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This is NOT a comparison, it is a very tangible concept and win/win situation and a good suggestion by jessicaCNAEMT If you would like provide ANY links to any present EMS providers that would be a true positive change in your general tenor, mr BVESBC, I am begining to observe a repetative negative input that usually results with AK using his powers, as the village idiots helper .... well take that at face value. I can say that Acadian in Lousiana does have their own school. I have worked with a few of their graduates and they do produce a good practitioner. If one were wanting to explore the area of improving ones skills to the REMT-P level one could google a quick search, and Acadian has a great website. cheers

Well a curious observation, unfortunately without an extensive background into this demographic area, and understanding the culture differences and the very good hearted people of NFL bit premature to call one an idiot, this clearly demonstrates a preconcieved stereotype. BIG hearts Of this I do know, and knowing that, I dare say we all could learn from the comradery that I see clearly demonstrated every day, frankly I honoured to provide care to "the boys" cause they would bust a hump for anyone anyday, just the way it is, ok and just for the hell of it too. Background info FYI: I would dare to theorize that without FF volunteer in rural NFL they would have no fire protection at all ! It would be folly not to assume with the scant resourses available both in funding and personnel that integration of these emergency services are essential to provide services to the their community's. Or could this be due to Scott or Draeger (sp) have not done any "fit testing" on moose just yet ... LOL. My first post was intended to be tongue in cheek , the point that irks me a tad is that while being interviewed as ambulance attendant and representing the "proffession" of Paramedic the spokes person's should look like a Paramedic is all, we will cut them some slack I am hoping. The FACTS ARE that it is quite impossible for this physical standard to be ENFORCED in ANY way, as one cannot dictate anything to a volunteer, because they can just walk away, I do commend in fact that this story has gained attention across Canada ... good show and good PR is the way to go. Just a wee note to those that may believe that the culture in Kanukistan could be compared to the US, after all this is the EMT city Forum for Canadian EMS providers, thanks for that ADMIN! Perhaps just my way of saying please be polite and BVESBC don't derail this thread. It is the first time that we have had a representative from NFL (that I know of) on this site and there is much to share and learn. I am very hopeful that Rural Medic will respond soon. cheers

Lord Thunderin ...j/k Hey a Great Big Welcome to our brother out on the Rock ! Awesome to have the real thing involved with the newstory and actually post in EMT city.... So whats the real skinny ? Was there an issue with fitness of your brothers ands sisters or is this just a blown out of proportion. I work with many of your fellow "province men" (is that a word)? near Ft. Macmurray so is there anyone left out gaurding our eastern coastline ?? Great bunch of fun, hard working, tough guys and gals. Have heard some gret news that a school for Paramedics is getting up and running ... any insights for us ? Are they looking for ACP Instructors ? Whos operating the school ? ps I think you made a huge mistake joining the rest of Canada ! cheers Hey did you hear the one about the guy from TO..... (lol)

Agreed zilla : BVESBC .... please go back to your cave.

Yuppers mate, a good start, tonnes of stuff out their in google land, my second pot of coffee is on, so come on over ... late entry : I am looking for a stroke protocol right now after last post or perhaps a little a stronger for my coffee, RUM comes to mind ! sheesh. -------------------------------------------------------------------------------- Have you translated the latin phrase yet ? It appears incertus, ambiguus :roll: cheers

Zactly 55 ... get medical based evidence at the basic level first its always the place to start ! The EMS world always needs a better moose trap, te he, I like the way your thinking, and you left your coffee right in front of me ....CHEERS!

Here is a short latin phrase that could be applied, to this now tangented topic: EGO mos non sto pro a oneratus ballista si EGO errant vas! If this topic of EMS research was allowed to proceed in an intelligent fashion, then I submit one could prove or disprove some of these rather obtuse theory's. But handing over the toys to those without a serious medical background is folly, akin to putting the "cart before the horse" which has been very clearly identified in many replies in this thread. First on the topic of IV D50W for the EMT B is .... hmm cough, splutter (It passing I can't tell you how many hyperchloremic metabolic acidosis I have found just with an IV getting away from those have passed the test in that 1 hour discussion on electrolye balance ... or even put granny INTO CHF... I digress. Go ahead and submit your proposal to your Medical Director and his malpractice insurance provider (and when the screaming stops) then you can go proceed from there ..... so good luck with that. I thought this TOPIC was EMS RESEARCH ? guess I was wrong, yet thanks for the lead northmedic, and if one is interested B.Bledsoe's website it has a link to "How to do research in EMS" cheers

Most pleased to here of the advances in the area of EMS research, zilla makes a very good point concerning the nature of our enviroment. Gosh sure would like to see a few services that I work for, get on board. The larger the study, the more valid the potential applications, go boys/girls GO! Is there a means of access to contact those that would support a means of providing funding, north of the border that is ? cheers

Its all about the $$$$ its RESALE VALUE, the RESALE. RACE : that thing would not stand a chance against my yota, race bwah ha ha, I would blow your doors off !

White, dust, WHITE .... sheesh. lmao

And the winner of the: What the hell is an MTC ? is Scara .... you win a free ride on the most beat up roads imaginable in the back of a very poor excuse for an ambulance, yes hep locks work great in these gut wagons in the patch. The funny thing for me is I have never seen a RED one .... most are filthy frozen mud covered messes and the are generally speaking all WHITE, well at time, when it rained in the summer. What got my goat was how many got in this new members face, so don't mind me, cause I have an arse whole too! everyone has one, and speaking of latitute sometime's would be awesome deal just to have a medical advisor to actually contact as sattelite phones are not reliable in a lot of places I am deployed/ banished too. cheers

Thanks for the corrections had a call so just hit send, but not like your correct my spelling does suck, agreed. . The assumption that I have a short hop 30 minute transport is just not reality in my world at all, sometimes just 1 hour after landing to get to a patient then get back to the aircraft, in the back of a suburban or an perhaps an MTC ... I bet your scratching your head on that abbreviation. I think you missed my first post, it is highly likely that I have far more latitude in practice than the vast majority on this website, yes really, but I will not beat on my own chest as its pointless. The question remains: Do you normally hep lock YOUR central lines, never in this thread has a line been defined peripheral, open the mind. A qualifying statement may this could be dependant on ones experience and education not everyone starts out being a fantastic clinician, varing from protocol could be interpreted as beeing a cowboy, it could just be ones comfort level as well, your beating a dead horse here, besides what you are stating is not an original idea, you are just paraphrasing. Please refer to my signature, that should explain what I do, nuff said. Hey no worries: so what's the difference between anal retentive and an arse whole .... ummm NOTHING ! I so love that joke, just thought it would be funny here, no offence intended.

Yea but your one smart chicky, but I would not go so far as to say neglect. A point that I have not seen addressed is the Patency of that line v/s Hep lock, one has a visual referance that you do or do not have a patent line with the juices dripping, and experianced providers will have their own system in place to decrease the possibilities of inadvertant and untimely "discontiniation without approval" The Lock does not provide this visual referance, a good back up of course but dependant on patients stability.... Locks do have a tendancy to block or clot off just when you need it unfortunately these have been some of my "less" memorable experiance's. Hey maybe I am old school ... yup, I still think Dixie is HOT! cheers cheers

Whoa there guys, should you be talking about your experiances with horses like that ? Hay horses have feelings too! outside ! yeee haaa !

First off: 1- Why is buddy wearing bunker gear ? Is the volly FF going to be subjected to the same testing? 1-(eh) Are we talking culture of fisical fishness here ? 2-(bee) Is that a picture of Darwin besides da electronic picture ting der boyz ? (Now THATS true situational irony in itself) tree- This is all an excuse to introduce drug testing (can't you see that NFL is trying to stop Bubbles and Ricky from applying) ps pass da Screech. Dust can't say its illegal in NFL! the Government changes the rules at the drop of a cod.

I have to admit that this thread did help me out, I got to looking and I only had 2 hep locks left in my bag of tricks, this due to a patient that I was treating Q8 H with bug juice, (bit of a remote spot lately). I had a buddy pick a couple up from the local ... how do you say .... borrowed with no intent of replacing, I believe it is called "pacifically" tee he, pulling a "Radar" and taken directly from the MASH appropriations and accusation protocols. cheers

FLASHBACK: Thanks Scara .... Oh yes that Dixie (with the big hair) was how you say .... oh yeah HOT ! [align=center:a96a6d39ef] :shock: :shock: [/align:a96a6d39ef]

Quoting Dust: Interesting point in a perfect world, just for counterpoint and discussion: A Disease Free Paramedic .... agreed this in a perfect world ALL would be, yet this is hardly a perfect world. My point prior and I will expand just a bit, that it is quite impossible to assure this lofty goal based on many disease process, due to pathology. So introduction of other diseases that infectious/contagious could/may be carried by a HCP... for good measure, bear with me svp. Strep can be harboured in the renal system, who out there has been treated for strep throat and worked the 2 days before they booked off ? They were infected. Organisms of resulting in meningitis (many organisms) can be carried in the nasal mucosa. Have you been checked lately? YES we are. Just my 2 cents but if I worked with an extremely well educated / experianced Paramedic, that was knowingly infected, took all precautions possible, (most likely more intelligent than the rest of we morons to boot) I personally have no issues with this at all, none, zip, zero, WHY because I know the risk assessment. Lets talk STIGMA: I just can not imagine the daily nightmare that a male nurse (that may even BE of difference sexual preferance) and due to that, BELIEVED to be a possible carrier of HIV due to the uninformed, red necked, lay patient, those proud gradute (s) of fine preschool education, could we be perpetuating sterotypes in fact ? In conclusion as this will be my last post on this topic as I believe my position is more than Crystal Clear, education is the key to understanding all of the issues with the known and unknown infected HCP. Pragmatic vs Idealistic, Does this not become a MUTE thread now ? Those that actually have read all the points/ counterpoints of ALL posts, we walk away from this being better educated, hopefully a bit more tolerant is my wish. CAN YOU BELIEVE that Princess Diane .... actually touched and gasp "without a gloved hand" children that were KNOWN to be infected with FULL BLOWN AIDS, she was not afraid as she was educated and through her actions this affected the World. ringo I try so hard to be the good shepard.

As I typically do, I checked this thread as many others, from last to first posts. My first impression of this thread was "LOCK and LOAD" what was I thinking ! Working in flight a few times, I have always found that a back up i.e. hep/saline locked line was a great idea, 2 lines for any potential serious patient is my personal protocol, venous access is all my medical director intends, how we get there pacifically doesn't really matter. For the OP, to answer your query, most patients in ER are NPO and most that warrant a line are as per normal fluid maintenance, generally speaking about 125 cc/hr. Sometimes (I believe) this has a tendancy to keep the patient in the bed as do those french designer backless gowns. cheers

Perhaps we should put signs on WE of EMS ? 1- I have been tested and it all good, well last month. 2- I have not been tested. Perhaps preface ones introduction to your patient , Hi my name is Paramedic squint and I have HIV ... can I help you today ? Can one see how preposterous these arguments are getting to be ? Even attempting to try to determine WHEN an individual was infected : Look to the patho once again, any Lawyer would be pissin in the wind, as no ID expert out there would stand up on this one and point fingers, just my guess. Ok try this example / tangent on for a minute, Your family member is a highly respected Cardiac Surgeon still the same answer ? I doubt it, but following some of the very irrational logic here, best he retrain as a plumber perhaps ?

Excellent point's all and backed by very realistic stats, damn I sure hope I am not infected with ................................................................................ ..................................... or a respiratory viral infection that in itself can kill. cheers

OUCH, you know I am sensitive about my spelling .... ! I am a bit cixelsyd, argh again. They have the same rights as everyone else does, they are allowed to be sick like everyone else. Besides health care workers have a right to earn a paycheck, if it is deemed they are not a signifigant risk to patients then the ID experts have spoken, not my call. ps have worked with a few RNs that had been treated for Hep B and eyedawn posted something about Hep C it is being cured these days with Interferon and AZT ..... whoo hoo, a couple of health care workers were the first to be the guinea pigs. No this is Private Confidencial Information, hell, I don't even tell the patients my last name ... No, (again a risk assesment) does the employer test you for any diseases? If they do a screening process and find misinformation well then thats one thing, but if one discloses prior, the employer may be looking at a discrimination investigation and human rights issue, no different than not hiring a visible minority, really, I can't see any difference here at all. Ok one exception, blind people should not drive ambulances, dispatching is cool. Agreed but the experts in ID, Ethics, and Labour Law should be the ones that are consulted, I personally have no issues with working with ANYONE as long as they know their job and do it well ..... ok they have to buy me coffee too, I am cranky in the mornings, best they suck up a bit. cheers

Greetings and welcome my fellow countryman, I am anticipating (with some passing interest) more posts from yourself, perhaps you should look at the avatar signatures just FYI. hmmm

Sure hope that my name aint SLIM, thing is your FTO did not do his job thoughoutly because if it state legislated to carry them then one should be endorsed to use them correctly . That said to solve this terrible gap in your education I will personally volunteer to give you an in-service, unfortunatly you must travel great distances by snowmobile and snowshoes and learn Neufanese or Kanukistanese before the lecture, tee hee hee. cheers