Kiwiology

I am a little wary of our Technician level Officers utilising thier scope of practice (LMA, glucagon, ondansetron, paracetamol, salbutamol, ASA, GTN, methoxyflurane) and they have probably triple the education of your American EMT. ... so that considered, do we really 120 hour wonders doing anything "advanced"?

It is the Royal Australian Navy ... and shut up, Lisa McCune is hot!

New Zealand Ambulance Officers can only deliver care from a higher scope of practice while they are in the applicable education program and supervised by an Officer of equal or higher Authority to Practice. For example Technician to Paramedic or Paramedic to Intensive Care Paramedic can perform the delegated interventions in the next step up on the Clinical Pathway only when supervised. So, the short answer is no, and no I do not think it is a good idea for them to be doing it any other way.

If you do that how are you going to address the what, ONE province who uses an Intermediate level of Paramedic? Or do you support only having PCPs and ACPs? We have Technician (analouge to PCP except one or two drugs like ondansetron), Paramedic (half an ACP) and Intensive Care Paramedic (ACP and half a CCP for those who have RSI and thrombolysis).

Somebody had better learn how to administer subcutaneous lignocaine 2% then huh? Disclaimer: Despite our Paramedic level Ambulance Officers having to learn the use of subcataneous lignocaine 2% pre-IV cannulation I have never seen, nor used, nor heard/seen/smelt/thought I saw or had a ketamine induced hallucination in which I saw/though I saw or thought I may have even thought that I saw subcataneous lignocaine 2% pre-IV cannulation be used

Ew you trying to cop some of that sadistic man on man action arent you

its probably ebola .... hope you like soup

Aside from the obvious alcohol/MS incuced respiratory depression and hypoaxemia we should look at the aspirin. Now I know we all know this, but aspirin is an antiplatelet aggregator hmmm I do remember something about extrinsic and intrinsic pathways, fibrin, clotting factor X, calcium, coagulatopathy and so forth from my AnP. Along that line I was thinking some sort of circulatory hypoxaemia (sort of like anaemia) where the oxygen itself was unable to be delivered to the body but I dont think thats it. Lets put this chap on some oxygen, get a bag mask out and where is my Intensive Care Paramedic skilled at rapid sequence intubation?

Can't handle anything with additives ... NS and 10% glucose are fine but 5% dextrose is only for mixing medication Old urine gets to me, it stinks something fierce.

*sits down beside Scotty and opens his cooler of beer and snacks ....

You bastard how dare you be able to afford an iPhone .... bloody Johnnos :D

For a patient to desaturate to the point there they um, die without noticing is horrendously bad ... the ambo was probably on Facebook mobile or something

So the military thinks its OK if I have non consensual sex with my wife?.... Please let me be mistaken

Whats in a title anyay ?

You can probably buy or sell just about anything medical or not however you may not be able to use it. I can rock down to the medical supply store and pick up all the supplies for an IV kit, does it mean I can start sticking drips into peopole? No. Ambulance Officers require a delegated scope of practice because of a lack of independant legal ability to use certian pieces of clinical equipment and adminster prescription medication.

Remember, while your test might still be stuck in the seventies actual praxis is not and has evolved beyond such a primitive approach to medicine, but ssssh do not tell the Houston Fire Department or other such reputable agencies. Not every cardiac patient requires oxygen or cannulation, or amiodarone, cardioverison or adenosine ... treat the patient not the rhythm.

At a chest pain when my Clinical Instructor turned to me and said "so what would you like to do?" :D

Nah but you're a dipshit

*slap on forehead Thats it!! :D

our Ambulance Officers have been leaving people at home for thirty years if they do not need to go to the hospital and it works well

You mean the SAM Belt for pelvic fractures? Ew, I hate pelvic fractures!

From wht I have seen American EMTs render no care whatsoever and are just a set of hands for the physician or RN.