Kiwiology

How interesting, I have never heard of this either but then again despite finding OB/Gynae slightly fascinating I have no real interest in it beyond learning what I need to know to deliver Mini Kiwi's myself at home And you can put anything in a drip I suppose ...

I didn't mean to sound like a prick but we get so many dreamers, hacks, want-to-be's, attention seekers, escaped mental health patients and the like some people get very sceptical Then there's that Emergentologist bloke ... he's a big poo poo head want-to-be Consultant who tawks funny, calls me names and tests my clinical decision making! But he's not nearly as bad as that Kiwi person, I hear he's a bit funny in the noggin PS Love you Emergentologist

Fail on the company you work at for not having any analgesia Fail on the medical director (who is presumably a Consultant Physician) for allowing this Fail on the sending Physician for considering analgesia for the next five hours And lastly fail on you for not doing it either; did you tell the Doctor that you had no analgesia? Bloody hell a five hour trip? Frigging helicopter be faster ... Correct, spots in the Kiwiology vocational training program are limited and applications close soon; as I know the guy who runs the program we can probably gloss over the whole two years pre-vocational training requirement and skip you right up to the Advanced Kiwiology modules But I dno, looks like you've got four years of medical education and only a three year vocational training program ... bit nunngered

Poor Consultant ERDoctologist and their drugs shortages I had a Consultant Physician tell me we still primarily prescribe maloxon (metaclopramide) because it is cheap Damn public healthcare and our shoe string budget; next we will be closing surgical wounds with the laces off a pair of House Surgeon's trainers! * * Because a House Surgeon is the lowest form of life on earth (yes, even below bottom feeding suction eel or the hyphae growing on the underside of my bottom crack) they are made to do lots of to-ing and fro-ing at very unsociable hours and often wear sneakers

You're only a pseudo Michiganite anyway you will always be a freakin New Yorker from Lawn Guyland mate Frigging upstate New York volunteer EMTs who cant speakz da English or carry a blood pressure cuff yo "This is little Timmy, he's gone into the tackle sort of slightly abnormally and hyperflexed his neck and heard a crack, I cannot find any neurological signs or symptoms, he had neck pain but does not have any now nor any other abnormalities upon examination, this bloke over here is a Consultant Physician and he said he can feel a step at C4" "Eh Vinny I can't understandz what its saying, its weird tawkin like in tounge or somethingz, get the spider straps, lets tie him down in case he is a witch or something, then can we get some subtitles up in the here right now yo?"

The NR has set a requirement that from 2013 all Paramedic applicants must have graduated from an "accredited" program; but its not the NR that is accrediting the programs; it is CAAHEP/CoAEMSP So I am wondering why the NR wants to be the one to accredit EMT programs vs. the CAAHEP/CoAEMSP who are the education experts? Seems like a funny double standard and a lot of unnecessary duplication and a potential conflict of interest in that the NR obviously wants as many people as possible to cough up their money and take the NREMT tests so isn't that a wee bit like the fox investigating the chickens? Oh and OP, the NR does not "approve" programs (your phrase), that is a function of the state in which the program is taken; the only requirement the NREMT has regarding the program you take is that it be state approved apart from that they don't care; which is why sixteen week Paramedicfighters from the Houston Fire Department can take the Paramedic exam.

Interesting that it is the National Registry doing this i.e. a private company with no licensing power whatsoever as opposed to the CoAEMSP or CAAHEP (which used to be part of the AMA) I wonder if Kaplan are going to start accrediting medical schools because they administer the UMSLE and COMLEX on behalf of the FSMB; the members of which are actual entities with legislative power to grant licenses to practice unlike the NREMT.

Oh dear, what did the Gynae say about that one?

LOL mate I'm not really interested in whatever pseudo dramatic slop is emanating from this bloke but based on what I heard in chat he's shooting out his bottom if he wants to become an ambo; it's not up to me to go spread around what he said y'know confidentiality and all I've paged the Areyoushittingmeology House Officer to come admit because I'm not interested any more

Ondansetron works awesome and am very happy with it; it totally owns metaclopramide which is crap

If what you told me tonight is correct, and if this relates to you specifically, then your becoming an EMT will be impossible I say that based solely on what you told me tonight, I will not openly state what you told me cos I don't know if that's OK with you

Welcome to our new person, watch out for the Kiwi, keep your hands and feet inside the vehicle at all times, no flash photography, batteries not included, limit one per customer, no purchase necessary, not valid on Sunday ... Kiwi defies all logical understanding of the space time continuum, laws of physics as well as known and experimental science and religion. It is best to just not pay attention to it or the funny words it says like: - Bugger - Bloke - Scrote - Ambo - Resus - Adrenaline - Drip - Suxamethonium - Nunngered - Bikkies - Cuppa - Shav - Squiz - Consultant Physician - House Officer / House Surgeon - Registrar

Welcome to our new person, watch out for the Kiwi, keep your hands and feet inside the vehicle at all times, no flash photography, batteries not included, limit one per customer, no purchase necessary, not valid on Sunday ... Kiwi defies all logical understanding of the space time continuum, laws of physics as well as known and experimental science and religion. It is best to just not pay attention to it or the funny words it says like: - Bugger - Bloke - Scrote - Ambo - Resus - Adrenaline - Drip - Suxamethonium - Nunngered - Bikkies - Cuppa - Shav - Squiz - Consultant Physician - House Officer / House Surgeon - Registrar

Any infractions within two years will disqualify you here, not just from the Ambulance Service but from the Paramedic Degree program as well Parking tickets do not count

We call them Paramedics because they are a professional with a broad base of specialist knowledge and can apply it dexterously; I suppose a little bit of following the international nomenclature that "Paramedic" has always meant somebody who perform cannulation and administer IV medicines thrown in for good measure The old term in this part of the world was "Ambulance Officer" (some services' had "Paramedics" or "Intensive Care Officers" above them) which was thought by the majority not to be in the greatest interest of the profession and has been slowly phased out over the last decade. Now Australia has Paramedics and Intensive Care Paramedics (ALS) while in NZ we have the same but have a non-Paramedic level called Emergency Medical Technician for the vollies; the distinction is quite clear (that said, the Technicians have a bloody good scope of practice)

Entonox, its cheap and has been used in this part of the world (and the UK) for nye on three to four decades without major problems We use a single cylinder with a 50/50 mix however the FDA requires you to carry a dual cylinder with a mixer / blenderiser thingomadongle You can also look at methoxyflurane; its long since stopped being used as an anaesthetic but it is what Australian services use for their community first responders to provide at least some analgesia (remember that every ambulance in AU carries some people who can give parenteral analgesia)

I have asked the Surgical House Officer to come review for ? forumectomy

I see that thrombolysis for Paramedic (ie non ALS) is being introduced here too (probably not until 2013) I am not sure if I agree with it to be honest, whats your structure/guideline around that look like?

My new definition for emergency medicine is "hyper acute (as defined by the patient) GP service with the occasional really crook person thrown in" Sad part is it's like 99% accurate Yeah what is with that like one of our Consultant's wears a suit without a jacket in ED like you're not allowed to wear your own scrubs even if the hospital launders them because it breeches infection control but you wear suit pants and shirt with tie out your closet which did not go through the hospital laundry and that's OK? Next thing we'll be going back to the days when the Chuirgeon comes in off the street in his suit and hacks the patients limb off then cauterises the wound in boiling oil ... actually that would make medicine much simpler and very easy to learn. We could probably prescribe some antibiotics and at least make him wash his hands and use sterile instruments and you'd have the best of old, easy medicine and new, less death due to preventable causes medicine! Oh and it would avoid the bad dead people ju ju from Semmelweis and Baron Lister

Fur Suvun Nine hundheld calls Sudnee ... I still don't like my partner, when is my new one coming? Hang on, hey Craig why are you driving off without me? Poo, not again! The question is sort of redundant here really since both Officers alternate driving and attending unless the patient is critically unwell (if the patient is stable it doesn't matter if they've been loaded up on morphine (for example) the lower qualified Officer e.g. Technician can attend to them) and there really is not a whole hell of a lot of difference between our levels; there is some obviously

Australia only have two levels; Paramedic and Intensive Care Paramedic so "Paramedic" is the equivalent to their "basic" level because they do not have a lower level. A Paramedic in Australia will have a very broad scope of autonomous practice that includes things like LMA, IV cannulation and fluid administration, adrenaline, parenteral analgesia, salbutamol +/- ipatropium, midazolam for seizures, ceftriaxone (most states), aspirin, GTN, glucagon/glucose IV/glucose oral and some other variants depending on your state ambulance service; e.g. box jellyfish venom in Queensland There are moves-a foot to standardise the scope of practice but it's slow going In New Zealand Paramedic OPA, NPA, LMA, PEEP, tourniquet, 12 lead ECG interpretation, defibrillation, cardioversion, NaCl 0.9%, aspirin, GTN, salbutamol, ipatropium, glucagon, 10% glucose, ondansetron, loratadine, entonox, methoxyflurane (where used), paracetamol, adrenaline, amiodarone (cardiac arrest), ceftriaxone, morphine, fentanyl, midazolam (seizures), naloxone Intensive Care Paramedic Paramedic + intubation, intraosseous access, cricothyrotomy, chest decompression, pacing, atropine, adenosine, amiodarone (fast AF or VT), ketamine, midazolam (sedation), vecuronium*, RSI (selected Officers only) * All Intensive Care Paramedics can sedate and paralyse an already intubated patient (i.e. dead person) but only selected RSI trained ICPs can anaesthetise and paralyse to intubate, the difference is subtle but important.

Yes, 9 is the number of ampoules of opioid-like drugs my DNR/living will says to give me if I end up in ICU with severe burns in order to overdose me on pain medication so I die and suffer less than I would if I lived. ... what, you think I'm joking? It's a rule to calculate burn area

I think the overall concept is that the material in the book is equivalent to a tenth grade level in terms of complexity of cognition required to understand and apply it; and if true is pretty damn worrying for a profession which makes medical decisions and has access to powerful drugs for administration .... I am not a formally qualified educator but let's get one of those Paramedic books (which we threw out here because they were not in-depth enough (to reach ALS Level in New Zealand and Australia you require 2/3 of Masters Degree)) and something like Guyton and Hall or Rosen or Harrison and compare how the two fare for educational complexity? Most of the concepts at least in Guyton and Hall are things Paramedics should have to understand ... I'm not talking about that, you said each question must have medical evidence supporting it, so if that is true, there must be some literature supporting spinal boards and high flow oxygen because many nations have abandoned at least one or both of these practices (NZ, AU, UK) Not sure if a curriculum which has not been updated in fifteen years (1998) written by firefighters and nurses (oh and one or two physicians where necessary) is a legitimate medical reference

It's also an interesting magazine to read at the doctors office or waiting for your car to get fixed while the mechanics point at you through the glass partition between the workshop and waiting room as they laugh at you

Proper speelingz is teh ecentshil bro! its soda