@emsavenger: I've spoken a lot about how competency in intubation isn't just defined by being able to drop plastic. There is a whole paradigm to establishing competency, including your actual perspective on intubation. If you see it as a feather in your cap or as swag or a weapon, then you lack the criteria for competency, because that attitude demonstrates you see it as something that supports your ego and not something that saves lives. #EMS #Paramedics #paramedicsoftiktok #Intubation #nurses @anna.ernurse

EMSAvenger
EMSAvenger
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Region: US
Tuesday 19 August 2025 15:05:27 GMT
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jreese17
Jacob Reese :
Is intubation in our protocol?👀 is it for nurses?👀
2025-08-23 17:55:44
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vtmedic3
VTmedic3 :
I had a medic/RN use the analogy, nursing a mile wide and an inch deep. Medic inch wide, mile deep.
2025-08-19 16:18:09
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worldsokayestairmedic
worldsokayestairmedic :
The paramedic has the same scope in the ED in many states as the RN they just are never allowed to utilize it. In most hospitals aside from starting IVs they aren’t allowed to utilized any of the scope they are capable of including medication administration. As long as the medic is trained their scope is very broad
2025-08-22 22:14:00
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jefflee305
Jeff Lee965 :
medics can for sure do more then rns skills wise. nurses can do more medicine wise because they have more at their disposal. medic scope is taken away in hospital
2025-08-21 20:37:21
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bigg70550
BigG :
paramedics in the ED are ekg, iv and transport guys
2025-08-19 16:03:20
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abrahamlloyd39
StudentParaAbe 🇬🇧 :
intubation is a tool to be used when appropriate, not a flex. Need to provide neuroprotective measurements, then RSI, need to protect the airway from burns then RSI, need to protect the airway in refractory anaphylaxis, then RSI. For C.A. iGels are more than sufficient and prevents you from becoming task focused.
2025-08-19 15:27:54
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uk223336
🇬🇧 :
Actually in most of the world nurses DO NOT need a doctor’s permission or order and care and care descions are 99% nurse led with doctors only ever makeing surgical descions or medication decisions or speachilist advanced skill descions such as spechalist area eg gastro with a gastro spechalist registra or above makeing descions on weather to operate, to try XX gastric care options however everything else is NURSE LED
2025-08-19 15:56:54
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dillwill
DillWill🇨🇦 :
Well said
2025-08-21 13:35:02
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enbynat
EnbyNat :
More questions from a UK Para, does this dependency on physician-written protocol vary from state to state or is it US wide? In the UK we’re fully autonomous and accountable and our protocols where written are written by consultant and chief paramedics. Several services in the UK are now replacing medical directors with directors of Paramedicine.
2025-08-20 08:46:03
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carson.root
Carson Root :
All respect to paramedics, but I also had a TON of protocols and order sets in the hospitals I’ve worked for that didn’t require direct physician orders. I don’t think many paramedics realize that’s commonplace for us. We’re all on the same team here, though! It’s not a competition, it’s about good outcomes and care delivery!
2025-08-19 15:10:08
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misterwiskers1
Medic Mister Wiskers :
Instead of fighting with each other we could be fighting for better pay and benefits, better hours and working conditions, a continuously widening scope of practice, the ability to treat and street on scene when appropriate, divert lower equity cases to more appropriate levels of care, safer hours and modernize and innovate throughout the profession. We also need better legal protections for assaults on providers and against civil and criminal claims.
2025-08-20 00:26:18
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optomistic_paramedic
The Optimistic Paramedic :
I get the point being made. mutual respect should be given but is there mutual respect when nurse's look down on us as just transport. can't we just move to understand each other s specialty and work as a team
2025-08-19 19:20:49
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davidboois1
davidboois1 :
Start over, and leave us out of the sentence. I agree with the dig measuring between services. However we on the other side of the world are independent practitioners.
2025-08-21 12:28:10
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walters9904
walters9904 :
well said. As a medic to RN i have no remorse in loosing the authority to intubate. as an ICU RN, why do I need to have that on top of everything else I do when we have RT, Physicians, or Anesthesia right there... I cringe when a new doc is nervous or still learning, but I haven't done it in over a decade, so I probably would struggle too.
2025-08-19 15:17:15
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chris_j101
chrisJ :
Ehhhh relax there buddy. The scope isn’t that much “wider” in general. Only when it comes to medications and that’s about it. In a hospital setting they can give way more medication and paramedics can only give what our medical director allows us.
2025-08-21 05:19:11
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thedarkmike97
Michael Pugh :
The only swag I care about are my sweet job shirts😎
2025-08-19 17:41:32
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danieldaniels81
Daniel Daniels895 :
As a medic and RN my take is that er nursing and paramedicine go hand in hand with little differences. Once you get into specialties then there seems to be some differences and things I can do as a medic I can’t as a nurse and vice versa but in the end they should be seen as equals.
2025-08-20 17:51:16
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bobbydjrt
Bobbyd :
So we are two distinct groups of professionals with extremely different goals for our PTs. In some ways we have common pathways of education. But in reality we have very different approaches in healthcare.
2025-08-19 21:51:18
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zacharygraft
Zachary Graft :
so you're saying when I get my medic certificate, I shouldn't be flexing my medic?!
2025-08-19 16:29:25
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evanspaulding135
Evan Spaulding715 :
It’s troubling to me how many young medics jump to intubation these days. I’ve seen it all over the country.
2025-08-21 14:30:58
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bullen_boi
Bullen :
Seems to be a US thing, don’t hear this kind of thing in the UK between paras and nurses. We have emergency nurse practitioners working on frontline ambulances with our medics
2025-08-19 16:34:18
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lindacalbritownsend
AngelEyes1992🦋💜🦋 :
I love how you talk with us … your education skills are top notch 👏👏🦋💜🦋
2025-08-19 15:47:25
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traumarn76
The real TraumaRN76 :
Very well put
2025-08-21 00:07:31
1
cburkhardt310
Scoutmaster EMT :
I was a Basic in clinic and had a wide scope for meds and treatment, but lost my assessment scope (that was done by the MD). Pre-hospital, I have a limited treatment scope but broad assessment scope, including EKG.
2025-08-19 17:23:19
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