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I had the pleasure of rock_shoes advice just yesterday, (during a post AGM dissection discussion) and now am looking for the medical insert for my beat up 1550 asap. Go metal L-Scope fiber optic blades the plastic ones are crap for picking up Mr Huge Melon head Can't really add too much but experimenting with a 1300 or 1400 for a drug box ... will let you know how that works out. For Airway and assessment I use a DROP ZONE backpack More specialized for current deployment ie (the boonies) http://www.dropzonetactical.com/backpacks/assaultpack.html cheers

Subject: FW: Fw: Important Petition ... Petition ... As a rule, I don't pass along these "add your name" lists that appear in emails. BUT this one is important. It has been circulating for months and has been sent to over 3 million Albertans. To show your support for Ed Stelmach please go to the end of the list and add your name. 1. Mrs Stelmach 2.

So uk .. are you saying that the barriers are primarily "financial" in nature for inter provincial reciprocity for ACPs let alone International ? And on an Industrial site in BC you need a OFA 3 to hand over care .... it just doesn't get much dumber than that ... maybe have an janitor in ER to legally hand over care to the ER MD now ? That said: Why not apply to the B. Institute in Edmonton they have a 700 thousand $ grant (and well before) the College received Federal Funding for foreign medical credentialing / recognition .... quite interesting timing ... like really As an Foreign trained Medical Professional,then receive immigration funding and ESL education as for free ? Opp's forgot YOU did that all on your own coin, ? too bad you dont get the works paid for on my tax dollar and decrease my opportunities of employment ... but oh silly me I guess I forgot that your "mostly" fluent in English, (bloody Poms ) a nice idea in theory .... I guess. Heres a real kicker we have very few positions for ACP in AB presently with all the restructuring, transition and quiet cut backs. Yet a very realistic, tangible and clearly identifiable need for Rural MDS / GP or Family Medicine Men / Women ... go figure eh ? I just do not understand THIS huge waste of Federal Tax money either (then throw the other 1.2 million in the mix to accomplish something that boils down to something that is clearly already been accomplished) This is entirely wrong focus in health care, overall the filling of vacancies that are not simply not there <insert picture of my very befuddled face > as I peer into the crystal ball of government health care planning. cheers and please accept my apology on behalf of 3 of the most poorly managed entities in Kanukistan ... Alberta Health Care, BC Health Care and our notorious Feds ... that for some reason just do not have each others cell phone numbers

Yes good point, there IS a "bridging course" LOL to deal with the intricacy's of WCB reporting for First Aid as if no full fledged registered ACP could figure this out, what is really required is a 4 page "information package on the differences of AB vs BC and a 10 question jurisprudence is all that is needed ... heck the BC ALS jurisprudence (on line) is 25 questions ... see where I am going with this ? I wish I could attach the WCB First Aid report form ... NO area for Blood Pressure (this is not taught in the OFA level 3) No area for Pulse Oximetry and the little stick man to circle the "area" are injured ... bhwaa haa ha, I write a book on every clinic encounter and the "company or WCB has to supeona to get the real MEDICAL evaluation. So the Rationale: ??? One must travel $$$ to BC to locate a "qualified" bridging Instructor ... ca ching $$$$, lost wages, accommodations, fuel, food then the cost of the Bridging Course, like to the tune of $1300.00 OMG for a bloody first aid couse that has not changed since 1979 ... besides I still have my "ticket" from those days of yor .... Even with the "bridging program" one must do the "take home" educational information er homework to suck out all the Evidence Based Medical Practice. The First Aid Education of OFA 3 is frankly a joke and perpetuates many last aid myths. That Trendelenburg position actually works. That CATS should only be applied as a "last resort" despite EBM (You know like the trauma treatment(s) recommendations from War Zones like Iraq or Afghanistan, argh when will we be progressive in Emergency Medicine) That application of a cold pack to a femur fracture is a recommended thing to do? no mention of DVT in the program. That Traction Splinting is not discussed) That Velcro Straps and wooden spine boards should be used in spinal, not to forget that > than 20 minutes from a Hospital a Helo is supposed to be called at night in a blizzard ? AND I guess no one tried to put a Stokes litter in an A Star or 206 or 407 lately, WTF they don't FIT! Then velcro (porous and impossible to clean strap's, although the Infectious Disease Control methods disagrees with velcro, and then then additional padding is needed so that abrasions with not result. WTF ? Then my most favorite O2 delivery and the exam question : What is the preferred method of 02 delivery ??? Answer: NRM yet in BCAS ALS protocols it is keep SpO2 > 95 ... give me strength as most OFA 3 can't figure out a D tank @ 15 lpm flow and how long it will last ... maybe I was sleeping during that "video" ... ps I may have a little knowledge about Oxygen Delivery .... sheesh. Further: Then the hugely changing demographic of illness verses injury i.e. the pushing 60 workforce, the chain smokers, sedentary equipment operators, then the super duper high cholesterol diet of fried this and deep fried that " I could go on and on but this ends my rant fer today, back to looking for expired propofol for kiwi ! cheers

The use of the OSS in conjunction is adventitious as there is a "stay" on the shoulder area to keep the SKED from squeezing the patient. As for freaking out ... the SKED cocoon's the patient and very good means of physical restraint in fact. Last thing one needs is flailing and the like in a bad spot. I use the SKED with good effect on medium helos that do not routinely carry a medivac kit ... no kicking the pilot please and thank you. cheers

Ahem OUCH ... thats just hurtful and mean ! I guess the truth is supposed to hurt ? No more propofol fer you ! Bhwaaa Haaa Ha. Hey there is an idea .... Right then .... step away from the kosher Rhum ! Correction mate ... AIT is all encompassing and especially in regards to industry, heck maybe I can get my money back if I ask Gordo politely .... yea think ? On the other Hand it is mandatory for employment so hello Revinue Canada is this a recoverable employment expense ? ps As stated in a prior thread a letter IS under construction. No mate: I lue of Wine or Beer, I will be scanning the EBM research of OfA level 3 syllabus, then sending it to you via Wambat express delivery for your personal historical library ! This proves the point their is always one smart ass OZ in the crowd. Disagree: Your underestimating a few things i.e. The Labour movement in AB and a possible launching of a career based on a value called integrity. Agreed: A letter(s) reprimand or caution ? This is a lesson in absolute true futility by ACoP and some have used this as a private joke in fact therefore a rational person hence is forced to ask themselves if the social networking, Twitter, Facebook, Professional websites, (open to the public) then multiple the list servers, union websites (i.e. private) and with far more than just ONE renegade / member voicing opposition or posing challenging questions ? Should the college receive a "F" for FAIL in transparency, has it been responsible to the will of the membership ? Well does one need to ask my opinion ? Nope ... absolutly this is the proof positive of a big phat failing grade, and besides being childish what the hell happened to open honest debate ... Oh thats right Pierre moved to Ottawa ! Just who is the true judge of the positively, in the long run or integrity of the future of MY profession ? Is an EMR or EMT in the position (and no offence intended)I seldom have observed these level's never been charged with the responsibility for an individuals life with very invasive procedures and typically restricted to an MD, as in commiting an individual to a Ventilator, RSI, Narcotic administration, antiarrhythmia medication, Electrical cardioversion or sticking a needle in a chest to decompress a Pneumo ... SO PLEASE lets put things into TRUE perspective for a rational a thought process, how can these subordinate levels of education really understand and without ever being in these situation(s) ? WTF is dustdevil, Ventmedic, Bledsoe, Ridrider 911 and K. Westley when I need truly them, damn you guys ! Is this NOT a fair question? IMHO it is time that an experianced REMT-P took over the reins of power as the President of ACoP ? Further a "Paramedic" as presently defined by the College but uses the handle "College of Paramedics" the terms of reference and title protection are quite clear as to whom can use the present title "Paramedic" therfore just how can an present EMR President be charged with understanding the intricacy in scope of practice alone, then be in a position to affect the future of Paramedicine ? This is simply bamboozling to myself and I am NOT alone on this concept a number of MEMs have approached myself in this query. On to Code of Ethics ... how can one be accommodating without the background of the ACP like really, is it not realistic to pose this question ? Lets evaluate a few things here, for debate purposes only. Accountability to whom ? To the Profession or to the College ? Integrity to the Profession or once again to the College ? Perhaps the duality of the ethical dilemma in of itself and more food for debate. . Ah here we go again A SELF Governing Body ? A most interesting point really, this divestiture from PAC this has caused a tremendous amount of controversy, nuff said at this juncture. The thing is: People do not like change but in fact change is inevitable the attempts of ACoP to "mum the misinformed masses" will eventually lead to very serious revolt or perhaps even more lawsuits, does it matter if one wins one battle or the war ? When someone is pushed or employment in a carreer is threatened and without serious justification, well just saying the gloves could come off and funded by the most unlikely of sources .... just saying. (in fact that IS a Caution) More of these foolish lawsuits could be launched and the undoing of the very persons that attempt these knee jerk technique of political bullying. The idea of controlling opinion's in social media and networking is simply laughable, foolish, and a serious waste of time and effort. With a change in the government minions or an informed and viable opposition (and this could be on the horizon very, very soon) Well things could change there is always checks and balances both legal and political for those that attempt to use this technique commonly referred to as "bullying". If any middle manager is not cognitive that they are subject to political changing whims then they too could be using the "employment" adds themselves. In fact we have witnessed this in the history of ACoP with a somewhat quiet departure of one past Registrar and a Manager too. I often wonder just what happened, don't you ? There are no secret's in politics, someone always spills their guts (i.e. oops whistle blower is more politically correct isn't it ?)My bad ? FYI: ByLaw: 4.2.3 The CEO/Registrar Performance Review and Enhancement Committee is established as a Standing Committee in accordance with its Terms of Reference, as approved by Council. Sorry a bit off topic, but just when is the next Performance Review Scheduled or is this sanctioned "in camera" My God I should have had a lawyer read the new Bylaws before endorsing them myself ... sheesh, I am sorry now. Cheers and just saying but any and all Bylaws can be changed with a motion and a vote ... as this is called DEMOCRACY.

PS J.H. you do bring up very good points and with almost 7000 views on this topic now, so just perhaps the "flip side" of the coin is getting to the quiet masses, perhaps the Future of Paramedicine in CANADA and this debate is NOT getting OLD ? I can still dream that the apathy observed in the past in AB, will this change in morphology in the Paramedic Political Landscape when it hits the pocketbooks of the membership ? Time will Tell. Cheers

There's a scookum good question ... I guess we just like to adopt an OZ ... hey everyone should have one as a pet ... just saying Phil: Snow is solid state rain , annie and I would be most pleased to send you some as we have had enough lately. Oh Yes base jumper ... best not tell a future employer about your death wish .... again just saying

Well I PASSED whoo hoo Am now a graduate of a 76 hour First Aid course and mandatory by Workman's Compensation Board is this the new Health Care Administration in BC ? <shrugs shoulders> Well: I am now permitted to provide First Aid in Industry in Beautiful British Columbia ... look at me GO. I now have an INTERNATIONAL Canadian Registration for Work Place Level 3 F.A. supplemental certificate and now hanging proudly on my bragging wall. BTW: The Oil Company practices so far beyond compliance its freaking awesome, heck I even have my own dispatch support and a ex CAF PA to chat with .... stellar, btw BC licencing took about 25 minutes to write the on-line jurisprudence exam. Apparently my Registration in AB in 2 regulated professions are not directly accepted, nor excempt from taking or challenging this seriously challenging course, this even though wile working for Alberta Air Ambulance I have transported out of BC to higher levels of care .. I have the flight log for: Intubated. Ventilated. Chemically paralyzed patients. From Peds to HELLP syndrome. To Septic Shock and this DIRECT (no Mother may I 'wean dopamine") to ICU's in Edmonton, GP and Calgary. But This is what I learned: 1- Fractured Mid Shaft Femur, secured with board splints, this injury is not life threating ... do the paperwork with a cold pack for pain control. 2- NRM is the "preferred" method of O2 delivery (despite the BCAS protocol for ACP titrate to keep SaO2 > 95) 3- No divert to facility with "required" CT scan for suspected CVA, no diversion (by Air)with Poly Trauma past a remote clinic er local hospital. 4- I can treat and release for OTC delivery and BCAS can not ... WTF ? 5- Last but not least "seeing stars" is a sign of stroke (with a negative Cincinnati Score) the instructor and bless her "tolerate heart" had NEVER heard of this Score ... I needed IM Benzos to not come unglued with this mental trauma. I will never be the same Great Spirit Give me STRENGTH, I took the exact same course called Industrial "A" ticket in 1979 !!!!! Yes and it hasn't changed since then, I kept my first syllabus from that historical date, ok so I am a hoarder, I like books Cost $1300.00 ... money grab ONLY. Sucking out 3/4 of my brain to unravel my evidence based medical practice(s). PRICELESS ! Without a shadow of doubt this is an true artificial barrier in labour mobility and conceptually against the AIT agreement for all Paramedics Canada Wide .... sheesh ! Good thing ACoP has got this reciprocity thing firmly under control .

Back on topic (more or less) cheers Next topic on my ranting list stay tuned all, and sorry for the sabbatical ... True artificial barriers in Labour Mobility Canada, the WCB in B.C. or the OFA level 3 !

Well an interesting situation ... yes, a bit dated but never the less. This is nothing more than backtracking by the Conservatives, a good idea, but poor implementation once AGAIN, so do you think an election could be forthcoming ?

Loss of C. Bleeding in an Airway. Fractured Mandible. Fracture Humerus. This guy should be chewing on plastic (minimum) RSI or a surgical airway if he is going in by air in a small fling wing bird. There really is no down side to providing a secure airway, then "buddy" then can receive therapeutic doses of happy juice so he doesn't have too much pain. In this situation with Loss of C and possibility of a head injury, well even small doses of analgesia in an unprotected airway could further comprise if just left to Basic Life Support (as in 3/4 prone) ... but that brings up another query if the patient is spinal restriction was he transported on his back with a fracture humerus and compromised airway from bleeding ? Call for a Griffin / 412 ... LOL (inside joke) I have worked on Pipeline and these are not light pieces of gear MOI is nasty squared, getting smacked with a 12 inch diamiter x 40 ft pipe, well "buddy" is lucky he is still alive. BTW Does the destination / receiving facility have a Trauma Team notified ? cheers

Reflections On Ice-Breaking Candy Is Dandy But liquor Is quicker. Ogden Nash

Depends on transport time as DartmouthDave is working in northern BC "suburban" is rather wide open to interpretation but seeing that this scenario presented and has drawn some positive attention. Transport time has to my knowledge not been addressed and quite possible that a medivac will be called for. Then transport to and "highly likely" to an Alberta hospital as the closest geographical ICU with surgical facilities is in Grande Prairie this could take up to 4 hours minimum. If this patient is Gangrene and most highly likely now with the additional information. My initial suggestion of cipro po would be out of the question as was looking at this if in my "present" situation of quite remote post. Ok so I am just making excuses as my initial working dx was something venereal in nature, my bad ? BUT smell of gangrene I too know well, quite unmistakable and one can smell it from the door (as the others I have had similar cases) now despite the "books" saying it is "sweet smelling" its nasty, nasty rancid (to my olfactory senses) HENCE it makes dx rather elementary, one of the very few occasions than the nose knows. I would like to comment on the good doctors humour and it bring to light the clinical observation, as we do know what the identifiable pathogens with gangrene so just how would blood cultures be affected a loading dosage of a broad spectrum bug juice ? Most of us in ALS Kanukistan do carry blood taking equipment and standard practice IS to do blood sample, that prior to starting any anti biotic rx, just saying. Another point is in the vast majority of cases in Northern BC there is no C+S lab ... a lot of blood work is sent out either with patient OR flown on scheduled flights to labs in the south. Hence I would have a tendancy to think that the sooner the better for broad spectrum ? (could one not just do swab of the site, and yes knowing that this is likely to be anaerobic) <edit> argh always a day late and a dollar short !

Well as humorous as it sounds a radical Jihadist and the alarming rate of women involved in suicidal bombings and world wide basis is a most serious concern. I do not believe that M The last failed bomber with exploding underwear is highly suggestive they are now playing with binary explosives, this is no laughing with this stuff, just a piece the size of a match head could blow a huge bloody hole in the skin of an aircraft. Even C4 in the amount of a breast implant has huge destructive force ... and body bombs are not a new thing at all and even mentioned in the movie that won best director ... the name escapes me right now. Jihadist will find a way to continue to terrorize, we could be once again be lulled into "oh that will never happen here" cheers

Priority tx for myself: I certainly would treat the wheeze and mild laboured breathing and sats of 90% (a tad low) asap with s/s Ventolin. Is he producing Sputum and what colour and volume is it ? Ok a 52 year old male and only 10 pack years, so did he only start smoking @ 42 y/o ? Odd. 4- Diff Dx : spermatocele or epididimal cyst ? Must agree with dust's input, and Testicular Torsion is a true emergency, inguinal hernia too can lead to very serious complications and in remote settings sometimes can be reduced .I would agree from the scenario presented that an infectious disease process is at the top of the list for scrotal pain based on rapid onset of 24 hours. Perhaps rounds of cipro if one is in a remote or clinic setting, post doppler ultrasound (if available) CBC not a bad idea either. I believe although meds are listed is patient compliant with meds ? Like just how many T#3s has he had in last 24 hours ? Is he on any herbal or naturo-pathetic rx as he is on digoxin and this rx frequently is affected by self prescribed herbal remedies, speaking of "herbal" any recreational drug usage .. You are in BC bud country. cheers and agreed its too bad the scenario setting is just a quick flip into ER.

Some days I have to shake my head in disbelief.

WORD! Franco ... firstly welcome to EMT city. First off I believe you 100%. Secondly I believe some on this website owe you an apology. This momentary lapse of judgement and as if we ALL are not guilty of this at one point in our careers ... Hell I know I have, but I believe that it is part of being farking HUMAN BEINGS. But following this downward trend proves 2 things: 1: Big Sister is watching ... BITCH and this is not the first time news groveling reporters destroy lives .. DUH. 2: We still eat our young just when will WE grow up as a profession ? Thoughts .... or does anyone know of an employer that stands up for the employee and is looking for a stand up EMT ?

A comment by another ... do you think S/HE will get fired for supporting his comrade too ? Quite curious I can not make an account to comment on the news paper link (error something) Now this could very well turn out to be far worse PR for the Hospital than just having a "fireside" chat with the supervisor and a slap on the wrist. IMHO I believe they have a great case for wrongful dismissal no matter what the Company policy states. Heck they both admitted to the charges of unprofessional conduct but appears the employer wants blood this a caring facility of Long Island College Hospital if this is the way they treat good EMTs how do they care for patients raises a question ? Maybe these EMTs will move on to a better employer one that values the professionalism "while on a call" that now their own colleague's are voicing their opinions and character witness as to good men in a public forum. Never underestimate the POWER of the Media !

http://www.nypost.com/p/news/local/jest_pains_emts_axed_for_on_job_TRVYaGLrJ5v8rA7VBYAE0N Ah more info: So is goofed around and flirt a tangible reason to me terminated ? OMG I flirted with an RN once ... <sheesh> like this doest happen or is out of the ordinary ? And who reported them and why ? I honestly can't understand a termination, a reprimand maybe .... ?

Greetings to you noob brother "no disrespect", but your picture (if thats you) well it reminds me of Moses in that light. So tell us about yourself a bit, where do you work and what level of education do you have in para-medicine ? How did you find this EMT city forum site ? Were you lost in a desert or muskeg ? Shalom