BEorP

Thanks for the info. I've got a list of the universities that are participating in the ROC studies. I'm going through their websites to investigate graduate opportunities which I guess is what my question is more about now since it looks like I have a good list of some of the top universities for this.

I did a search here and didn't find any threads on this. I also searched google and found some info, but I am hoping that the knowledgable members we have here will be able to give me a bit more info on what grad opportunities there are in doing resuscitation research. I've got a list of different universities that are partaking in the ROC studies, but I am struggling to actually find any info on graduate opportunities in this type of research. I have gone to their websites and looked at the research of the faculty but can't seem to find any that are actually doing the research. Any help is greatly appreciated. [sub:42f51e0feb]EDIT: Renamed thread. Changed request for grad programs rather than just info on research.[/sub:42f51e0feb]

If that is the case then your system needs to get more ALS and by always being on standby for them I don't think you're encouraging them to make any changes. I hope you get paid well for calls to need to take on your days off. Oh, and thank you for saving everyone.

Opps... I guess I didn't mean "secured" but just "managed" but thanks for the explaination.

From the other thread I now gather that there were issues (i.e. vomiting) that created the need for advanced airway management in this case. But in general, I was under the impression that in the ACLS secondary "A" could be secured by BLS measures as long as they are sufficient. I'm not an ALS provider so I am not up on these things as much as most of you so please enlighten me.

Was there a problem controlling the airway with BLS? If not, then why did you not just control the airway with BLS while you let the EMT-P obtain IV access? Maybe the answer is because you can, but would the pt outcome have been any different if you took the airway and let the EMT-P perform ALS?

Wow. It's good the computer and iPod are ok! oh... and that you're still safe

78% of the time is good enough... right guys?

I usually do CPR on dead people... unless of course they are dead dead... but that's just me.

Haven't you ever watched Saved? That will answer all of your questions.

Please do not contradict your fellow pre-med student. You guys will probably go to school together Maybe ukcanuck should consider Ontario. Always a pain to transfer your certficiations, but the pay will be much higher for an Advanced Care Paramedic (I think Toronto is almost at $40 an hour now) than in the US generally. Seeing as you have "canuck" in your name and didn't ask about Canada maybe you just don't like us which I can accept also.

Why try to empty the lungs when there will not be very much (if any) water aspirated and any that is will be absorbed into central circulation?

Do you understand that BLS will work it? It's not that they will do nothing, but they will not transport. If you really consider yourself a premed student you will need to get used to letting go when there is still a slight bit of hope, that's how it works. From what I have been taught, most physicians would consider something with less than a 1% chance of survival to be futile. Ummm what?

Cancelling ALS I can't say I would agree with if they are close, but that 0.5% chance of survival was (from my understanding at least) when the pts were transported to the nearest ED where they presumably received ACLS. It is not a fair comparison to make between someone with less than a 0.5% chance of surviving compared to a hypothermic pt who most likely has a greater chance. Not everyone can be saved. Should ALS work the traumatic VSA pt who was dead when the crew arrived with three rounds of drugs before pronouncing just because there might possibly be some slight minute little chance of the person ROSCing?

I doubt that this would be used for anything other than a standard medical cardiac arrest, but either way you'll need to patch for the pronouncement...

The 0.5% chance of survival is worth the risk and resources?

Surprisingly I wasn't able to find a thread on this already... maybe I missed it. The news release can be found here: http://www.sunnybrook.ca/news?id=403 I have bolded some parts that I feel are important. Thoughts? Do you want an EMT-B pronouncing your family member? What about a Primary Care Paramedic? And EMT-Bs, do you want that responsibility? What about PCPs, would you rather have an ACP or doctor tell them their family member is dead? [sub:c2cdc4a374]Edit: I know this may more appropriately be a BLS topic, but I'd like the thoughts of ALS providers and anyone so hopefully it is alright to leave it in the general EMS discussion[/sub:c2cdc4a374]

In my preceptorship in Toronto we have actually done this once with the response car (SUV, I don't know if she would do it in the ambulance or not) and also had it done for us by a cop once (both times without any problems). My preceptor explained to me about how to do it safely so when you are in the intersection you are not physically blocking anyone from going through but you hopefully keep them stopped so the responding vehicle can get through. Obviously if you do it and hang out in the middle of the intersection you're stupid or if you go into the intersection before traffic stops you're stupid. The concern about someone making a dash is a valid one but really something that is always a risk at intersections and will be more of an issue for the other crew than you. You will hopefully be off to the side so people could go through the intersection if they wanted to, but they won't because you intimidate them. Anyone going through an intersection needs to be worried about some idiot making a dash or panicking, but as long as the person in the other responding vehicle still takes the time to look at the intersection and doesn't get a false sense of security I don't see why it would be a problem. But that is just one student's opinion.

I guess I will never understand lol. I'm not trying to be an ass or anything, but right now my preceptor is working on a response car in Toronto (from what I can tell it is basically a "chase car" except that often we go before an ambulance, but we also do back up BLS). She is one ACP and we have done arrests with her as the only advanced provider and have had no real issues. In one case it meant not getting a tube until the pt ROSCed but with the new standards and BLS airway management working fine this shouldn't be an issue. Would things be easier with another ACP on scene to help her? Yes. But is it required? Well I don't know. I'm just a student so I haven't seen everything there is to see obviously. Is there a call where it would be essential to have two advanced providers on? Basically my point about why have two EMT-Ps on the chase car is that (theoretically) you could double your number of chase cars and decrease response times if you would just have individual EMT-Ps on them since one EMT-P could manage the vast majority of calls they are required for.

Ok, but why does it take an EMT-P (rather than EMT- to drive a chase car back to the hospital?

Let us know when you figure it out :wink:

I'm just curious to know how many people have at some point in their careers thought that maybe they should have (or should) become a doctor. I'm betting that the responses will mainly consist of people's gut reactions of loving EMS, but there must be times where you think you might be happier with an MD or DO behind your name. Yes, EMS is great fun and seems to be an amazing career, but the shift work and lifting are hard on our bodies, working under a physician's licence we are not usually entirely autonomous providers, and it's gotta get old taking so many people to the hospital who are using the ambulance as a taxi. (Yes, there might be shift work still as a doc depending on what you go into, but you won't be spending your nights carrying people around.) We have very smart people on this forum, but only one doc that I know of (I think there are more but I can't remember right now). I believe we also have one NP student and one guy who is playing a doctor in Iraq, both of who I am sure could have gone to med school if they wanted. How many of you have at some point at least had the thought of med school cross your mind? What prevented you from doing it? If you could go back to earlier in your career when you didn't have family constraints and could actually just focus life on med school, would you do it?

But to assist an EMT-P and then drive a response car back to a station you really shouldn't need to be an EMT-P.

Good video, but did I hear correctly that they have two EMT-Ps in the response car or van or whatever you want to call the non-transporting vehicle? If so, that sure seems like a waste. With one EMT-P in the response car they could work in the back with one of the EMT-Bs. I'm sure there are some cases where it would be beneficial to the pt to have two ALS providers in the back, but for the most part wouldn't one be good enough?