Arctickat

Hmm, I don't see RNCity here anywhere. Please turn in your EMTCity membership card on your way out.

Thanks Happy. Given that ambiguous response, I see no reason you can't secure the patient to the cot. It's up to the policy of the airline if they prefer the patient to be restrained to the aircraft or to the cot. Regardless, the only regulation I can locate is the requirement for a quick release mechanism.

Welcome to the forums, feel free to comment on any topic that interests you, or start one of your own.

Seems like a half assed measure to me. Ban it whilst driving all the time.

That's one reason for the quick release. Whomever responded to you from TC needs some remedial education, the stretcher mounts are permanent fixtures, the stretcher itself, is not. Besides, regardless the purpose for the restraint, provided it has a quick release, it can be attached to any fixed part of the structure of the aircraft. Just as a seat belt would be. I hope you get a good answer from TC, in my experience, they're more concerned with CYA than anything else.

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I agree Mike, but if that's the only reason, why can't the same philosophy be applied to Ground EMS? I've been working for years to develop a Regional Critical Care Ground Transport Team with the same scope as the flight medics, same oversight, same everything. It makes no sense to me that a flight medic working on a ground unit can not use his flight scope.

Another thing that frosts my coconut is that Flight medics and ground medics are both the same level of training, yet the flight medics have a greater scope of practice. These flight medics have the patient for a shorter duration, the ground medics often transport patients that are just as critical for longer transport times. Why can't they have the same scope as their aviating counterparts with identical training and education?

Who told you this? If it was someone at TC I would suggest getting a second opinion. http://www.tc.gc.ca/eng/civilaviation/publications/tp10839-section11-231.htm http://www.tc.gc.ca/CivilAviation/certification/guidance/551/acsi32.htm Therefore, if your Number 9 cot can be removed from your aircraft, it is not a fixed part of the craft, the mounting brackets are. The only requirement that I can see regarding a patient restraint is that it must have a quick release mechanism, like a belt buckle, or, in our case, a velcro strap. There is no reason that the patient can't be restrained to the cot. However, you're asking the wrong people in this forum, Transport Canada would be the proper authority here. Also, the pilot would be the one responsible for ensuring the CARS are followed.

Hmmm, okay...The HEMS base is 106nm away from my hospital, The helo flies at an airspeed of 120kts and anyone involved in flight knows that a headwind slows you down more than a tailwind speeds you up, but, for the sake of this, we'll say there is no wind...at all. 212nm round trip, 1hr, 45 min flight time. Patient care and preparation for flight, 45 minutes, (minimum) Overall transport time, 2.5 hours if the patient is lucky. Ground transport...2 hours. Can someone tell me how this is an improvement? Let's add this to the mix....The helo currently, and for the next several months...even years,...has to land at the airport rather than a landing pad at the tertiary facility. This adds another 15 minutes to the trip for ground transport from the airport to the hospital.

He's being petty, probably because he sees you as a new pup on his alpha dog territory. Personally, I don't use "deny" in favour of "no indication of" or "does not complain of" He is your Training Officer, it's his job to show you how to conform to the company line. Next time he tells you there are spelling errors, ask him, in front of everyone there if you would be kind enough to show him the errors and provide the correct spelling. My philosophy is that I will do as I'm told whilst being evaluated...then do it the right way once no one is looking over my shoulder. With my company, spelling errors are not an issue at all, they happen and will continue to happen and are only pointed out if they are exceptionally confusing. Appropriate and proper documentation is the priority. To promote this everyone starts out with a set Christmas bonus amount, then, every time they make an error on their call report they have a dollar value deducted from the bonus amount. In this way they are given a subjective performance indicator based on their desire to improve...not my desire for them to improve. For example, one starts the year with a $1000.00 bonus, but makes 30 errors which are deducted at a rate of $10.00 per error. Christmas bonus is now $700.00.

I'd sell you my 3 unit service for a million and a half but my wife wouldn't let me.</p>

We have something that sounds similar called pentaspan. It's a starch based volume expander but has no oxygen carrying capacity. What I'd like to see is something like Hemopure. I believe it's based on bovine blood but can carry oxygen and isn't type specific.

How about a lighted sign in the back of the ambulance that scrolls the current charges across the screen, kinda like a taxi meter. Put a UPC code scanner by the patient's head and every time you use an item it'll increase the total on the screen. If you charge a mileage rate, have it add up every mile. Then, as the patient is rolled out at the hospital he can look at the screen on the way out to see the final tally. Set it up right and you can even have him swipe his credit card on the way out. [/smartass comment]

Thanks CSCboulder, I saw the Rep given, but didn't see the received button on the Right. My count is still off though, I only come up with 29 points, not 41...ah well.

Hi guys, I've been noticing when I log on in the morning that my reputation count has increased since I was last online. When this happens I go through the posts I made to see what I said that warranted approval. Problem is, I can't find anything and my profile only contains my 5 most recent posts. Any ideas how I can review these posts or go farther back in my post history without going through each thread one by one?

Which is why I wonder why he even bothered to complete the post and start this thread in the first place. It wasn't edited after the fact to let us know he got his answer which means he posted this thread after he'd already gotten his answer in the first place. Just like it shows below.

You mean immediately after the call? While the patient is laying in the ED? My thinking is that it's a bit different when the patient is being treated by the trauma team for multiple injuries as compared to going to see my doctor for something relatively minor. Our patients get the bill in the mail a week or so later.

And single.

We've got a minimum age requirement of 18 as well as an maximum consecutive absence allowance. Miss 3 times in a row and you're off the team.

Yeah, I sensed something was a little off with her within a few posts into our conversation, not to mention the almost instantaneous friend request. I just backed away and stayed there. I hope you get some psychological help before you actually try to start a career in this line of work, otherwise you'll just end up giving EMS a bad name.

Sounds like it's just gonna be a promo for Fire Based EMS.

Good, 'cause i dunno that I can afford it...but I would have anyways.

As much as I respect you, I feel for you, and sympathise with your situation, and as thrilled as I am that she's doing much better today, I really need to ask, why the fuck are you pissing around waiting for the hospital to give you a sleep apnea monitor??!! You can buy the damned things on eBay for less than $400.00 and a good hospital quality used one for $1,100.00 if I was told something like "We don't hand those things out anymore", after my daughters multiple apneic episode, then the first thing I'd be doing is looking for one I could buy. Even if it's just some cheap piece of crap that does a half assed job, it's still better than nothing at all. Christ, if money is an issue, I'll buy you one myself.

Looks like kiwi is gonna have to hang up his hat. http://tvnz.co.nz/national-news/support-regulation-cowboy-paramedics-4892992