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Hey thanks dust, thats a compliment, thing is that Kanukistanians are well known to Police their own members just to keep things honest, Carl Jung's observation comes to mind: (That one is are a product of one's environment) Tis a shame really that some peoples environment (wherever they are on in the free world) clearly demonstrate attitudes that speak volumes of their present work environment... I guess I am suggesting that positivity can be an alarmingly good concept to apply on a daily basis, and yes I too have fallen in that pot hole, and it certianly is easy to go down the wrong bumpy road and take others with you, that said: I have great respect for many US REMT-P and B on this site in the exchanges that we see daily well accept for AK, cause he owe's me beers pay up you bum ! Cause They Told us ? .... ok ... really I got nutten here, but great point, it is very hard to compare apples to kumquats if you have never tried one, yet pride in ones "Alma Mata" is ALL good. Ok may be one passing comment: A sincere appreciation of my respected friend EMT/ PCP Mastabatta who has a keen eye in observation and a extremely effective and very eloquent in applying the Queens English, with poise. cheers

This is the new EMY city "improved" politically correct medical term, you didn't get the memo .... again ? The veterinarian termanology would be porky, but that's on VET city.

Some excellent points here. Just to recap: 65 y/o Male WT ? skinny or portly? Chronology of Onset ? C/C ... called for SOB or Chest pain ? On meds (only mention of Viagra) any beta blockers on board ? V/S Mod Hypertension, no mention of tachycardia or ECG strip ? I do like the position found "Tripod" and "Silent Chest" ...this is painting a very clearly picture to me pointing down the COPD trail, confirmed by you closeing statement so its really easy on this one to be a couch quarterback. Another question was the Pulse Ox Coorelating as this is huge with me ... was the Patient Hypoxia or are we just treating a number ... anything less that 77% and coorelating is truely life threating, btw it will give you a pulse rate too. Beta 2 adrenergics, ie Albuterol in Yall speak: is a relative contraindicated but in fact some MDs will use this with suspected CHF due to the theory that improved oxgenation may assist with Hypoxia for possible in CHF or MI the Gang. The idea being .... bronchodilation = improved oxygenation, granted not if pulse is clipping along at the "do we need to electivly weld level" ? That said onset of Albuterol in most literature is ~ 5 minutes and peak effects within 15 minutes. Query do you have or carry Atrovent ? FEV1 in the COPD demographic indicate that Atrovent is very benificial, but don't let in get into the eyes of a glaucoma patient if possible. I to must emphasize the importance of v/s, color, and skin moisture level, assessment (s) prior to any treatment, even with the CPAP, as this should be considered a drug as well, V/S pre and post as preload on the heart is seriously affected possibly far more so than with albuterol, the set CPAP level should be included with information presented. That said I do like your post but a : Thoughout presentation from the Get Go .... makes you look like a REAL PRO. hey thats catchy yea think ? cheers

Dust: I had one of these assesments done for myself (in High school) the outcome evaluation suggested 3 areas of possible employment; 1- A Polititian 2- A Salesman for used cars. 3- A Proctologest. So I became a Paramedic kinda made sense to me at the time.

I could not agree more ! Yes everyone has a different learning style, it would be a good indicator to me if the school you choose to research has a means already in place to assess that individuals style and prior to entry to their program, ask if this assessment is available ? ( it could indicate a serious commitment by that institute ) The single most important characteristic is personal maturity and ones ability to keep an open mind, over the long run, sometimes this can be difficult with all of the other personal complications that life throws at us. I have had the sincere pleasure of working with and pecepting/ mentoring many students from a variety of schools yet personal attitude remains the biggest asset, I have had students that went to sub standard schools, yet these individuals became stellar practitioners, go figure. But never forget that once the exams, senarios, testing have been completed the sharpest portion of the learning curve (is in my opinion) the first year of real calls. cheers

In Kanukistan we have the EH cylinder sorry don't have the conversion for you, it is in centigrate I believe . cheers

NOW thats SOO cool, just where can I get one ? I had a rusty red 69 VW Van, back in the day with a great bumper sticker. It Said: DON'T LAUGH LADY, YOUR DAUGHTER MAY BE IN HERE. cheers

Yea I am sure its ME ! :oops: SWEET those lucky buggers ! Oh sure rub it in ! LOL. pass the anti freeze please.

Thats funny WE used Hangers .... 8) most times lol.

Try a google search for "HERMAN NELSON HEATERS" these are very popular in the northern climbs where I have worked, one does need a "GENSET" or portable generator, about 6 kw minimum that also support light towers (have yet to see a big MCI when it was dry, warm and during the daylight hours) many "Genni's" have a pinto hitch and are wheel mounted therefore one can drag it behind a 1/2 ton and place the Herman Nelson in the back of the truck, they can quickly be deployed, just a matter of firing up the gennie and presto. hope that helps

. Well you said let her rip, I have complied granted albeit "a tad sarcastic" but please note from my multiple posts regarding Alberta there is a great deal to modify here as well. This challenge was presented by yourself, so if you wish to take your baseball (as a 12 year old playing in the park) and just go home, so be it, northmedic you have disapointed me with you commentary, facing the reality sometimes is harsh. My BC friends can you not clearly see that the national goal of reciprocity has taken a huge step backwards and simply based on a territorial move by the union motivated "old boys club" but a 6 month probationary period is not cost effective or a means to address the under staffing of ALS service in BC nor recruits the best possible candidate, (in passing one currently has to rewrite the exams as well, I think this curious point got left out (added for thoughness at this juncture) Is it any wonder that BCs attempts to recruit experience ALS providers out of Alberta failed miserably ? BC did not receive the best applicants and it is well known to Alberta Paramedics the huge dominance of Union in the BCAS system, you received shiny noobies is all as applicants, your managment was trying to gain some experiance from other systems, your union failed you to develop the practice of Paramedicine in my view. So for discussion purposes even the if one say a 10 year ACP veteran does cross your border, this individual may get bumped into a part time or even casual position, if a brand new graduate from the Justice Institute and a BCAS employee, say for 3 years as a PCP everything is based on seniority ... nothing else, this is exactly what is stopping someone from another province ! Why not step into the position of an ACP (or CCP for that matter) tell me an ACP Paramedic from T.O. or Calgary needs mentoring in the ways of a large metropolis, the medical provisions of care do not change, and your entirely missing the point! It's just geography and administration and most easily accomplished in an orientation process and "of course" with assistance from your partner, but staffing a unit with 3 people, once again is not cost effective or best use of experianced resources, your comment can be easily construed as condescending and continues too. Ok I will bite: just what is a targeted system ? and acclimatize to the pressure ??? Is working DT Vancouver any different than working DT Toronto, or Edmonton or NYC for that matter... tell me call volume and types of calls vary that much ? THE PROTECTION of TITLES Legislatively: I was in not so distant past influenced by others that using the term Paramedic was just confusing the general populous, in fact after spending time in other provinces / states and territories where there is very little zero protection of Title.... the general consensus of medical staff i.e. MDs and RNs based on so many other dubious "Paramedics" in just receiving report or transporting people from rural/remote areas, the RNs would immediately turn to the RN member of the flight crew quite humerus at the time as was the flight team leader. So why you ask do I fire the cannons ? So here is a little story that motivated me/hugely annoyed me (you choose) As I was having a chat in a coffee shop in a very northern community in Canada and through normal process of discussions I informed a fellow that I was a Paramedic ... HEY said I am TOO ! from BC, but I also work in a Oilfield camp in housekeeping as well? This same scenario was repeated in a period of 2 weeks more than 5 occasions, can one not clearly see that this Paramedic FA is not only not a professional but misrepresent, and disrespect all of us that aspire to making Paramedicine a true profession. I worked damn hard to obtain and maintain my status to be lumped with a first aider ?, is it any wonder why I am a bit opinionated and jaded, I think not I have good personal evidence that this path we should not follow. cheers ps Please remember a strong opposition is essential in any GOOD democracy, the positive with the BC EMS system is that is considered and funded as part of Health Care System as opposed to the bastard son of Health Care in the Alberta EMS System ... not based on possible revinue generated or municipal grants.

I already have an ACP diploma their northmedic, and have flown multiple missons over a period of many years into BC to take intubated, ventilated, chemically paralized, polytrauma, cardiac failure, paeds, high risk Mats (+++++) oh yea and Septic Shock into the Alberta System when the HOSPITALS can not provide needed care...gimme a break 6 months of mentorship ? So just what is the difference in definition between a mentor and preceptor anyways ? Should not experiance, education and experiance play into some factors, the unions do respect "seniority" do they not? and with ACPs in high demand, so just how many communities actually provide ACLS ? Its not like taking a job away from a unionized up the ying yang BC ferries worker is it? cheers :twisted: ps is the legislature in BC looking to introduce allowing private ambulance operations ... gasp!

vs-eh Don't you mean get to know an antiquated system ? ^ months you have got to be kidding me, does human physiology and "modern" protocol change THAT much .... like when you change your watch ??? Not only is this the most retro/ stupidest thing that I have ever heard of lately, but it is also against the national agreement on mobility of labour, can you believe that this really true .... ah socialism, labour and unions at their finest. "We" aka PAC seriously need a damn good court challenge with this one ! If one is a PCP/ACP/CCP graduating out of any CMA school anywhere in this country (with a valid practice permit from another province compliant and with National Objectives then there should be no barriers to mobility at all ! well, other that a 2 page exam on the minor legal differences. Another point is that this "requirement" is only if one wishes to work for BCAS ... I am not positive but if one is providing services to private , say an industrial site it is of no consequence as one is operating under the Medical Directors licensure and insurance. I wonder how with the very limited numbers of real ACP's in the province that they can possibly think they can cover the 2010 upcoming Olympics, besides the fact that only a few large cities actually provide advanced life support ... sheesh, is it not in the best interests of the public / tax payers that ACLS should be implimented asap.... just look to remote areas and most with limited hospital services as well. BC I invite you to join the 21st Century of Health Care!!! ps the title PARAMEDIC is not protected in BC therfore anyone can call themselves a PARAMEDIC FA ..... indicating first aider ...with a whole 80 hour course. ps there is another term that I can come up with F*** ALL ! In closing is there any wonder just why national reciprocity is stalled ... good grief.

Maybe we could call them Crep E licious ? And just why in medicine does everything boil down into a food stuff ... its so sick ! :shock: There goes another topic down the tubes.

Ok why can I only think of sushi at this point ?

Lone: Protocols are Guidelines they can never dictate common sense they are developed for a multitude of reasons they can never, I repeat never, replace a reasonable rational logical practitioner .... ever! Yul Brenner ? I will not quote a hollywood ideal, ever its not realistic my friend ... I tell my children it is just a movie its NOT reality, life is NOT a movie or fictional book, it is LIFE. I thought your country was land of the free and home of the brave, yet forced to follow a protocol instead of your heart, a very sad state of affairs.

Hey man don't apologise to me, save it for your MOM. But you can tell her from me that I will stop for HER. cheers

Just a fleeting idea: Perhaps take the childs temperature? pmhx may assist with a working dx as well. ? Before I would transport (if cooling was ineffective, then IO and benzos as my preference to transport stablized patients, not scoop and run) But thats just me again.

Lone are you really saying you would pass by a wreck with YOUR PARENTS INVOLVED? No court in any land would take your licence for this, so your piece of paper is more important than your parents ? :shock: NOT MINE :roll: Come on man just what did you do with LONESTAR ?

No not really just asking a simple question in regards to that "posters" position, tis it not a viable query ? Look to statistics when it comes to siezure activity in a paed, in fact was it not you that brought stats into this discussion to justify your position, am I disqualified in this friendly debate? Silly when I do it, but when "others" do it is acceptable, perhaps a double standard excists ? The injuries (yet once again you forgot possible "medical" problems) these cannot be blindly ignored without proper investigation. FDNY policy Yes, some legal juristictions Yes in some states of the Union. But ethically, logical, medically, sociolologically or culturally ..? I mathmatically and philosophically disagree with your position.

Does your dispatcher issue you with Blinders or in RaceMedics last statement allow for input from the road, that worked very well for Acadian during Katrina, because the dispatcher was blind as a bat.

Are you suggesting that a 9 month old LIFE has more importance than an adult or are you just biased towards a this smaller person ? please note: Febrile siezures are "in most cases" are self limiting and medical based evidence suggests that very few have long term damage, I am not suggesting that it is a NOT a scary and emotional event for the Parent as well, but should it be "emotional" for the professional providing care ? Just wondering out loud is all.

Math: Lets see here the use of less than respectable teminology and lack of grasp of the Queens English :twisted: Whackerism - 1 for gibberish (you made that word up) not in my Funk and Wagnals (sp?) Fishing -1 for gross assumptions, and a term used for baiting and catching of fish. Attacking the credibility of a crew on a "based news release" - 4 for disrespecting EMS Brothers and lack of solidarity within the community. Attempting to impose/ dictate others ethics of moral views in the face of a direct quote: = priceless Perhaps we should use Chemistry because Law is not necessarily RIGHT its just the Law and subject to change with the voted in politicians (subject to change based on a whim) - 2 for absolute blind faith in a system that is flawed (by your own words) So on to chemistry: H2O + dust = MUD :shock:

This is cut, copy, paste in the closing statements in the article that you so kindly provided a link. Gosh: I sure hope that there is no copyright laws (sarcasm intended) ps yes something is getting thick but I don't believe its the plot :twisted: I believe an addition no fear of legal reprisal of the "unwritten contract" should also be included in this statement. One cannot legislate common sense or write in a protocol what the suposed action (s) should be, but back to the protocol vs. guideline controversy once again, and fear of litigation ... hmmm. I truly believe in the Pirates Code: (tis more of a guideline my dear)

Maybe incorrect in your world, I am presently in remote depolyment right now, and following this rationalizing by yourself ... so therfore without a partner and your "new math" ... I am impudent ? MEH. Legal not really, I am a lay person just attempting to point out some the differences between 2 countries, cultural, moral, and ethical perspectives. I will take that $50.00 and please read vs ehs post I think about page 5 ... very few indeed in fact, and I can't find an issue/ precedent setting ruling anywhere in my searches regarding abandonment, possibly its just a yall thang ? Factually in 25 years of Paramedicine in Alberta only 3 cases have ever gone to the courts, that I am aware 2 out of 3 the Paramedics admitted errors and were forced to be re evaluated, no monitary reward, one did use his position of Authority to spread his gene pool with a 16 year old ... resulted in a jail term for statutory rape, hence no more ride alongs unless your Legal.... That said I suspect that cases that are settled out of court in mutual "i.e. shut the hell up agreements" are not published. Perhaps look to your score, still ahead in my old math books ... Again the point you missed point is the differences, only trying to point that out, the major point is not being restricted by the law to do the right thing... in this semi populated land driving away from a scene could take an moose age for a response, and leaving the scene of an accident (that may or may not) require medical care and here you could be hanging your arse in da breeze: MY WHOLE POINT ! No comment just sarcasm here, if this hypothetical abandonment case EVER got to a court room, I would hope that any juror that would believe a childs life is more important than a parent, a sibling a grandmother ... dust a life is a life this an ethical question with no answer. No your statement (s) is supposition only. Not only could it be fender bender , and not trauma at all, it could be a medical call as I eluded to prior. Your ethics are influnced by your culture as are my views influnced by my culture, there IS a difference. You missed the edit.... mr. quickdraw. Exactly. And that is the beauty of the NYC scenario. We don't even have to what-if it. Regardless of how anybody tries to spin it, they were wrong, and it damn near cost them their lives. If we just blow a bunch of "hero" smoke up everybody's arse over it, the opportunity for people to learn a valuable lesson is lost.