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

[Guest guest]

In a message dated 3/7/2011 3:24:21 P.M. Central Standard Time,

ems_cougar@... writes:

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.

I'd try not to say that too often.

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.

[Guest guest]

One of my first partners (after we changed from horse drawn ambulances

to motorized units) instructed me to drive like I had a load of glass in

the back. That visual has stayed with me ever since and provided a basis

to use some good sense when driving. 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 Cougar!!

Sent: Monday, March 07, 2011 8:58 AM

To: texasems-l

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

EMT Education)

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. "

From: Springfield cspringfield936@...

>

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]

One of my first partners (after we changed from horse drawn ambulances

to motorized units) instructed me to drive like I had a load of glass in

the back. That visual has stayed with me ever since and provided a basis

to use some good sense when driving. 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 Cougar!!

Sent: Monday, March 07, 2011 8:58 AM

To: texasems-l

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

EMT Education)

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. "

From: Springfield cspringfield936@...

>

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]

Barry a variation of that one is to think you are sitting on said load of

glass while driving that too has effect.

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 3/7/2011 3:27:23 P.M. Central Standard Time,

barry.sharp@... writes:

One of my first partners (after we changed from horse drawn ambulances

to motorized units) instructed me to drive like I had a load of glass in

the back. That visual has stayed with me ever since and provided a basis

to use some good sense when driving. 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 Cougar!!

Sent: Monday, March 07, 2011 8:58 AM

To: texasems-l

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

EMT Education)

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. "

From: Springfield cspringfield936@...

>

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

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

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

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

------------------------------------

Yahoo! Groups Links

[Guest guest]

Barry a variation of that one is to think you are sitting on said load of

glass while driving that too has effect.

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 3/7/2011 3:27:23 P.M. Central Standard Time,

barry.sharp@... writes:

One of my first partners (after we changed from horse drawn ambulances

to motorized units) instructed me to drive like I had a load of glass in

the back. That visual has stayed with me ever since and provided a basis

to use some good sense when driving. 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 Cougar!!

Sent: Monday, March 07, 2011 8:58 AM

To: texasems-l

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

EMT Education)

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. "

From: Springfield cspringfield936@...

>

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

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

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

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

------------------------------------

Yahoo! Groups Links

[Guest guest]

Sounds like you worked for P&S they did have a very good driver training program

there to be sure

________________________________

To: texasems-l

Sent: Mon, March 7, 2011 6:57:58 AM

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

Education)

 

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]

Sounds like you worked for P&S they did have a very good driver training program

there to be sure

________________________________

To: texasems-l

Sent: Mon, March 7, 2011 6:57:58 AM

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

Education)

 

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]

Wayne is right, medics cab be molded, and I'm not bashing transfer medics as a

whole....well not as much as it sounds anyway, It's just well...I've seen a lot

of stupid stuff, in transfer that I never saw in 911. Mostly driving habits.  I

did have an opportunity once, to take my ambulance to Alvin CC's extrication day

once, for Doug son. We got to let the students load a patient, drive

around the parking lot, and unload the stretcher. I think it would be good if

the bigger companies would send a crew and a unit out to their local school and

do the same.

I guess I just had it lucky, to start out with a company who did mostly hospital

transfers, and volunteered with a 911 service. That gave me a lot more training,

through the company's classes, and people like Wayne coming out to one of

the stations at HCEC, and giving classes on POV first responders, inspecting our

vehicles, and teaching us the traffic laws. One of Doug son's people

invited me to a course on WMD given by Rural Metro, so yeah....it's a molding

process. Prob is, I rarely see anyone in the transfer industry anymore willing

to be molded. It's a paycheck to them. EMS = Earn Money Sleeping.

I dunno, it just doesn't seem to be the way it used to be. OMG.....isin't that

what OLD people say? oh.....my......(sigh).

Coug.

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

>

>

[Guest guest]

No.....it NEEDS to be said. Drivers of Ambulances RARELY realize that there are

centrifugal forces that take place in the back, that drivers do not feel. 

While driving, patient loaded, and a medic in the back, the drivers need to be

aware of this.

You need to be able to pop those back doors open, when you get to ER, and look

down to see that your coffee (which you.... " ahem " ...... " I " ) forgot) is still

upright and waiting for you.

Oh.....you meant the " Light 'em up " part......hasn't happened in about 5 years

for me. A dialysis patient went into respiratory failure enroute. Got him back,

got to the ER, and he crashed again after we left. He survived and we

transported him a few more times. Then he was gone....but we did our best.

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

You can keep the " CHANGE. "

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

Education)

To: texasems-l

Date: Monday, March 7, 2011, 3:26 PM

 

In a message dated 3/7/2011 3:24:21 P.M. Central Standard Time,

ems_cougar@... writes:

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.

I'd try not to say that too often.

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.

[Guest guest]

No.....it NEEDS to be said. Drivers of Ambulances RARELY realize that there are

centrifugal forces that take place in the back, that drivers do not feel. 

While driving, patient loaded, and a medic in the back, the drivers need to be

aware of this.

You need to be able to pop those back doors open, when you get to ER, and look

down to see that your coffee (which you.... " ahem " ...... " I " ) forgot) is still

upright and waiting for you.

Oh.....you meant the " Light 'em up " part......hasn't happened in about 5 years

for me. A dialysis patient went into respiratory failure enroute. Got him back,

got to the ER, and he crashed again after we left. He survived and we

transported him a few more times. Then he was gone....but we did our best.

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

You can keep the " CHANGE. "

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

Education)

To: texasems-l

Date: Monday, March 7, 2011, 3:26 PM

 

In a message dated 3/7/2011 3:24:21 P.M. Central Standard Time,

ems_cougar@... writes:

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.

I'd try not to say that too often.

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.

[Guest guest]

Pack and Ship, Park and Sleep, Pigs and Squirrels (never did figure that one

out) Poke and Slab hahhahaha!! ahh....memories

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