akroeze

In the future if you are not going to back up statements you make in a thread, please refrain from making them in the first place. Thanks.

There is a job market in Ontario? I'm an Ontario trained PCP with 1500hrs of experience on the road plus in school upgrading to be an ACP and I haven't gotten a call for an interview yet.

Are Buretrols really that useful? In my (admittedly limited) experience a small (50-100cc) bag with a microdrip set is just as good.

Generally running it in a 100cc bag near to wide open gives you the 10 minutes (give or take a minute)

All very reasonable, thanks for explaining!

I'm trying to picture this... how large is this base? I'm just trying to figure out why there would be a need for 3 separate aid posts instead of consolidating them into one clinic.

Not sure if it's who you are referring to but Simcoe (Barrie) does this.

They are actively hiring in Calgary last I heard. Cost of living is very very high though is my understanding. I'll let those more in the know about Alberta inform you about qualifications.

Understandable that you can only work with what you have Also wondering, are you by yourself? Do you work with other health care professionals? Do you have easy access to an MD for a consult?

Wow, did you even read the thread? This person was looking for scenarios to give to first responders for practise. And why shouldn't first responders teach other first responders? Also, -50 for bringing up a dead thread and not contributing.

Just wondering, wouldn't that wood be an infection control nightmare?

Did anyone else watch the show "In a Heartbeat" by Disney? http://en.wikipedia.org/wiki/In_A_Heartbeat

Do you not have radio contact with your physician? I used to work rural EMS as well and we had radio contact and failing that SAT phone.

And really those protocols are guidelines. If you want to be more aggressive, just give your doc a ring to do it.

Anthony: What about an MI patient who is very nauseated. Do you really want their heart to go through the stress of upchucking? Gravol (Dimenhydrinate) is the gold standard here.

Yeah, I read the manuals when I'm bored too, lol. On the plus side, I found out we could test our particular siren without creating any noise! It created a sound out of our hearing range and would display lights to tell if it worked right. Nobody knew that until I read the manual

They DO make morphine syrup, but I've never heard of drinking out of the amps. I have nebulised it before though.

Here are some snippets from the scenario I presented: As you eneter the room you see the patient supine in bed, she seems to be breathing slightly fast and on a scale of looking not sick to sick she would rate a sick. You quickly assess her responsivenes and get a GCS of 13 (3-4-6). Airway is patent and there is no JVD or edema. While you take a pulse and SpO2 reading your partner gets a BP and resps. HR: 40 weak/regular BP: 98/68 SpO2 RA: 88% R: 24 T: 38.1C tympanic A/E clear = bilat The nurse hands you a history sheet which states increased cholesterol, NIDDM, Heart bypass in 2000, dementia. You throw the limb leads on her and get a sinus brad, no ectopy noted. Same on the 12-lead. You grab your glucometer and find it to be 26.1(469.8 ). There is no known history of trauma and she is in a private room, no room mate. NKA Nitro prn Lipitor Glyburide Metformin Allopurinol The patient has received all of her meds. The patient has very severe dementia and unfortunately can't tell you much about her symptoms. You put the NRB on the patient and transfer her to your stretcher. As soon as she hits your mattress you hear the QRS beeps on your monitor jump in rate. You turn to look at it and find the following rhythm: (This is the actual strip from the call) The patient still has a pulse, you look at her and she doesn't appear to have changed physically. She is still looking at you. HR: 128 SpO2 is now 98% on NRB BP unchanged It's a bit everywhere, but that's all the info I have.

I once heard of an EMT who had an unbelievable 120hrs of schooling who stabbed them self with an epi-pen through their thumb. I've also heard of an Emergentologist doing it. "Educated" indeed... Aren't generalizations fun?

Did you know that working in EMS has health hazards? I feel we should send EMS on standby to all EMS calls in case one of the EMS workers get hurt.

To me it's no different than pulling out a calculator to do a drug dosing for something like dopamine.

I posted this 12-lead a while back in a scenario and asked for input on the interpretation but there was surprisingly little discussion. I'm wondering what people feel this is:

That's why I like Ontario's system. Except for neonatal transfers, all our choppers and planes are staffed by Paramedics. Therefore it is easy to tell who is the "highest" level of care. Primary Care Paramedic crew and Advanced Care Paramedic flight? They are Advanced Care Paramedic crew and Advanced Care Paramedic flight? First on scene except when it comes to flight safety stuff Advanced Care Paramedic crew and Critical Care Paramedic flight? They are

Never hurts to look. I mean, you see docs looking stuff up all the time.

And the award for broad generalizations goes to....