Kiwiology

Nah we are supposed to be talking about the guy who needs experience or something ...

I think the National Scope of Practice really tries to tackle the problem of the "Paramediate" i.e. the Intermediate who has enough of the Paramedic skills but not enough of the education to be just a bit dangerous. The Advanced EMT level I don't have too much of a problem with given that its really meant to be an add on for the volunteers or people out in the sticks to offer a higher level of care than would otherwise be available in systems who cannot (for whatever reason) have Paramedics.

Yeah but that wouldn't be a man fantasy now would it, she's a chick I thought you liked the brunette, I hear she is a Consultant now

For you it may not add much in terms of how long it is but it will change what is being taught For other places it will be a huge addition as they have stuck strictly to the 120 hour design that was implemented in 1994 Unfortunately despite any additional education the output in terms of clinical skill between a 2012 EMT and a 1984 EMT-Ambulance are about the same. Yes, you can teach a monkey skills but honestly, seriously, when such little progress has been made in thirty fucking years it just angers and saddens me terribly and it become a little bit more appropriate to argue about upskilling.

Nah I just have man fantasises about Gareth Davies

Oh my eyes, have seen the glory! can I get an amen! ... no, not a long backboard that is the work of Satan! Long ago New Zealand adopted the position that there is no evidence spinal immobilisation in the form of a rigid board, head blocks, straps and eleventybillion other things is helpful and we use the scoop stretcher and a well fitted hard collar +/- KED for patients in an RTA where appropriate. Australia is very similar although there are minor variances between states and the UK still uses board and blocks. I have never understood the logic in strapping somebody to a hard, rigid board that is uncomfortable and trying to say its helping them. I applaud you sir! Oh, if you want to tube somebody with a cervical collar on, undo the front and use a bougie, but you really should be using a bougie anyway regardless ....

You are aiming for such a tiny niche of the Ambulance Service you really must ask yourself if you will be happy being a Paramedic and not doing SWAT because if you do not get it are you going to be happy being a regular Paramedic? It's like me wanting to be a HEMS Doctor, it is a niche within a niche, I will be happy being an Anaesthetist first and then can look into subspecialties ... if you only want to be SWAT perhaps you are better off joining the Police Interestingly, here the Armed Offenders Squad (SWAT) are only regular Police Officers/ CIB (Detectives) and operate on a call out basis only not full time and Ambulance Rescue (SERT) which support the AOS are not armed and never will be.

ew sounds pretty nasty and here I was thinking Canada was pretty looking eh? Oh SCOP found out about my getting destroyed on hillbilly moonshine and causing a scene in Tennessee; they suggested I should apply for registration in the Yukon or Northern Alberta ... hmm, will that be a problem?

So is your mum Jugs?

WTF the Vicpol and MAS uniforms look nothing like each other; one is light blue and sports a giant hand cannon revolver and the other is very dark blue with "paramedic" written all over it

There should not be an argument if the state follows the National EMS Scope of Practice model; see this was the entire point about the EMS Agenda for the Future, to remove the elventy billion different scopes of practice and titles used in US Starting an IV is pretty easy but if you are going to be allowed to shove a drip in people should you be allowed to give fluid and if you can give fluid should you be allowed to give medicines? If not, then what is the point of being able to simply insert an IV? And from there it just goes on and on, NZ is aggressively phasing out the old ICO level which can start an IV and give fluid but not administer IV medicines, why have only half the pie? I think you are missing the point, this Agenda has been in development for nearly twenty years and such simple (and beneficial) things as administering GTN, glucagon and entonox are still not (nor probably ever will be) in the scope of an EMT despite them being standard at the entry to practice level in every other Western nation on earth. You give me the projected ~150 to 180 hours it is envisaged the new EMT Education Standards are going to require to teach and I can turn out somebody who can confidently and safely administer aspirin, GTN, salbutamol, entonox, paracetamol, glucagon and IM adrenaline. The benefit for the patient of having somebody who can safely and appropriately administer these drugs at the base level is huge but despite nearly twenty years of progress on the Agenda and a plethora of international experience to draw upon the results have been so mediocre its not funny its just very sad

I always love how people say "we're from the Ambulance" ... like no shit there is a bloody great ambulance parked in the driveway (or at least we TRIED to park it in the driveway if I was driving ...), two or three people with "ambulance" written all over their uniform are standing inside your house with a shit ton of medical equipment and at some point somebody in the immediate surroundings may, just may have called 111 and asked for an ambulance

Not for you *smacks Bushy's hand You know that reminded me of the last time I got tied up in bed .. hmm, excuse me for a bit, I am going to be over there in that other Chrome tab mmmmk

Differentiating between ST and SVT can be difficult I believe adenosine is restricted here to patients who have a known history of SVT that is responsive to it and it's an Intensive Care Paramedic medicine anyway so not overtly familiar with it Oh if you want a psych project dude you found it right here *holds up hand, whoops can't let those dinner time valiums fall out lets just pick those up mmm nom noms

... but if you do that I won't have any friends to book off on teh face Oh look social isolation valiums mmm non nom

Mate you're all over the show, you want to be an ambo, you want to join the fire service, you want to be SWAT Medic, you're OK with not being a SWAT medic, you want to be a cop .... WTF? I am guessing you're some wide eyed fresher with no experience, well unfortunately that puts you at the bottom of the "no" pile, why am I, as an employer, going to take the risk of employing somebody with zero experience when I've got people with experience? You need to be highlighting your transferable skills so things like problem solving, teamwork, interpersonal skills, things like that because lets face it in US anybody who has a junctional escape rhythm with a rate about zero can get pass a 120 hour EMT class If I were you approach local hospitals, see if you can volunteer in the ED, or look to some of the surrounding county areas to see if any of them use volunteers. At worst you may have to move to obtain experience.

Wait, is dyscarboxaemia a word? Hmmmm .... Oh look inventing word valiums num nums

Ask your local fire truck drivers

Be sure to have Mr KT wait on you hand and foot like a good husband must!

I might have to get destroyed on Facebook time valiums and have a squiz ...

Ew burning hay ... the hay barn next to my house burnt down when I was a kid

We need to start getting you more bed time valiums ... The short answer is no; dyscarboxaemia does not affect SpO2 but will obviously affect ETCO2 I will get some kip and figure out exactly why and get back to you Oh look 3am valiums mmm num nums ...

well if i was in the states still i would be getting destroyed on Wiley E Gutrot's finest authentic home brew moonshine and then heading down the freeway to the next exit to the rickety looking store next to the diner with "fireworks for cheap" in big letters in the window to procure quantities of explosives that when combined if sold as one piece would be attracting the attention of the ATF and other federal agencies, going home and detonating the fucker to celebrate the greatest nation on earth

ah yes i heard the ASNSW had to install revolving doors at some of its rural stations where apparently most of the time on said station was devoted to applications for transfer out of said station

The adrenaline infusion used here is pretty simple 1mg adrenaline in 1 litre NaCl given at 2gtt/s titrated doesnt take that long to mix probably no longer than drawing up and administering IM adrenaline and can be used for anaphylaxis, asthma and severe bradycardia