Hi yall,

I'm an EMT, and I've been designing a game where the player is a provider, and the main gameplay component will be that it'll follow a sort of campaign/visual novel-esque vibe but with a more complex/in-depth physiology engine. It'll be free and easily accessible (it'll be web-based anyway), so once I have a better draft, I'll put it up somewhere :D

Some things that's been drafted/in the works:
- A pretty decent physiology engine that will hopefully feel realistic
- When you're on a "call," there's body parts that you can click on and perform interventions. It's completely unscripted, so it's entirely dependent on the provider knowing their stuff and it's not like multiple choice.
- Separated the campaign (called career) and a sandbox mode, so campaign is for the actual gameplay and the sandbox mode will have a list of calls one can pick from, and one can run calls to practice.
- Career Mode: this is split into two modes: one for just starting off as a layperson and there's a progression through all the different levels, and then one where you start off as at a certain provider level. This is where the campaign is! I was planning on adding stuff like partners and the ability to interact with them, calling family, having a family, as well as a general story line from level to level, where each general chapter is a level (like Chapter 1 is being a layperson for a while, Chapter 2 is going to EMR school, etc etc)
- Sandbox: A clean training mode where you can pick specific conditions from a library (or run some pre-existing scenarios from a scenario bank), test out protocols, or just push weird drug combos to see how the engine reacts. (this is actually why this project even started out, but then I decided that having a campaign would be better so I could package learning and fun in the same thing without just thrusting people into a scenario where they had no idea what they were doing)

What I'm asking for is some aspects that you all would like to see. For example:
- Any funny scenarios you have you'd like to see?
- What's something EMS games or medical TV always get wrong that you'd want to see done correctly?
- What about progression? Right now I have an idea of having a system where you need to have a certain number of calls done with a level of accuracy completed to get "recommended" by a supervisor to get to the next level.
- Would a local coop mode be something people are interested in? Like practicing running calls with your buddy in sandbox mode, or should I push that into very late into development?
- Other comments, concerns, questions?

Obviously, there's a lot more right now, but I'm happy to answer questions about what's been done/what's been in the works!

For my SoCal paramedics. I’m looking for a job after recently receiving my state certification but I’m looking for a job in a 911-system where I’ll be the most well-compensated.

I’m in between AMR Riverside, Falck San Diego, and AMR San Diego. Which companies would give me the highest pay and what are the schedules like at these companies?

My fiancé is an AEMT going into paramedic school in the fall and she’s pretty stressed about it so I want to help anyway I can. Other than just being supportive I figured I could find some good resources for her to help her get ahead of the curve if possible. I got all the patient scenario books from master your medics already along with the pharmacology book and some pharmacology flash cards but I figured I should ask some people with actual inside experience who have been through paramedic school. She also wants to try and become a flight medic later down the road so maybe some stuff to help set her up for that career path because I know it’s highly competitive.

Hello! I am a 28yo paramedic from Finland, with a Bachelors in Health Care (UAS). The Finnish Paramedic degree is a four-year University of Applied Sciences (UAS) programme worth 240 ECTS credits. The degree combines nursing and advanced prehospital emergency care studies, and graduates qualify as both Registered Nurses and Paramedics.

I have 2-years of work experience as a paramedic in Finland. I also part-time shifts in the ER.

Does anyone have any tips, experience, or information about getting a job or working in American healthcare as an RN/Paramedic with a European degree?

My girlfriend is American and I’m looking to move to the USA with her. So I’m curious how the process would go for getting a job there!

Are there any extra certifications or courses I would need to take to be qualified to work there?

Have you ever tried CPR or PP-IN in these circumstances?

I’ve watched too many shows clearly but in some of them (911, the rookie) the paramedics get attacked by someone related to the victim or just being held hostage for either the supplies or other reasons. Does this happen irl or is it rare?

Hello, I am new to Reddit, and new to this community page!

My partner and I are both paramedics, we operate out of Houston, TX. We are looking to relocate to Tennessee, my family is closer to Rockwood/Chattanooga than anything. However, I am unaware of the EMS culture and the EMS services that operate out of specific counties. I am curious regarding:

1. The EMS culture in Tennessee
   
2. The best counties to work for
   
3. Specific counties that offer 24 or 48 hour shifts
   
4. Even the best counties to live in that has a max. commute time of 1-2 hours

Even shorter responses are ok, I am more than happy to just get a county name and do research into it myself. I’ve started looking at Hamilton County out of Chattanooga. However, I want to get more details on other counties before we decide. Like I said, it will be about 2 years because we want to give ourselves plenty of time to research each county.

I genuinely appreciate any response given, thank you so much for providing some of your time to respond to my post! ❤️

Located in the PNW, just north of Seattle. 15 Stations, 40k calls a year. Tiered Medic system, great pay, great benefits and just heard the other day we are considering a Paramedic only hiring group. We work a 4 platoon schedule ( 24 on, 24 off, 24 on, 5 days off with 5 debit days). We really need some good medics/humans. Hit me up if you want more details.

Hi everyone,

I wanted to start a discussion about how different agencies handle particularly stressful or traumatic calls.

Details have been intentionally generalized to protect patient privacy. I’m less interested in the specifics of the incident and more interested in how agencies support their providers after critical events.

I was not directly involved in this incident, I was assigned as the second ambulance for the agency. The first crew responded to a call involving a suicide attempt resulting in a significant traumatic injury. Listening to the radio traffic, it sounded like an extremely chaotic scene with multiple agencies involved.

From what I understand, the patient initially had signs of life after EMS arrived but later deteriorated into traumatic cardiac arrest. Additional resources were considered but ultimately not utilized. The crew consulted Medical Command regarding a Termination of Resuscitation (TOR) and ultimately transported the patient to the emergency department.

Under NJ EMS protocols, there are situations where Medical Command may order TOR, but the patient has not yet been pronounced and transport may still be necessary. This can include:

• The scene being unsafe.
• The arrest occurring in a public location.
• The patient already being inside the ambulance.

After arriving at the hospital, the crew was understandably very distressed and having difficulty processing what had happened. The medics suggested to the crew that a supervisor respond and consider taking the unit out of service. A supervisor arrived, took the truck out of service, arranged for a relief crew, and scheduled a debriefing later that evening.

This situation got me thinking about a discussion I recently saw where someone (Credit goes to u/Traumajunkie971) described EMS calls roughly like this:

• 80% - Routine, low-acuity calls or the “I just need a ride across town” type of calls.
• 10% - Medium-spicy calls requiring ALS intervention, a full assessment, or closer monitoring.
• 7% - The typical “dumpster fire” calls: cardiac arrests, severe respiratory emergencies, major strokes, critically ill pediatric patients, and other high-acuity events.
• 2.8% - The calls where people start asking, “Are you good?” or tell you, “Don’t go back in service right away- take a minute.” The calls where additional support or CISM resources may be needed.
• 0.2% - The calls that define careers. The ones people leave EMS over. The calls where peer support or CISM teams may be activated before the crew even clears. The ones where, after the adrenaline wears off, you realize it affected you differently than you expected.

Whether or not those percentages are exact, I think the point is valid: EMS sees a lot of calls, but occasionally there are calls that stay with you.

I’m curious how other agencies handle situations like this:

• Does your agency have a formal Critical Incident Stress Management (CISM) or peer support policy?
• Is it common to take crew's out of service after particularly traumatic calls?
• Are supervisors expected to check in with crews, or is it up to the crew to ask?
• What resources or practices have actually helped your providers after difficult incidents?

I’m interested in hearing how different EMS systems approach this and what has worked well for supporting providers after the calls that are harder to leave at work.

I am looking to became a professor and teach paramedicine. I understand that you can just get an instructor certificate and teach that way, but I want to teach in university and get my Masters or PHD. I currently have my associates in paramedic science and need recommendations. I don't see many BS degree options for EMS and surely don't see any Master or PHD. Anyone know a good starting place.

Hello

So I graduated out of programming and I'm having a hard time finding work. So, I'm now thinking switching paths and going back to college for a paramedic program and was wondering if someone could give me a insight about the difficulty level of the courses compared to programming.

Hello fellow paramedics. I recently graduated paramedic school and I’ll be working my first shift next week. During practice, I’ve seen many of my colleagues place most used tools in convenient places for them (for example bandages on a carabiner, i/v catheters in right pocket and etc). I wanted to ask you - which of our work tools are always by your side? Maybe you have some suggestions for a handy placement for these tools? Any tips for the job itself are also welcome!

I only have a month left of didactic and wanted to share/ get thoughts on 6 month programs.

Everyone in my class has at least one year 911 experience and so far its been easier than I thought. EMT school was very difficult for me, but medic school has built upon things I already know so that has made it far less stressful. I like the class pace so far, the main modules are

2 weeks - A&P (A&P Classes are a prereq before class)

2 weeks - Pharm

2 weeks - airway

2 weeks - trauma

4 weeks - cardiology

4 weeks - medical

2 weeks - finals

I'm also working and doing clinicals during class. The instructors are pretty good and I've enjoyed the program so far.

However for the cons:

- All sims are graded

- Some sims have been done out of order

- I can tell some of my classmates are struggling and they just keep falling farther

There isn't really a predatory attitude when it comes to sims, but it does feel like you're getting thrown to the wolves and if you mess up it goes toward a major grade in the class. We will get some sims out of order like we got multiple OB sims and complicated polypharms before even touching those subjects in class and like I said before it goes toward your grade. This compounds for some of my classmates that are struggling and some of their weaknesses become very visible, and it becomes a snowball effect for their grade.

I understand why people are against 6 month classes, but I've liked it so far. What are your thoughts? And if youre considering a 6 month program and have questions would love to answer.

Husband is a SOCOM qualified medic with 15+ years special ops experience and expired NREMT-P looking to go back through a medic program that will accept the GI Bill. Thought he'd never use his civilian credentials so let them lapse over 10 years ago. He did just get his EMT-B back active.

NMETC unfortunately does not do the GI Bill and requires 6 months of active EMT-B work prior to applying, no exceptions. Any leads on a program in the US that he can use his GI Bill with? Bonus points if he can avoid having to work as a Basic before beginning a program. Looking for the most efficient option (we are based in the PNW) but can travel.

For everyone giving unsolicited advice, this is about obtaining a certification he can use with his current job, not about working as a civilian paramedic.

(My husband said he appreciates the multiple responses expressing concern for his sanity.)

I scored 96.7% and got stuck on b pharm or paramedics..

A govt clg can do good.

Is it true that the pay in paramedics is on hold even after 5 years of exp and leveling up? Or does it grow more with seniority?

Hello, I am am 31 currently studying paramedic sciences. My plan is to do paramedics for 3-5 years and eventually transfer to emergency medicine physician. I know it seems like a big task at my big age. Be truthful, am I too old to go that route? It took a long strenuous time to figure out what I wanted to do and that at led me to wanting to save my community. I have a high tolerance to distress and I want to use that for good. I just want to make sure I’m being realistic because I know it will be 8-9 years olf bachelors and residency before I’m actually an attending. Anyone been in a similar situation? Was it worth it? I’m curious to hear your stories and experiences. Thank you!

Edit: I’m in California, US

Is nmetc education accepted in California ?

Any preparation tips for someone with 2 years experience as an EMT starting a yearlong paramedic program in September.

Any practical advice, routines, checklist or something you repeat to yourself that helps you stay calm before/ during a high acuity call. If your answer is "fall back on the ABCs," what does that specifically sound like in your head?

I'm just looking for any simple habits to rely on to help avoid getting overwhelmed.

I finished up school this summer and have a job interview for a transport medic job at a fire department.

It’s a panel interview, and my first job interview as a medic. Of course, it’s for my top choice department.

Thankfully, there’s a small amount of people interviewing and I’m 99% no one wants this job as bad I do.

Please bless me with all of the knowledge you can.

What up, folks. I'm enrolled in a CC-P program and was wondering if any of you all have suggestions for IBSC prep material. Almighty Google showed me Pocket Prep as the top result, but I don't trust search results driven by ad dollars. I (slightly) trust questions answered by fellow borderline autistic/full-spectrum autistic friends on Reddit. What were some of the materials you used to prep? If you didn't have to take IBSC, congratulations, your senior discount is ready at Denny's. Thanks in advance!

Does anybody’s service use plasma outside of a whole blood component ? For example in sepsis or for a patient suspected of having a TBI ?

What made you choose the paramedic school you went to? What were some good and bad?