Arctickat
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Everything posted by Arctickat
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Unfortunately, there are a couple of flaws here. First, some jurisdictions, like mine, do not have PAs. A simple change in the law could enable that, but the College of Physicians and Surgeons have to make the amendment, not the government. Secondly, we have paramedics filling vacant NP positions in the clinical setting. Where are we going to get NPs to work the EMS field when they can't even staff their own? The Saskatchewan model dictates that an individual should be no more than 30 minutes from a ground ambulance base, thus multiple EMS services in a 30 mile radius from one another would be too many. Rather than have a multitude of volunteer services, only one is provided with government funding. A program which started over 40 years ago and has worked quite well to regulate the quality of practitioner, EMS services, and eliminate competition. Since half the population of the province lives in a rural setting in communities under 5000 people, this seems to be a pretty good model for providing EMS services, considering the longevity. The fact that we are already working in the clinical setting shows a strong progression towards a Clinical Care paramedic or Paramedic Practitioner. The classic paramedic of the past has to adapt and evolve to the needs of today's health care. There is no reason a Paramedic couldn't be doing primary home care rather than a poorly trained aide who can hardly recognise a medical emergency. With patents being sent home from hospitals to recuperate there it's not a far stretch for the medics to make daily rounds within their zones to change dressings, conduct followup care, or do simple welfare checks. It's just not glamorous enough for those in EMS because they can't use their lights and sirens. A progressive EMS manager will make changes like these, the rest will be lost to attrition.
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I just returned from a vacation to BC. During my travels I saw one sign with the slogan, "Save Our Paramedics". When I got home last night I flipped on the BC - Hamilton CFL game. Imagine how stunned I was to see a BCAS unit in the background serving standby at the game. In my experience this is a volunteer posting and also that the CFL can not conduct a game without EMS standby. If the medics of BCAS want to be noticed, perhaps not showing up to a game would put a national spotlight on their situation. Not to mention probably piss of a few thousand fans.
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T-minus 9 days for Alberta "take over"
Arctickat replied to a_shane2_go's topic in General EMS Discussion
One of my medics was just e-mailed from Red Deer. They are looking for 50 paramedics. -
Truly unfortunate, Prayers to the family and to the EMS crew. There are gonna be many questions for this investigation, such as Was there an audible reverse warning device? Was there a rear view camera on the ambulance? How fast was the ambulance backing up? How quickly did the woman move behind the ambulance? Who was guiding the ambulance as it was backing up?
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Forgive my ignorance please. Is Benadryl a commonly used anti-emetic? I had no idea an anti-histimine would function as such. How much would you give in this case, taking into account the additive effects Benadryl has on alcohol and benzodiazapines?
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Transported a Patient with potential swine flu. Now what?
Arctickat replied to ghurty's topic in General EMS Discussion
Shrug, in a few short years we'll have something new to worry about because influenza will be gone. "...Because these antibodies kill a range of influenza A viruses — 10 of 16 influenza A subtypes ..." "...The authors believe corresponding antibodies can be found to neutralize the six other known influenza A virus subtypes and the influenza B viruses." http://www.cbc.ca/health/story/2009/02/23/...antibodies.html -
Transported a Patient with potential swine flu. Now what?
Arctickat replied to ghurty's topic in General EMS Discussion
Perhaps the attached file will be of benefit. Regardless, don't panic. even the CDC admits the reaction to the H1N1virus outbreak was over the top. If you did get it and don't have any other complications you'll likely be fine. Simple use of coughing etiquette and washing will significantly limit transmission. -
Fault in control circuit for primary emergency lights
Arctickat replied to JPINFV's topic in Equiqment and Apparatus
Yup. replace the circuit breaker first, then go for the relay. If it continues check with an automotive wiring technician who would be able to determine what amp load the wiring can take without burning up, then increase the circuit breaker amperage. Silly question....isn't this vehicle still under warranty? -
Mobile phone chip that diagnoses disease at your bedside
Arctickat replied to Arctickat's topic in Equiqment and Apparatus
The ones I'm using give qualitative results rather than quantitative. It looks similar to a home pregnancy test. Two lines means elevated cTnI, one line means not. The cutoff values range from 1.0 to 1.5 mcg/ml. Even works on capillary blood samples. We've used about 100 over the past couple of years and they have never been wrong yet. The docs love knowing if trops are elevated now even before the patient is in the ED. -
Mobile phone chip that diagnoses disease at your bedside
Arctickat replied to Arctickat's topic in Equiqment and Apparatus
We already have this available to us though. Have you checked the TnT Diagnostics website? -
And here I am learning to fly the slow way....sigh
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Mobile phone chip that diagnoses disease at your bedside
Arctickat replied to Arctickat's topic in Equiqment and Apparatus
Well, at least I can still use my IVDDs for a few years. -
The information provided does indicate that the woman was treated and released from the hospital. It's located at the end of the video news report.
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Here's a longer video, unedited by the TV station.
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Looking out my ambulance window--Video
Arctickat replied to NYC-EMS's topic in General EMS Discussion
I can't view it, says it's a private video. -
How many EMS services require annual physical checks-ups for their staff? All of Saskatchewan does.
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In the province of Saskatchewan the priority is given to Fire Apparatus, Ambulances, then police. Out here, that cop would have been in the wrong. Question is, were they both running L/S? If the EMS unit was not, which for a simple case of heat exhaustion it shouldn't have been, then yes, the medic should have yielded to the cruiser running L/S. Perhaps the cop just didn't realize why the ambulance didn't yield and went off the deep end. Shrug.
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The Ultimate Wacker Kit (no Joke) 5k Spent On It
Arctickat replied to mmeronk's topic in General EMS Discussion
Sorry in advance if this is already posted, I just couldn't go through 19 pages. The whacker has expanded his kit to include an AED, O2, and Laryngoscope and more. http://zombiehunters.org/forum/viewtopic.p...=43&t=44640 What really worries me is the number of whackers on that site with "EMT-B" in their tag lines. -
You mean like this 29 year old? http://www.emsresponder.com/web/online/In-...uty/2$8263 or this 34 year old? http://cms.firehouse.com/web/online/News/N...l/46$25629 46 must be too old. http://www.emsresponder.com/web/online/Top...all/1$8974 How about 42? http://www.emsresponder.com/web/online/In-...ing/2$8486 39? http://www.emsresponder.com/web/online/In-...ift/2$8424 23? http://www.emsresponder.com/web/online/In-...ft-/2$8547 37? http://www.emtcity.com/lofiversion/index.php/t12555.html 25? http://www.paramedicweb.info/ipb/index.php...amp;mode=linear May they all rest in peace.
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I didn't say she was incapable of the task, just not all that great at it. Besides, electric cots are a wonderful thing.
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One of my crew turns 65 this year and still has the best driving record on staff. One of my part time EMTs will be 68. She may not be all that great at lifting a 300 pound drunken drug overdose out of the house, but she's quite capable of transferring granny with the broken hip. Yes, we can pick and choose which calls are assigned to which crew.