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What is the best and cheapest way to become a emt? Anyone got any online certification programs or anything that they did?
emt help?
- Thread starter I wannabe a doc
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Your local community college's emt-b course would probably be cheapest option.
The above poster is right, CC is probably the cheapest and easiest place to do it. I did mine at a fire station and local first aid squads may also have them. You cannot do it online most states require 120-160 classroom and hands on training so don't believe any site that claims they can certify you online.
Some states may have volunteer training funds that will pay for the class as long as you are part of a volunteer squad. When I got my cert in NJ, the state training fund paid for my entire class. Unfortunately, this program was cut last year so you'll have to do some research on the topic. Good Luck
Some states may have volunteer training funds that will pay for the class as long as you are part of a volunteer squad. When I got my cert in NJ, the state training fund paid for my entire class. Unfortunately, this program was cut last year so you'll have to do some research on the topic. Good Luck
The above poster is right, CC is probably the cheapest and easiest place to do it. I did mine at a fire station and local first aid squads may also have them. You cannot do it online most states require 120-160 classroom and hands on training hours so don't believe any site that claims they can certify you online.
Some states may have volunteer training funds that will pay for the class as long as you are part of a volunteer squad. When I got my cert in NJ, the state training fund paid for my entire class. Unfortunately, this program was cut last year so you'll have to do some research on the topic. Good Luck
Some states may have volunteer training funds that will pay for the class as long as you are part of a volunteer squad. When I got my cert in NJ, the state training fund paid for my entire class. Unfortunately, this program was cut last year so you'll have to do some research on the topic. Good Luck
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It depends on what state you're in.
Also, very few states (if any?) recognize an online EMT course, because of the absurdity of teaching many of the necessary physical skills over the internet. You need to be in a classroom. It's a hands-on job, and an online course will leave you ill prepared to work as an EMT.
Also, if you're trying to get the certification just to boost your resume, don't bother. It's not worth the amount of effort that goes into it. The only reason to do EMS is because you have a genuine interest in EMS for its own sake, and that warrants taking a real class, most likely at your local community college. If you choose to pursue it, though, it's a great deal of fun and can be very rewarding.
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I thought volunteer squads still covered core training but wouldn't pick up the tab on CEUs now? I'm not sure either way would be great if someone knew the new rules, have some continuing education I need to get through soon.
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I did mine at a CC my senior year of high school. It was ~$2500 after everything was said and done. That being said, you need to decide if are you willing to spend the money on tuition, and the time it takes for the training. If you are, then go for it! However, if you are doing it for a resume booster you'd be better off spending that money on MCAT prep classes.
I've been working for an actual 911 service (not a transfer service) since I graduated two years ago, and I can tell you EMS is not for everyone. BTW, unless you know someone at a 911 service or you get your firefighter certification you will have a hard time finding a job running 911 calls. But you can almost always find a job at a transfer service. 😉
I've been working for an actual 911 service (not a transfer service) since I graduated two years ago, and I can tell you EMS is not for everyone. BTW, unless you know someone at a 911 service or you get your firefighter certification you will have a hard time finding a job running 911 calls. But you can almost always find a job at a transfer service. 😉
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What costs are involved other than the class cost? I mean I have all classes paid for. Should I expect to pay anything?
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My extras included: books, uniform (2 shirts and 2 pants,) boots, scrubs, stethoscope, sphygmomanometer, trauma shears, national registry exam prep book, national registry exam fee, state certification fee, FBI background check/fingerprint scan fee.
The FBI background check and fingerprinting is a new addition since I was certified.
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That cost you 2500?
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No. It was around $2500 total including tuition, but it was almost 3 years ago when I started so I can't remember the exact amount.
Since you're in California, look into the Regional Occupational Training programs. They're set up for high school students, but the courses with space left get opened up for adults. When I took my EMT course through the local ROP program 6 years ago while a sophmore in college, it cost me $120 including books. I'd say all in all, an extra $200-$250 for full certification (California: EMT certification (state wide license, but distrubuted throught the Local EMS Agencies (counties)), Live Scan background check twice (once for the EMT license, once for the Ambulance Driver certification through the DMV), physical exam for the DMV, the actual Ambulance Driver certification, and the NREMT exam).
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So what you're saying (without being asked) is...you're a pretty big deal, huh.
Why are there so many obese medics that smoke?
Why do so many fire fighters die from heart attacks?
Edit:
Quick commentary. If you can't hack EMS as an EMT, then you need to find something other than medicine to go into. Working as an EMT requires 2, maybe 3 brain cells.
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Coronary Artery Disease. Solved it!
hehehe...
I for one, am tired of cleaning out cigarette ashes out of the ambulance...
As an EMT-Basic, unless you get really, really lucky and work for a service that lets EMT-Basics run 911 calls (very rare), you'll either be paired with a medic, or another EMT-Basic. If you're paired with a medic, your patient care interaction will be what the medic says it is. If she's pretty cool and lets you assess patients under her supervision, check vitals, and come up with a treatment plan, then you'll get loads of experience. Unfortunately, a lot of medics get a "paragod" attitude, and then you're pretty much just a glorified driver/stretcher lifter.
If you're paired with another EMT-Basic, then you'll be stuck doing interfacility transfers all day....taking dialysis patients from nursing homes to dialysis centers, taking bedbound patients from nursing homes to doctor's appointments. While it can be medically interesting (some of these patients are ridiculously sick), and you can still develop your patient assessment skills, you're not going to have one hell of a lot of unique stories to tell in your med school interview.
There's a ton of other ways to pad one's application without EMS, and you'd probably get a lot more out of volunteering at a free clinic somewhere or something. I love my job, but if I were doing it to try to get into med school, I'd pick something that involves interacting with patients in a clinic or hospital setting.
It doesn't take an intelligent person to learn how to lift a stretcher into an ambulance and drive really fast...but....
I'd tend to disagree that my job takes more than 2 or 3 brain cells...
The actual "book knowledge" isn't all that hard...it's written for maybe the 10th grade level. Lots of info thrown at you quickly, but nothing that your average person can't absorb over the course of a year while working full time and attending classes at night.
However, a good, experienced medic and one who merely graduated medic school are worlds apart. It takes empathy to tell a 90 year old man that his wife of 45 years isn't ever going to ever share breakfast with him again. It takes skill to be able to differentiate pneumonia from a CHF exacerbation in a patient who is darn near respiratory arrest and unable to talk, and the only tools you have at your disposal are a stethoscope, a cardiac monitor, and a fast diesel engine. Protocols dictate what I can and can't do, but it takes intelligence to know when a phone call to medical control is in order so one can deviate from said protocols.
Mediocre medics are a dime a dozen, but medics who truly care, take the time to learn above and beyond what is merely expected of them, and take pride in providing the best medical care possible...well, those are worth their weight in gold.
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You know, my husband and I were talking about that the other day. Evidently, the old adage about "we're all just EMT with different levels of training" isn't correct anymore.
I'm really used to the general public (most med students included) not knowing the difference between an EMT and a paramedic....my bad.
EMT training is ridiculously easy...I think the hardest thing I learned in that class was how to lift properly (not easy when 90% of your patients outweigh you).
Good EMT's are nearly as hard to find as good paramedics, unfortunately. No one seems to stick with it long enough to gain any real experience. The ones that do tend to be burnt out from all the crap that comes with being an EMT.
I'm really used to the general public (most med students included) not knowing the difference between an EMT and a paramedic....my bad.
EMT training is ridiculously easy...I think the hardest thing I learned in that class was how to lift properly (not easy when 90% of your patients outweigh you).
Good EMT's are nearly as hard to find as good paramedics, unfortunately. No one seems to stick with it long enough to gain any real experience. The ones that do tend to be burnt out from all the crap that comes with being an EMT.
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Paramedics are such serial offenders of being total arrogant clowns with zero cause for it. I think it's because they have reached the ceiling of their profession and there is actually a finite amount of information in their scope of practice, so once they are comfortable with that, they think they are total hot shots who get to arrive at a scene and start barking out orders.
Funny, they never do that in the ER. That would be hilarious though.
EDIT: Bamamedic - none of this was targeted at you, and taking pride in your job and doing it well, regardless of the level, is something to be valued. You just got me thinking of all the encounters when I was in EMT-B class at community college and all my encounters in the medical world.
Funny, they never do that in the ER. That would be hilarious though.
EDIT: Bamamedic - none of this was targeted at you, and taking pride in your job and doing it well, regardless of the level, is something to be valued. You just got me thinking of all the encounters when I was in EMT-B class at community college and all my encounters in the medical world.
To be honest, if the state of EMS wasn't at it's current level of poor education (albeit increasing, but not nearly enough. Paramedics should have at least an AS, ideally having a BS), "mother may I" system design, a culture with complete aversion to any decision making ("just call medical control, let them have the liability"), and, "Why not, what could (supplemental oxygen/spinal immobilization/use of emergency lights for transport/many more) hurt?" contempt for evidence based medicine, I'll admit that I would have a hard time choosing between EMS and medicine. However I'm not about to double down on getting onto one of the handful of truly progressive EMS systems across the country where between completing school and actually snagging one of those relatively few jobs (in addition to moving since there's absolutely nothing progressive about Southern California medicine) I'd be miserable.
As such, I'd argue that the brain drain out of EMS, especially to nursing and medicine, is much much worse than the burned out providers because, in the end, the ones who left are those who have an extremely deep passion for prehospital care, the fire fighters forced to be paramedics (not characteristic of all paramedic-fire fighters, but characteristic of a lot of them), and the much more numerous ones who couldn't hack it at anything else. Unfortunately, when systems are designed to support those who are forced into the role and those who can't do anything else, the system becomes untenable for the people that EMS needs most, so they go elsewhere.
I think there's a certain amount of arrogance in many paramedics when it comes to their interactions with EMT-Basics simply because of the fact that there's very few people a paramedic can boss around. They get frustrated with being the low man on the medical totem pole, and as a result take it out on the only person "lower" than they are, the poor unsuspecting EMT. When you were a med student, I'm sure you can recall instances where a newer resident gave you a hard time about something just because they could.
Sometimes it's fun to bark out orders though 🙂
I fully agree with a paramedic being required to at least have an AAS...I didn't know what I didn't know until I went back to college and started taking biology classes. The crap I learned in medic school made a lot more sense when I fully understood the physiology behind it.
The services I'm familiar with don't really operate under a "mother may I" system. I have to call for orders for some meds/procedures, but at least 2/3 of my protocols are offline. We follow NEXUS criteria for electing not to spinally immobilize in the field, and our protocols are written to allow for some paramedic discretion (i.e. not putting everyone with dyspnea on a nonrebreather mask cranked up to 15 liters). I only go lights/sirens if I feel that minutes really do matter (I hate going lights/sirens...the patient feels panicky, the driver goes nuts, and I suck at being a human ping-pong ball in the back of the ambulance). If I were to stay with EMS, I'd absolutely move to one of those progressive services (King county in Washington state looks awesome!), but those are so rare that it's not even funny.
Unfortunately, the "brain drain" really sucks, because those who are genuinely passionate about emergency care nearly always go back to school for RN, PA, or MD. Right now, at my service, we have half a dozen medics and EMTs working their way through premed prereqs, another 3 or 4 who are actively working towards entering PA school, and about a dozen in various stages of nursing courses. About half the older (and thus experienced and competent) medics are so burnt out that all they care about is performing the least amount of work possible in their 24 hour shift. The ones who are only in it to become a firefigher are the most insufferable of all...they think they are all that and a bag of cupcakes, but unless the patient has been shot or is in cardiac arrest, they couldn't care less.
Anyways....
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Working in a private sector EMS is even worse on medics. The majority of calls my employer's medics do are transports, but the patient will be on a vent or something of that nature. They do get lights and sirens calls, but they're usually nothing big. A lot of times our ALS gets BLS calls too and they complain about it a ton. I know we all went into the field for rescue, but at the same time we're paid to make calls whether they are ALS, BLS, or medical taxi calls. My employer gives a 5$ bonus for every BLS run as well as long as the paperwork is submitted correctly. It just makes their complaining pointless.
My biggest medic pet peeve is the fact that they compare becoming a paramedic to med-school. I understand paramedic school has a high attrition rate and is a tough program, but med-school isn't even a feasible comparison to paramedic academies.
I respect most of the medics I have worked with and I can only feel for them because they are extremely underpaid being in the private sector. That being said, peoples lives are still in their hands and they should have a better attitude about their job.
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If you go fire then you get all the 911's even as a basic.
Fortunately for me, some of the poorer neighborhoods have crappy fire service and instead of sending our ALS we just send 3 or 4 basic trucks to the scene of an accident or we usually send 1 out to just a man-down or unknown type of 911 call.
If I'm in the rig I typically tend to stop at car accidents (if I'm the first to see it) or if there looks to be someone hurt, but I'm not gonna lie, there are many a times I pass by people waving me down in the ambulance at night in rough parts of Detroit. I don't get paid enough for that.
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Not sure where you came to that conclusion, I was just telling the OP the truth. Ask any EMT-B what kind of EMS service they work at and the majority will tell you a transfer service. Where I currently work at there are two EMT-Bs, a few EMT-I, and the rest EMT-P. Since a lot of 911 EMS services (at least in TX) are part of the FD, unless you are a Paramedic you are required to be a firefighter to work 911 calls. I probably would not be working where I am today if I would not have taken my health science classes in HS where I did ride-a-longs with the local EMS. 🙄
Good question about obese medics and smoking though. That one has always got me. It gets old after a while when you are the only person that is small enough to fit through a car window, so you always have to climb in. 😆
Then again, I've seen my share of ER docs that look worse off that their patients. 😱
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Yeah, my employer is private and there are about 4 basics to 1 medic. We run a few cities fire services and we get our fair share of 911 calls, but typically it's so slow that we even have ALS doing basic calls. We have a critical care team that takes care of the serious stuff.
As far as medics that smoke, there are tons of nurses that smoke as well. It's funny because hospitals ban smoking on campus, so you just see a ton of people in scrubs across the street from the hospital smoking. Unfortunately, the other day a patient walked across the street from a Detroit area hospital to smoke and ended up finding her drug dealer and she injected "foreign substances" straight through her IV tubing. Gotta love working in the inner-city.
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Not sure why this thread turned into a bashing of EMS providers but...
I noticed your profile says you are in CA so I found this link to CA EMT programs.
http://www.emsa.ca.gov/personnel/files/emt/EMT-I_II_P_MICN_Approved_Trng_Pgms.htm
I don't think there are any online programs but when it comes time to practice your practical skills you may find youtube useful. There are a bunch of skills on there.
If you have a medical emergency you probably would rather have an experienced Paramedic arrive than most Physicians
(with the exception of ER docs)
I noticed your profile says you are in CA so I found this link to CA EMT programs.
http://www.emsa.ca.gov/personnel/files/emt/EMT-I_II_P_MICN_Approved_Trng_Pgms.htm
I don't think there are any online programs but when it comes time to practice your practical skills you may find youtube useful. There are a bunch of skills on there.
If you have a medical emergency you probably would rather have an experienced Paramedic arrive than most Physicians
(with the exception of ER docs)It's easy to bash a paramedic or EMT until you find yourself in their shoes...
There aren't all that many people who can handle the crap we see on a regular basis without going completely insane (of course, some of the nurses I interact with at the ED would argue that I'm already there LOL)
There aren't all that many people who can handle the crap we see on a regular basis without going completely insane (of course, some of the nurses I interact with at the ED would argue that I'm already there LOL)
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👍 I doubt most people would care to see an evisceration, much less try to treat the patient with the limited resources on the ambulance. Especially when it's just you, your partner, and a cop on scene.
Yep, I saw my first evisceration this morning. I had to reach way back in my memory to remember what I learned in my class about what to do. lol
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You put a moist dressing on it and rush them to the Trauma Surgeon while monitoring vitals. You do NOT put the guts back in the body.
It's been like 5 years since my EMT Basic course.
Oh, fun. Just remember the "rules" of EMS...
1. If it makes you sick to look at it, cover it up with a trauma dressing and Kerlix 🙂
I'll never forget a few calls....notably, one "burned to a crisp" patient who was dead onscene. Stuff like that will stay with ya for a lifetime.
1. If it makes you sick to look at it, cover it up with a trauma dressing and Kerlix 🙂
I'll never forget a few calls....notably, one "burned to a crisp" patient who was dead onscene. Stuff like that will stay with ya for a lifetime.
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Not sure why this thread turned into a bashing of EMS providers but...
I noticed your profile says you are in CA so I found this link to CA EMT programs.
http://www.emsa.ca.gov/personnel/files/emt/EMT-I_II_P_MICN_Approved_Trng_Pgms.htm
I don't think there are any online programs but when it comes time to practice your practical skills you may find youtube useful. There are a bunch of skills on there.
If you have a medical emergency you probably would rather have an experienced Paramedic arrive than most Physicians
I'd say any MD except a Pathologist or Radiologist would be much more useful, but hey keep thinking that.
EDIT: Oh and Dermatologist, throw them on there with Rads and Path hehe.
Who, exactly, was bashing EMS providers? If you're talking about my commentary about EMS, you obviously are either blind to everyone and their cousin leaving and never really thought about the state of the trade in regards to education required and the scope of practice of providers, or never worked in the field which makes your opinion moot.
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Well it didn't make me sick, but I covered it with a moist trauma dressing and did all the other indicated procedures while my partner did all the stuff that this "big deal" 🙄 EMT can't. The flight medic & nurse were happy with what we did, so I was happy with it. 😀
It's definitely something that will stick with me for a looooong time, like my first motorcycle wreck. 😱
It all just depends on the type of emergency and the personality of the MD responding...
There's a world of difference in having to deal with an emergency in the hospital setting and dealing with an emergency "out in the streets".
The other day, I ran on a multi-car MVA; patients were lying in the streets, people screaming, bystanders gawking.
If you contrast that with a code in the ICU...sure, both are emergencies, but they require a completely different skill set. I'm really good at creating order out of chaos, but if you put me in a hospital and asked me to deal with a crashing patient in DKA, I'd be utterly clueless as to how to manage him (I know insulin is involved somewhere LOL). Similarly, if you put an interventional cardiologist in the middle of my MVA scene, he'd probably feel as clueless as I would trying to manage a DKA patient.
We all have our specialties...prehospital emergency medicine is only part of what I do. Extrication, scene management, etc is also a large part of my job.
Now, if it were a cardiac chest pain type of call, I'd happily defer to the expertise of a cardiologist...if it were a multi-car MVA and a dermatologist stopped by to help, I'd certainly make use of his medical training, but to a lesser degree than I would the cardiologist.
Wait until your first patient dies on ya....I can even recall the song that was on the radio when my first patient coded.
Or worse, wait until you kill your first patient. (but I brought him back, so it all good!).
It's weird, having a job like ours....all I can say, is nothing beats stress-relief like owning a little two door convertible 😀 (and being familiar enough with the local law enforcement that if they see ya sailing down the interstate at 100+, they just wave!)
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Really? My experience has been that "there is a doctor on scene" is the worst possible thing that I can hear over the radio.
Unless they work in the emergency department, an ICU, or (if it's a trauma) as a surgeon, then they usually just get in the way and wonder what to do.
The sheer volume of inane 911 calls I've run at outpatient clinics that were complete ****shows until getting into the ambulance gives me little faith in the average doctor's ability to handle a medical emergency out of the hospital. In the hospital, definitely I'd want a doctor, but only a few are useful out of that setting.
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This bears repeating. I've been on EMS scenes with a doctor there enough to know that they mostly just freak out and get in the way unless they work in the ED, in which case I'm damn happy to have them there.
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Why would a doctor hang around an EMS scene if they just freak out and get in the way? Logic would say they would either help out in whatever way they could or just stand on the side and let you do what you had to do.
I just don't see a doctor showing up, then freaking out and getting in your way. It doesn't make sense.
EDIT: Now that you're in med school, has your attitude towards doctors changed? I'd surmise that since you made it to med school you were always smart enough to not become one of those cocky "I am God" medics because you knew this wasn't your ceiling.
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Just throwing this out there, that sometimes it's not so much that the doctor (nurse, other allied health professional) wants to get involved, but that his family/friend is prodding him into it, "Honey, there's hurt people there. You're a doctor! Do something!"
Or, it's a brand new resident who think he's Superman 😉 (just kidding!)
If said allied health professional or physician is "freaking out" on my scene....(my definition of "freaking out": acting irrationally, raising his voice, yelling out inappropriate orders, etc)...I find something for him to do that's nice and out of my way. I've had to do it a few times, when a respiratory tech (a respiratory tech, for god's sakes!) ran up to me and offered to intubate my dyspneic patient (who most definitely was not in need of intubation at this time), or a newly minted first responder started really getting in the way. It's not too hard to keep the peace, avoid stepping on egos, and find something for him to do "hey, can you hold this IV bag?".
Or, it's a brand new resident who think he's Superman 😉 (just kidding!)
If said allied health professional or physician is "freaking out" on my scene....(my definition of "freaking out": acting irrationally, raising his voice, yelling out inappropriate orders, etc)...I find something for him to do that's nice and out of my way. I've had to do it a few times, when a respiratory tech (a respiratory tech, for god's sakes!) ran up to me and offered to intubate my dyspneic patient (who most definitely was not in need of intubation at this time), or a newly minted first responder started really getting in the way. It's not too hard to keep the peace, avoid stepping on egos, and find something for him to do "hey, can you hold this IV bag?".
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I haven't had many docs show up on scene, but most I've had were pretty good about respecting us, being nice, and generally being a positive presence on the call. They started first aid and gave us report. Some have even been gone before we got there. I had one doc treat a guy who fell off a bike with PDs equipment and then rode off into the sunset on his own bike. However, I've heard of some docs wanting to dictate the treatment and how the scene is run, but in my state an intervening physician has to accompany the patient to the hospital or they have no say in treatment. From what I have heard is that when they hear that they are suddenly fine with your treatment plan. In the end if a physician shows up on scene and wants to assume care for the patient they assume liability, which is cool with me if they want to do that.
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The vast majority of the times that I've been on scene with a doctor is when we get called to their clinic because they don't know how to handle their patient. Most of the time they just stand aside and let us do our job, but every now and then they turn the scene into an absolute cluster**** by barking out orders (that in hindsight and several years of medical education later still make no sense) and getting in our way.
Most have the sense to stay out of the way, a handful get in the way, and a few are helpful on scene. The point is, I was responding to a post that claimed that all but a few doctors are "more useful" than a medic on scene, and I've got years of experience that says otherwise. I certainly don't have the "medic as god" complex since I've had several years of medical education to ruin whatever delusions of actually knowing a significant amount of medicine out of me. But that said, a decent medic knows how to handle acute emergencies out of hospital far better than most doctors.
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If online certs were ever being offered it would be a very sad day for EMS. I would never call an ambulance for myself and would advise family and friends to do the same. TBH everyone on here can tell you being an EMT sucks, I do like it though, but I dont make good money and my shift schedule could be a lot better. You can try to find a job in the local ER, but here in CA they're very hard to find/get.
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That becomes a scene safety issue right there. lol Never turn your back on a proctologist.
That becomes a scene safety issue right there. lol Never turn your back on a proctologist.
That's one place I don't want a sonic screw driver.
Because it has nothing to do with logic. A truly chaotic pre-hospital scene is something that needs to be experienced to appreciate how difficult everything becomes, regardless of what letters come after your name.
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So your management of emergency scenes has nothing to do with logic. Good to know.
Also, spare me the blowhard attitude of "regardless of what letters come after your name." EMTs have a hard job that not a lot of people can do, and I'm sure they are better at doing cop-talk on a scene than I am.
SIR. WHAT I'M GONNA NEED YOU TO DO FOR ME RIGHT NOW UMKAY IS TO STAND OVER THERE RIGHT NOW FOR ME ALRIGHT? SIR RIGHT NOW SIR UMKAY STAND OVER THERE AND DON'T INTERFERE. (that's an Adam Carolla reference).
