help.

If

> > > they do not get this kind of training during their course, they need to

seek out

> > > some ITLS, PHTLS, or other courses and participate.

> > >

> > >

> > > For those EMT¹s who get into EMS for whatever reason and decide they are

happy

> > > scraping by with the bare minimum of knowledge and just show up for a

paycheck,

> > > I have no tolerance. This is an extremely dynamic industry requiring

constant

> > > education to stay on top of changes that improve patient outcomes. Getting

the

> > > mandated CE to recertify does not cut it. I have worked with plenty of

those

> > > types and can¹t encourage them to go find a higher paying job in a

different

> > > industry fast enough.

> > >

> > > OK, getting off my soap box, too.

> > >

> > > Springfield

> > >

> > >

> > >

> > >

> > >

[Guest guest]

It should not be on the companies. The ones who do it, do so to help protect

their equipment, Insurance premiums, and public safety. A successful Driver

Safety Training Course is REQUIRED to obtain a Texas Driver's License.

Why does the City of Houston not require EVOC or equivalent, to obtain an

Emergency Ambulance Driver's Permit? It should at least be on the City to

require it, You are right, there is $$ involved in teaching it, so it shouldn't

be on the companies, OR the colleges. It should be on the EMT. Either take an

EVOC course to get the permit......or ride in the back and do all the paperwork

till you decide to save up and pay for the course.

Simple and Safer for all of us.

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

> >

> > > Coug,

> > >

> > > I don't often post here, but do monitor the list daily. You have some

great

> > > points I want to discuss. Namely, EVOC in EMT school. I also believe 110%

that

> > > EVOC should be a part of EMT curriculum. In my experience, EMT¹s do a

vast

> > > majority of the driving in EMS. Depending on the staffing scenario, the

EMT may

> > > well be driving all the time. I would estimate that about 75% (not

researched,

> > > not qualified by any studiesŠ just my guess) of the Houston EMT¹s day is

spent

> > > driving the truck. Seems silly to spend months going through a course and

1,000

> > > + page EMT text and still lack the skill to handle 75% of the daily

routine on a

> > > truck. Several of the better services in Houston do mandate EVOC or CEVO

> > > courses for all of their drivers, so that helps. Still, it would serve the

> > > entire industry well to add this to the EMT curriculum and insure that ALL

EMT¹s

> > > are actually trained to drive those massive, heavy, unwieldy boxes (and

vans)

> > > through technically challenging and sometimes adrenaline-pumping

situations.

> > > Everyone, EMS and the general public would be safer.

> > >

> > >

> > > Concerning the ability of most EMT¹s to handle a variety of situations, I

would

> > > say that depends. Personally, my past experience as a combat medic in the

Army

> > > Reserve has served me exceptionally well. Training to triage and tend to

> > > multiple wounded soldiers as the sole medic while under the stress of

weapons

> > > fire, grenades, explosive devices, etc. made an MVA (or MVC, or whatever

people

> > > are calling it today) seem pretty cut and dry. I highly doubt civilian EMT

> > > instructors have those resources available, but extra time and attention

spent

> > > on scenario based training with moulaged patients goes a long way to help.

If

> > > they do not get this kind of training during their course, they need to

seek out

> > > some ITLS, PHTLS, or other courses and participate.

> > >

> > >

> > > For those EMT¹s who get into EMS for whatever reason and decide they are

happy

> > > scraping by with the bare minimum of knowledge and just show up for a

paycheck,

> > > I have no tolerance. This is an extremely dynamic industry requiring

constant

> > > education to stay on top of changes that improve patient outcomes. Getting

the

> > > mandated CE to recertify does not cut it. I have worked with plenty of

those

> > > types and can¹t encourage them to go find a higher paying job in a

different

> > > industry fast enough.

> > >

> > > OK, getting off my soap box, too.

> > >

> > > Springfield

> > >

> > >

> > >

> > >

> > >

[Guest guest]

A successful Driver Safety Training Course is REQUIRED to obtain a Texas

Driver's License.

For whom? And can you cite the regs?

Louis N. Molino, Sr. CET

FF/NREMT/FSI/EMSI

Training Program Manager

Fire & Safety Specialists, Inc.

Typed by my fingers on my iPhone.

Please excuse any typos.

(Cell)

(Office)

(Office Fax)

LNMolino@...

Lou@...

> It should not be on the companies. The ones who do it, do so to help protect

their equipment, Insurance premiums, and public safety. A successful Driver

Safety Training Course is REQUIRED to obtain a Texas Driver's License.

>

> Why does the City of Houston not require EVOC or equivalent, to obtain an

Emergency Ambulance Driver's Permit? It should at least be on the City to

require it, You are right, there is $$ involved in teaching it, so it shouldn't

be on the companies, OR the colleges. It should be on the EMT. Either take an

EVOC course to get the permit......or ride in the back and do all the paperwork

till you decide to save up and pay for the course.

>

> Simple and Safer for all of us.

>

> I'll keep my Guns, my Freedom and my MONEY,

> You can keep the " CHANGE. "

>

>

>

>

>

>

>>>

>

>

>

>>>> Coug,

>

>

>

>>>>

>

>

>

>>>> I don't often post here, but do monitor the list daily. You have some

>

>

>

> great

>

>

>

>>>> points I want to discuss. Namely, EVOC in EMT school. I also believe 110%

>

>

>

> that

>

>

>

>>>> EVOC should be a part of EMT curriculum. In my experience, EMT¹s do a vast

>

>

>

>>>> majority of the driving in EMS. Depending on the staffing scenario, the

>

>

>

> EMT may

>

>

>

>>>> well be driving all the time. I would estimate that about 75% (not

>

>

>

> researched,

>

>

>

>>>> not qualified by any studiesŠ just my guess) of the Houston EMT¹s day is

>

>

>

> spent

>

>

>

>>>> driving the truck. Seems silly to spend months going through a course and

>

>

>

> 1,000

>

>

>

>>>> + page EMT text and still lack the skill to handle 75% of the daily

>

>

>

> routine on a

>

>

>

>>>> truck. Several of the better services in Houston do mandate EVOC or CEVO

>

>

>

>>>> courses for all of their drivers, so that helps. Still, it would serve the

>

>

>

>>>> entire industry well to add this to the EMT curriculum and insure that ALL

>

>

>

> EMT¹s

>

>

>

>>>> are actually trained to drive those massive, heavy, unwieldy boxes (and

>

>

>

> vans)

>

>

>

>>>> through technically challenging and sometimes adrenaline-pumping

>

>

>

> situations.

>

>

>

>>>> Everyone, EMS and the general public would be safer.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> Concerning the ability of most EMT¹s to handle a variety of situations, I

>

>

>

> would

>

>

>

>>>> say that depends. Personally, my past experience as a combat medic in the

>

>

>

> Army

>

>

>

>>>> Reserve has served me exceptionally well. Training to triage and tend to

>

>

>

>>>> multiple wounded soldiers as the sole medic while under the stress of

>

>

>

> weapons

>

>

>

>>>> fire, grenades, explosive devices, etc. made an MVA (or MVC, or whatever

>

>

>

> people

>

>

>

>>>> are calling it today) seem pretty cut and dry. I highly doubt civilian EMT

>

>

>

>>>> instructors have those resources available, but extra time and attention

>

>

>

> spent

>

>

>

>>>> on scenario based training with moulaged patients goes a long way to help.

>

>

>

> If

>

>

>

>>>> they do not get this kind of training during their course, they need to

>

>

>

> seek out

>

>

>

>>>> some ITLS, PHTLS, or other courses and participate.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> For those EMT¹s who get into EMS for whatever reason and decide they are

>

>

>

> happy

>

>

>

>>>> scraping by with the bare minimum of knowledge and just show up for a

>

>

>

> paycheck,

>

>

>

>>>> I have no tolerance. This is an extremely dynamic industry requiring

>

>

>

> constant

>

>

>

>>>> education to stay on top of changes that improve patient outcomes. Getting

>

>

>

> the

>

>

>

>>>> mandated CE to recertify does not cut it. I have worked with plenty of

>

>

>

> those

>

>

>

>>>> types and can¹t encourage them to go find a higher paying job in a

>

>

>

> different

>

>

>

>>>> industry fast enough.

>

>

>

>>>>

>

>

>

>>>> OK, getting off my soap box, too.

>

>

>

>>>>

>

>

>

>>>> Springfield

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

[Guest guest]

A successful Driver Safety Training Course is REQUIRED to obtain a Texas

Driver's License.

For whom? And can you cite the regs?

Louis N. Molino, Sr. CET

FF/NREMT/FSI/EMSI

Training Program Manager

Fire & Safety Specialists, Inc.

Typed by my fingers on my iPhone.

Please excuse any typos.

(Cell)

(Office)

(Office Fax)

LNMolino@...

Lou@...

> It should not be on the companies. The ones who do it, do so to help protect

their equipment, Insurance premiums, and public safety. A successful Driver

Safety Training Course is REQUIRED to obtain a Texas Driver's License.

>

> Why does the City of Houston not require EVOC or equivalent, to obtain an

Emergency Ambulance Driver's Permit? It should at least be on the City to

require it, You are right, there is $$ involved in teaching it, so it shouldn't

be on the companies, OR the colleges. It should be on the EMT. Either take an

EVOC course to get the permit......or ride in the back and do all the paperwork

till you decide to save up and pay for the course.

>

> Simple and Safer for all of us.

>

> I'll keep my Guns, my Freedom and my MONEY,

> You can keep the " CHANGE. "

>

>

>

>

>

>

>>>

>

>

>

>>>> Coug,

>

>

>

>>>>

>

>

>

>>>> I don't often post here, but do monitor the list daily. You have some

>

>

>

> great

>

>

>

>>>> points I want to discuss. Namely, EVOC in EMT school. I also believe 110%

>

>

>

> that

>

>

>

>>>> EVOC should be a part of EMT curriculum. In my experience, EMT¹s do a vast

>

>

>

>>>> majority of the driving in EMS. Depending on the staffing scenario, the

>

>

>

> EMT may

>

>

>

>>>> well be driving all the time. I would estimate that about 75% (not

>

>

>

> researched,

>

>

>

>>>> not qualified by any studiesŠ just my guess) of the Houston EMT¹s day is

>

>

>

> spent

>

>

>

>>>> driving the truck. Seems silly to spend months going through a course and

>

>

>

> 1,000

>

>

>

>>>> + page EMT text and still lack the skill to handle 75% of the daily

>

>

>

> routine on a

>

>

>

>>>> truck. Several of the better services in Houston do mandate EVOC or CEVO

>

>

>

>>>> courses for all of their drivers, so that helps. Still, it would serve the

>

>

>

>>>> entire industry well to add this to the EMT curriculum and insure that ALL

>

>

>

> EMT¹s

>

>

>

>>>> are actually trained to drive those massive, heavy, unwieldy boxes (and

>

>

>

> vans)

>

>

>

>>>> through technically challenging and sometimes adrenaline-pumping

>

>

>

> situations.

>

>

>

>>>> Everyone, EMS and the general public would be safer.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> Concerning the ability of most EMT¹s to handle a variety of situations, I

>

>

>

> would

>

>

>

>>>> say that depends. Personally, my past experience as a combat medic in the

>

>

>

> Army

>

>

>

>>>> Reserve has served me exceptionally well. Training to triage and tend to

>

>

>

>>>> multiple wounded soldiers as the sole medic while under the stress of

>

>

>

> weapons

>

>

>

>>>> fire, grenades, explosive devices, etc. made an MVA (or MVC, or whatever

>

>

>

> people

>

>

>

>>>> are calling it today) seem pretty cut and dry. I highly doubt civilian EMT

>

>

>

>>>> instructors have those resources available, but extra time and attention

>

>

>

> spent

>

>

>

>>>> on scenario based training with moulaged patients goes a long way to help.

>

>

>

> If

>

>

>

>>>> they do not get this kind of training during their course, they need to

>

>

>

> seek out

>

>

>

>>>> some ITLS, PHTLS, or other courses and participate.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> For those EMT¹s who get into EMS for whatever reason and decide they are

>

>

>

> happy

>

>

>

>>>> scraping by with the bare minimum of knowledge and just show up for a

>

>

>

> paycheck,

>

>

>

>>>> I have no tolerance. This is an extremely dynamic industry requiring

>

>

>

> constant

>

>

>

>>>> education to stay on top of changes that improve patient outcomes. Getting

>

>

>

> the

>

>

>

>>>> mandated CE to recertify does not cut it. I have worked with plenty of

>

>

>

> those

>

>

>

>>>> types and can¹t encourage them to go find a higher paying job in a

>

>

>

> different

>

>

>

>>>> industry fast enough.

>

>

>

>>>>

>

>

>

>>>> OK, getting off my soap box, too.

>

>

>

>>>>

>

>

>

>>>> Springfield

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

[Guest guest]

Louis, just because you asked for it (and my daughter is currently taking it),

here’s the text from the Texas Transportation Code:

SUBCHAPTER H. EDUCATION AND EXAMINATION REQUIREMENTS

Text of section as added by Acts 2009, 81st Leg., R.S., Ch. 1253

http://www.legis.state.tx.us/tlodocs/81R/billtext/html/HB00339F.HTM> , Sec. 11

For text of section as added by Acts 2009, 81st Leg., R.S., Ch. 1413

http://www.legis.state.tx.us/tlodocs/81R/billtext/html/SB01317F.HTM> , Sec. 3,

see other Sec. 521.1601.

Sec. 521.1601. DRIVER EDUCATION REQUIRED. The department may not issue a

driver's license to a person who is younger than 21 years of age unless the

person submits to the department a driver education certificate issued under

Chapter 1001, Education Code, that states that the person has completed and

passed:

(1) a driver education and traffic safety course approved by the Texas

Education Agency under Section 29.902, Education Code, or a driver education

course approved by that agency under Section 1001.101 of that code or approved

by the department under Section 521.205; or

(2) if the person is 18 years of age or older, a driver education course

approved by the Texas Education Agency under Section 1001.101 or 1001.1015,

Education Code.

Added by Acts 2009, 81st Leg., R.S., Ch. 1253

http://www.legis.state.tx.us/tlodocs/81R/billtext/html/HB00339F.HTM> , Sec. 11,

eff. September 1, 2009.

Text of section as added by Acts 2009, 81st Leg., R.S., Ch. 1413

http://www.legis.state.tx.us/tlodocs/81R/billtext/html/SB01317F.HTM> , Sec. 3

For text of section as added by Acts 2009, 81st Leg., R.S., Ch. 1253

http://www.legis.state.tx.us/tlodocs/81R/billtext/html/HB00339F.HTM> , Sec. 11,

see other Sec. 521.1601.

Sec. 521.1601. DRIVER EDUCATION REQUIRED. The department may not issue a

driver's license to a person who is younger than 25 years of age unless the

person submits to the department a driver education certificate issued under

Chapter 1001, Education Code, that states that the person has completed and

passed:

(1) a driver education and traffic safety course approved by the Texas

Education Agency under Section 29.902, Education Code, or a driver education

course approved by that agency under Section 1001.101(a)(1) of that code or

approved by the department under Section 521.205; or

(2) if the person is 18 years of age or older, a driver education course

approved by the Texas Education Agency under Section 1001.101(a)(1) or (2),

Education Code.

Added by Acts 2009, 81st Leg., R.S., Ch. 1413

http://www.legis.state.tx.us/tlodocs/81R/billtext/html/SB01317F.HTM> , Sec. 3,

eff. March 1, 2010.

Barry

Barry Sharp, MSHP, CHES

Tobacco Prevention & Control Program Coordinator

Substance Abuse Services Unit

Mental Health and Substance Abuse Division

________________________________

From: texasems-l [mailto:texasems-l ] On Behalf

Of Louis N. Molino, Sr.

Sent: Monday, March 07, 2011 6:57 PM

To: texasems-l

Subject: Re: RE: Ambulance Companies Say Medicare... (Now

EMTEducation)

A successful Driver Safety Training Course is REQUIRED to obtain a Texas

Driver's License.

For whom? And can you cite the regs?

Louis N. Molino, Sr. CET

FF/NREMT/FSI/EMSI

Training Program Manager

Fire & Safety Specialists, Inc.

Typed by my fingers on my iPhone.

Please excuse any typos.

(Cell)

(Office)

(Office Fax)

LNMolino@...

Lou@...

On Mar 7, 2011, at 17:00, Cougar!! ems_cougar@...

> wrote:

> It should not be on the companies. The ones who do it, do so to help protect

their equipment, Insurance premiums, and public safety. A successful Driver

Safety Training Course is REQUIRED to obtain a Texas Driver's License.

>

> Why does the City of Houston not require EVOC or equivalent, to obtain an

Emergency Ambulance Driver's Permit? It should at least be on the City to

require it, You are right, there is $$ involved in teaching it, so it shouldn't

be on the companies, OR the colleges. It should be on the EMT. Either take an

EVOC course to get the permit......or ride in the back and do all the paperwork

till you decide to save up and pay for the course.

>

> Simple and Safer for all of us.

>

> I'll keep my Guns, my Freedom and my MONEY,

> You can keep the " CHANGE. "

>

>

>

>

>

>

>>>

>

>

>

>>>> Coug,

>

>

>

>>>>

>

>

>

>>>> I don't often post here, but do monitor the list daily. You have some

>

>

>

> great

>

>

>

>>>> points I want to discuss. Namely, EVOC in EMT school. I also believe 110%

>

>

>

> that

>

>

>

>>>> EVOC should be a part of EMT curriculum. In my experience, EMT¹s do a vast

>

>

>

>>>> majority of the driving in EMS. Depending on the staffing scenario, the

>

>

>

> EMT may

>

>

>

>>>> well be driving all the time. I would estimate that about 75% (not

>

>

>

> researched,

>

>

>

>>>> not qualified by any studiesÐ just my guess) of the Houston EMT¹s day is

>

>

>

> spent

>

>

>

>>>> driving the truck. Seems silly to spend months going through a course and

>

>

>

> 1,000

>

>

>

>>>> + page EMT text and still lack the skill to handle 75% of the daily

>

>

>

> routine on a

>

>

>

>>>> truck. Several of the better services in Houston do mandate EVOC or CEVO

>

>

>

>>>> courses for all of their drivers, so that helps. Still, it would serve the

>

>

>

>>>> entire industry well to add this to the EMT curriculum and insure that ALL

>

>

>

> EMT¹s

>

>

>

>>>> are actually trained to drive those massive, heavy, unwieldy boxes (and

>

>

>

> vans)

>

>

>

>>>> through technically challenging and sometimes adrenaline-pumping

>

>

>

> situations.

>

>

>

>>>> Everyone, EMS and the general public would be safer.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> Concerning the ability of most EMT¹s to handle a variety of situations, I

>

>

>

> would

>

>

>

>>>> say that depends. Personally, my past experience as a combat medic in the

>

>

>

> Army

>

>

>

>>>> Reserve has served me exceptionally well. Training to triage and tend to

>

>

>

>>>> multiple wounded soldiers as the sole medic while under the stress of

>

>

>

> weapons

>

>

>

>>>> fire, grenades, explosive devices, etc. made an MVA (or MVC, or whatever

>

>

>

> people

>

>

>

>>>> are calling it today) seem pretty cut and dry. I highly doubt civilian EMT

>

>

>

>>>> instructors have those resources available, but extra time and attention

>

>

>

> spent

>

>

>

>>>> on scenario based training with moulaged patients goes a long way to help.

>

>

>

> If

>

>

>

>>>> they do not get this kind of training during their course, they need to

>

>

>

> seek out

>

>

>

>>>> some ITLS, PHTLS, or other courses and participate.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> For those EMT¹s who get into EMS for whatever reason and decide they are

>

>

>

> happy

>

>

>

>>>> scraping by with the bare minimum of knowledge and just show up for a

>

>

>

> paycheck,

>

>

>

>>>> I have no tolerance. This is an extremely dynamic industry requiring

>

>

>

> constant

>

>

>

>>>> education to stay on top of changes that improve patient outcomes. Getting

>

>

>

> the

>

>

>

>>>> mandated CE to recertify does not cut it. I have worked with plenty of

>

>

>

> those

>

>

>

>>>> types and can¹t encourage them to go find a higher paying job in a

>

>

>

> different

>

>

>

>>>> industry fast enough.

>

>

>

>>>>

>

>

>

>>>> OK, getting off my soap box, too.

>

>

>

>>>>

>

>

>

>>>> Springfield

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

[Guest guest]

Thanks Barry. My 22 YO just got her license and had no such requirement

which is why I asked. It's a step in the right direction.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant

LNMolino@...

(Cell Phone)

(Office)

(Office Fax)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

The comments contained in this E-mail are the opinions of the author and

the author alone. I in no way ever intend to speak for any person or

organization that I am in any way whatsoever involved or associated with unless

I

specifically state that I am doing so. Further this E-mail is intended only

for its stated recipient and may contain private and or confidential

materials retransmission is strictly prohibited unless placed in the public

domain by the original author.

In a message dated 3/8/2011 9:57:51 A.M. Central Standard Time,

barry.sharp@... writes:

Louis, just because you asked for it (and my daughter is currently taking

it), here’s the text from the Texas Transportation Code:

SUBCHAPTER H. EDUCATION AND EXAMINATION REQUIREMENTS

Text of section as added by Acts 2009, 81st Leg., R.S., Ch. 1253

http://www.legis.state.tx.us/tlodocs/81R/billtext/html/HB00339F.HTM> , Sec. 11

For text of section as added by Acts 2009, 81st Leg., R.S., Ch. 1413

http://www.legis.state.tx.us/tlodocs/81R/billtext/html/SB01317F.HTM> , Sec. 3,

see other Sec. 521.1601.

Sec. 521.1601. DRIVER EDUCATION REQUIRED. The department may not issue a

driver's license to a person who is younger than 21 years of age unless

the person submits to the department a driver education certificate issued

under Chapter 1001, Education Code, that states that the person has completed

and passed:

(1) a driver education and traffic safety course approved by the Texas

Education Agency under Section 29.902, Education Code, or a driver education

course approved by that agency under Section 1001.101 of that code or

approved by the department under Section 521.205; or

(2) if the person is 18 years of age or older, a driver education course

approved by the Texas Education Agency under Section 1001.101 or 1001.1015,

Education Code.

Added by Acts 2009, 81st Leg., R.S., Ch. 1253

http://www.legis.state.tx.us/tlodocs/81R/billtext/html/HB00339F.HTM> , Sec.

11, eff. September 1, 2009.

Text of section as added by Acts 2009, 81st Leg., R.S., Ch. 1413

http://www.legis.state.tx.us/tlodocs/81R/billtext/html/SB01317F.HTM> , Sec. 3

For text of section as added by Acts 2009, 81st Leg., R.S., Ch. 1253

http://www.legis.state.tx.us/tlodocs/81R/billtext/html/HB00339F.HTM> , Sec.

11, see other Sec. 521.1601.

Sec. 521.1601. DRIVER EDUCATION REQUIRED. The department may not issue a

driver's license to a person who is younger than 25 years of age unless

the person submits to the department a driver education certificate issued

under Chapter 1001, Education Code, that states that the person has completed

and passed:

(1) a driver education and traffic safety course approved by the Texas

Education Agency under Section 29.902, Education Code, or a driver education

course approved by that agency under Section 1001.101(a)(1) of that code or

approved by the department under Section 521.205; or

(2) if the person is 18 years of age or older, a driver education course

approved by the Texas Education Agency under Section 1001.101(a)(1) or (2),

Education Code.

Added by Acts 2009, 81st Leg., R.S., Ch. 1413

http://www.legis.state.tx.us/tlodocs/81R/billtext/html/SB01317F.HTM> , Sec. 3,

eff. March 1, 2010.

Barry

Barry Sharp, MSHP, CHES

Tobacco Prevention & Control Program Coordinator

Substance Abuse Services Unit

Mental Health and Substance Abuse Division

________________________________

From: texasems-l [mailto:texasems-l ] On

Behalf Of Louis N. Molino, Sr.

Sent: Monday, March 07, 2011 6:57 PM

To: texasems-l

Subject: Re: RE: Ambulance Companies Say Medicare... (Now

EMTEducation)

A successful Driver Safety Training Course is REQUIRED to obtain a Texas

Driver's License.

For whom? And can you cite the regs?

Louis N. Molino, Sr. CET

FF/NREMT/FSI/EMSI

Training Program Manager

Fire & Safety Specialists, Inc.

Typed by my fingers on my iPhone.

Please excuse any typos.

(Cell)

(Office)

(Office Fax)

LNMolino@...

Lou@...

On Mar 7, 2011, at 17:00, Cougar!! ems_cougar@...

> wrote:

> It should not be on the companies. The ones who do it, do so to help

protect their equipment, Insurance premiums, and public safety. A successful

Driver Safety Training Course is REQUIRED to obtain a Texas Driver's License.

>

> Why does the City of Houston not require EVOC or equivalent, to obtain

an Emergency Ambulance Driver's Permit? It should at least be on the City to

require it, You are right, there is $$ involved in teaching it, so it

shouldn't be on the companies, OR the colleges. It should be on the EMT. Either

take an EVOC course to get the permit......or ride in the back and do all

the paperwork till you decide to save up and pay for the course.

>

> Simple and Safer for all of us.

>

> I'll keep my Guns, my Freedom and my MONEY,

> You can keep the " CHANGE. "

>

>

>

>

>

>

>>>

>

>

>

>>>> Coug,

>

>

>

>>>>

>

>

>

>>>> I don't often post here, but do monitor the list daily. You have some

>

>

>

> great

>

>

>

>>>> points I want to discuss. Namely, EVOC in EMT school. I also believe

110%

>

>

>

> that

>

>

>

>>>> EVOC should be a part of EMT curriculum. In my experience, EMT¹s do a

vast

>

>

>

>>>> majority of the driving in EMS. Depending on the staffing scenario,

the

>

>

>

> EMT may

>

>

>

>>>> well be driving all the time. I would estimate that about 75% (not

>

>

>

> researched,

>

>

>

>>>> not qualified by any studiesà just my guess) of the Houston EMT¹s day

is

>

>

>

> spent

>

>

>

>>>> driving the truck. Seems silly to spend months going through a course

and

>

>

>

> 1,000

>

>

>

>>>> + page EMT text and still lack the skill to handle 75% of the daily

>

>

>

> routine on a

>

>

>

>>>> truck. Several of the better services in Houston do mandate EVOC or

CEVO

>

>

>

>>>> courses for all of their drivers, so that helps. Still, it would

serve the

>

>

>

>>>> entire industry well to add this to the EMT curriculum and insure

that ALL

>

>

>

> EMT¹s

>

>

>

>>>> are actually trained to drive those massive, heavy, unwieldy boxes

(and

>

>

>

> vans)

>

>

>

>>>> through technically challenging and sometimes adrenaline-pumping

>

>

>

> situations.

>

>

>

>>>> Everyone, EMS and the general public would be safer.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> Concerning the ability of most EMT¹s to handle a variety of

situations, I

>

>

>

> would

>

>

>

>>>> say that depends. Personally, my past experience as a combat medic in

the

>

>

>

> Army

>

>

>

>>>> Reserve has served me exceptionally well. Training to triage and tend

to

>

>

>

>>>> multiple wounded soldiers as the sole medic while under the stress of

>

>

>

> weapons

>

>

>

>>>> fire, grenades, explosive devices, etc. made an MVA (or MVC, or

whatever

>

>

>

> people

>

>

>

>>>> are calling it today) seem pretty cut and dry. I highly doubt

civilian EMT

>

>

>

>>>> instructors have those resources available, but extra time and

attention

>

>

>

> spent

>

>

>

>>>> on scenario based training with moulaged patients goes a long way to

help.

>

>

>

> If

>

>

>

>>>> they do not get this kind of training during their course, they need

to

>

>

>

> seek out

>

>

>

>>>> some ITLS, PHTLS, or other courses and participate.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> For those EMT¹s who get into EMS for whatever reason and decide they

are

>

>

>

> happy

>

>

>

>>>> scraping by with the bare minimum of knowledge and just show up for a

>

>

>

> paycheck,

>

>

>

>>>> I have no tolerance. This is an extremely dynamic industry requiring

>

>

>

> constant

>

>

>

>>>> education to stay on top of changes that improve patient outcomes.

Getting

>

>

>

> the

>

>

>

>>>> mandated CE to recertify does not cut it. I have worked with plenty of

>

>

>

> those

>

>

>

>>>> types and can¹t encourage them to go find a higher paying job in a

>

>

>

> different

>

>

>

>>>> industry fast enough.

>

>

>

>>>>

>

>

>

>>>> OK, getting off my soap box, too.

>

>

>

>>>>

>

>

>

>>>> Springfield

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> [Non-text portions of this message have been removed]

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> ------------------------------------

>

>

>

>>>>

>

>

>

>>>>

[Guest guest]

I have looked and looked and looked, for EVOC manuals,.... text books, I cannot

find them. I want something that is specific to EMS and concerning ambulances

and how to drive them,... I have found nothing. I did find a few about POLICE

EVOC, but.....I seriously doubt that an ambulance will ever need to throw it in

reverse, hit the gas, turn the wheel, jam it into drive and then hit the gas

again.

Any ideas? I would love to get hold of those old videos from P&S.

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

>

>

>

>>>

>

>

>

>>>> Coug,

>

>

>

>>>>

>

>

>

>>>> I don't often post here, but do monitor the list daily. You have some

>

>

>

> great

>

>

>

>>>> points I want to discuss. Namely, EVOC in EMT school. I also believe 110%

>

>

>

> that

>

>

>

>>>> EVOC should be a part of EMT curriculum. In my experience, EMT¹s do a vast

>

>

>

>>>> majority of the driving in EMS. Depending on the staffing scenario, the

>

>

>

> EMT may

>

>

>

>>>> well be driving all the time. I would estimate that about 75% (not

>

>

>

> researched,

>

>

>

>>>> not qualified by any studiesà just my guess) of the Houston EMT¹s day is

>

>

>

> spent

>

>

>

>>>> driving the truck. Seems silly to spend months going through a course and

>

>

>

> 1,000

>

>

>

>>>> + page EMT text and still lack the skill to handle 75% of the daily

>

>

>

> routine on a

>

>

>

>>>> truck. Several of the better services in Houston do mandate EVOC or CEVO

>

>

>

>>>> courses for all of their drivers, so that helps. Still, it would serve the

>

>

>

>>>> entire industry well to add this to the EMT curriculum and insure that ALL

>

>

>

> EMT¹s

>

>

>

>>>> are actually trained to drive those massive, heavy, unwieldy boxes (and

>

>

>

> vans)

>

>

>

>>>> through technically challenging and sometimes adrenaline-pumping

>

>

>

> situations.

>

>

>

>>>> Everyone, EMS and the general public would be safer.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> Concerning the ability of most EMT¹s to handle a variety of situations, I

>

>

>

> would

>

>

>

>>>> say that depends. Personally, my past experience as a combat medic in the

>

>

>

> Army

>

>

>

>>>> Reserve has served me exceptionally well. Training to triage and tend to

>

>

>

>>>> multiple wounded soldiers as the sole medic while under the stress of

>

>

>

> weapons

>

>

>

>>>> fire, grenades, explosive devices, etc. made an MVA (or MVC, or whatever

>

>

>

> people

>

>

>

>>>> are calling it today) seem pretty cut and dry. I highly doubt civilian EMT

>

>

>

>>>> instructors have those resources available, but extra time and attention

>

>

>

> spent

>

>

>

>>>> on scenario based training with moulaged patients goes a long way to help.

>

>

>

> If

>

>

>

>>>> they do not get this kind of training during their course, they need to

>

>

>

> seek out

>

>

>

>>>> some ITLS, PHTLS, or other courses and participate.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> For those EMT¹s who get into EMS for whatever reason and decide they are

>

>

>

> happy

>

>

>

>>>> scraping by with the bare minimum of knowledge and just show up for a

>

>

>

> paycheck,

>

>

>

>>>> I have no tolerance. This is an extremely dynamic industry requiring

>

>

>

> constant

>

>

>

>>>> education to stay on top of changes that improve patient outcomes. Getting

>

>

>

> the

>

>

>

>>>> mandated CE to recertify does not cut it. I have worked with plenty of

>

>

>

> those

>

>

>

>>>> types and can¹t encourage them to go find a higher paying job in a

>

>

>

> different

>

>

>

>>>> industry fast enough.

>

>

>

>>>>

>

>

>

>>>> OK, getting off my soap box, too.

>

>

>

>>>>

>

>

>

>>>> Springfield

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

[Guest guest]

I have looked and looked and looked, for EVOC manuals,.... text books, I cannot

find them. I want something that is specific to EMS and concerning ambulances

and how to drive them,... I have found nothing. I did find a few about POLICE

EVOC, but.....I seriously doubt that an ambulance will ever need to throw it in

reverse, hit the gas, turn the wheel, jam it into drive and then hit the gas

again.

Any ideas? I would love to get hold of those old videos from P&S.

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

>

>

>

>>>

>

>

>

>>>> Coug,

>

>

>

>>>>

>

>

>

>>>> I don't often post here, but do monitor the list daily. You have some

>

>

>

> great

>

>

>

>>>> points I want to discuss. Namely, EVOC in EMT school. I also believe 110%

>

>

>

> that

>

>

>

>>>> EVOC should be a part of EMT curriculum. In my experience, EMT¹s do a vast

>

>

>

>>>> majority of the driving in EMS. Depending on the staffing scenario, the

>

>

>

> EMT may

>

>

>

>>>> well be driving all the time. I would estimate that about 75% (not

>

>

>

> researched,

>

>

>

>>>> not qualified by any studiesà just my guess) of the Houston EMT¹s day is

>

>

>

> spent

>

>

>

>>>> driving the truck. Seems silly to spend months going through a course and

>

>

>

> 1,000

>

>

>

>>>> + page EMT text and still lack the skill to handle 75% of the daily

>

>

>

> routine on a

>

>

>

>>>> truck. Several of the better services in Houston do mandate EVOC or CEVO

>

>

>

>>>> courses for all of their drivers, so that helps. Still, it would serve the

>

>

>

>>>> entire industry well to add this to the EMT curriculum and insure that ALL

>

>

>

> EMT¹s

>

>

>

>>>> are actually trained to drive those massive, heavy, unwieldy boxes (and

>

>

>

> vans)

>

>

>

>>>> through technically challenging and sometimes adrenaline-pumping

>

>

>

> situations.

>

>

>

>>>> Everyone, EMS and the general public would be safer.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> Concerning the ability of most EMT¹s to handle a variety of situations, I

>

>

>

> would

>

>

>

>>>> say that depends. Personally, my past experience as a combat medic in the

>

>

>

> Army

>

>

>

>>>> Reserve has served me exceptionally well. Training to triage and tend to

>

>

>

>>>> multiple wounded soldiers as the sole medic while under the stress of

>

>

>

> weapons

>

>

>

>>>> fire, grenades, explosive devices, etc. made an MVA (or MVC, or whatever

>

>

>

> people

>

>

>

>>>> are calling it today) seem pretty cut and dry. I highly doubt civilian EMT

>

>

>

>>>> instructors have those resources available, but extra time and attention

>

>

>

> spent

>

>

>

>>>> on scenario based training with moulaged patients goes a long way to help.

>

>

>

> If

>

>

>

>>>> they do not get this kind of training during their course, they need to

>

>

>

> seek out

>

>

>

>>>> some ITLS, PHTLS, or other courses and participate.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> For those EMT¹s who get into EMS for whatever reason and decide they are

>

>

>

> happy

>

>

>

>>>> scraping by with the bare minimum of knowledge and just show up for a

>

>

>

> paycheck,

>

>

>

>>>> I have no tolerance. This is an extremely dynamic industry requiring

>

>

>

> constant

>

>

>

>>>> education to stay on top of changes that improve patient outcomes. Getting

>

>

>

> the

>

>

>

>>>> mandated CE to recertify does not cut it. I have worked with plenty of

>

>

>

> those

>

>

>

>>>> types and can¹t encourage them to go find a higher paying job in a

>

>

>

> different

>

>

>

>>>> industry fast enough.

>

>

>

>>>>

>

>

>

>>>> OK, getting off my soap box, too.

>

>

>

>>>>

>

>

>

>>>> Springfield

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

[Guest guest]

WHAT????? Ok,.....I must be missing something here. Is Driver's Ed. no longer

required to get a TDL?

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

>

>

>

>>>

>

>

>

>>>> Coug,

>

>

>

>>>>

>

>

>

>>>> I don't often post here, but do monitor the list daily. You have some

>

>

>

> great

>

>

>

>>>> points I want to discuss. Namely, EVOC in EMT school. I also believe

110%

>

>

>

> that

>

>

>

>>>> EVOC should be a part of EMT curriculum. In my experience, EMT¹s do a

vast

>

>

>

>>>> majority of the driving in EMS. Depending on the staffing scenario,

the

>

>

>

> EMT may

>

>

>

>>>> well be driving all the time. I would estimate that about 75% (not

>

>

>

> researched,

>

>

>

>>>> not qualified by any studiesà just my guess) of the Houston EMT¹s day

is

>

>

>

> spent

>

>

>

>>>> driving the truck. Seems silly to spend months going through a course

and

>

>

>

> 1,000

>

>

>

>>>> + page EMT text and still lack the skill to handle 75% of the daily

>

>

>

> routine on a

>

>

>

>>>> truck. Several of the better services in Houston do mandate EVOC or

CEVO

>

>

>

>>>> courses for all of their drivers, so that helps. Still, it would

serve the

>

>

>

>>>> entire industry well to add this to the EMT curriculum and insure

that ALL

>

>

>

> EMT¹s

>

>

>

>>>> are actually trained to drive those massive, heavy, unwieldy boxes

(and

>

>

>

> vans)

>

>

>

>>>> through technically challenging and sometimes adrenaline-pumping

>

>

>

> situations.

>

>

>

>>>> Everyone, EMS and the general public would be safer.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> Concerning the ability of most EMT¹s to handle a variety of

situations, I

>

>

>

> would

>

>

>

>>>> say that depends. Personally, my past experience as a combat medic in

the

>

>

>

> Army

>

>

>

>>>> Reserve has served me exceptionally well. Training to triage and tend

to

>

>

>

>>>> multiple wounded soldiers as the sole medic while under the stress of

>

>

>

> weapons

>

>

>

>>>> fire, grenades, explosive devices, etc. made an MVA (or MVC, or

whatever

>

>

>

> people

>

>

>

>>>> are calling it today) seem pretty cut and dry. I highly doubt

civilian EMT

>

>

>

>>>> instructors have those resources available, but extra time and

attention

>

>

>

> spent

>

>

>

>>>> on scenario based training with moulaged patients goes a long way to

help.

>

>

>

> If

>

>

>

>>>> they do not get this kind of training during their course, they need

to

>

>

>

> seek out

>

>

>

>>>> some ITLS, PHTLS, or other courses and participate.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> For those EMT¹s who get into EMS for whatever reason and decide they

are

>

>

>

> happy

>

>

>

>>>> scraping by with the bare minimum of knowledge and just show up for a

>

>

>

> paycheck,

>

>

>

>>>> I have no tolerance. This is an extremely dynamic industry requiring

>

>

>

> constant

>

>

>

>>>> education to stay on top of changes that improve patient outcomes.

Getting

>

>

>

> the

>

>

>

>>>> mandated CE to recertify does not cut it. I have worked with plenty of

>

>

>

> those

>

>

>

>>>> types and can¹t encourage them to go find a higher paying job in a

>

>

>

> different

>

>

>

>>>> industry fast enough.

>

>

>

>>>>

>

>

>

>>>> OK, getting off my soap box, too.

>

>

>

>>>>

>

>

>

>>>> Springfield

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> [Non-text portions of this message have been removed]

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> ------------------------------------

>

>

>

>>>>

>

>

>

>>>>

[Guest guest]

WHAT????? Ok,.....I must be missing something here. Is Driver's Ed. no longer

required to get a TDL?

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

>

>

>

>>>

>

>

>

>>>> Coug,

>

>

>

>>>>

>

>

>

>>>> I don't often post here, but do monitor the list daily. You have some

>

>

>

> great

>

>

>

>>>> points I want to discuss. Namely, EVOC in EMT school. I also believe

110%

>

>

>

> that

>

>

>

>>>> EVOC should be a part of EMT curriculum. In my experience, EMT¹s do a

vast

>

>

>

>>>> majority of the driving in EMS. Depending on the staffing scenario,

the

>

>

>

> EMT may

>

>

>

>>>> well be driving all the time. I would estimate that about 75% (not

>

>

>

> researched,

>

>

>

>>>> not qualified by any studiesà just my guess) of the Houston EMT¹s day

is

>

>

>

> spent

>

>

>

>>>> driving the truck. Seems silly to spend months going through a course

and

>

>

>

> 1,000

>

>

>

>>>> + page EMT text and still lack the skill to handle 75% of the daily

>

>

>

> routine on a

>

>

>

>>>> truck. Several of the better services in Houston do mandate EVOC or

CEVO

>

>

>

>>>> courses for all of their drivers, so that helps. Still, it would

serve the

>

>

>

>>>> entire industry well to add this to the EMT curriculum and insure

that ALL

>

>

>

> EMT¹s

>

>

>

>>>> are actually trained to drive those massive, heavy, unwieldy boxes

(and

>

>

>

> vans)

>

>

>

>>>> through technically challenging and sometimes adrenaline-pumping

>

>

>

> situations.

>

>

>

>>>> Everyone, EMS and the general public would be safer.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> Concerning the ability of most EMT¹s to handle a variety of

situations, I

>

>

>

> would

>

>

>

>>>> say that depends. Personally, my past experience as a combat medic in

the

>

>

>

> Army

>

>

>

>>>> Reserve has served me exceptionally well. Training to triage and tend

to

>

>

>

>>>> multiple wounded soldiers as the sole medic while under the stress of

>

>

>

> weapons

>

>

>

>>>> fire, grenades, explosive devices, etc. made an MVA (or MVC, or

whatever

>

>

>

> people

>

>

>

>>>> are calling it today) seem pretty cut and dry. I highly doubt

civilian EMT

>

>

>

>>>> instructors have those resources available, but extra time and

attention

>

>

>

> spent

>

>

>

>>>> on scenario based training with moulaged patients goes a long way to

help.

>

>

>

> If

>

>

>

>>>> they do not get this kind of training during their course, they need

to

>

>

>

> seek out

>

>

>

>>>> some ITLS, PHTLS, or other courses and participate.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> For those EMT¹s who get into EMS for whatever reason and decide they

are

>

>

>

> happy

>

>

>

>>>> scraping by with the bare minimum of knowledge and just show up for a

>

>

>

> paycheck,

>

>

>

>>>> I have no tolerance. This is an extremely dynamic industry requiring

>

>

>

> constant

>

>

>

>>>> education to stay on top of changes that improve patient outcomes.

Getting

>

>

>

> the

>

>

>

>>>> mandated CE to recertify does not cut it. I have worked with plenty of

>

>

>

> those

>

>

>

>>>> types and can¹t encourage them to go find a higher paying job in a

>

>

>

> different

>

>

>

>>>> industry fast enough.

>

>

>

>>>>

>

>

>

>>>> OK, getting off my soap box, too.

>

>

>

>>>>

>

>

>

>>>> Springfield

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> [Non-text portions of this message have been removed]

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> ------------------------------------

>

>

>

>>>>

>

>

>

>>>>

[Guest guest]

Try the dot website it on it.

Try cevo. They have one.

Sent from my Verizon Wireless BlackBerry

RE: RE: Ambulance Companies Say Medicare... (Now

EMTEducation)

I have looked and looked and looked, for EVOC manuals,.... text books, I cannot

find them. I want something that is specific to EMS and concerning ambulances

and how to drive them,... I have found nothing. I did find a few about POLICE

EVOC, but.....I seriously doubt that an ambulance will ever need to throw it in

reverse, hit the gas, turn the wheel, jam it into drive and then hit the gas

again.

Any ideas? I would love to get hold of those old videos from P&S.

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

>

>

>

>>>

>

>

>

>>>> Coug,

>

>

>

>>>>

>

>

>

>>>> I don't often post here, but do monitor the list daily. You have some

>

>

>

> great

>

>

>

>>>> points I want to discuss. Namely, EVOC in EMT school. I also believe 110%

>

>

>

> that

>

>

>

>>>> EVOC should be a part of EMT curriculum. In my experience, EMT¹s do a vast

>

>

>

>>>> majority of the driving in EMS. Depending on the staffing scenario, the

>

>

>

> EMT may

>

>

>

>>>> well be driving all the time. I would estimate that about 75% (not

>

>

>

> researched,

>

>

>

>>>> not qualified by any studiesà just my guess) of the Houston EMT¹s day is

>

>

>

> spent

>

>

>

>>>> driving the truck. Seems silly to spend months going through a course and

>

>

>

> 1,000

>

>

>

>>>> + page EMT text and still lack the skill to handle 75% of the daily

>

>

>

> routine on a

>

>

>

>>>> truck. Several of the better services in Houston do mandate EVOC or CEVO

>

>

>

>>>> courses for all of their drivers, so that helps. Still, it would serve the

>

>

>

>>>> entire industry well to add this to the EMT curriculum and insure that ALL

>

>

>

> EMT¹s

>

>

>

>>>> are actually trained to drive those massive, heavy, unwieldy boxes (and

>

>

>

> vans)

>

>

>

>>>> through technically challenging and sometimes adrenaline-pumping

>

>

>

> situations.

>

>

>

>>>> Everyone, EMS and the general public would be safer.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> Concerning the ability of most EMT¹s to handle a variety of situations, I

>

>

>

> would

>

>

>

>>>> say that depends. Personally, my past experience as a combat medic in the

>

>

>

> Army

>

>

>

>>>> Reserve has served me exceptionally well. Training to triage and tend to

>

>

>

>>>> multiple wounded soldiers as the sole medic while under the stress of

>

>

>

> weapons

>

>

>

>>>> fire, grenades, explosive devices, etc. made an MVA (or MVC, or whatever

>

>

>

> people

>

>

>

>>>> are calling it today) seem pretty cut and dry. I highly doubt civilian EMT

>

>

>

>>>> instructors have those resources available, but extra time and attention

>

>

>

> spent

>

>

>

>>>> on scenario based training with moulaged patients goes a long way to help.

>

>

>

> If

>

>

>

>>>> they do not get this kind of training during their course, they need to

>

>

>

> seek out

>

>

>

>>>> some ITLS, PHTLS, or other courses and participate.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> For those EMT¹s who get into EMS for whatever reason and decide they are

>

>

>

> happy

>

>

>

>>>> scraping by with the bare minimum of knowledge and just show up for a

>

>

>

> paycheck,

>

>

>

>>>> I have no tolerance. This is an extremely dynamic industry requiring

>

>

>

> constant

>

>

>

>>>> education to stay on top of changes that improve patient outcomes. Getting

>

>

>

> the

>

>

>

>>>> mandated CE to recertify does not cut it. I have worked with plenty of

>

>

>

> those

>

>

>

>>>> types and can¹t encourage them to go find a higher paying job in a

>

>

>

> different

>

>

>

>>>> industry fast enough.

>

>

>

>>>>

>

>

>

>>>> OK, getting off my soap box, too.

>

>

>

>>>>

>

>

>

>>>> Springfield

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

[Guest guest]

Try the dot website it on it.

Try cevo. They have one.

Sent from my Verizon Wireless BlackBerry

RE: RE: Ambulance Companies Say Medicare... (Now

EMTEducation)

I have looked and looked and looked, for EVOC manuals,.... text books, I cannot

find them. I want something that is specific to EMS and concerning ambulances

and how to drive them,... I have found nothing. I did find a few about POLICE

EVOC, but.....I seriously doubt that an ambulance will ever need to throw it in

reverse, hit the gas, turn the wheel, jam it into drive and then hit the gas

again.

Any ideas? I would love to get hold of those old videos from P&S.

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

>

>

>

>>>

>

>

>

>>>> Coug,

>

>

>

>>>>

>

>

>

>>>> I don't often post here, but do monitor the list daily. You have some

>

>

>

> great

>

>

>

>>>> points I want to discuss. Namely, EVOC in EMT school. I also believe 110%

>

>

>

> that

>

>

>

>>>> EVOC should be a part of EMT curriculum. In my experience, EMT¹s do a vast

>

>

>

>>>> majority of the driving in EMS. Depending on the staffing scenario, the

>

>

>

> EMT may

>

>

>

>>>> well be driving all the time. I would estimate that about 75% (not

>

>

>

> researched,

>

>

>

>>>> not qualified by any studiesà just my guess) of the Houston EMT¹s day is

>

>

>

> spent

>

>

>

>>>> driving the truck. Seems silly to spend months going through a course and

>

>

>

> 1,000

>

>

>

>>>> + page EMT text and still lack the skill to handle 75% of the daily

>

>

>

> routine on a

>

>

>

>>>> truck. Several of the better services in Houston do mandate EVOC or CEVO

>

>

>

>>>> courses for all of their drivers, so that helps. Still, it would serve the

>

>

>

>>>> entire industry well to add this to the EMT curriculum and insure that ALL

>

>

>

> EMT¹s

>

>

>

>>>> are actually trained to drive those massive, heavy, unwieldy boxes (and

>

>

>

> vans)

>

>

>

>>>> through technically challenging and sometimes adrenaline-pumping

>

>

>

> situations.

>

>

>

>>>> Everyone, EMS and the general public would be safer.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> Concerning the ability of most EMT¹s to handle a variety of situations, I

>

>

>

> would

>

>

>

>>>> say that depends. Personally, my past experience as a combat medic in the

>

>

>

> Army

>

>

>

>>>> Reserve has served me exceptionally well. Training to triage and tend to

>

>

>

>>>> multiple wounded soldiers as the sole medic while under the stress of

>

>

>

> weapons

>

>

>

>>>> fire, grenades, explosive devices, etc. made an MVA (or MVC, or whatever

>

>

>

> people

>

>

>

>>>> are calling it today) seem pretty cut and dry. I highly doubt civilian EMT

>

>

>

>>>> instructors have those resources available, but extra time and attention

>

>

>

> spent

>

>

>

>>>> on scenario based training with moulaged patients goes a long way to help.

>

>

>

> If

>

>

>

>>>> they do not get this kind of training during their course, they need to

>

>

>

> seek out

>

>

>

>>>> some ITLS, PHTLS, or other courses and participate.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> For those EMT¹s who get into EMS for whatever reason and decide they are

>

>

>

> happy

>

>

>

>>>> scraping by with the bare minimum of knowledge and just show up for a

>

>

>

> paycheck,

>

>

>

>>>> I have no tolerance. This is an extremely dynamic industry requiring

>

>

>

> constant

>

>

>

>>>> education to stay on top of changes that improve patient outcomes. Getting

>

>

>

> the

>

>

>

>>>> mandated CE to recertify does not cut it. I have worked with plenty of

>

>

>

> those

>

>

>

>>>> types and can¹t encourage them to go find a higher paying job in a

>

>

>

> different

>

>

>

>>>> industry fast enough.

>

>

>

>>>>

>

>

>

>>>> OK, getting off my soap box, too.

>

>

>

>>>>

>

>

>

>>>> Springfield

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

[Guest guest]

Oh wait.....you are in Jersey......never mind.

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

>

>

>

>>>

>

>

>

>>>> Coug,

>

>

>

>>>>

>

>

>

>>>> I don't often post here, but do monitor the list daily. You have some

>

>

>

> great

>

>

>

>>>> points I want to discuss. Namely, EVOC in EMT school. I also believe

110%

>

>

>

> that

>

>

>

>>>> EVOC should be a part of EMT curriculum. In my experience, EMT¹s do a

vast

>

>

>

>>>> majority of the driving in EMS. Depending on the staffing scenario,

the

>

>

>

> EMT may

>

>

>

>>>> well be driving all the time. I would estimate that about 75% (not

>

>

>

> researched,

>

>

>

>>>> not qualified by any studiesà just my guess) of the Houston EMT¹s day

is

>

>

>

> spent

>

>

>

>>>> driving the truck. Seems silly to spend months going through a course

and

>

>

>

> 1,000

>

>

>

>>>> + page EMT text and still lack the skill to handle 75% of the daily

>

>

>

> routine on a

>

>

>

>>>> truck. Several of the better services in Houston do mandate EVOC or

CEVO

>

>

>

>>>> courses for all of their drivers, so that helps. Still, it would

serve the

>

>

>

>>>> entire industry well to add this to the EMT curriculum and insure

that ALL

>

>

>

> EMT¹s

>

>

>

>>>> are actually trained to drive those massive, heavy, unwieldy boxes

(and

>

>

>

> vans)

>

>

>

>>>> through technically challenging and sometimes adrenaline-pumping

>

>

>

> situations.

>

>

>

>>>> Everyone, EMS and the general public would be safer.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> Concerning the ability of most EMT¹s to handle a variety of

situations, I

>

>

>

> would

>

>

>

>>>> say that depends. Personally, my past experience as a combat medic in

the

>

>

>

> Army

>

>

>

>>>> Reserve has served me exceptionally well. Training to triage and tend

to

>

>

>

>>>> multiple wounded soldiers as the sole medic while under the stress of

>

>

>

> weapons

>

>

>

>>>> fire, grenades, explosive devices, etc. made an MVA (or MVC, or

whatever

>

>

>

> people

>

>

>

>>>> are calling it today) seem pretty cut and dry. I highly doubt

civilian EMT

>

>

>

>>>> instructors have those resources available, but extra time and

attention

>

>

>

> spent

>

>

>

>>>> on scenario based training with moulaged patients goes a long way to

help.

>

>

>

> If

>

>

>

>>>> they do not get this kind of training during their course, they need

to

>

>

>

> seek out

>

>

>

>>>> some ITLS, PHTLS, or other courses and participate.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> For those EMT¹s who get into EMS for whatever reason and decide they

are

>

>

>

> happy

>

>

>

>>>> scraping by with the bare minimum of knowledge and just show up for a

>

>

>

> paycheck,

>

>

>

>>>> I have no tolerance. This is an extremely dynamic industry requiring

>

>

>

> constant

>

>

>

>>>> education to stay on top of changes that improve patient outcomes.

Getting

>

>

>

> the

>

>

>

>>>> mandated CE to recertify does not cut it. I have worked with plenty of

>

>

>

> those

>

>

>

>>>> types and can¹t encourage them to go find a higher paying job in a

>

>

>

> different

>

>

>

>>>> industry fast enough.

>

>

>

>>>>

>

>

>

>>>> OK, getting off my soap box, too.

>

>

>

>>>>

>

>

>

>>>> Springfield

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> [Non-text portions of this message have been removed]

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> ------------------------------------

>

>

>

>>>>

>

>

>

>>>>

[Guest guest]

Oh wait.....you are in Jersey......never mind.

I'll keep my Guns, my Freedom and my MONEY,

You can keep the " CHANGE. "

>

>

>

>>>

>

>

>

>>>> Coug,

>

>

>

>>>>

>

>

>

>>>> I don't often post here, but do monitor the list daily. You have some

>

>

>

> great

>

>

>

>>>> points I want to discuss. Namely, EVOC in EMT school. I also believe

110%

>

>

>

> that

>

>

>

>>>> EVOC should be a part of EMT curriculum. In my experience, EMT¹s do a

vast

>

>

>

>>>> majority of the driving in EMS. Depending on the staffing scenario,

the

>

>

>

> EMT may

>

>

>

>>>> well be driving all the time. I would estimate that about 75% (not

>

>

>

> researched,

>

>

>

>>>> not qualified by any studiesà just my guess) of the Houston EMT¹s day

is

>

>

>

> spent

>

>

>

>>>> driving the truck. Seems silly to spend months going through a course

and

>

>

>

> 1,000

>

>

>

>>>> + page EMT text and still lack the skill to handle 75% of the daily

>

>

>

> routine on a

>

>

>

>>>> truck. Several of the better services in Houston do mandate EVOC or

CEVO

>

>

>

>>>> courses for all of their drivers, so that helps. Still, it would

serve the

>

>

>

>>>> entire industry well to add this to the EMT curriculum and insure

that ALL

>

>

>

> EMT¹s

>

>

>

>>>> are actually trained to drive those massive, heavy, unwieldy boxes

(and

>

>

>

> vans)

>

>

>

>>>> through technically challenging and sometimes adrenaline-pumping

>

>

>

> situations.

>

>

>

>>>> Everyone, EMS and the general public would be safer.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> Concerning the ability of most EMT¹s to handle a variety of

situations, I

>

>

>

> would

>

>

>

>>>> say that depends. Personally, my past experience as a combat medic in

the

>

>

>

> Army

>

>

>

>>>> Reserve has served me exceptionally well. Training to triage and tend

to

>

>

>

>>>> multiple wounded soldiers as the sole medic while under the stress of

>

>

>

> weapons

>

>

>

>>>> fire, grenades, explosive devices, etc. made an MVA (or MVC, or

whatever

>

>

>

> people

>

>

>

>>>> are calling it today) seem pretty cut and dry. I highly doubt

civilian EMT

>

>

>

>>>> instructors have those resources available, but extra time and

attention

>

>

>

> spent

>

>

>

>>>> on scenario based training with moulaged patients goes a long way to

help.

>

>

>

> If

>

>

>

>>>> they do not get this kind of training during their course, they need

to

>

>

>

> seek out

>

>

>

>>>> some ITLS, PHTLS, or other courses and participate.

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> For those EMT¹s who get into EMS for whatever reason and decide they

are

>

>

>

> happy

>

>

>

>>>> scraping by with the bare minimum of knowledge and just show up for a

>

>

>

> paycheck,

>

>

>

>>>> I have no tolerance. This is an extremely dynamic industry requiring

>

>

>

> constant

>

>

>

>>>> education to stay on top of changes that improve patient outcomes.

Getting

>

>

>

> the

>

>

>

>>>> mandated CE to recertify does not cut it. I have worked with plenty of

>

>

>

> those

>

>

>

>>>> types and can¹t encourage them to go find a higher paying job in a

>

>

>

> different

>

>

>

>>>> industry fast enough.

>

>

>

>>>>

>

>

>

>>>> OK, getting off my soap box, too.

>

>

>

>>>>

>

>

>

>>>> Springfield

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> [Non-text portions of this message have been removed]

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>>

>

>

>

>>>> ------------------------------------

>

>

>

>>>>

>

>

>

>>>>