0_Wizard
Have been a paramedic for 4 years. I'm somewhat of a healthcare professional that works in the pre-hospital stage, out of the hospital, where I work in an ambulance and act as an emergency medical service!
A paramedic is a healthcare professional, predominantly in the pre-hospital and out-of-hospital environment, and working mainly as part of emergency medical services (EMS), such as on an ambulance.
chosen_Paramedic_0
Paramedic
chosen_topic_0_Paramedic
Emergency medical services
Emergency medical services, also known as ambulance services or paramedic services (abbreviated to the initialism EMS, EMAS, EMARS or SAMU in some countries), are a type of emergency service dedicated to providing out-of-hospital acute medical care, transport to definitive care, and other medical transport to patients with illnesses and injuries which prevent the patient from transporting themselves. Emergency medical services may also be locally known as a paramedic service, a first aid squad, FAST squad, emergency squad, rescue squad, ambulance squad, ambulance service, ambulance corps, or life squad.
Paramedic
A paramedic is a healthcare professional, predominantly in the pre-hospital and out-of-hospital environment, and working mainly as part of emergency medical services (EMS), such as on an ambulance. The scope of practice of a paramedic will vary between countries, but generally includes autonomous decision making around the emergency care of patients. In some countries 'Paramedic' is a protected title and accountable to a professional regulatory body. The paramedic role is closely related to other healthcare positions, especially the emergency medical technician role, with paramedics often being a higher grade role, with more responsibility and autonomy.
Emergency medical technician
Emergency medical technician (EMT) and ambulance technician are terms used in some countries to denote a health care provider of emergency medical services. EMTs are clinicians, trained to respond quickly to emergency situations regarding medical issues, traumatic injuries and accident scenes. Under the British system and those that are influenced by it, they are referred to as ambulance technicians (often shortened to techs), while in the American system and its influenced countries, they are referred to as emergency medical technicians. EMTs are most commonly found working in ambulances, but should not be confused with "ambulance drivers" or "ambulance attendants" – ambulance staff who in the past were not trained in emergency care or driving.
Air medical services
Air medical services is a comprehensive term covering the use of air transportation, airplane or helicopter, to move patients to and from healthcare facilities and accident scenes. Personnel provide comprehensive prehospital and emergency and critical care to all types of patients during aeromedical evacuation or rescue operations aboard helicopter and propeller aircraft or jet aircraft. The use of air transport of patients dates to World War I, but its role was expanded dramatically during the Korean and Vietnam conflicts. Helicopters are used to transport patients between hospitals and from trauma scenes; fixed-wing aircraft are used for long-distance transport.
History of the District of Columbia Fire and Emergency Medical Services Department
The history of the District of Columbia Fire and Emergency Medical Services Department, which began in 1884, has been marked in recent years by various controversies and scandals. Known today by a number of acronyms — DC FEMS, FEMS, DCFD, DC Fire, or Fire & EMS — DCFEMS remains the municipal fire department and emergency medical service (EMS) agency for Washington, D.C., providing fire suppression, ambulance service, and hazardous materials containment. Between 2000 and 2013, DCFEMS saw four Fire Chiefs: Ronnie Few, Adrian H. Thompson, Dennis L. Rubin, and Kenneth B. Ellerbe. Few's tenure is generally considered to be very troubled, with controversies over hiring and promotions, training, and firefighter grooming, as well as multimillion-dollar equipment failures.
Paramedics in Canada
A paramedic is a healthcare professional, providing pre-hospital assessment and medical care to people with acute illnesses or injuries. In Canada, the title paramedic generally refers to those who work on land ambulances or air ambulances providing paramedic services. Paramedics are increasingly being utilized in emergency rooms by providing patient care in collaboration with physicians, physician assistants, nurse practitioners, registered nurses, registered practical nurses and registered respiratory therapists. Increasingly in Canada, paramedics are actively pursuing self-regulation. Paramedic suicides are on the rise in Canada.
Paramedics in the United States
In the United States, the paramedic is a paraprofessional whose primary focus is to provide advanced emergency medical care for critical and emergency patients who access Emergency Medical Services (EMS). This individual possesses the complex knowledge and skills necessary to provide patient care and transportation. Paramedics function as part of a comprehensive EMS response, under medical oversight. Paramedics perform interventions with the basic and advanced equipment typically found on an ambulance. The paramedic is a link from the scene into the health care system. One of the eligibility requirements for state certification or licensure requires successful completion of a nationally accredited Paramedic program at the certificate or associate degree level.
1_Apprentice
Wow, that must be an exciting industry! Is it a fulfilling career?
0_Wizard
It really is. Although the scope of what you do can vary widely across the globe, the paraprofession in the US just recently came around in the 1970s, which most people don't know.
The scope of the role varies widely across the world, having originally developed as a paraprofession in the United States during the 1970s.
chosen_Paramedic_0
Emergency medical services
self_0_Emergency_medical_services
Paramedic
A paramedic is a healthcare professional, predominantly in the pre-hospital and out-of-hospital environment, and working mainly as part of emergency medical services (EMS), such as on an ambulance. The scope of practice of a paramedic will vary between countries, but generally includes autonomous decision making around the emergency care of patients. In some countries 'Paramedic' is a protected title and accountable to a professional regulatory body. The paramedic role is closely related to other healthcare positions, especially the emergency medical technician role, with paramedics often being a higher grade role, with more responsibility and autonomy.
Education in the United States
Education in the United States is provided by public, private and home schools. State governments set overall educational standards, often mandate standardized tests for K–12 public school systems and supervise, usually through a board of regents, state colleges and universities. Funding comes from the state, local, and federal government. Private schools are generally free to determine their own curriculum and staffing policies, with voluntary accreditation available through independent regional accreditation authorities, although some state regulation can apply. In 2013, about 87% of school-age children (those below higher education) attended state funded public schools, about 10% attended tuition- and foundation-funded private schools and roughly 3% were home-schooled.
Taxation in the United States
The United States of America has separate federal, state, and local government(s) with taxes imposed at each of these levels. Taxes are levied on income, payroll, property, sales, capital gains, dividends, imports, estates and gifts, as well as various fees. In 2010, taxes collected by federal, state, and municipal governments amounted to 24.8% of GDP. In the OECD, only Chile and Mexico are taxed less as a share of their GDP. However, taxes fall much more heavily on labor income than on capital income. Divergent taxes and subsidies for different forms of income and spending can also constitute a form of indirect taxation of some activities over others.
Property tax in the United States
Most local governments in the United States impose a property tax, also known as a millage rate, as a principal source of revenue. This tax may be imposed on real estate or personal property. The tax is nearly always computed as the fair market value of the property times an assessment ratio times a tax rate, and is generally an obligation of the owner of the property. Values are determined by local officials, and may be disputed by property owners. For the taxing authority, one advantage of the property tax over the sales tax or income tax is that the revenue always equals the tax levy, unlike the other taxes.
Sales taxes in the United States
Sales taxes in the United States are taxes placed on the sale or lease of goods and services in the United States. In the United States, sales tax is governed at the state level and no national general sales tax exists. Forty-five states, the District of Columbia, Puerto Rico, and Guam impose general sales taxes that apply to the sale or lease of most goods and some services, and states also may levy selective sales taxes on the sale or lease of particular goods or services. States may also delegate to local governments the authority to impose additional general or selective sales taxes. Since January 2017, 5 states (Alaska, Delaware, Montana, New Hampshire and Oregon) do not levy a statewide sales tax, while California has the highest state sales tax with a base rate of 7.25%.
Nothing Records
Nothing Records was an American record label specializing in industrial rock and electronic music, founded by John Malm Jr. and Trent Reznor in 1992. It is considered an example of a vanity label, where an artist is able to run a label with some degree of independence from within a larger parent company—in this case, Interscope Records was the parent company. Nothing Records became largely defunct in 2004 due to a lawsuit by Reznor against John Malm. The label became inactive as a whole following several further releases—the "Beside You in Time" (February 2007) home video was the label's final release.
Marriage
Marriage, also called matrimony or wedlock, is a socially or ritually recognised union between spouses that establishes rights and obligations between those spouses, as well as between them and any resulting biological or adopted children and affinity (in-laws and other family through marriage). The definition of marriage varies around the world not only between cultures and between religions, but also throughout the history of any given culture and religion, evolving to both expand and constrict in who and what is encompassed, but typically it is principally an institution in which interpersonal relationships, usually sexual, are acknowledged or sanctioned.
1_Apprentice
I did not know that! What all does your daily job entail?
0_Wizard
It varies widely. But it's a role that finds itself closely related to other healthcare positions, especially EMS roles, where you have a higher grade role, which is to say you'll be granted both more responsibility and autonomy.
The paramedic role is closely related to other healthcare positions, especially the emergency medical technician role, with paramedics often being a higher grade role, with more responsibility and autonomy.
chosen_Paramedic_0
Paramedic
A paramedic is a healthcare professional, predominantly in the pre-hospital and out-of-hospital environment, and working mainly as part of emergency medical services (EMS), such as on an ambulance. The scope of practice of a paramedic will vary between countries, but generally includes autonomous decision making around the emergency care of patients. In some countries 'Paramedic' is a protected title and accountable to a professional regulatory body. The paramedic role is closely related to other healthcare positions, especially the emergency medical technician role, with paramedics often being a higher grade role, with more responsibility and autonomy.
Adolescence
Adolescence () is a transitional stage of physical and psychological development that generally occurs during the period from puberty to legal adulthood (age of majority). Adolescence is usually associated with the teenage years, but its physical, psychological or cultural expressions may begin earlier and end later. For example, puberty now typically begins during preadolescence, particularly in females. Physical growth (particularly in males), and cognitive development can extend into the early twenties. Thus age provides only a rough marker of adolescence, and scholars have found it difficult to agree upon a precise definition of adolescence.
Education in the United States
Education in the United States is provided by public, private and home schools. State governments set overall educational standards, often mandate standardized tests for K–12 public school systems and supervise, usually through a board of regents, state colleges and universities. Funding comes from the state, local, and federal government. Private schools are generally free to determine their own curriculum and staffing policies, with voluntary accreditation available through independent regional accreditation authorities, although some state regulation can apply. In 2013, about 87% of school-age children (those below higher education) attended state funded public schools, about 10% attended tuition- and foundation-funded private schools and roughly 3% were home-schooled.
Well-being contributing factors
Well-being is a much-studied topic in psychology, especially positive psychology. Related concepts are eudaimonia, happiness, flourishing, quality of life, contentment, and meaningful life. Central theories are Diener's tripartite model of subjective well-being, Ryff's Six-factor Model of Psychological Well-being, Corey Keyes' work on flourishing, and Seligmann's contributions to positive psychology and his theories on "authentic happiness" and P.E.R.M.A. Positive psychology is concerned with eudaimonia, "the good life" or flourishing, living according to what holds the greatest value in life – the factors that contribute the most to a well-lived and fulfilling life.
Paramedics in Germany
Paramedics in Germany are the main providers of emergency care in emergency medical services in Germany. There exist two professional levels regulated by federal law, the "Rettungsassistent" (two year education, effective 1989 until 2013) and the "Notfallsanitäter" (three year education, starting 2014). Both are able to provide the first level of pre-hospital emergency care. Additionally, they can get backup by an emergency physician on scene. Thus the German paramedic scope of skills include a set of advanced life support (ALS) treatments, which they have to perform until an emergency doctor is on scene.
State school
State schools (also known as public schools outside England and Wales) are generally primary or secondary schools mandated for or offered to all children without charge, funded in whole or in part by taxation. These schools are generally inclusive (non-selective) in admitting all students within the geographical area that they serve. While state schools are to be found in virtually every country, there are significant variations in their structure and educational programs. State education generally encompasses primary and secondary education (kindergarten to twelfth grade, or equivalent), as well as post-secondary educational institutions such as universities, colleges, and technical schools that are funded and overseen by government rather than private entities.
History of the District of Columbia Fire and Emergency Medical Services Department
The history of the District of Columbia Fire and Emergency Medical Services Department, which began in 1884, has been marked in recent years by various controversies and scandals. Known today by a number of acronyms — DC FEMS, FEMS, DCFD, DC Fire, or Fire & EMS — DCFEMS remains the municipal fire department and emergency medical service (EMS) agency for Washington, D.C., providing fire suppression, ambulance service, and hazardous materials containment. Between 2000 and 2013, DCFEMS saw four Fire Chiefs: Ronnie Few, Adrian H. Thompson, Dennis L. Rubin, and Kenneth B. Ellerbe. Few's tenure is generally considered to be very troubled, with controversies over hiring and promotions, training, and firefighter grooming, as well as multimillion-dollar equipment failures.
1_Apprentice
Oh wow, that is impressive. Do you plan on doing this for the rest of your career?
0_Wizard
We will see. I may be moving, so it could change things, as there are different models of care for EMS providers given the area they're in, and those different models can influence the scope of practice they can do in an area.
There are different models of care for EMS providers which significantly influence the scope of practice of paramedics in an area.
chosen_Paramedic_0
Paramedics in Germany
self_4_Paramedics_in_Germany
Emergency medical services in the United States
In the United States, emergency medical services (EMS) provide out-of-hospital acute medical care and/or transport to definitive care for those in need. They are regulated at the most basic level by the federal government, which sets the minimum standards that all states' EMS providers must meet, and regulated more strictly by individual state governments, which often require higher standards from the services they oversee. Wide differences in population density, topography, and other conditions can call for different types of EMS systems; consequently, there is often significant variation between the Emergency Medical Services provided in one state and those provided in another.
Emergency medical services
Emergency medical services, also known as ambulance services or paramedic services (abbreviated to the initialism EMS, EMAS, EMARS or SAMU in some countries), are a type of emergency service dedicated to providing out-of-hospital acute medical care, transport to definitive care, and other medical transport to patients with illnesses and injuries which prevent the patient from transporting themselves. Emergency medical services may also be locally known as a paramedic service, a first aid squad, FAST squad, emergency squad, rescue squad, ambulance squad, ambulance service, ambulance corps, or life squad.
Emergency medicine
Emergency medicine, also known as accident and emergency medicine, is the medical specialty concerned with caring for undifferentiated, unscheduled patients with illnesses or injuries requiring immediate medical attention. In their role as first-line providers, emergency physicians are responsible for initiating resuscitation and stabilization, starting investigations and interventions to diagnose and treat illnesses in the acute phase, coordinating care with specialists, and determining disposition regarding patients' need for hospital admission, observation, or discharge. Emergency physicians generally practice in hospital emergency departments, pre-hospital settings via emergency medical services, and intensive care units, but may also work in primary care settings such as urgent care clinics.
Paramedic
A paramedic is a healthcare professional, predominantly in the pre-hospital and out-of-hospital environment, and working mainly as part of emergency medical services (EMS), such as on an ambulance. The scope of practice of a paramedic will vary between countries, but generally includes autonomous decision making around the emergency care of patients. In some countries 'Paramedic' is a protected title and accountable to a professional regulatory body. The paramedic role is closely related to other healthcare positions, especially the emergency medical technician role, with paramedics often being a higher grade role, with more responsibility and autonomy.
Louisville Metro EMS
Louisville Metro Emergency Medical Services is the primary provider of pre-hospital life support and emergency care within Louisville-Jefferson County, Kentucky. LMEMS is a governmental department that averages 125,000 calls for service, both emergency and non-emergency, each year. The current agency executive head is Colonel Edward J. Meiman, III and the chief of service is Colonel Diane Vogel, EMT-P.  Louisville Metro EMS has its history rooted in the two major EMS providers that served the area since the earliest days of pre-hospital care of the 1970s. Police officers transferred the severely ill or injured to hospitals in Louisville and Jefferson County until 1972 when the Jefferson County Medical Society created the first EMS service.
Emergency medical technician
Emergency medical technician (EMT) and ambulance technician are terms used in some countries to denote a health care provider of emergency medical services. EMTs are clinicians, trained to respond quickly to emergency situations regarding medical issues, traumatic injuries and accident scenes. Under the British system and those that are influenced by it, they are referred to as ambulance technicians (often shortened to techs), while in the American system and its influenced countries, they are referred to as emergency medical technicians. EMTs are most commonly found working in ambulances, but should not be confused with "ambulance drivers" or "ambulance attendants" – ambulance staff who in the past were not trained in emergency care or driving.
Electronic health record
An electronic health record (EHR), or electronic medical record (EMR), is the systematized collection of patient and population electronically-stored health information in a digital format. These records can be shared across different health care settings. Records are shared through network-connected, enterprise-wide information systems or other information networks and exchanges. EHRs may include a range of data, including demographics, medical history, medication and allergies, immunization status, laboratory test results, radiology images, vital signs, personal statistics like age and weight, and billing information.
1_Apprentice
That is understandable. That seems like a career that has job opportunities anywhere, though.