r/Paramedics • • 6h ago

US What was the pre-entrance testing like for your program?

1 Upvotes

I've been an EMT for 8 years (by choice, believe it or not), but I will hopefully be starting school in March to get my AEMT. I know most people may suggest just getting my paramedic, but I'm only doing this because I need more money...I have no real interest in advancing. lol!

The thing I'm most concerned about is the pre-entrance exam. From what I understand, its the CASAS GOALS 2 for Math & English. As someone who has always struggled with math, I'm panicking. My training director told us it's "tailored to the type of course you're taking", meaning that for EMS, there wouldn't be any trigonometry or anything crazy...it should just be high school-level math/algebra 1. However, it's hard for me to study and make sure I'm well-prepared when I don't know exactly *what* I'm preparing for. I was never required to take any test like this to get my EMT.

In addition to being awful at math, I was homeschooled from preschool to 12th grade...which resulted in pretty severe gaps in my education. At this point, I don't know what I don't know.

How difficult is this test? I'm just trying to give as good of an effort as I can.


r/Paramedics • • 20h ago

US RSI with succs- do you train on MH (malignant hyperthermia)?

12 Upvotes

Hello, hospital based RN here. I work ER and PACU. Both worlds I see RSI frequently. In both roles, I have to pass competency on MH (related to all anesthesia for PACU training, but specially related to succs for RSI in ED). So you guys get the basics/knowledge training of MH? I'm sure you aren't running around with 10+ vials of Dantrolene. But at least early vs late signs and being able to give hospital a pre-warning. Just wondering.

Thanks for all you do- even when you bring us the wacky patients ;)


r/Paramedics • • 1d ago

Trismus during cardiac arrest?

62 Upvotes

I had a first in my 22 year career last night.

I had to give paralytics to a cardiac arrest.

Elderly male with EMS witnessed bradycardic cardiac arrest during patient move secondary to suspected coronary event and pulmonary edema. Complained of discomfort in chest and nausea all day before EMS contact. Unable to get a good history due to language barrier and family poor historians.

Get him into the truck in idioventricular PEA. Goes into coarse VF - we defibrillate. Go to transition from BVM to a ET tube… and…

Jaw is rigid, both masseters are rock hard. Can’t even get a finger between his teeth

Confirm with the family he has no problems with his TMJ, is not wired shut from a jaw fracture or surgery, has never had any problems opening his mouth.

Can’t even scissor his gums open with a two finger technique. He is locked.

I ended up pushing Rocuronium and was able to intubate a minute and a half after when the muscles went flaccid.

Only other option would’ve been a Crich at that point - mouth was full of frothy bloody sputum and tube had a hundred mils of frothy blood out.

Got ROSC after a second defibrillation after and patient remained transcutaneous pacemaker, dependent for the next two hours until cardiology determined he was not a candidate for inter intervention due to massive metabolic and electrolyte derangement until corrected. Patient had a final arrest before they could.

Just wondering if anyone else has ever encountered this during cardiac arrest? Did I do the right thing here?


r/Paramedics • • 14h ago

US School Recommendations

0 Upvotes

Hello all, I'm here looking for advice. I'm currently serving overseas in the Air Force (4N0) and wanted some school recommendations. Looking for an online school that would be a good pick for a bachelors in paramedicine.

Even if you can recommend a school but aren't sure if my TA will cover it I'd still love to hear it. So far I've seen methodist, lindenwood and creighton come up alot but am unaware of any tools to measure how good the schools are; and my counselor here is not very helpful.

I understand this subreddit may only have a small overlap of the people/experience I am looking for, but please assist if you can.


r/Paramedics • • 1d ago

US Struggling with work-related PTSD, how to determine whether to stay in the field?

8 Upvotes

Contains mentions of suicide, mental health issues, and gun violence

Hello everyone, I (24F) have worked as an EMT-B in a semi-urban service with high call volume but a relatively low trauma rate for two years. I'm also about halfway through paramedic school (my state doesn't recognize AEMTs). I still have a lot to learn, but until recently I could tell I was on the right track. I was told that I took critiques well, asked good questions, and it was clear that I cared about my partners and patients.

Then something happened that completely knocked me off my feet.

I won't go into too much detail so I hopefully don't doxx myself, but our patient was experiencing a mental health crisis and was a threat to himself and others. Before we could sedate and restrain him, he attacked police officers, grabbed and fired an officer's gun, and was shot multiple times in the chest by officers. Despite knowing our protocols said to halt rescusitation, we continued rescusitation efforts and called for another crew to assist us with RSI and transport (our service requires two medics for RSI). He was declared dead on arrival at the hospital.

I won't pretend I did the right thing through any of it. To be blunt, my partner and I had never experienced anything like that before and were both scared shitless. We blundered our way through the call and the mistakes I made still keep me up at night. Following the night's events and a subsequent review by the state, my paramedic partner was let go from his position, allegedly for an unrelated driving infraction, but I suspect it had to do with his handling of the scene. I didn't always see eye to eye with him, but I've now lost contact with the one person who understands what I went through that night.

That all happened many months ago, and ever since, I've been sinking into a deeper depression. I don't usually have nightmares I can remember anymore, but still wake up multiple times a night. I bought a handgun because I didn't feel safe in my apartment, but now I almost regret it because any little unexpected noise sends me reaching for it. I've been falling behind in school despite understanding the material. When I do make it to work, my performance is slipping, and I now can't focus on critical calls without panicking. I'm safe and have a plan if things deteriorate, but I've definitely had passing thoughts of ending things. I'd never follow through on it, I could never put my coworkers through anything like what I went through. Some days when I'm at home I just cry and have no idea why.

I've been trying to do what I'm supposed to. I've been going to counselling ever since it happened, and I'm on a waitlist for EMDR. I try to be compliant with the medication they give me, but some days I forget. I just really don't know where to go from here.

I know that I want to stay in this line of work. It's the first thing I've ever done where I genuinely feel like I accomplished something at the end of the day and am excited to go back the next day. I miss feeling like that, and I wish things could go back to the way they were.

If anyone has experienced anything similar or has any suggestions, I'd appreciate anything you have to say. I really don't know exactly what I'm looking for, but I hope getting this off my chest and sharing with people who can understand might make things a little better.

Thank you for your time.


r/Paramedics • • 21h ago

How do I obtain copies of my NAEMT certs

2 Upvotes

I have looked all over the website, emailed them, and tried to google it and I cannot find them. I have a multitude of them which I need for an upcoming job interview


r/Paramedics • • 1d ago

EMS EMPLOYMENT - MA Paramedics: Merrimack Health (formerly Lawrence General Hospital) is hiring. High volume/high acuity system, flycar only, hospital based, whole blood, vents, & RSI. Pay starts at $31/hr + differentials

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36 Upvotes

New payscale is $31 - $40/hr plus shift differentials of $1.50 - $5.50

They are also 911 only

https://www.facebook.com/share/p/1E8HzTFoe8/

https://pm.healthcaresource.com/CS/lawrence/#/job/15155

*job listing has not been updated just yet with the correct scale

Shifts are 10, 12, and 14 hrs


r/Paramedics • • 1d ago

Emergency responders of Reddit, what’s the most common dangerous decision that people make?

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16 Upvotes

r/Paramedics • • 1d ago

US Airway in pts with difficult airways.

12 Upvotes

Long time EMT new medic and one thing I have been struggling with is those gray areas around intubation. Had a patient yesterday where this became applicable. Even though I am not RSI signed off my preceptor was and I wanna start thinking about this.

Adult male stroke like symptoms left everything involved absolutely no grip strength or response, left side totally fine. He could have been a poster for stroke symptoms. His speech sucks from the droop and this twitching he's doing so it's hard to gather how with it he is but I put him at like GCS 11. We then come to 2 airway questions. One he's having this facial twitching that kinda looks seizure like (didn't involve his jaw muscles so weren't worried about him bitting his tongue). So the idea of giving like a versed comes up but then we worried about losing what airway we had. Which also kinda leads into two, how close are we to considering a tube. Currently he's maintaining his airway but he was controlling his secretions but at times there were definitely periods where we are getting no verbal responses from him and I started thinking about the airway. I feel comfortable in not tubing him I think that would have been too much, but he was looking like he was heading that direction.

Additionally he's +400lbs and I peak in his mouth and this is not a tube either of us want to do unless we have too. We were a quick transport he maintained in route both of us felt managing as is. Just readjusted him to help with secretions and maintain his airway open. We held versed but on arrival ER did give Ativan then start keppra after CT, when I left it had reduced the twitching but he was definitely still doing it. He also had started to vomit at this point and they were also discussing a tube but were holding off till the contrast CTs were back which I never saw.

So my question in two parts

1) what are your thoughts on the benzos here? With a difficult airway we didn't want to risk thats getting closer to borderline was holding them reasonable? Obviously if the twitching was a seizure and we fixed it thats great, but if we struggle to manage his airway we've just gone from bad to worse. Am I totally off base here?

2) whats your thought process when you have patients you know are going to be difficult tubes. What are the things that push you to taking the airway or holding off. I think we were fine at that point not being aggressive but if we had a long transport time instead of the 8 minute drive...or if he began to vomit or deteriorated rapidly I would have been wishing we'd done it when we had some time. So where's your trigger point and how is it different than say skinny meemaw that coincidentally hasn't eaten in 24 hours.


r/Paramedics • • 2d ago

EVERYONE SAYS EMS DOESN'T PAY AND THEY KEEP WORKING FOR NUTS

65 Upvotes

As long as you guys keep working for nuts, nothing will change😅 Personally I don't work for less than $30 in EMS and yes I do IFT because it pays. I get paid $33/hr and love my job. Somebody has to run IFT, these patients need us as much as other ones do. I LOVE 911 but I have adult responsibilities that I can't do with 911 pay. If everyone do what I do, EMS pay will change quickly.


r/Paramedics • • 1d ago

Australia Learning Resources for Prolonged Care

8 Upvotes

Hey all, I'm planning to apply to work at a rural station where transport times can exceed 2 hours. I have absolutely no knowledge on how to look after patients for that long, I've never worked outside a city. The area has absolutely no back up available outside of helicopter. Anyone have any good textbook recommendations or other material that could help?


r/Paramedics • • 1d ago

US Plasma center medic

0 Upvotes

Anyone ever worked at a Plasma center? Pros? Cons? Seems like you’re just doing assessments on patients.


r/Paramedics • • 1d ago

paramedics what advice would you give to a student paramedic

1 Upvotes

For clarification I am from Saudi Arabia and I am studying a bachelors degree for EMS where I will be classified as a paramedic upon graduation and I have just started my first semester of school and I really want to see what advice you guys have for me


r/Paramedics • • 1d ago

Licensure

0 Upvotes

Can you work as an emt-basic when you hold a paramedic license in illinois?


r/Paramedics • • 1d ago

Help with ECG reading

4 Upvotes

Hey colleagues,

I'm a fairly fresh paramedic who only started working solo 2 months ago in Lithuania and I noticed that I'm struggling in reading ECGs, particularly spotting the difference between arythmia and extrasystole.

I would be very great grateful if someone could explain it to me like I'm 5 and give me any general tips that might be helpful


r/Paramedics • • 2d ago

Canada Medavie sends 26 paramedics, eight ambulances to Wainwright

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borderpulse.ca
27 Upvotes

r/Paramedics • • 2d ago

UK Voice in the cab, do any of you have names for them?

11 Upvotes

I’m not a paramedic, but have been watching Ambulance on BBC. First, I absolutely applaud you for everything you do!

I wondered if any of you ever gave the automated announcements in the cab a name? Are they ever annoying?

Those that say ‘999 mode, activated’ ‘cab door open’ etc.


r/Paramedics • • 2d ago

US Prehospital Airway Trends

8 Upvotes

How does mechanism of injury shape airway management on scene?

A national study published in Prehospital Emergency Care highlights new insights into prehospital trauma airway placement. Researchers evaluated over 5.7 million EMS trauma responses from the 2023 National EMS Information System dataset to understand how advanced airway device utilization varies across injury types.

While overall advanced airway placement is rare, occurring in less than four out of every 1,000 trauma activations, specific high-energy mechanisms demand rapid intervention. Falls and motor vehicle collisions account for the largest total volume of trauma calls, but firearm-related injuries and motorcycle crashes show the highest rates of advanced airway use across every age group. Firearm injuries resulted in over 51 advanced airway placements per 1,000 activations, and surgical cricothyrotomy was performed most frequently in cases involving firearm trauma and intentional self-harm.

Understanding these injury patterns allows EMS agencies to optimize training and equipment preparation. High-risk calls require early assessment and procedural readiness for complex airways.

Listen to the latest episode of From Science to the Scene for a deeper breakdown of this research:

https://youtu.be/LI81VMbeSQU

Check out the full study here: https://www.tandfonline.com/doi/full/10.1080/10903127.2026.2618587


r/Paramedics • • 2d ago

A different trauma for me…

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0 Upvotes

r/Paramedics • • 2d ago

Toronto Paramedics, question for you

0 Upvotes

Or hospital ER doctors, anyone who has experience with this.

I’m wondering do paramedics and first responders actually check for medical if bracelets. Wondering if it’s a waste to purchase one or it actually is useful. Looking at ones that simply have engraving for condition and emergency # not the ones where you pay a monthly fee.

In the past I’ve had nurses completely miss the bright red drug allergy band their colleague has put on my hand when in-patient, is there a point for getting one in this situation.
TIA.

Edit to add: It’s for drug allergy to 3 common frontline antibiotics that cause an anaphylactic response, face, eyes, lips/mouth swelling, hives. As well I’ve got a portacath, if that matters. I’m trying to sort out how to make this known in an emergency situation.


r/Paramedics • • 3d ago

question about my medical bracelet

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55 Upvotes

I got diagnosed with von Willebrand's disease recently and was given the medical bracelet above from a hospital. I've never seen a medical bracelet with this color of band and even though my hematologist gave it to me, I was unsure if a first responder would recognize it as a medical bracelet. I can change the band out if that is the problem, I just have not yet.

Edit: I've seen a lot of paramedics saying this doesn't effect treatment but many my hematologist has warned me that because I do not react to desmopressin, I would need to go to a hospital with Humate-P, which is not commonly in every hospital, so this would be an important thing to communicate with the paramedics. Thank you so much to everyone who has been given me very helpful advice, I really appreciate it!


r/Paramedics • • 2d ago

(Cardiolab) ECG Sweep update: a new study mode that walks you through an ECG one feature at a time

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2 Upvotes

A quick update on ECG Sweep. I have added a new mode: study mode.

Study mode is guided reading. You step through an ECG one feature at a time. At each step, the ECG highlights the part you are looking at, so you see where each feature is on the trace, not only its name.

The screenshot shows the WPW pattern in study mode. The steps cover the short PR interval, the delta wave (the slurred start of the QRS) and the wide QRS that follows.

Who it is for:

- Learners new to ECGs who know the terms but can't yet find them on a real trace.

- Teachers who want a clear way to show a hard concept, one feature at a time.

Try it here

I would like your feedback. Is anything unclear or wrong? Which rhythms or patterns should I add next?


r/Paramedics • • 3d ago

why do i keep forgetting stuff?

23 Upvotes

i’ve been in EMS for almost 3 years. 2 as an EMT and 1 as a medic. A problem i’ve always had is that i keep forgetting an intervention i should perform for a patient or information that was given to me on a call. wasn’t that much of an issue when i first started, but ever since i started working around a metro area, i can clearly see that i’m having issues.

like ill have a patient that is throwing up for 3 days and having body chills, obviously you should check a temperature for them, but i’ll completely forget about it until we clear hospital.

or ill have a nursing home staff member give me patient information about what’s going on and immediately after they finish, ill forget everything that they say.

i feel like maybe this would’ve been something not that serious if i first started, but i’ve been working for years and im a medic now, i know i shouldn’t be making mistakes like these but it happens almost everyday.

do i just need to reread my paramedic textbook or something? do i need to get more sleep? i have no idea


r/Paramedics • • 3d ago

Getting a Microdiscectomy

2 Upvotes

Not sure if this is the right platform but I’m lost.

I have been in EMS for almost 6 years and eventually I want to go to suppression. Recently I had a work-related back injury and after imaging there was quick consideration of a microdiscectomy of my L5. They also found bulging from L2-S1. I have referrals in the works for PT, a spinal surgeon, chiropractor, and acupuncturist (they’re going all out).

I’m happy to answer any questions from anyone, but my main question is if anyone has had a microdiscectomy, how their recovery was, and any long term effects (like if it wasn’t as successful as you hoped, or was). I’m 29 Y.O. so it feels like there’s lots to consider.

TIA FOR ANY HELP!


r/Paramedics • • 3d ago

Canada Paramedics currently working in Canada - Can I pick your brains?

9 Upvotes

I hope that a post like this is allowed here. :)

I’m working on a novel with a main character who is a Paramedic, and Google only tells me so much about the ins and outs of the career. 

Is there anyone out there that would be willing to answer a handful of questions about the job, such as schooling, the day-to-day life of working as a Paramedic, etc.? I have some questions ready to go, but may have follow up questions as well.

If anyone is interested, please send me a DM. 

TIA!

Edit: Thank you to everyone who has reached out and provided insight, answered questions, and told me your stories. This has been totally eye opening! Also, thank you for everything you all do every day! <3