akroeze

Stage in the area and wait for PD.

We use golf shirts, most of Ontario uses button up "cop" shirts or whatever you want to call them which I don't like. I really don't think I would have much to change on our uniforms other than the horizontal stripe makes a "swishing" sound when it rubs. Other than that it is comfortable, professional, recognizable and different than other emergency services.

I'm partial to our uniforms:

Ok, I was thinking there may have been a benefit when you had only one patient. Those reasons make sense. I guess it's just one of those things that if you've never seen it you don't know that there is a better way? But at the same time you could say where do you draw the line..... we should have an O2 flow meter for ever seat in the back except the one for the attendant because you could potentially transport that many.

Maybe someone else from Ontario can correct me, but I don't think any of the models from Demers or Crestline have more than 2 flowmeters in them. What benefit is there in having two of them on the "action wall" as you call it?

Not once have I seen an ambulance with 3 flowmeters. Always one (Type II) or two (Type I/III)

Why do you feel you need to have O2 with you off duty?

Out of curiosity, how many of you insert a gastric tube when you intubate? Just curious.

Yeah, from what I can tell there is no difference between the two so you might as well get the "higher" cert anyway

Liability maybe?

Understandable mistake

Same here.... just did one yesterday. :?

Let's be fair though Dust, is it not true that by far the largest percentage of EMS providers in the U.S. have a secondary role of fir suppression? So wouldn't it make sense that the majority of the photographs would be of said type? Also, I notice there are a lot of Calgary EMS pics for some reason.

I used to really enjoy JEMS, but now unfortunately I find it just doesn't cater to my level of need for knowledge. It seems to be a magazine for EMT-Bs and volunteers these days.

I bring my monitor/defib, O2 kit and trauma/drug bag on every single call without exception. If it is a residence, we will often not bring any transportation equipment in until we have assessed the situation and determined the best equipment to use since it's literally 20 seconds away. But the bags and monitor go in without exception.

I agree that getting them for transfer purposes is not appropriate. Also because there is no safe way for two people to use two stretchers and you can't leave a patient unattended. What I DO like them for though is those scenes where you have multiple patients. More than once I have had two serious traumas in the back and wished I didn't have to strap one to the bench seat.

I was thinking about that. We have those monitors that sit in the little pouch around a patient's neck so they can be ambulatory on a floor in the hospital right? Why can't we have these in the field? Makes things so much easier so we don't have to keep them tethered to the big monitor, just that little box. It could connect via bluetooth or something to your monitor.

I'm not sure, but I think you may have missed the sarcasm in the first post you quoted.

It seems in the ER that many patients get an IV TKO..... I don't know why they feel the need to run the fluid.

Hey folks, This has probably already been discussed and I'm sorry if it has but I only have a few minutes to post this so don't have time for a search and don't want to forget to do it later. For background I'm in my clinical phase, have not yet started my field placement of my Advanced Care Paramedic program and only have experience in PCP only services which did not do IV starts so I have not actually seen an of this in the field. Now that I have qualified my background, my question. Isn't it much easier to just lock off instead of running a drip unless you need (or have a high degree of need) the fluid? Here is an example: Seizure patient.... doesn't need the fluid, just needs IV benzos. Fire in the IV, lock it off and dump in the benzos followed by a saline flush. Less cost in the form of equipment usage for the company, less stuff to get tangled. Yet I'm under the impression that for the most part you start a drip.... why? (The above is just one example, there are many situations in my mind that this would apply)

I admire your honesty

I have to say that if I ever get the chance to use paddles I hope that it's with the gel not with those moistened pads that way I can rub the paddles together, yell clear holding them up in the air and then slam them down on the patient's chest and make them jump like I we see on TV all the time It's one of my professional goals to get to do that at least once in my career.

In my experience anything past 24 weeks around here that is from the knees up goes to L&D Triage, not ER triage with very few exceptions.

yeah, one has no statistical benefit on patient outcome and neither does the other

I think the point is, why are you carrying a patient in arrest? It is much more logical to work the full ACLS arrest and when all reasonable efforts have been exhausted the patient is pronounced on scene.