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No worries I am happy you added the "edit" as my head was going to implode or explode not really sure which and croaker the in comments highlighted, welcome to the club will you support me in my bid for president ? Now these interesting bovine-hormone saturated exotic dancers I saw afterward...but that is another story ..... please feel free to share your insights PLEASE and Bless You.

Poor English to start with .. note corrections. Ok not only poor logic to assume that a "when a guilty person is acquitted" has any bearing on the complete inverse of "an innocent being wrongly convicted" it becomes a non question from a intelligence point of view. Then factor in the personal tone of "loved one" well the question is skewed based on an expected emotional response only, real justice has no emotions. Some Canadian stats http://www.cbc.ca/news/background/crime/ I will tell you what, with a 68 % chance of re offending as a pedafile well touch my kids and just see what happens, it would be a zero chance of re offending .

Croaker, no intent to challenge your observation, I think I see what your trying to say, but many brittle severe asthmatics have a "silent chest" so would you call that asymtomatic too ? No intent to pull rank but other than working in the back of a rig have you dealt with a lot of long term care hospitalized COPD patients, your theory is a bit of a stretch although not incorrect as they all do differ, especially those on supplemental O2. The very broad term used in EMS that of "wheeze" is very often a "catch all" in fact inspiratory vs expiratory was never questioned in this nor any more PMHX nor meds. I can tell you with all sincerity that I have been informed by many Paramedics and RNs upon taking report of a wheeze, but one cough or one deep tracheal suction and suddenly the wheeze is gone, as I said prior all that wheezes is not asthma, i was intending to introduce cardiac asthma as a possible diff dx .. but when patient was texting while driving, well I suddenly lost interest. Cardiac asthma is a medical symptom, of wheezing due to congestive heart failure. cheers No cookbooker here mate, do you need respiratory distress with a history of asthma to treat a wheeze (I think your just being a pussy) LOL. With your post your suggesting MDI with spacer is less aggressive than SVN ... hmm careful there don't make me pull out my studies ! cheers

AH a self inflicted injury, zero tolerance for that. Change treatment plan to add therapeutic slapping j/k

All that wheezes is not all asthma. Most incorrect, auscultation and identifying broncho-spasm is highly suggestive that patient is in status, controlled asthmatics do not wheeze. Maybe getting a bit more throughout history, like what other meds is the patient on, last ER visit, is he on any inhaled roids, when and how frequently does he need salbutamol ? Just me I would give him round of salbutamol "on the house" reason being an adrenegic response could precipitate an asthmatic event, the risk (very low) vs benefit. Just what "factors" where involved in this roll over in the first place is more of a question raised in my mind was this patient driver or just there for the roller coaster ride as an active participant? cheers

Isn't he a media person as well ? The world according to Squint: Monetary rewards for Lawyers, hence forth removed then you will have a fair justice system. Proven Criminals should have no "rights" A little something for North .. note blindfold, I don't see any coins on the scales. cheers

Quote from the article based on an interview. The whole treatment and "BOOK" is based on her GAPS nutritional program, best do a bit of reading about what type of "flora" resides where. I do not see a link to a any study, in fact all I can see is perpetuating common myths of autism, and if she is a neurologist "mush" brain clogging is a phrase I can't remember from any dealings with any neurologist, but I have not dealt with many RUSSIAN trained Neurologists working in the UK. The Claim: "[Probably tens of thousands of people now, around the world, are saving their children with this program," she says. "… The majority of these people just bought the book, read it, followed the program, and got fantastic results.]" Diet, Food supplements and detoxification selling a book and you too can become GAPS practioner .. sure sounds like poo poo to me.

Personal or Financial .. look to "scholarly studies" for real evidence based medicine, besides just a brief overview and stating that infants are born with "sterile gut" is absolutely incorrect, meconium aspiration would not be an issue if that were true.

Well just my 2 cents, must agree with Bushy and Dwayne 100%. In an attempt to comply with this thread re: TOLERANCE again mixing the 2 cultures of Fire and Pre Hospital Emergency Medicine is a proven disaster generally speaking where I reside, divorces are far more common than long term successful marriages. Fire department have an agenda to embrace the wallet. If EMS did not generate revenue very frankly speaking then you would never see a ahem "blended" service. <insert knee slapping noises> The economics of it all, with the tightening of budgets, is that Fire looks to their own stats (the proof they use to justify their budgets) that being response to scene (the budget managers like local geopolitics are suckered in to this) and somehow the clock stops on arrival ? Whereas in EMS care the clock realistically starts when patient contact is made. The IAFF is bloody huge, the largest single labour organized entity in North America, the NFPA sets their own standards wereas in EMS its state to state/province/county/prefecture/territory and no real national solidarity, moreover subject to the local Medical Direction, scope of practice varying beyond comprehension. Now look to your own Fire/Medic stats and the massive differences in call volume(s) "medical vs real fires or public safety responses" the math just does not add up, neither does sending a hugely expensive Pumper or Crash Rescue to every "trouble breathing call" factor in that most grunt smokie's want nothing to do with that, come on its the truth "saving themselves and resources" for that 3 alarm blaze using gravity applied physics and holding a mattress firmly in situ. Unfortunately and most curiously these response times are used to justify the purchase of more Fire Trucks vs the very realistic NEED for more Ambulances, tell me that's not the truth and I will ___ fill in the blank. Bottom Line: Fire is Pubic Safety. Police is Law Enforcement. EMS is Health Care. late edit: (A tighter bond to hospital based operations for con-ed, hands on patient contact is needed in the USA, EBM studies, one cannot accomplish these goals with a "must return to the hall" the diner bell went off. Work together sure, Independent entities Yes, share infrastructure like accommodations, Yes. But having one groups priorities in funding over the other EPIC FAIL. This very serious conflict potential will undermine the goal for what is best for the people / taxpayers. That said: unless intelligent representation is made on behalf of Pre Hospital Health Care highly unlikely with the old guard in Fire Departments. The fact remains: The elephant sits where it wants too !(plagerized from asy) unfortunately in my opinion with long term repercussions for the continued development of EMS in your hood, again look as Bushy advised, world wide, UK, OZ, NZ, Israel, CND, Norway, Sweden, the USA is the real anomaly. cheers ps Happpy is more interested in the "hose" part than the monkey part she is biased

Richard .. you most obviously have never met my ex .. insert screaming where you see crying.

Well I can't get a flight discount based on my job description anyway so I have to cancel. I'm bummed.

My very heavy kits ... Oddly enough I actually believe SD that you do pack this "tactical gear listed" in your POV (In the one with L+S) you missed that part. Question remains SD are you needy or just wishing to hijack this request from a respected member of the City ? Seriously your scaring me.

Can I have a Wiener Schnitzel at discount prices to substituent for beefsteak ? PLEASE PLEASE looking into flights this minute. I just can't get enough of that yummy delight ! cheers

Agreed, I prefer life saving hero myself cheers

The concept of innocent until proven guilty, oddly one is charged and then incarcerated until the judge decides if s/he is a threat .. if this were the idealistic .. no one would be kept behind bars.

Sort of ? So just where did you read that ? The learning slope can be rather steep SD, thing is I am still observing rationalizing, you should have responded to Dwayne's comment(s) in my books. cheers

Ok I disagree, I do not think you were out of line with your debate points they are typically accepted politically correct thing to do, on the personal directed comments to Happy, pfft well is happy now, it is her spirit, she gave you a peace offering to that end. Even if she watched too many Archie Bunker TV shows growing up she only had CBC (a canadian joke) The FACT that that forwarded supposed joke is plagerised over and over on the internet, OMG I just realized I have no life ! Happy, well until Dwayne "that dumb ass" used the WOMAN WORD which is a proven thread locker. One thing you should be aware that the old timers here don't hold grudges, (we are just too old for that shit) every topic is a new chapter, its understood that everyone has a bad day, some folks are actually here to vent and "not" take the frustrations we deal with daily basis, back to the job its a coping mechanism. So get upset at an post and get it out through fingers instead of blowing a gasket in real life. That's the EMT City given, unless it becomes a habit and I just can't see that happening with you. Remember that "sticks and stone will break your bones" but "words can never hurt you" unless you allow them too ... Ok my Mom messed with that, SHE always had to add extra stuff, you should here me sing our national anthem ! cheers

Firstly good to see you back brentoli . So a hard and fast blanket rule sound's more like a dictated scoop and run ignoring EBM that in many cases, fast only means pronounced faster in an ER . So how much $$$ does the state kick into the ambulance operations if the government is bound and determined to save lives ... maybe drop the speed limits get more drunks off the road, bottom line is response times are not the "root cause" of fatalities on highways. I can see that this will directly result in more crashes both ground and air, I sure would like to hear Bledsoe's opinion, on the use of more choppers in the air in crappy weather ? Any mention of more funding for things like ultrasound, blood volume expanders, or more for education for Paramedics ? This pipe dream would NEVER work in Alberta, you could make the rule but unless you have a star trek tele-transporter on every rig, it just ain't reality.

It far closer to this 10 months out of the year.

Ok free hospital food ... PASS. Katiebug I hear you, I think I would have offered to pay for the cop, just to make a more suggestive quiet "point". cheers

Yup I know I suck with composition, quoty things and underlining sometimes, Although I am the EMT City king of the run on sentence, it is a curse maybe but I like the purple quote within a quote deal I write (so says rock_shoes) the way I speak, he is most eloquent .. but hey am even worse in person ! cheers Walk a day in a man's moccasins, before you judge him. Debate is a complete different concept.