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

[Guest guest]

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]

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 from Buda'a IPhone

> 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 from Buda'a IPhone

> 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]

ETMC EMS

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]

TLC Dallas

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, > > ...

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

>

>

[Guest guest]

TLC Dallas

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, > > ...

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

>

>

[Guest guest]

TLC Dallas

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, > > ...

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

>

>

[Guest guest]

Amr has an evoc requirement

Sent from my Palm Pixi on the Now Network from Sprint

TLC Dallas

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

wrote: > Coug, > > ...

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

>

>

[Guest guest]

Amr has an evoc requirement

Sent from my Palm Pixi on the Now Network from Sprint

TLC Dallas

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

wrote: > Coug, > > ...

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

>

>

[Guest guest]

Amr has an evoc requirement

Sent from my Palm Pixi on the Now Network from Sprint

TLC Dallas

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

wrote: > Coug, > > ...

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

>

>

[Guest guest]

Acadian has their version of it that all new hires take.

Sent from my iPhone

> 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]

Acadian has their version of it that all new hires take.

Sent from my iPhone

> 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]

With these companies doing it, shouldn't the service be the one responsible for

it? I mean if you want me to teach to my EMT students, then give the ambulances

to do it. Make sure insurance for it is paid for first. Oh and bring a tow truck

too.

Sent from my iPhone

On Mar 4, 2011, at 10:26, 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]

With these companies doing it, shouldn't the service be the one responsible for

it? I mean if you want me to teach to my EMT students, then give the ambulances

to do it. Make sure insurance for it is paid for first. Oh and bring a tow truck

too.

Sent from my iPhone

On Mar 4, 2011, at 10:26, 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]

Yes, Acadian in Austin does. All new hires must take it.

, EMSC

Operations

Incident Response Coordination Team-Advanced (IRCT-A)

Southwest Region

DHHS/NDMS/ASPR/OPEO

From: Louis N. Molino, Sr.

Sent: Friday, March 04, 2011 10:02 PM

To: texasems-l texasems-l >

Subject: 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]

Yes, Acadian in Austin does. All new hires must take it.

, EMSC

Operations

Incident Response Coordination Team-Advanced (IRCT-A)

Southwest Region

DHHS/NDMS/ASPR/OPEO

From: Louis N. Molino, Sr.

Sent: Friday, March 04, 2011 10:02 PM

To: texasems-l texasems-l >

Subject: 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]

Yes, Acadian in Austin does. All new hires must take it.

, EMSC

Operations

Incident Response Coordination Team-Advanced (IRCT-A)

Southwest Region

DHHS/NDMS/ASPR/OPEO

From: Louis N. Molino, Sr.

Sent: Friday, March 04, 2011 10:02 PM

To: texasems-l texasems-l >

Subject: 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]

That's the official story. I worked there once. We received a cheesy,

watered-down, rushed 2 hour version of the class with outdated manuals NOT the

full class (which I have taken, I've also had CEVO and the driver-operator

TCFP clasd) they are all good classes.

Jim davis

[Guest guest]

I'm actually impressed with the numbers and not at all surprised by the names as

of yet.

Perhaps there's hope yet?

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@...

> With these companies doing it, shouldn't the service be the one responsible

for it? I mean if you want me to teach to my EMT students, then give the

ambulances to do it. Make sure insurance for it is paid for first. Oh and bring

a tow truck too.

>

> Sent from my iPhone

>

> On Mar 4, 2011, at 10:26, 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]

I'm actually impressed with the numbers and not at all surprised by the names as

of yet.

Perhaps there's hope yet?

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@...

> With these companies doing it, shouldn't the service be the one responsible

for it? I mean if you want me to teach to my EMT students, then give the

ambulances to do it. Make sure insurance for it is paid for first. Oh and bring

a tow truck too.

>

> Sent from my iPhone

>

> On Mar 4, 2011, at 10:26, 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]

I'm actually impressed with the numbers and not at all surprised by the names as

of yet.

Perhaps there's hope yet?

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@...

> With these companies doing it, shouldn't the service be the one responsible

for it? I mean if you want me to teach to my EMT students, then give the

ambulances to do it. Make sure insurance for it is paid for first. Oh and bring

a tow truck too.

>

> Sent from my iPhone

>

> On Mar 4, 2011, at 10:26, 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]

Absolutely.

The first company I ever worked for, back in 1990, put me through a 2 week

training course. Braking, acceleration, tilt backwards, forwards, side to side,

keeping the floor level, how to bust intersections properly, what the Law

actually says about running hot, etc.

It was classroom, films, and behind the wheel with an instructor. And that was

before I was allowed to even touch one of their units. AFTER I was allowed to

drive, I was monitored by a black box on the floor that would sense tilt and

start beeping if it detected too much. You had 4 beeps till it went nuts and

sent a signal back to the station.

Learning to drive that way reduced the maintenance cost of vehicles by 70% in

the first year they started teaching it. That training has stayed with me. I

even apply it to my every day driving in my own car. EMT's gripe, but more than

often I get compliments from patients. My regular partner says she likes it

because she can finish her run sheet enroute.

Not too long ago, a partner was half asleep on the stretcher as we pulled into

Memorial SE, for a discharge... I brought the vehicle to a stop. I went and

popped the back doors open and he darned near hit the roof,... he thought we

were still rolling!

I ABSOLUTELY feel that some sort of EVOC should be mandatory. I hate it when I

have to say " Light 'em up, nearest ER! " Then get slammed into the opposite wall

3-4 times before we get there.

Coug.

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

You can keep the " CHANGE. "

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

Education)

To: texasems-l

Date: Friday, March 4, 2011, 11:26 AM

 

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]

Absolutely.

The first company I ever worked for, back in 1990, put me through a 2 week

training course. Braking, acceleration, tilt backwards, forwards, side to side,

keeping the floor level, how to bust intersections properly, what the Law

actually says about running hot, etc.

It was classroom, films, and behind the wheel with an instructor. And that was

before I was allowed to even touch one of their units. AFTER I was allowed to

drive, I was monitored by a black box on the floor that would sense tilt and

start beeping if it detected too much. You had 4 beeps till it went nuts and

sent a signal back to the station.

Learning to drive that way reduced the maintenance cost of vehicles by 70% in

the first year they started teaching it. That training has stayed with me. I

even apply it to my every day driving in my own car. EMT's gripe, but more than

often I get compliments from patients. My regular partner says she likes it

because she can finish her run sheet enroute.

Not too long ago, a partner was half asleep on the stretcher as we pulled into

Memorial SE, for a discharge... I brought the vehicle to a stop. I went and

popped the back doors open and he darned near hit the roof,... he thought we

were still rolling!

I ABSOLUTELY feel that some sort of EVOC should be mandatory. I hate it when I

have to say " Light 'em up, nearest ER! " Then get slammed into the opposite wall

3-4 times before we get there.

Coug.

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

You can keep the " CHANGE. "

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

Education)

To: texasems-l

Date: Friday, March 4, 2011, 11:26 AM

 

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]

It was P&S Ambulance on Almeda. But since then, no, I have not heard of any. I

ASSUME AMR might, because most of the P&S people went with AMR when P&S moved

back to Ackron Ohio.

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, 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

>

>

>

>

>