Kiwiology

Sure, if we are talking about bad girls dreams

I say it is IM Here in Kiwi, we prefer IV adrenaline giving as an infusion; 1mg of adrenaline in 1 litre of NS 2gtt/s titrated

In New Zealand ... - Bachelors Degree for Paramedic and Graduate Degree for Intensive Care Paramedic are almost mandatory - Paramedic and Intensive Care are being made registered health care practitioners - We have no medical control, for anything, ever - We have no "protocols" designed for barely trained, non educated skill monkeys - We threw out spine boards and head blocks years ago - We can leave people at home and do alternate referrals

This kid sounds crook like status 1 (critical problem) crook Salbutamol, put a drip in and mix up some adrenaline RSI drugs (fentanyl, ketamine, suxamethonium) wouldnt be a bad idea

Sure do, we have the Bill of Rights Act 1990 In Maori culture they have a Tribal Chief who will often come round after somebody has died at home and remove the bad spirits called Tapu (tup-ew) say if Nana dies it is quite common in their culture. If somebody gets PFO (pissed and falls over) at home well then we will leave him there unless we have strong suspicion he needs to be seen at the hospital. If he does not meet our criteria for competency (being pissed would exclude him) we call the cops to give us a hand getting him to go, or have the cops take him.

If some bloke is PFO (pissed and fell over) it's one of three choices - Take home - Leave with the Police - Take to hospital If there is somebody at home who is responsible enough for the Ambulance Officers to leave the patient with, off home we go. If not, then it'd be ace if the Police take him back for detox ... trouble is the Police do not want him just as much as we don't want him. Should this situation occur then he is left in the hallway on a trolley for a couple hours until he sobers up. Now, should this guy take a swing at us, vomit all over us, cop me a gob full of abuse or his scrote mates are giving us agro well then he is being left with the Police no two ways about it.

About bloody time, this is already happening in Deleware We have ceftriaxone but no lactate measuring as of yet

Oh no squint has been awoken from slumber and is having a good whine about the ACOP ... we are never going to hear the bloody end of it .. and my new neighbours gave me a whole kilo of peanut butter, Canada = awesome

We have a V neck jersey (the same as the cops except Ambulance is green not blue) and a vest with detatchable arms I do not see a problem with a polar-fleece type pull over

Our systems are totally different, here to become a Paramedic you require a Bachelors Degree and Intensive Care Paramedic (our top level) requires a Post-Graduate qualification ontop of the Degree. Having put that disclaimer in I feel education has changed for the worse. Everybody wants something for nothing and no effort or zero synthesis of ATP as the maximum required exertion is commonplace.

Would you rather we went back to the seventies when ambos wore shorts with knee length socks and had big handlebar 'satches? Now that's a service right there!

You mean like one which requires a Bachelors Degree for Paramedics, has lots of those helpful Clinical Standards Officers, pays more than minimum wage and has no "protocols"? Wow does such a place even exist??? Hang on ... I see, yes, yes, ok, oops gotta nick off some bloke has just rung up for ketamine, Tango 3 Auckland responding /taking the piss

Dallas Fire Rescue uses, ironically, the University of Texas Southwestern Health Sciences Centre at Dallas Houston Fire uses some shady outfit attached to Texas A&M University

Dallas Fire Rescue proudly boasts 24 week trained firemedic idiots who do not carry analgesics and if my memory is correct they hold exclusive 911 rights. Hey, at least they are better than Houston with its 12 week Paramedics Everything is bigger in Texas, except Paramedic education ... 625 literal clock hours is acceptable.

You are not alone mate, when we moved from vocational qualifications for Ambulance Officers to a mandatory Bachelors Degree you would not believe how horribly some of the students got treated. Good job on your grade. Oh BTW adrenaline for anaphylaxis - 1mg in 1,000ml NaCl 2gtts/s tirated to patient condition ie 1:1:2 ... easy as pie and hard to forget

I have not tried it, but I have used Dubin's Rapid Interpretation of ECGs and 12 Lead ECG Confidence by Green & Chairimada

A confident, dexterious Ambulance Officer requires a solid grounding of praxis to solidify theoretical concepts, it sounds like you have neither nor the opportunity to obtain the former. I suggest more experience. Correct spelling and grandma, woops, grammar would go a long way too mate. The primary survey always comes first, consider immobilising the cervical spine if exclusion criteria are not met but always perform the primary survey first. It is inappropriate to immobilise the cervical spine or perform a secondary survey if the primary survey is incomplete or has major abnormality.

The old name badges we had back in the day were inscribed with our first and last name however people covered up last names with stickers or bits of tape or laundry marker. The Ambulance Service figured they looked unprofessional so the new tags have the option of only having first name

Patients cringe whenever Kiwi comes to treat them too ... hmm, perhaps it is somehow related?

All Ambulance Officers here regardless of practice level can leave people at home, do alternate referrals etc but our Extended Care Paramedic you are able to write simple antibiotics and one or two other things sort of like Emergency Care Practitioner in the UK except we didn't make a mess of it.

See if Uni has a class on academic writing skills or such like ... I know essays are a bastard mate but they are bloody fantastic at opening one's mind and solidifying concepts as well as the ability to write a logical thingamadongledoohockey. I think I am still on your Facebook, send me a draft and I will have a nosey if not PM me

Read the following Albert's Molecular Biology of the Cell Lippincott's Illustrated Biochemistry Lippincott's Illustrated Microbiology Porth's Essentials of Pathophysiology Robbinson's Pathologic Basis of Disease Pharmacotherapy - A Pathophysiological Approach

You mean being a ruthless, cold hearted self serving bastard wont get you to the top either? Bugger

We carry ceftriaxone for sepsis and meningococcial septicaemia

The Ministry of Health classify you as either Maori, Pacific Ialander or "Other" - so thats whats on our PRF