Kiwiology

Because whoever wrote that CCE is a moron

Sup, I am Kiwi, one of the helicopter retrieval doctors escaped psychiatric patients My interests include haemodynamic and circulatory support of the critically ill, mental health, OBGYN and chewing valium and anti depressants on a regular basis to smooth out the day Glad to have you here, wherever that is

I used to be a psychiatric patient until they let me out due to budget cuts ....

Yup, the Great Nation of Indiana is doing exactly this

I want to work in France, only because SMUR translates to "Mobile Urgent Reanimation Service" and that sounds so cool!

Fanny pack sounds a bit um .... gay, sorry bro Certain drugs are carried in a small hip pouch kept on the Officers belt; Paramedics carry fentanyl, morphine and midazolam whereas Intensive Care Paramedics also carry ketamine.

It will also give us a chance to talk and you can refill my Rx for valiumz Seriously, mental health is a very serious problem that affects lots of people and costs society dearly both in monetary and also in social cost and should not be joked about. Except by me, because I am slightly kookoo bananas in the brainbox and one can make fun of one's own kind. "Likely to be well" my ass, thanks a lot Kessler psychological distress scale!

Probably 20 minutes. It's not the Ambulance Officer's job to babysit the patients, once the hospital is aware of their arrival they can be parked in the waiting room or wherever, in a bed up against the wall if need be, hand in your hospital copy of the PRF off, do a quick cleanup/restock and clear.

This is a common problem, many people fall between the unfortunately very wide gaps in the mental health system and suffer because of it. There are inpatient mental health facilities at the hospitals here so its not so much of a problem getting them there I have a bunch of mental health problems and gave up on the system a long time ago because its more fucked in the head than I am

Speaking of old; I recently got a look at some stuff from the bad old days (1996) and oh my how archaic things were back then and how far we have come 1996 Ambulance Officer (Proficiency Ambulance Aid Certificate - six weeks) OPA, oxygen, entonox, aspirin, salbutamol Intermediate Care Officer (Post-Proficiency Ambulance Aid Certificate - ten weeks) AO plus manual defibrillation, cardioversion, IV cannulation, NaCl 0.9% IV, GTN spray, IM glucagon Paramedic (Advanced Ambulance Aid Certificate - one year) ICO plus nasopharyngeal airway, laryngoscopy, intubation, cricothyrotomy, chest decompression, intraosseous access, adrenaline, atropine, lignocaine, stesolid, morphine, nalbuphine, naloxone, frusemide 2012 Emergency Medical Technician (Diploma - up to two years) OPA, NPA, LMA, entonox, methoxyflurane, nasopharyngeal airway, nebulised salbutamol, nebulised ipratropium, GTN spray, IM glucagon, oral ondansetron, oral loratadine, nebulised adrenaline, PEEP valve, tourniquet. Paramedic (Degree - three years) EMT plus manual defibrillation, synchronised cardioversion, IV cannulation, IV fluid administration, IV glucose, morphine, fentanyl, naloxone, ondansetron, IM adrenaline, IV adrenaline for cardiac arrest, IV amiodarone for cardiac arrest, ceftriaxone, naloxone, midazolam (seizures). Intensive Care Paramedic (Degree + PGDip - one additional year) Paramedic plus laryngoscopy, endotracheal intubation, capnography, cricothyrotomy, chest decompression, IO access, IO lignocaine, IV adrenaline, atropine, amiodarone, adenosine, midazolam (sedation), ketamine, pacing, vecuronium, suxamethonium (selected personnel only).

I know of one Ambulance station here where the duty crew were rooting .... tsk tsk tsk

Just put suxamethonium in his food, cheaper, about $2 a vial For some valiumz I will deal with him ... mmm hired gun valiumz Oh, like three people at work are now on valiumz ... interesting, amusing and concerning all at the same time

Dare I mention that whole takeover thing of various Ambulance Rescue units by the NSW Fire Brigade ... so shouldn't Rescue really stand for something like Readily Ensure SCAT Continues Unimpeded forEver?

I feel your pain, up until about 3 years ago even in a little country like New Zed we had a bunch of different titles and levels St John: Primary Care Officer, Ambulance Officer, Paramedic, Upskilled Paramedic, Advanced Paramedic WFA: Paramedic, ALS-A Paramedic, ALS-B Paramedic, Intensive Care Paramedic TDHB: Ambulance Officer, Intermediate Care Officer, Upskilled ICO, Paramedic WDHB: BLS Paramedic I, BLS Paramedic II, BLS Paramedic III, ILS Paramedic, ALS Paramedic Since 2009 a huge amount of work has been undertaken in that now there are three levels - Emergency Medical Technician, Paramedic and Intensive Care Paramedic. It helps that TDHB and WDHB no longer exist and have been taken over by St J and WFA respectively

Good to see improvements around needing to know more about physiology and such like I will say it again, Chris your voice is so soothing, almost puts me to sleep All the best for your test there csoltes!

Happy New Year you Hoosier bastard, now get your ass down to Indy so you can drive, its dark down here and I am stuck at a hostile fire station without a crew partner Medic 302 calls Control. awaiting EMT ....

The old Ambulance Officer level has been renamed Emergency Medical Technician and no sir, I do not like it; I would much prefer we adopted Primary Care Paramedic like in the Canuckistanada although that would require renaming Paramedic to Advanced Care Paramedic which I do not mind. I never did understand why AV and QAS named the Paramedic level ALS and ACP respectively; confusing!

Ambulance Officers in New Zealand operate at one of three Practice Levels. In the olden days it was possible to get hired (especially in Auckland) with no qualification above a first aid certificate and complete all training “on the job” over a number of years however that is no longer the case. All drugs and procedures are autonomous without the need to consult with a Doctor (the way it should be!) Emergency Medical Technician (Diploma – one year) OPA, NPA, LMA, automated defibrillation, automated cardioversion, 12 lead ECG acquisition (automated interpretation), tourniquet, oxygen, PEEP valves, entonox, methoxyflurane (where used*), paracetamol, aspirin, GTN spray, glucose, glucagon, salbutamol, ipratropium, nebulised adrenaline, oral ondansetron, oral loratadine Paramedic (Degree – three years) All of the above plus manual defibrillation, manual cardioversion, IV cannulation, NaCl 0.9%, IV glucose 10%, 12 lead ECG interpretation, morphine, fentanyl, adrenaline, amiodarone (cardiac arrest), naloxone, ondansetron (IM and IV), midazolam (seizures), ceftriaxone Intensive Care Paramedic (Post Graduate Certificate – one year) All of the above plus endotracheal intubation, intraosseous needle access, cricothyrotomy, pacing, atropine, ketamine, midazolam (sedation), adenosine, vecuronium, suxamethonium (selected Officers only) All Intensive Care Paramedics can sedate and paralyse an already intubated patient (i.e. dead person) but only selected Intensive Care Paramedics can anaesthetise and paralyse to intubate (rapid sequence intubation) – the difference is subtle but important. It is strongly rumoured that by 2015 the Ambulance Service will only, wherever possible, hire Degree graduates. Most ambulances have at least one Paramedic and either another Paramedic or a Technician. Intensive Care Paramedics will be joined up with a Paramedic wherever possible but sometimes with a Technician. It is still possible to get an ambulance with two Technicians, particularly in in rural areas or where there is a shortage of staff because they are e.g. sick, on leave, on courses etc; this seems to be somewhat problematic in Auckland which was traditionally well staffed. From October a new model is being introduced over the next 2-3 years which will see calls colour triaged as either purple (immediate life threat), red (serious but not life threat), green (no life threat) or grey (telephone triage appropriate). Purple calls will get a lights and siren response, red calls will be responded to at normal road speed, green calls will get the Sierra jeep instead of an ambulance (solo responder) and grey calls will get telephone advice. Wherever possible patients who are responded to will not be transported to ED but rather referred to their GP, A&E clinic or an alternate resource.

Well, an Obstetrician/Gynaecologist is both a Physician and a Surgeon, so they are not truly a Surgeon so it is forgivable I find it slightly amusing that the post-nominal for a Consultant OBGYN here is FRANZCOG, trust somebody who tinkers with the bits and pieces of a woman's baby making machinery to have COG in their qualification ... I know, I am weird ... mmm fellowship valiumz

You need to come work here; I work with a Consultant Emergency Physician from Tennessee and he is awesome.

Then you should have chosen a higher paying specialty than EM huh? like maybe anaesthesia or OBGYN

Better than golden shower thats for damn sure Are you thinking of the Patslide?

Recently overheard in the skies ... "Approach good evening it's Citation five fox juilet, approaching KELLY, through twelve for eight, two forty knots assigned, we have kilo" "Five foxtrot juilet Indianapolis Approach good evening, leave KELLY heading three six zero vectors two three left, stop your descent at ten thousand, you are seven in trail of will be restricted above a heavy Sleigh that has priority so you can resume normal speed er, speed your discretion, lima is just becoming current, no significant change, altimeter now three zero zero five" "Understood, wilco, fox juilet .... WHAT THE F##K BRO STUPID MOTHER F##KING SLEIGH SANTA THE OLD BASTARD HOW THE F##K DOES HE GET PRIORITY OVER US, RESTRICTED ABOVE HIM GO F##K HIMSELF, NO SIGNIFICANT CHANGE MY ASS, IMA BE LATE IN AND THE AIRPORT SHUTTLE TO MY CHEAP BARGAIN BASEMENT CREW MOTEL ON THE GHETTO EAST SIDE PROBABLY ALREADY F##KING LEFT, F##KING OLD C##T WHO THE F##K HE THINK HE IS .... oh is this thing still on, my bad" Situational awareness people, situational awareness

Dude is in the wrong, you have every right to tell him so and question him on being a Paramuppet

They forget to mention that Santa would have had his FAA airman medical certification revoked many years ago; the old bastard more than likely would by now have severe ischaemic heart disease with 90% occulsion of the LAD, diabetes, gout, hypercholesterolaemia, severe stage 3 hypertension requiring 2 different diuretics, an ACE inhibitor and long acting oral nitrates, arthritis, couple of fused vertebrae from carrying all those presents, some form of cancer and a couple other things ....