Kiwiology

The summary of all this mate is that this bloke is a volunteer dreamer who got bought back to reality by the professionals and it left a sour taste in his mouth

It is a club for wannnabe vollies or industrial first aiders with no credentialling, certification or licensing power that none of the state run ambulance services nor professional paramedic body in australia have anything to do with. This dreamer would fit in nicely with all the ricky rescue wackers who have medical packs in their car that is brimming with LED lights.

That is the best way of putting it - this dreamers club is for the first aiders who work private and industrial, it has nothing to do with the state run ambulance services and never will.

They are a bunch of first aiders in la-la land who want to be something they are not so call themselves "EMTs" mainly aimed at miners or industrial first aid, so offer some training courses to that end but nothing that any actual Paramedic or jurisdictionally sanctioned organisation would look at or give a crap about. To prove they are a bunch of feel good volunteers lost in some sort of fairy tale you can register as an EMT-B, EMT-I, or EMT-P and their website states they will accept US DOT courses, when even some of the state Ambulance Services in Australia will not accept them, or at best, look at them very suspiciously. Have they forgotten that such levels do not exist in Australia, never have and never will? Perhaps they have been watching too much Rescue 911? Paramedic is not a registered title in AU but ACAP is working on it, that's the Australian College of Ambulance Professionals; an organisation that professionally represents Ambulance Paramedics in AU will have nothing to do with them ... you wonder why? It's a treehouse club for dreamers. At least here in New Zealand from next year "Paramedic" and "Intensive Care Paramedic" will be restricted titles open only to those who are registered with the Health Professionals Act, so it will stop this sort of nonsense.

No true, but, the director of the organisation concerned has openly admitted to me that ACAP (the Australian Council of Ambulance Professionals) will not even give them the time of day nor are they (AREMT) involved in the Paramedic registration process with the AU Federal Govt. Furthermore, none of the State Ambulance Services recognise anything this group does, neither do we, nor do the HPC in the UK. It's a group for a bunch of dreamer first aid vollies. The very fact he admits being a volunteer non-emerg first aider is highly suspect, and none of the Services in Australia except the QAS still have Diploma "Paramedics" you need the Degree now. So that doesn't help this guys case.

This bloke is a dreamer wannabee .... like Bushman said, the AREMT means jack shit and these womble dickheads run around pretending to be something they are not. It's not the first time I have run into them elsewhere. Basically this bloke got his feelings hurt because the real ambos called him a dreamer Tough luck, the truth hurts Oh, I have some knowledge of the SAAS and at least St John here requires better qualifications than them.

So exactly where did you get this "Advanced Diploma"? Sounds to me like you are some volly dreamer

The enemy is Gary Ludwig, the IAFC EMS Section and IAFF EMS Oh and the New World Order, they're pretty evil bastards too

Not to side track but when is the IHCD Paramedic award set to die in the UK? Our equivalent, the "old" National Diploma (Paramedic) expires next year here.

I am not celebrating - why you ask? Because logic tells me we cannot be expected to believe that in an election year and when black bastard is seemingly unpopular suddenly Osama gets killed but his body is dumped at sea and no photos are released because it might be a bit too gruesome yet it is acceptable for one to see JFK's head get blown apart in the Zapruder film and in the decade since 9/11 no other terrorist activity has taken place because the stupid fuckers at the TSA who failed to find something like 90% of all planted test explosives have somehow prevented another one? Kiwi smells something awful foul here Oh no never mind, we CAN be expected to believe it because most of the population are too ferking stupid to believe anything else than what the TV tells them.

Extricate old bloke on scoop, put in ambulance, if he is in that much pain give him some entonox Take patient to hospital

I dno you Canadians speak funny eh but Kiwi says ... CANADA IS AWESOME My Canadian neighbours gave me a whole kilogram of peanut butter, freaking totally awesome right here! (For the purposes of Kiwi rating Canada as being "awesome" neither Quebec nor the GTA are classed as being actual parts of Canada)

We also have the diving contraindication here. Methoxyflurane was introduced a couple years back here, it has been used in AU for years. There is rumour that this is going to replace entonox because of it is cheaper and more portable.

See this is why we have the Patient Transfer Service, a bunch of people with five days training driving people to the hospital who are not crook enough to need a Paramedic or IC. You guys should try it.

I could not even fathom being an Ambulance Officer without the union

There is nothing wrong with Provincial directives, Nova Scotia has them as do Albertobia now. We will have them here too very shortly. There is something wrong if you go backwards instead of forwards with them however. I am still quite surprised that given the comparable education you have in Canada that your practice is still quite restrictive. Then there is Quezbeckistan, nobody knows what in the bloody hell they are doing

We used to have Ambulance Officers, Intermediate Care Officers and Paramedics Now we changed it to Paramedic and Intensive Care Paramedic, the old AOs have to move up to Paramedic if they are paid and the vollies are now called Technicians. There was deliberate so there is a difference, one has a technical skillset and the others are actual medical providers. I think it works well for the public, is less confusing and provides more unity amongst providers Now if only Ontario would abandon that silly "symptom relief" package from 1995, get with the times and upskill their PCPs to a similar scope of practice to what Albertobia has

We found it easier to change names to Paramedic and Intensive Care Paramedic, just sayin' Methoxyflurane is carried as an analgesic but we also have morphine and ketamine

Not really, have to remember that adrenaline is given in cardiac arrest as an adjunct to defibrillation. The only two things that have ever been proven to work in cardiac arrest are a combination of CPR and defibrillation. Drugs might alter the environment a little bit to make defibrillation more effective only. Now, it was 1992 and Kiwi recalls that it was told in Mobile Intensive Care Officer training that drugs have never been proven effective in cardiac arrest, I think somehow the point was missed ..... Good to see you back mate, I was worried that perhaps the NWO had gotten you

I wonder if Scotty has a cat named Tango (inside Kiwi ambo joke, albeit a lame one) Scotty is a good bloke, taught me a thing or two back in the day when I was wet behind the ears and fumbled with the oxygen and going "hmmmm is this a bifasicular block or not ... oops no thats sinus rhythm my bad" and for him to say that you mean that much to him is saying something. He is really a shallow souless prick I one day hope to have enough experience and clout to turn into a doubting old bastard like you Rob Kiwi Current Paraalmost Future Intensive Care Paramedic and/or HEMS Flight Nurse

Hmm, lets see .... EMT (Alberta) - OPA, NPA, LMA - 3 lead ECG interpretation - 12 lead ECG acquisition - Defibrillation - Aspirin - Glucose - Salbutamol - Entonox - Glucagon - Adrenaline - GTN - IV glucose vs Paramedic (AU/NZ) - OPA, NPA, LMA - 12 lead ECG interpretation - Defibrillation - Cardioversion (NZ) - Aspirin - Glucose - Salbutamol - Entonox - Methoxyflurane (NZ) - Glucagon - Adrenaline - GTN - IV glucose - Paracetamol - Naloxone - Midazolam (AU) - Ceftriaxone ... hmm sounds almost like a "Paramedic" to Kiwi

I don't really trust these "Paramedics make outcomes worse by intubating" studies. If you are a shitty rig pig whose skills rot away, or worse yet some Firemedic who has gone septic sitting on one of those "non transporting ALS first response engines" and intubate one person a year maybe. RSI is something I am a huge proponent of and it has proven itself very useful, and that it can be done properly. We have had RSI here in Metro Auckland for about 5 years and in the last year or so have piloted it in another area with long transport times and predominantly rural features. It has proven to work excellently with consistent success rate for intubation since 2006 of damn close to 100% Initially it is available only to selected Intensive Care Paramedics because it is early days expanding the program outside Metro Auckland which has a high call volume and good utilisation rate. We are careful to avoid giving it to everybody and getting into trouble with skill burnout. In time it is expected to be rolled out to all Intensive Care Paramedics but we must not let the cart come before the horse. It takes a minimally skilled technician to shove a laryngascope into somebodies gob and identify vocal cords but a true clinician to be capable of deciding to knock somebody out and paralyse them in order to intubate upside down in a ditch or on thier living room floor

Clinical error is unavoidable, regardless of whether you are a Paramedic or a Consultant Physician, to say Ambulance Officers are unable to make rationalised clinical judgement about who should be transported and who should not because "they're not doctors!" is invalid. As for our guideline for non transport: Clinical Procedures: Ambulance Operations Manual: We had a long discussion with our Clinical Management Group about five years ago and it was said then it is not practical or necessary to transport every patient who calls for an ambulance to hospital.

Canada is awesome, my Canadian neighbours gave me a whole kilogram of peanut butter ... total awesomeness eh! Is Alberta looking at moving away from the EMT/EMTP nomenclature at all?

Our Ambulance Officers have been pro actively leaving people at home for nearly four decades and sometimes they die. It is unreasonable and impractical to simply "transport everybody" and not rely the professional judgement of the Ambulance crew to determine whether transport is warranted or not. I am not sure I understand how that is somehow criminal!