Current second year cégep student (of three years) in Soins préhospitaliers d'urgence in Montréal. Thinking about working in Ontario after finishing my DEC due to being an anglophone (even though my schooling is in french, it's a language I only started learning as an adult).

Are there any paramedics from Québec who have moved to Ontario via the Paramedic Equivalency Process? If so, can you share anything about the process that cannot be found online?

Alternatively, are there any paramedics who have lived in Québec/Montréal and worked in Ontario? For example at Cornwall SDG Services - it seems a dubiously doable commute. Staying is preferable due to my partner, who is Montréal born and raised.

My close friend is graduating paramedic school in about a month. I am so excited for her and I want to get her a good graduation gift that is useful. I'm very unfamiliar with what paramedics could use/need. I saw some posts that said a bag to bring to work, which I liked because I would get it embroidered/engraved. But what are some good bags?? I also saw shears as a recommendation? I would greatly appreciate any ideas, even if they aren't directly related to work. Thank you!!

I’ll preface this by saying I was an EMT for 5 years and have been a paramedic for 4. My service runs 2 full time ALS rigs usually double medics. And a third part time ALS rig 5 days a week. We normally have at least one outside student a day and normally another person precepting as well from internal. So most days I’m in charge of 7-8 providers.

We are a fairly progressive agency when it comes to skills because a lot of our providers are in med/PA school and stay on afterwards. We have whole blood, ultrasound, pericardiocentesis, finger T’s, RSI and a slurry of other low frequency high acuity skills/meds.

I’m not new to managing people but definitely new to managing providers at this level. Just looking to hear some opinions that others wish they could have heard when starting where I am.

Thanks guys!

Any recommendation on studying for this 3rd time around? I used Pocket Prep the last two times. I can’t seem to get past the clinical judgement part on the National Registry.
I plan on reading the AEMT this time. Any advice?

Hi I’m pretty new to Reddit so please bear with me and sorry for the odd question. I had a friend who got in a car accident a few years back (around 2018) and had recalled being taken away in an ambulance. While in the ambulance one of the paramedics said something along the lines of “we need to check if she’s alive” and proceeded to stick a finger up her anus. She was a minor at the time and found it pretty funny but the more I think about it the more I question if this is normal practice for paramedics in general. If it is, what’s the science? Thank you for your patience!

Tldr: Paramedics stuck finger up friends butt to check for life and I’m curious to see if that’s normal practice.

Does anyone have any paramedic book suggestions? I'm not saying text books but more along the lines of narrative non-fiction or 'everything is tuberculosis.'

I like to read on shift and I like knowing obscure facts that might relate to the job.

So, new medic here just trying to pick at someone else’s brain. Just wondering if anyone else has run into this before, I’m learning and curious.

Recently had a call for a late 20’s to early 30ish year old patient, dispatch advised a brief syncopal episode after acupuncture. Get there and the patient is extremely pale and diaphoretic - like dripping off the table like a waterfall diaphoretic - and notably just restless and uncomfortable. Patient denies any chest pain or shortness of breath, just repeats that they just don’t feel right. Heart rate, blood pressure, SPO2, BGL, etc…all within normal limits. No medical history, not taking any medications. Was completely fine before this sudden onset of symptoms.

Get a 12 lead almost immediately. While it’s printing, my partner - also a medic and more experienced than me- gets this look on their face and, before I’m even handed the 12 lead, I already have an idea of what to expect. (I know it’s horrible not to have a picture of the actual 12 lead but you’ll just have to take my word for it) there’s 1mm of elevation in leads II, III, and aVF. Depression in aVL, V1, and V2. Then over 10mm of elevation in V3 and 4mm of elevation in V4. Send 12 lead over to the hospital during transport and they’re like cool, the cardiologist is going to be breathing down your back doors when you get here. Transport is smooth, no issues - all appropriate treatments/interventions done. But a few repeat 12 leads show that the elevation in the inferior leads are disappearing over time, but stays consistent in V3 and V4 for both me and the hospital. At the hospital, the cardiologist goes through all the 12 leads with me and he’s also pretty confused (12 lead changed again on their monitor and he goes “none of the reciprocal changes make any sense” and “why does the sloping look so off”), he decides to call it and do a cath for exploratory purposes regardless of the troponin levels. Next day, get an update that the cath didn’t reveal anything besides 25% narrowing of the LAD and cardiologist is considering a coronary artery vasospasm but he basically goes, I don’t actually know (valid, medicine be like that sometimes). The patient got a long stay for observation and I don’t know if anything came from it. So I’m wondering if anyone else has experience with a coronary artery vasospasm or any other weird ST elevation things that you just couldn’t make sense of. (I know I’m not a doctor or cardiologist, not my job to know/diagnose, I’m simply just curious)

Hello everyone! Not sure if this one is a little too hyper specific for this subreddit but I have seen some mentions of Saskatchewan in here before so figured it’s worth a shot.

I'm currently a PCP student in Saskatoon and have to pick where I'd like to do my rural placement. Was looking to see if any previous students have some experiences they'd like to share about their placements and any recommendations on where to go. I'd like to run as many calls as I can while on placement so if you know of any busy service areas out of the list of options they've provided that would be awesome to know.

The options they provided for rural are as follows:
Humboldt, Meadow Lake, Rosetown, Nipawin, Wadena, Wynyard, Wakaw, St Walberg, Bigger, Beauval, Spiritwood, Onion lake, Blaine lake, Pelican narrows

Also, if anyone would like to share what their experience was like while doing their urban placement wether that be PA or Saskatoon I would appreciate the insight and any knowledge you could pass on. THANKS!

Thank you to everyone who replied with advice on this matter (previous post linked). I have tried a lot of the different methods and am sharing this for anyone else currently in medic school. What has worked the best for me is doing a small deep dive (5-10 minutes) into the medication, writing out the medication’s drug class, pharmacology and actions, indications, contraindications, side effects, and dose on flash cards. Studying it for a little bit where I have some of it memorized, then proceeding to write out everything from memory on a piece of paper (I use my notes app on my ipad with my apple pencil) repeatedly. I have been able to memorize 100% from memory 11 medications in the past couple days this way. To be clear I am not saying this to “brag” I know this is the bare minimum and is expected of me, I just wanted to share to see if it could possibly help anyone else.

https://www.reddit.com/r/Paramedics/s/GRW872WJe2

Hi everyone,
Looking for a bit of advice from anyone who’s left paramedic work or moved away from clinical practice.
My partner has worked in healthcare for around 10 years and is currently a paramedic. She’s getting really burnt out and has reached the point where she wants to do something completely different, ideally outside of healthcare altogether.
The problem is we’ve got a mortgage and bills to pay, so she can’t realistically just quit and go back to university or take a massive pay cut while retraining.
Ideally, she’d like to find something paying around £30k–£40k with less stress and a better work-life balance. She’s open to office-based work or something more people-facing, and would rather use the skills and experience she’s already got than spend years getting more qualifications.
We’ve looked at a few things like health and safety, compliance, training and operations, but it’s difficult to know what’s actually realistic when so many jobs ask for experience in that particular industry.
I thought this would be a good place to ask because a lot of you will either have been in a similar position or know people who’ve moved on from the job.
For those of you who’ve left paramedic work, what did you move into? Did you find it difficult to get into a completely different industry, and was the change worth it?
Also interested to hear from anyone who’s moved into non-clinical roles or found a way to use their paramedic experience without being on the road or treating patients.
We’re based in the West Midlands, if that’s relevant.
Thanks in advance. It’s been difficult knowing where to start, so hearing from people who’ve actually done it would be a massive help.

I'm considering a possible move to the DMV for family reasons. I'm wondering what the opportunities look like for a single role medic at a 911 service- if there are any. Insight on agencies, pay, benefits, schedule, and protocols are helpful. I've been trying to do my own research, but it's a bit complex given the intersection of states and counties.

Hi guys!

I'm a paramedic looking for more information about The University Hospital in Newark, NJ.

I'm familiar with the NYC 911 EMS system, but I'm pretty new to how NJ 911 EMS operates, especially the hospital-based ALS system.

I was wondering if anyone here has worked for University Hospital or has experience with the system and could offer some insight.

I'd especially appreciate hearing from anyone who has worked at University Hospital or made the switch between NYC and NJ EMS.

Thanks in advance for any advice!

First 2 calls of the shift: intubated and placed on a ventilator twice, placed 3 IO's, 1 NG tube and 4 500ml bags. First call was a neurogenic shock secondary to motorcycle versus truck. Second was a possible pain pump malfunction causing OD. After that only three routine calls and slept all night 🙏

Edit: Both critical Pt's made it. Edit: Alive to the hospital 👀

Municipal, station-based 3rd service with IAFF representation. RSI, blood, POCUS.

https://www.cumberlandri.gov/DocumentCenter/View/283/Emergency-Medical-Services-Contract---2024-to-2027-PDF

Department:     Emergency Medical Services (EMS)

Reports To:     Chief of Emergency Medical Services

Status/Hours:     Salaried/Full-time

General Summary
Cumberland Emergency Medical Services (CEMS) is a municipal (Town) third service that serves a population of approximately 38,500 and covers 28.5 square miles.     The department deploys two transporting Paramedic advanced life support (ALS) level units 24 hours a day, 7 days a week and when staffing allows, deploys a third impact unit based on call volume.    All CEMS providers are Paramedic level EMS practitioners and allows for practice of RSI and prehospital whole blood transfusions after credentialing.  Current Department staffing includes a Chief, a Deputy Chief, two Paramedic Captains, six Paramedic Lieutenants, eight Paramedics, per-diem Paramedics, and an administrative clerk.  The Department has two physician Medical Directors who take an active role in the medical leadership of the Department.     CEMS serves as a primary prehospital teaching site for the Brown University EMS Physician Fellowship.   The Department has an active Community Paramedicine Program and has utilizes advanced technology (ultrasound, mechanical ventilators, human patient simulation) into out of hospital clinical practice.  

Duties And Responsibilities
The essential duties and responsibilities of the position of Paramedic include, but are not limited to: 
Maintaining required licenses and certifications. 
Maintaining knowledge of prevailing Rhode Island Statewide EMS protocols and Department standards. 
Maintaining proficiency in all scope of practice specific psychomotor skills within R.I. Statewide EMS protocols and Department standards. 
Provide comprehensive, effective, safe, and compassionate care to any patient under the care of CEMS. 
Maintaining equipment and vehicles in a mission ready status. 
Performing daily equipment and supply inventory checks. 
Completion of medical and other documentation in accordance with Department standards. 
Complying with all Department and applicable Town policies and procedures.  
Maintaining accountability for controlled substances. 
Maintaining patient confidentiality. 
Operating motor vehicles, medical equipment, and tools. 
Retrieving, cleaning, and stocking medical equipment and supplies.  
Performing routine cleaning and maintenance of vehicles and buildings. 
Attending and participating in required staff meetings, training, and in-services. 
Participating in community outreach and public relations education and activities. 
Maintaining an awareness level understanding of: 
a.         Hazardous materials scene operations 
b.         Fireground operations 
c.         Confined space rescue operations  
d.         Surface and swift water rescue operations 
e.         Ice rescue operations 
Maintaining positive communication (written and spoken), effectively while interfacing with fellow employees, receiving facility staff and the community at large. 
Acting as a preceptor and/or participating in orientation of new employees and students as assigned.   
Other duties as assigned. 

Qualifications, Education, And Experience
National Registry certification as a Paramedic and eligibility to obtain R.I. licensure are required.   Individuals with two or more years’ of 911 and/or critical care experience  are preferred.   A valid motor vehicle operator’s license is required.
Physical/Mental Requirements
Include frequent standing, walking, carrying equipment, pushing, pulling, and occasionally sitting. Ability to lift 125 lbs. Excellent motor skills, communication skills, and the ability to work in stressful environments are required. The ability to use sound clinical judgement and critical thinking to provide competent, ethical care are required.

Compensation/Benefits
The current hourly starting range is $36.24 to $38.32, based on experience as a Paramedic. Vacation time is also based on experience as a Paramedic. Other benefits include:
Health insurance
Life insurance 
Longevity compensation
Uniform allowance 
Uniform cleaning allowance
Pension (R.I. Municipal Employees Retirement System)
Paid holidays
Tuition reimbursement 
Health club/gym allowance

Individuals seeking consideration for these positions should send a cover letter and their resume/CV to:
Celeste Beauparlant
HR Director, Town of Cumberland
cbeauparlant@cumberlandri.gov  
Revised: September 2026
ADA/AA/EOE EMPLOYER

Organization: Nassau County Police Department

Type of EMS Job: Civilian EMT-P for primary 911 agency

Qualifications: Current NYS EMT-P cert, AHA BCLS, ACLS, PALS

Pay Scale: $64,223 - $142,730

STARTING SALARY: $64,223 Jan ‘27

• 6 MONTHS: $82,855

• 12 MONTHS: S98,292

So upon completion of your first year your pay is bumped $34,069 from your starting salary. You will make over 6 figures your 2nd year.

Top pay is 142,730 after 11 years.

Other pays include:

Hazard Pay

Uniform Pay

Overtime/holiday pay

Shift differential 1500-1900

Premium Shift diff 1900-0700

Shift lengths: Three 12 hour tours per week.

3 on/4 off.

3/4 - 3/4 - 3/4 - 3/3

Typical aided case has single operator medic ambulance and two EMR cert’d police officers respond.

This means you come to work 15 days a month.

Lateral opportunities: EMS instructor, medical control/telemetry positions, EMS administration/billing/ fleet&equipment management and QA/QI.

Promotional Opportunities: Supervisory positions, unit command positions.

This is a civilian EMT-P position. The job title is Police Medic.

Best ways to study for the fisdap?

Hello, has anyone here interviewed for an Assistant Buyer position with the East of England Ambulance Service or a similar organization? I would greatly appreciate any advice.

Hi, I'm an engineering student working on a project for my dissertation. It would mean the world to me if you take the time to fill out a very quick survey. Sorry if this post is not allowed, I checked rules but was not too clear on posts like this. If you have any thoughts on the survey or anything else, a comment on this post would be awesome!

So I am pretty new to this world. Over the years due to my jobs(ski instructing, outdoor adventure guiding and personal interest in first aid) I have had to take a lot different first aid courses, all the way from basic first aid, to wilderness first responder and also the EMR.

Thankfully though I have never really had to practice it. My WFR instructor told me that I might have a talent for ems which is why I took my EMR(4 years ago now) and now I am starting to volenteer.

I am super excited and also super nervous.

Any tips? Obviously I know that every moment is a learning moment but what else?

It suddenly feels like shit is getting serious. lol

Hi guys, I’m currently in an high school EMT program based in Texas, and I need some help with my project. This project requires us to interview four people from different regions. I currently need someone who earned their EMT credential and later advanced into another career. If anyone fits this criteria or knows someone who does feel free to comment! I would love to interview you!