the doctors out, but i know something!

Please feel free to comment, on the topic or my grammar! This paper has already been graded. ;-) Prehospital Ultrasound in Undifferentiated shock, Cardiac Arrest, and the End of Resuscitation. Nicholas Jackson Southern Maine Community College For years ultrasound was an imaging modality for sonography technicians who acquired them and the radiologist who reviewed them. With the rapid rate technology has evolved and developed we now have point of care ultrasound. Point of care ultrasound allows physicians in the emergency department and office setting to acquire diagnostic quality imaging at the bedside. While physicians have a vast array of transducers, protocols, and views The question remains, Can paramedics perform the same feats to help our patients? In this paper we will review the “Focused echocardiographic evaluation in life support (FEEL)” protocol, the “Prehospital Evaluation of Effusion, Pneumothorax, and Standstill (PEEPS)” protocol, and assessment of non shockab...

(Please comment! If you want to comment on the paper in Google docs then I will happily share the link! Thank you!) Helicopter based emergency medical services (HEMS) are an essential part to any EMS system.  The first benefit noted with HEMS is that it gives prehospital providers access to rapid transport without the difficulties of traffic or terrain. HEMS utilizes staff ranging from a critical care paramedic to a physician led team. Working under an expanded scope of practice compared to the traditional ground ambulance. However, HEMS can be misused and abused like the rest of the EMS and emergency response system. According to Taylor, C. B. (2010) annual cost range from $115,777 to $5,571,578.  The LifeFlight Foundation annual report states that in 2013 alone Maine’s very own “Green Angels” had expenses equalling $9,109,732 (2013, p. 22). That cost can be placed with the patients and insurance or absorbed by the government and citizens. No matter where the funding co...

Into the Water — The Clinical Clerkships — NEJM Something that I have a hard time with and work equally hard at is understanding that I think, I make the world around me. I get so focused on trying to be "the best I can be" and all the silly ideas that come with that. I focus on the best I can be, which turns into just focusing on me, which turns into not thinking outside my own head. So it's good to hear I'm not alone in that thought. It's better to know that I can change it. I hope that as my education and understanding of the world around me gets better I'll remember to think more. Now I've been in EMS for 2 years, which is a small chunk of time in the scheme of things but I do understand how the clinical clerkship can affect providers. Tuesday night I had an elderly lady with chest pain. A man in his 50s who was having a STEMI.  98% occlusions of the circumflex was the cath lab report when we got back. A post arrest, vented Pt who was bucking the ...

Vark Learning tool Visual: 4 Aural: 12 Read/Write: 4 Kinesthetic: 14 The VARK very accurately describes my personal learning style. I have always learned best by doing. I have to actually manipulate and try things to do them to the best of my abilities. I also enjoy and do well with lecturing. I enjoy listening and talking to people. I am indifferent to visual aid and power points, I see them more as a reminder of what a good lecturer should be talking about. I also dislike just reading text. I understand it’s importance and do it willingly, but it’s a slow process for me and I often get distracted multiple times a page. With lecturing I am going to use my visual, aural, and more than likely reading/writing. Luckily my Aural skills are better and that makes me a good student for listening to lecture. Hands on learning happens to be my forte. I do very well working with people and practicing skills, I learn by doing very quickly and have a much higher retention ra...

** Please comment and let me know your thoughts, if I'm wrong I want to learn why and how to be better** Roles & Responsibilities My three good qualities are preparation, response, and return to service. The only one I would say I’m strong in is Preparation. My thought process is that every call is critical until proven otherwise. I know this isn’t entirely true, but It’s much easier to motivate myself to check every nook and cranny of the truck and house bag if I think I’m going to work a code. I always find question to ask the medics I work with about calls I’ve done or stories I’ve heard. I read and listen to people like EMCrit to try and learn more about medicine and hope I get something I can use in my daily assessments and treatments of my patients. I feel my response is good, I’m almost always in the truck first. I drive to every call as quickly as I safely can with regard to traffic, road conditions, and weather. At the end of every call I work hard to get my t...

** Please comment and let me know your thoughts, if I'm wrong I want to learn why and how to be better** What Does Professional Mean to you? professionalism: Possessing the required abilities, knowledge, and self-discipline to effectively perform a specialized action or work. As a paramedic I have to be able to quickly and accurately assess and treat a Patient. Not only do I need the knowledge and physical ability to do the work, but I need to have the self-discipline to do it appropriately, effectively, and compassionately. Because our work is so publicly available it is essential that we show ourselves in a confident, competent manner. If my patient doesn't think I’m competent because I lacked the self-discipline to tuck my shirt in and fix my hair at O’dark thirty they won’t be as receptive to my assessment or treatments. As someone who doesn't have a lot of volunteer experience I have mixed thoughts of “professional” volunteers. On the first day of orientation at ...

Below is the paper I turned in this semester for my introduction to psychology. Please feel free to comment! I know my formatting and grammar aren't perfect and it only helps to have people nit pick it! I have the Drive link up so people can comment on specifics if they like. Thanks! Summarization of My Introduction to Psychology. Nicholas S.J. Southern Maine Community College - Department of Psychology Abstract During my semester of Intro to Psychology I have learned a lot to positively affect my life as a student, husband, and person. Some of these things have been more profound than others. Of all the information we went over this semester the things that have stuck with me most are memory, health psychology, and motivation.      “the scientific study of the human mind and its functions, especially those affecting behaviour in a given context”. (psychology, 2013) is the definition of psychology according to Oxford Dictionary. Psycho...

     As the finals are coming and I only have 2 more weeks in the semester I think It's a good time to write down what I actually learned about being a student and how to survive in college. Choose class schedule wisely. I will never ever have another class at 0730 in the morning. I am by no means a morning person. My brain starts running right at about 0900-0930. Why I thought I could focus enough on college algebra that early when I can barely cook eggs that early is beyond me. For the rest of my college career I am going to try to do classes from 9 or 10 till 5 or 6. I have time to get ready in the morning and be home for dinner while still having a full 8 hours to have classes. Use your adviser! This whole semester was really accidental. I didn't understand what registration was saying so when I was signed up and tried to pick up the paramedic classes I was quickly kicked out of them. It wasn't until after I had picked up a full schedule of prerequisites that I w...

So for this upcoming semester I am going to use only Google drive to take notes, write papers, and make presentations. Luckily my school uses Google apps for students! I get a free drive with 30Mg and I'm hoping faculty is more Google friendly.  For this semester I have: A&P 1 With Lab College Algebra Intro to Literature Intro to Psych Freshman Interest Groups ~ EMS I'm excited to start a full college load. I know I'll have to figure out what works best for me for studying luckily I have a great campus to study on. This blog is going to become (hopefully) a frequent update on school work and EMS adventures.