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Posts Tagged ‘About Me’

Defining Moments

05 Jan

In talking to some of my fellow students and a couple of the instructors, it seems that the students who do the best in Paramedic school all share one common trait – they had a single moment when they knew it was time for paramedic school.

Dictionary.com defines epiphany as “a sudden, intuitive perception of or insight into the reality or essential meaning of something, usually initiated by some simple, homely, or commonplace occurrence or experience.”

It’s term I’ve heard used far too often, and usually in the wrong context, but in this case I think it is rather fitting. Some of the “moments” I’ve heard are major events, running an extremely critical without ALS assistance, MCI’s etc, but for most it was a seemingly benign event that turned the light bulb on for them.

For one of my instructors – the moment came when he no longer broke into a profuse sweat when the “tones dropped”. He tells of having to wear sweat bands on his wrists to keep his hands any semblance of dry, and of sweat running down his face to the point it often obscured his vision. One day he just realized that it wasn’t happening anymore and he knew he was ready. It’s kind of humorous when he tells the story, but for him that was a defining moment in his career.

For me it was a little more subtle, but no less of a moment of clarity. I ask you to try to remember those first couple of calls you were sent to as a brand spanking new EMT, and see if any of you can relate.

For the first little while every call I got was “life and death”, the radio would crackle I would hear my unit number and every pore in my entire body would squeeze out a single drop of sweat… my pulse would quicken and the giant ferris wheel in my stomach would start revolving. For the first month or two my more experienced partners would have to put their hand on arm and say - just breathe man – we got this.

I remember thinking it was going to take me forever to get over that adrenaline dump when the radio told it was our turn at the plate. Slowly, man down unknown medical calls stopped becoming cardiac arrests in my mind, MVA’s stopped needing every victim to be cut out of the car and rushed to the trauma center… and I hit my stride.

Even on those truly rare occasions  now when we get an actual critical call – I’m a cucumber – cool collected and able to perform my job as expected without needing to change my undershirt because it’s soaked with nervous sweat.

A few months into my current job I was assigned a new partner – a brand new paramedic – ink not even dry on his cert yet. Watching him work his first few scenes was like looking into the “back in time’ mirror… I could see the nervous tension just below the surface on each and every scene, and was reminded what those first few calls were like for me too. He held his own and became not only a great partner but a great friend.

A few more months and I got another new partner – yet another brand new paramedic with ink still wet on his cert – the same things I said about my first new medic partner apply equally to my second…

Then one day we were sent to a local clinic – they had a patient in sustained V-tach that needed to be taken to the hospital – hearing the call over the radio – I flipped on the lights and the siren, and did my best maverick impersonation to navigate us to the facility….

Somewhere between the lights coming on and the rig coming to a stop in front of the clinic I noticed that all the color had drained out of my partners face. He fumbled with combination to the narcotics safe and we literally had electrode confetti throughout the back of the rig… And then it happened –

I reached out and grabbed his arm – and said – Man breathe – we got this….

At that single moment, it became clear to me I was ready. How that translates into I’m ready to challenge myself by taking my skills and knowledge to the next level, I can’t exactly say for sure, but it was like someone flipped a switch and all of a sudden I knew.

That’s my epiphany, defining moment, whatever you want to call it – How about you? What were some of the defining moments in your career? What was it that finally whispered “your ready” into your ear?

 

Speaking of Beginnings…

03 Jan

The stories of how people end up in EMS are always fascinating to me… So while everyone is talking about beginnings, I thought I would share my story…

A long time ago, in a galaxy far, far away – Wait that’s another story

I guess it was 1988, 89 something like that – I was living in Kalamazoo Mi and trying to find my way in the world – I received my discharge from the Marine Corps and really had no idea what I wanted to do with my life.

Shortly thereafter I started dating a girl – you knew the story would involve a girl didn’t you?

Anyway – Both of her parents were a part of the local volunteer Fire Dept. and her mom was a first responder on the ambulance as well as a firefighter. I still don’t know exactly what it was about the stories they shared that I found so fascinating, or what it was about becoming a volunteer I found so appealing, but I always sat and listened to the war stories with a sort of wide eyed wonder. Eventually her mom talked me into coming down and finding out what it was about… that was it I was hooked.

I joined at the first opportunity I could, although if memory serves me correctly I had to attend several meetings and then have someone nominate me for membership. After the nomination process and attending more meetings I was finally voted on and made a probie.

Great I’m a member – now how do I get lights and a siren in my car ?!? It’s funny looking back on it now, and funny how such a stupid question can change the course of your life – but hey I was a young guy and lights and sirens were cool to me back then (and they meant I could drive fast ;) ) The answer was simple – complete your probationary period, AND either firefighter 1 and 2 or EMT school. Hmmmm FF 1and 2 was offered free by the department but it was like one class a week and near as I could figure it would something along the lines of a millennium to finish (my sense of time was a little off back then too) or I could EMT school – 1 semester and a couple hundred bucks – well that was a no brainer.

I attended my initial EMT training at Kalamazoo Valley Community College and was certified as an EMT-Ambulance (yes that’s what the certificate said) I still remember the instructors name – Paul Dickens NREMT-P and my first clinical rides with Mall City Ambulance.

After graduation I got a job with Mall City on their non emergency transfer car and loved every minute of it…

Eventually, I moved back to NY and worked my way through several private companies before ending up with NYC EMS (which was NOT a fire based service back then).

Several years later I again moved this time to Texas for personal reasons… and it was the beginning of the end of my initial period in EMS.

The town where I lived had a volunteer fire based service and a private company that provided 911 service… Jobs with the private service were few and far between so I joined the local VFD and became a part of the “first response and rescue” service.

Provided purely for your laughing pleasure.... Judging from the "pornstache" you can probably guess the decade LOL

 

While I was there I finished my FF 1 and got trained in the use of the hurst tool, high angle, low angle and swift water rescue – I had an absolute blast – BUT (there’s always a but isn’t there?) the devotion to the volunteer squad and the training didn’t leave tome for a real job – and the VFD didn’t pay – so being unable to find an EMS job, I went back to my old standby of construction, which was what I did to buy beer lunch money in High School.

Eventually the time demands of the job and the family took what little time I had left from the VFD and I resigned because I couldn’t give them the commitment they deserved.

When renewal time rolled around, I saw no point in renewing my cert – I wasn’y using it anymore so what the hell let it lapse…

Fast forward 15 years and you will find me running my own construction company, successful but ABSOLUTELY HATING every minute of my days. I started to fall into a depression and while soul searching I realized how much I hated what I did… It was cross roads time – Can I take the HUGE pay cut and come back to EMS and not hate my job or do I suck it and keep bending nails?

After a long period of soul searching and lots of support from friends, family and loved ones – they convinced me it was more important to be happy.

I researched schools and moved here in the hopes of working for the service that runs my paramedic school program – I enrolled in EMT school (again… what was that comment about letting that certificate lapse… )and I haven’t looked back even once since making the decision.

Here I am now – 1/4 of the way through paramedic school (a second time for that as well) and on the cusp of making what has truly been the dream of my adult life into a reality – fortunately I’ll graduate before the Mayan calendar ends _ so even if the world does end in December – I’ll go out with a disco patch on my arm

What about you – share your story below – and tell us if you choose EMS or if it choose you…

 
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A New Beginning

01 Jan

Happy 1st day of 2012 everyone.

I always prefer the beginning of a new year as it’s hopes and dreams have yet to be dash on the rocks of reality yet… it is still full of hope, wonder and optimism.

I typically don’t do the whole resolution thing, I have set goals that I work towards all the time and in reality a new year is just a time for me to reaffirm those goals and the path I’m taking to achieve them, with that said here are my top expectations and goals for the new year.

  1. Finish Paramedic School – It won’t be enough for me to just finish (not that that isn’t an achievement in and of itself) but to finish school with a job offer from the service that runs the program… anything less will be failure in my mind.
  2. FINALLY quit smoking for good… There I said it in public even so I can’t take it back now.
  3. Start taking more time for ME – exercise and more trips to the mountains, I need to find a better balance between work, school, family and personal stuff – somehow I always put myself last
  4. Find a way to step up into some sort of leadership position within EMS – either as a teacher, or mentor or even with NAEMT to help spread what EMS is capable of and help us get to where we want to be
  5. To post more regularly here – It’s a great release for me and really helps keep my stress level down
  6. An end to 10 years of struggle – fingers crossed
  7. Advocacy – More of us need to be part of the solution
  8. To write at least one article for publication in either JEMS or EMS World – Several of you have suggested it, I just haven’t listened – I hear you now – I’ll give it a go at some point

I keep hitting enter like I’m going to keep adding to the list, but those are already pretty lofty goals for a year that’s going to end the world in December…

How about you – What are your top resolutions oe expectations for the coming year – feel free to share them below.

 

OOPS I did it again…

28 Dec

Somehow a month has passed – where any of those days went I can’t say for sure. The last weeks of class were extremely busy with ACLS certification, as well as classes on shock. Throw into that working as much as possible to make Christmas better for the kids AND trying to get clinicals knocked out so I don’t get behind on those and the days just flew by.

There were a few stretches in there where work/clinicals went on for 96 consecutive hours… needless to say I’ve been whooped. The break from classes and homework were right on time allowing me to squeeze in more work and clinicals before Christmas.

Pushing myself so hard I expected it to be me that broke down, at some point my eyes refusing to open to the alarm clocks beckon, or just getting sick from being so worn down. Instead it was my truck…

While driving to work yesterday morning the driveshaft of my truck literally fell out on the highway.

I'm pretty sure THAT isn't conducive to driving

Being afoot has given me some unexpected time off from work and clinicals, and while I have a 500 page cardiology book to work through (that’s the next 5 weeks of classes) I am going to take advantage of the time to get some writing done. Yes Mom I will study too I’m already 1/4 of the way through the Cardiology book.

What most people don’t understand is that pecking on these keys is a therapeutic release for me, and I have been missing it greatly. So for the next few days I will be taking advantage of the new found time to catch up on posts and get the pent up stress from school, work, the holidays and yes, even broken down vehicles out.

I have been sitting on several topics for posts, waiting for the opportunity to allow my brain to put together a semi cohesive thought.

If not now, when?

 

Hindsight is always 20/20 or If had known then…

02 Nov

It’s only been a short while since paramedic school started, but I am already looking back to the prerequisite courses with regret. Just like most programs, my school required an A & P pre-req, as of this year they changed the minimum from needing 8 credits worth to 4; instead of the year-long course they are now accepting a one semester intro to A & P (I have my own thoughts on that, but I’ll save them for another day). I opted for the 8 credit 32 weeks of Anatomy and Physiology knowing that the knowledge gained there would provide a strong foundation to build upon during paramedic school. That was a wise choice and I have no regrets about that at all… here’s what I do regret –

Listening to all the paramedics who told me I’d never need to know most of what I was learning. The Krebs cycle (now called the Citric Acid cycle) Action potentials, Ph… the list I’m sure by the end of school will be extensive.

I have said many times that I am not now nor have I ever been interested in being a cookbook medic… give this drug for this then give that drug for that – regardless of the patients presentation… In my mind all chest pain does not necessarily equate to Oxygen, Aspirin, Nitro and Morphine – that’s not to say this isn’t effective treatment for chest pain – just that I don’t believe just because the patient says they have chest pain we HAVE to follow that particular algorithm every single time…. I want to be allowed  encouraged expected to actually THINK.

Here’s the thing that no one bothered to tell me – to understand a drug… ANY drug – you have to understand the physiological actions of the body process the drug effects FIRST in order to then understand how the drug alters that physiological action.

Do you need to understand those specifics to pass the NR exam? probably not… but again I am not interested in just memorizing a list of drugs and what they are used for… I have always wanted to know the hows and whys behind the pharmacology.

We had three lectures (the first three pharm classes) that were all about action potentials – what ions move where when, how that effects the cell and what happens when we alter the normal phases with chemistry. Two of those lectures focused strictly on Vaughan Williams antidysrhytmics  4 (5) classes of drugs that are classified by which ions movement they effect (and beta blockers).

Why did no one tell me this sooner, why did no one say… hey bud- make sure you remember that stuff cause its going to come back big time in p-school? Does it go to the educational standards of other paramedic schools where as long as you can remember the drug info on the NR sheet they don’t care if you understand what you are doing? Is it more the medics I spoke to are by definition “cookbook” and I just didn’t know it until now? Sadly, I don’t have the answers to those questions.

As a basic I wanted a good solid foundation to build on, but I only had people who had been through paramedic school already to guide me as to what was important to learn and what wasn’t. So if you follow this blog and are preparing for paramedic school – I’m telling you now

LEARN about cellular physiology – study action potentials, which ions move during which phases and what that means both to you as a provider and to your patient. Study the ways that the body maintains homeostasis, learn µ, α,and β receptors – where they are located and what they do. THIS simple thing will make your pharmacology classes SO much easier.

I am wasting valuable study time re-learning stuff I should have had down before school started – Don’t make that mistake.

Don't neglect the cellular physiology when you prepare for P school - so figures like this one don't cause you panic

 This stuff IS important and yes my friend you DO need to know it if you want to progress beyond being a cook book medic.

You can’t say I didn’t warn you…

As a reminder its Movember, and I’ve donated my face to raising awareness and funds for Men’s specific cancer… please make a small donation to help raise awareness and funding for research… You can make a tax-deductible donation here

 

It’s MOVEMBER… and I’m proud to be a MO BRO

01 Nov

For the first time in over 20 years there isn’t a caterpillar over my top lip…

Why is it so important? Here are some facts about Men’s Health from the Movember website:

The average life expectancy for men is five years less than women (presently 77 years old compared to 82).
1 in 2 men will be diagnosed with cancer in their lifetime and 1 in 3 women will be.
Evidence suggests that about a third of the 571,950 cancer deaths expected to occur will be related to obesity, physical inactivity, poor nutrition and thus could be prevented.
1 in 6 men will be diagnosed with prostate cancer in their lifetime.
240,890 new cases of the disease will be diagnosed and 33,720 men will die.
Testicular cancer is the most common cancer in American males between the ages of 15 and 34.
8,290 men will be diagnosed with the disease and 350 will die.
Smoking accounts for at least 30% of all cancer deaths and 87% of lung cancer deaths
An estimated 115,060 men will be diagnosed with lung cancer and 85,600 men will die from the disease.
While not as common, men can get breast cancer. About 2,140 new cases of invasive breast cancer will be diagnosed among men and about 450 men will die from the disease
The most common cancer in the US, skin cancer strikes 1 in 5 Americans.
An estimated 43,890 men will be diagnosed with skin cancer and 8,080 men will die from the disease.
An estimated 13 million adult men over the age of 20 in the US have diabetes- and a third do not know it.
Approximately 50 million men and women in the US have high blood pressure- almost 30 per cent of them do not know it.
About 1 in 3 adults has high blood pressure, and blood pressure tends to rise with age.
1 in 8 men who suffer from mental illness actually seek help (inspire.org)
Four times as many men commit suicide compared with women
24% of men are less likely to go to the doctor compared to women
Let’s face it, men are known to be more indifferent towards their health, especially when compared to the efforts of women, who proactively and publicly address their health issues in a way not traditionally seen with men. As a result, today the levels of awareness, understanding and funding for support of male health issues, like prostate cancer, lag significantly behind causes such as breast cancer. [1]

Prostate Cancer

The Stats

1 in 6 men will be diagnosed with prostate cancer in their lifetime – a new case is diagnosed every 2.2 minutes.
A man dies from prostate cancer every 15.6 minutes.
240,890 men will be diagnosed and 33,720 will lose their lives to the disease.
Prostate cancer is the most frequently diagnosed cancer in men.
A man is 35% more likely to be diagnosed with prostate cancer than a woman is to be diagnosed with breast cancer.
The incidence rates are significantly higher in African American men.
97% occurs in men age 50 or older.
Prostate cancer is over 90% curable -if detected and treated in its earliest stages.
While there are cases of prostate cancer showing up in younger men, it is recommended that men begin an annual screening at age 50 and at age 40 if there is a family history. [2]

Testicular Cancer

The Stats

Testicular cancer is the most common cancer in American males between the ages of 15 and 34.
The number of men diagnosed with testicular cancer has grown by approximately 60% over the past 35 years, but the reason for this is not known.
8,290 new cases of testicular cancer are expected to be diagnosed in 2011
350 men will die from testicular cancer in 2011 [3]

SO…. I’ve donated my face to Movember & men’s health, please give so it may grow: http://mobro.co/jeffzaffino

 

Donate to Movember and help fund research into testicular and prostate cancer

If you know me, you know I am (was) VERY attached to my stache… It was TRULY a big deal to shave it off (even if I could regrow it), but it was the very least I could do to support this all important cause… Surely you can spare a buck or two to show your support.

I am looking into some kind of prize for the highest donation, SO stay tuned for that.

If I raise over $20.00 by Friday November 4th, I’ll post pics before and after pics of my freshly shaved mug.

With or without the prize PLEASE give to Movember and help fund research into testicular and prostate cancer.

 

[1] http://us.movember.com/mens-health/

[2] http://us.movember.com/mens-health/prostate-cancer/

[3] http://us.movember.com/mens-health/testicular-cancer

 
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Unexpected Outcomes

04 Oct

Have you ever had one of those periods in your life when you looked around and found the scenery wasn’t quite what you expected? After traveling a short time down the trail you stumble upon something that wasn’t listed in the guide books and far surpasses what you expected to find during the journey, and you begin to wonder how did I get HERE?

After reading “EMS social media: Why get involved?” in the summer 2011 issue of NAEMT news, I realized there was a whole world of fellow providers to connect with. I joined twitter, began reading blogs that I had never seen before and connected with providers from around the world. I had tapped into the passion of EMS providers, and I wanted in.

After a few weeks debate over whether I could add something to the treasure trove of knowledge out there, I decided to give it a go – after all we do all have a unique perspective to offer. I picked a name for my blog and I typed and I typed and when I was done with that I typed some more… I’m pretty sure Mom enjoyed those first few posts (although she is admittedly biased). Then something happened – a comment, then some feedback, now a subscriber, and another and another… wait people are actually READING my ramblings?!?

(That first comment was from Ambodriver – THANK YOU Kelly, a welcome from you meant a lot to me, and the fact that you didn’t suggest I find a dark stinky place to shove my opinions was encouraging.)

Today I look around and realize my dive into the social media world took me further than I ever expected…

Little old me- here at EMSBlogs – WOW

I wonder if this is how those people on American Idol feel… someone told me once I could sing – what the hell I’ll try out – what I’m going to Hollywood ?!? Holy crap, now what?!?

For the sake of your hearing and your sanity, I’ll avoid posting any clips of me singing – trust me you appreciate that more than you know.

So here I am standing in the middle of that big stage, spotlight firmly fixed; trying hard to make my voice come out of a glottic opening that seems way smaller than it was an hour ago.  Today the keys seem harder to press, the screen seems brighter and the blinking cursor seems way more impatient then usual – I’m sure that will slowly fade as I get more comfortable in the new house.

I have followed the “heavy hitters” of the blogosphere – Rogue, AD, and Gfriese just to name a few. They taught me how little I really know, they showed me how to become the medic I want to be when I finish school, they inspired me to challenge myself to be better, to learn more.  While I don’t consider myself to be in the same league as any of them, I hope you find something in my ramblings that challenges you to be better, that inspires you to grow on a professional level – if along the way ONE provider becomes better for having read something here – I’ll consider the effort spent a wise investment in the future of EMS.

Please come on in, pull up a seat, kick off your shoes and get comfy, there’s cold ones in the fridge. While you are here, take a moment to poke around, there’s some really good stuff hiding in the closets.

Most of all say “HI” or offer an opinion if you have one… I’m equally interested in what YOU have to say.

 

 
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Dry spell

11 Aug

It started with working 64 out of 72 hours, and in one of the funny EMS twists it was for all intents and purposes a stand up 64. After some MUCH needed sleep, I sat down here and stared at the cursor’s impatient blink in the vast white space I am typing in now. Funny how our perception of things can change, at that moment the screen was this huge empty vacuum that demanded I put something into it. The screen was way too bright, way too needy, and the blog was crying out for sustenance, just a morsel of a thought was all it wanted. To my mind though it was starving, it needed a meal and simply put my mental cupboard was bare.

A few days passed, each one of them whispered into my ear – hey dude that blog thing you started… how bout pecking out some words… I heard the whisper, but something inside chose to ignore it. At those moments while it nagged persistently in my ear, a root canal seemed more enjoyable than the prospect of logging on here and finding something to talk about with some semblance of intelligence.

It wasn’t until today that it dawned on me, that I have been subconsciously taking a character inventory, as well as a performing a mental remodel of sorts.  It sounds like something I would have been rather conscious of, but the truth is it was rather insidious, dwelling just below the consciousness of my psyche.

It wasn’t until today when I read Kelly Grayson’s blog post containing a letter for EMT students on their first day of class that it dawned on me what was happening just below my parietal bones. You can read Kelly’s letter here

In all honesty by the time I reached the end of the letter I was choked up, not quite crying, but as close as I can remember being to tears in a long time. For the record – I am a 41-year-old former Marine and anyone who knows me will tell you I am not the crying king of guy. Why then did Kelly’s letter move me in such a profound way? I spent the day trying to answer that very question after a few hours the fog in my head parted and I saw what had been going on.

I had been examining the reasons I wanted to make the leap from basic to medic, trying to find what need inside myself becoming a medic would fill that wasn’t being filled now. I have heard more “horror” stories about the difficulties of completing paramedic school than I can count, how difficult it would be, how little I would sleep in the coming year, how I would never be around anyone but my preceptors, how when I was around I would be grumpy, stressed and exhausted.

Undaunted by all these stories, I submitted my application the very first day that I met the criteria, having now been officially accepted I thought I better make sure I was doing it for all the right reasons. Yes I did perform this mental inventory of sorts before applying, but now that I have a letter in my hand that says I am accepted, somehow it’s different. I suppose it’s my minds way of giving me one last out… nice of it to be so considerate, but totally unnecessary.

While taking that inventory, I have been trying hard to change my attitude from the extremely confident basic (did I mention I was a former Marine… I’m pretty sure the last time I truly lacked confidence when I got off the bus at Parris Island – the instilled enough in me after that to last a couple of lifetimes) to the I know absolutely nothing paramedic student. That has been quite the paradigm shift for me, I spent all this time getting comfortable in my own EMS skin, growing comfortable in my skills, expanding my knowledge etc, and now I was working to “undo” all of that. Yes, I do realize that I’m still going to need to know this stuff when I arrive for p-school, however, I don’t want to be the arrogant ass that the instructors are always trying to show how little they actually know. On top of that, I know me… If i think I know it already, I won’t work as hard to master the concepts as I will going in with the attitude of “I don’t know shit”.

As the icing on my cake, anything that has happened at work over the last week or so that didn’t go absolutely perfectly, anytime I perceived anything on a call could have gone better, I questioned myself – are you sure you are really ready for p-school?

It’s been an interesting awakening and a rather insightful look under my own hood, I am happy to see me again when I look in the mirror and to see words in the vast empty white space in front of the little blinky cursor.

I almost forgot to answer the question I’m sure you are asking… why did Kelly’s letter choke me up… That’s another days post

Til next time…

 

 

 

 

A little about me and the blog

22 Jul

I am a NREMT-Basic working in a private system in Denver, Colorado. So first for the disclaimer – ANY opinions expressed on this blog are my personal views and opinions and are not representative of my employers their parent or subsidiary companies. Now that the legaleze stuff is out of the way…

I received my first EMT certification in 1989 worked as an EMT for 8 years eventually winding up in a 911 system in NY. Sadly, I ended up leaving EMS 1/2 way through Paramedic school because I just couldn’t make ends meet. Now almost 20 years later I find once again that I belong in the back of an ambulance. I returned to EMS and went through EMT school a second time, (once wasn’t bad enough ;) ) I have applied and am about a week away from finding out if I got accepted into paramedic school (at least as I write this)

I am an ITLS Basic instructor and hope to find my way into the teaching side of EMS eventually… but this old dog has some years of being a “ditch doctor” left in him before that becomes my primary focus.

That’s pretty much the skinny on me. I was reading an article in the latest NAEMT news and saw how my fellow providers were using social media to connect and talk about this crazy job we do and I was inspired to try my hand. I don’t entertain any false notions that writing a blog will be easy or something I will have time to do everyday and make it something people will want to read… I mean any idiot can sit and peck keys, but finding something meaningful to talk about that is interesting to people  is somewhat more of a challenge. I will do my best, the bright side to a brand new blog is for awhile next to noone will be reading it.

The blog name came from a comment a student in my last ITLS made and I thought it was great, I mean in reality most of us started in EMS for the hot lights and effects of cold steel on the human body, once we “in” we learned there is so much more to what we do, but for a lot of us that was the initial draw, so it stuck.

I hope to use this blog as a way to connect with fellow EMS providers and share some tips and insight into our “lunatic fringe” of a profession. With a little luck and a few thousand keystrokes maybe this thing will take off and will be a way to share the crazy wild ride of paramedic school, while exploring some of the areas of EMS that they don’t teach you in school.

Til next time… Stay safe out there

 
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