HellsBells

Im not sure how they are tracking its use in our system.

Hey CPRted, I currently work in Calgary,and think AHS working conditions are fairly decent. We get a good wage and benefits as well as full pension after 30 years of service. Our job postings are basically for full time or casual employment. All jobs are posted internally first. So what you see posted online has already passed through internal posting. Casual positions are scheduled based on the employee's availability, so you give the employer a list of days you can work and they will schedule you in advance or at a moments notice for those days. There is a minimum number of days casuals must be available for. I think its a minimum of 4 per month. There is no pager pay bullshit whatsoever here.

Hey welcome, its nice to hear of more Ab members here. What schools are you applying for?

We are using this drug in Alberta, Canada. Its been available for about three months here. I don't know if anyone in my service area has had a chance to use it yet. We are administering it in trauma events where the pt has clinical signs of shock.

I think its a matter of how proficient one gets with the skill to begin with. In my carrer I must have preformed a thousand or more IV starts, I think I would retain that skill no matter how much time I took off. Generally, I am successful with intubation, however, I have not had the opportunity to lay the amount of et tubes as I've with iv's. So I don't have the same level of confidence that I can take all comers, but, I think once one reaches a certain threshold of competence, its not necessary to practice the skill as frequently.

I wonder why the outcome was worse in pts with an advanced airway. Is this related to interruption of compressions to secure an airway?

Curried bowel liquification syndrome. CBLS for short.

Im surprised that after all that epi and dopamine, her rate was still only at 70!

What is the deal with her pulse rate? Has her rate not increased soley from the beta blocker admin? I think we need to increase the dopimine to 15mcg, then up to 20mcg, if no success I think a epi drip is in order, starting at 2mcg per min up to 10mcg min. What does her End tital wave form look like? Any evidence of broncospam? Shark tooth waveform?

Dang mobey, you get all the interesting calls. What is the capacity of the clinic 30 mins away? I would certainly be setting up for an rsi, ketamine, and succs if needed. Get that BLS backup rolling buddy.

So, what was the eventual outcome for this guy?

I too am liberal on the pain meds. Even for pts in moderate pain I find its better to treat with an IV or IM med prior to hand off at the hospital. If the hospital is busy, it may be a while before they actually get assesed by a physician, and receive orders for additional pain meds. I don't have much fear of being fooled into giving meds to a drug seeker, as Bieber mentioned, that person was a drug addict long be before, and will be long after they received that particular dose from EMS. However, I will withold drugs for a certain sub set of well known and documented drug seekers who call an abmulance habitually shilling for narcotics. My philosophy with that patient sub set is to try and discourage them from regarding 911 as a free depostory for drugs.

To further Vorenus's criticism, I would refrain from highlighting passages of your story. You want the reader to take in the text as a whole, not jump ahead to bold passages that catch the eye.

So, sounds like this guy is an asshole, allegedly. A despicable way to treat your members? How about a despicable way to treat your patients? Makes me wonder if this behavior is standard practice for some people in this fire dept. and it just gets swept under the rug by the good ole boys. I know that it is the unions job to stand up for its members, but if these allegations are true, then yes, this man needed to be arrested, full stop.

Interesting, although, its unlikely in this day and age that no one would know about abd thrusts. However, I understand the intention of the spot, and its quite well done.

This article is indeed short on specifics, but it sounds like this politician may be right for the wrong reasons. I do find it particularly telling that she mentions Fire Fighters showing up to lobby politicians in their apparatus, while in uniform. This does seem quite crass in my opinion. I can't speak on taking advantage of 911 in particular, I've never heard a fire fighter mention it specifically up here in Canada. However, I'd say that politicians typically take as much advantage of it as possible whenever it suits them. As George W bragged that there were no further attacks on american soil during his presidency... Not withstanding the fact 911 happened while he was asleep at the wheel (or at the elementry book reading, as it were).

What Rhythms did you cover? Are you familiar with type 1-3 degree heart blocks?

I was assuming they were battling a flare up in the BBQ that was threatening to over cook their steaks...

http://metronews.ca/news/calgary/331502/calgary-firefighters-help-deliver-baby-boy/ The interesting thing to note here is that this delivery was performed by a paramedic responding in a PRU while firefighters handed him equipment.

Apparently Darren Yuhas is a sixteen year old girl from the valley.

That level of brutality is hard to stomach. I had to stop watching it when the guy started crying for his daddy. It was painfully obvious that this guy was no threat to the officers, and that he was intentionally provoked so the cops could have a little "fun" with him.

The think the issue with concussions is not so much a lack of education, as a lack of general knowledge in the medical community. The impact (haha) of concussions, particularly repeated injury in sports, is just an emerging science at the moment.

Irrelevent of how well you are trained in splints, the important matter is, how much equipment are you carrying, and why? Do you go around with an entire jump bag full of splints and bandages everywhere you go? Personally, even as a Paramedic, off duty I would be concerned with maintaining airway, doing CPR (as needed), and stopping deadly bleeds, otherwise I'm calling 911. I know your excited by the prospect of EMS, but I suggest you wait until your through school before worrying about more advanced care.

Depends, if its just soft tissue holding the leg on...maybe. Otherwise, I have no experience in amputations, particularly ones at the mid femur. I'm no doctor, but I'm pretty sure that if I severed his femoral artery, that would be bad for him. Not only that, with the position he is in I don't want to sedate him to the point he needs, positive pressure ventilation. On the other hand, if I start hacking at his leg without full sedation, I'm thinking hes going to react rather violently, which is problematic, considering the new apendage in his chest. So, even with total carte blanche regarding field amputation, I think not.

From a Canadian perspective, this is not a particularly worrisome prospect. In fact I can't even remember any situations with an aggressive photographer or videographer. Is this a widespread problem in the US?