Arctickat

Hmmmm, I believe it is the pilot that is responsible for the operation of the aircraft. ATC tells you what level to fly at...not how quickly you should get there unless it causes a hazard to other traffic.

The threat of retaliatory violence is high after a gunfight led to two people being killed and 21 others were injured when gunshot rang out at an east-end Toronto block party overnight, police Chief Bill Blair warned Tuesday. Blair made the comments while updating the public on a horrific and brazen attack, which he described as “the most serious crime of its kind” to ever hit the city. “The crime that occurred in Scarborough was unprecedented for the city of Toronto. It is a crime that is shocking to all of our citizens, and it is a crime that demands the relentless pursuit of the individuals responsible for this violence,” Blair told a news conference. Read more: http://toronto.ctvnews.ca/toronto-police-fear-more-violence-after-fatal-shootout-1.881738#ixzz20uIXbSyl

Now thets funny riaght thar.

Ahhhh, capitalisation. The difference between "I helped my Uncle Jack off a horse." and "I helped my uncle jack off a horse."

Dwayne, why'd you change your avatar pic? I liked that one of your wife and son.

We've all been there. You're on that call and someone pops up with a one-liner that is impossible not to laugh at. Here's one at the end of this news article that gave me a giggle. http://www.cbc.ca/news/canada/saskatchewan/story/2012/07/14/sk-motorcycle-crash-120714.html

Now that's just crazy.....heyyyyyyy, wait a minute.

You're such a nutter. Have the aliens been telling you to do things again? I used to have little patience for mental health issues, mainly because I couldn't understand the complexities behind the disease. Over time I learned though, and I've come to understand that a mental health crisis is just as significant as any other medical emergency.

Hmm, isn't there a lymph node in that anatomical area? What you're describing to me actually sounds like it might have been a lymphatic cyst.

I think that over the last few decades attitudes have shifted and peer pressure have slowly become the driving force behind appropriate L/S transport. The suits may try to impose policies and procedures regarding L/S but the street medic will never respect such oversight because the suits aren't in the trenches, and it's "real" down here. 30 years ago we probably transported 4 times as many patients with L/S as we do now. My favorite concept that I stress to my students is that if you're transporting with L/S then you are incompetent in providing patient care. They eventually understand that if their L/S are on, then they do not have the competence or confidence in themselves to take care of the patient's needs. This isn't a slam at them, but that they need to recognise the limitations of their training. If they're transporting a patient that they should be able to treat and stabilise competently given their training and scope, then there shouldn't be any reason for them to use L/S. If the patient requires further treatment beyond what the medic is capable of providing to stabilise the patient, then L/S are warranted. I'm reminded of a call I did about 25 years ago to the UAH in Edmonton. We were transporting a femur fracture for definitive care when my partner pokes his head up front and tells me he's lost the pedal pulse and can't get it back, we still had an hour to go in the trip so I completed the transport with L/S. The ER staff heard our sirens and when the triage nurse found out it was for a femur fracture she yelled across the ER to the rest of the staff, "Femur fracture, Sirens unnecessary!" before letting us give her a complete report. I suppose this was an attempt to embarrass me, which worked quite well. Then it was her turn when my partner gave a report to the receiving nurse and mentioned the lack of a distal pulse.

Hey Doc, got any data to back that up? I'd Google, but I'm too lazy.

Assisted-suicide ruling to be appealed by Ottawa The federal government will appeal last month's ruling by the British Columbia Supreme Court that partially struck down Canada's ban on assisted suicide, Justice Minister Rob Nicholson says. The ruling declared that the Criminal Code section targeting anyone who "aids or abets a person to commit suicide" should not apply to physicians in cases where terminally ill patients request to die http://www.cbc.ca/news/politics/story/2012/07/13/pol-cp-federal-appeal-assisted-suicide.html

CIC doesn't care if you're a new grad or have 20 years experience. It's all the same to them provided you fit the qualifications and jump through the immigration hoops. I didn't bother to discuss the immigration requirements because the OP didn't ask for that info and I suspected he'd already researched that. However, a visitors visa will permit him to attend school as well as work temporarily within certain constraints.

Qualifications and requirements vary province by province. It would depend on where you expect to be working. Most of the provincial organisations will evaluate your current education and determine what, if any, remedial training you might require to fulfill the requirements for certification. Don't be too surprised if you discover that your current training exceeds that for the designation you are approved for in Canada.

Did he get the card back?

This disturbs me; The condition of the patient was obviously such that lights and sirens weren't warranted. If the patient is conscious and the vital signs are normal, there is no need for emergency transport.

No, unless the MOI indicates a potential spinal injury. ie. MVC with ejection and impaled on a fence post.

Yeah, and I don't out up with stupid shit either.

Yeah, this is a great place to get emergency lighting for your ambulance. http://www.code3pse.com/

Yeah, well, I still haven't been to bed yet because as soon as I got home at 0410 I had to start filling 11 SCUBA cylinders for the PADI dive class for today at 0800. At 30 min a tank you can do the math...class was late. Spent all day playing yoyo in 20 feet of water. If I get called there again only to find something that makes me wanna lose my mind it'll be an interesting evening. I'd have bought him some Timmy's if it would smarten him up, but he's leaving soon anyways. It's odd though. It seems that every time I go to this community to pick up a patient, someone pulls such an astoundingly boneheaded move that I wonder why the patient isn't dead already. Ok...I'm off to beddy bye. Don't think I'll need any of your bedtime valiums.

I thought of this thread for some reason last night while I was swearing at a doctor who didn't want us to transport a septic post op pneumonia patient until his BP was 100 systolic. An hour later it was still in the 70s over 40s, and he was in increasing resp distress because his legs were raised. Umm...yeah, he was in shock because he couldn't breath....sigh. I finally went to the doc and told him we were leaving, with the patient for the 1:45 transport to the ICU. anyhoo, back on topic....what would the SPO2 look like? My no sleep tonight common sense tells me that there would be a digital reading, but no waveform or heart rate. What have you guys seen?

Sorry Dwayne, I suppose I was being a bit facetious there. I would, of course, take a complete history of the situation and monitor him closely. Then determine a treatment based on my assessment. I would not, and would never simply dismiss the chief complaint out of hand and would do the best I could to relieve my clients condition appropriately.

Echo? or is it 1 am again?

Naw, I was an immaculate conception. The back doors of the ambulance burst open and I spewed forth.

It gave birth to me.