Being a paramedic for the past 20+ years, I can say-Yes, I have declared multiple people dead (and not just those obvious, having injuries incapatible with life). The caveat is, we have protocols with our medical director that allow us to honor DNR's and also to cease resuscitations after intial electical/drug interventions with a phone consult (if available). Today, in many places, the medics are essentially a mini ER (minus dr's/rn's) with 12- lead EKG, ventilators, cardiac meds and medics that have the training to perform some skills that some states' RN's don't normally do (chest decompression, intubations). Not to say that this is the case everywhere- but for a lot of the population- EMS has come a long way from just 'Load and Go' or band-aid jockeys!
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Today's Featured Article - Engine Valves - Some Helpful Information - by Staff. Intake - On the intake stroke the piston moves doward, sucking in carburized fuel through the open intake valve. Exhaust valve is closed. Compression - With both the intake and exhaust valves closed, the pistons upward stroke compresses or squeezes the fuel into the combustion chamber. Firing - Ignited by the spark, the compressed fuel explodes and forces the piston downward on its power stroke. Intake and exhaust valves are closed. Exhaust valves and seats are exp
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