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Breaking NEWS: http://www.news1130.com/news/local/article/10619--canada-s-top-court-refuses-to-hear-appeal-by-women-ski-jumpers VANOC now refusing to allow "WOMEN" to compete in Ski Jumping ? If I were female I would be pissed huge, hell I don't have a vagina and I am pissed ! We have women competing in skeleton, luge, downhill, skating, curling and ever other event. VANOC remove head from RECTUM! It is sure looking like VANOC has more pull than the Supreme Court of CANADA ... I hang my head in SHAME! The OLYMPIC SPIRIT has been DISGRACED, boot VANOC ie IOC out of CANADA !

Interesting Topic: First comment is one can not compare in any way shape or form rural vs urban vs arrest vs CP vs trauma vs CVA vs asthmatic vs anaphlaxis vs multi trauma well (feel free to add the call of your choice) this is again reinvention of the media EMS wheel by a commentator who is getting paid to generate controversy based on dated information/misinformation. So with all these studies we ALS providers are not "cost effective" and we should hang up our kits in the lock up and go back to the scoop and run and yet once again perpetuate the myth of the "Golden hour" maybe in the rural areas we should introduce the "Silver 4 hours" Just my take ... INJURIES SUSTAINED are causing DEATH. The main page article does suggest that the criteria for the past research and statistics is flawed, no kidding, bring into the mix a plethora of "situations" even the huge abuse of the EMS systems. The global conclusion is that the vast majority of poly trauma patients, GSW and Stabbing Patients actually die, wow rocket science ! So drive drunk or be "texting" on the highway and paste a semi have 2 systems affected, well things are not looking good no matter how fast EMS responds. Then with advanced life support skills attempted the truly DND dang near dead are worked instead of being called on scene one is throwing into that study soup. Then legal duty to act and is the patient actually potently salvageable in the first place ? or are we just forced by legal system to everything because we observed one ataxic breath, with brains leaking out ears ? This ends up being "classified DER vs DOA" the old data base (BLS only)and done by the ER MDs seldom were those patients called DER too just much paperwork. ie Patient had no pulse on arrival. Out of Hospital Arrest OK, well throw the OPALS studies in the garbage can they are very dated and flawed in many ways based on old standards and in a under funded ALS system and justify continuation of under funding of ALS. The conclusion was the sooner CPR is started the better the chances of survival WOW that cost 2 million (I was informed) and now in Toronto the IAFF has jumped all over "response time" to pad their budgets and justification to put and AED and respond a Pumper with 4 men instead of funding EMS ... sheesh. Search OPALS Out of Hospital arrest it is discussed in depth and extensively with comments from those that were actually involved. The OPALs Trauma studies, well the base line patients in inclusion criteria alone is in error, no RSI, only N/S available (same as BLS) then the extremely narrow margin of difference <cough> ie READ the ENTIRE STUDY and come to your own conclusions. http://www.emtcity.com/index.php?app=core&module=search&do=quick_search&search_filter_app[forums]=1 Look to the newest of research data out of Seattle and Vancouver and it becomes quite obvious that bystander CPR is making the difference not the plastic flash boxes but after jumping on the AED bandwagon could this have been huge waste of money.And based on the "OLD" heart foundation standards of 15:2 not 30:2 then concept of early electricity, never to mention of life threating arrhythmia interventions hence preventing an arrest interventions as in cardioversion, electrically or chemically or pacing oddly enough, or thromolyics, not to forget that pain relief is never mentioned ANYWHERE! So just how does one quantify those issues ? Excerpt from the By Margot Sanger-Katz The Concord Monitor In passing a reporter no mention of any medical education ? Multiple quotes from many sources, some based on EBM, most based on conjecture and opinion only. Permission to slap this rookie ? Oddly enough the last too paragraph's is stellar and suggest that more bystander CPR be done perhaps forgetting that one actually needs an ambulance to move that patient to the ER ? I would love to see a "cost efficacy study" now on the Pubic Assess to AEDS (get it right these are not defibrillator's they are plastic brains dealing with ONE arrhythmia )then too door discharge, the cost of putting flash boxes everywhere is astronomical. Then in addition to this study completely eliminate the BLS level entirely then study the under 8 min of ALS arrival vs over 8 mins arrival? I would conclude just based hypothetically if the moneys used ie Public access to AED costs was redirected to improve to ALS EMS services and the "perfusing patient to the ER door" would be vastly different situation. cheers <edit for data base error and foolish scrambled thoughts>

HIGHLY UNLIKELY as the schools in Alberta are already hard pressed to find practicum locations, hospital and field. If you do not start until January is the agreement still set in stone ? With reciprocity agreements now in place one may be far further ahead to reevaluate your present situation and look for greener pastures ? like AB or SASK ? Ask yourself these question's: Do I want to work for BCAS where I will be treated as sub-human, paid poorly, forced to do OT, stuck in system that is subject to the governments every whim. If I wish to in a timely fashion move up to the ACP level do I wish to be held up buy "internal" problems ? With new negotiations set for April (your scheduled time to start practical)and highly likely this "Bill 21" will be contested and moved to the Supreme Court of Canada ? Just food for thought. cheers

Al: I would like to also say that this communist move by the BC government as angered and set very dangerous precedent for all Paramedics across Canada, as a non union affiliated Paramedic I feel it is my professional obligation to my brothers and sisters working in BC to be steadfast in my refusal to support VANOC or Comrade Campbell's "intuitive's". I believe it is well overdue to form an IAPP (International Association of Paramedic Professionals) we should take a lesson from the IAFF. In solidarity of EMS.

Not to be callous but how is this called a LODD, the news information is extremely scanty. It states that the FF just attended a medical call, then died suddenly. The time line is not even mentioned either and even if the mystery rash is from necrotizing fasciitis it does sound like it from the rash "destroyed" him so was this contact with a patient or something completely unrelated, I dunno this just spikes my curiosity or maybe I am missing something. Identification of the pathogens for NF is not that difficult in most labs its gram stain if I can remember my bug stuff. http://emedicine.medscape.com/article/1054438-overview Before one clicks on the link best not be eating, this is one nasty bug moves super fast too. I have had been involved in the care of just a couple of patient's but most post op infection's and never an occupational type contact, never with direct contact with a infected patient. Normal PPE gown glove and mask precautions and good hand washing typically are the only precautions, although if one does have direct visual contact with this ugliness a full body does sound like a good idea. Although a good thing called LODD as his family and 2 young kids that is very sad, I would sure hope they will receive benefits no matter what the cause. cheers

Here are some other link's of interest: http://www.apbc.ca/home/ http://www.saveourparamedics.com/ http://www.vancouversun.com/health/Paramedics+BCAS+What+plan+Olympics/2115940/story.html http://www.vancouversun.com/story_print.html?id=2237886&sponsor=

Welcome: I have a most excellent idea, just ask VANOC to provide accommodation for your selected medic, and btw one can not get a beer and a pizza for less than $50.00 (single topping) in the Whistler Village let alone a hotel room even close to the venues unless they are a millionaire. Simply stated the prices will be bloody astronomical at this very late date, a winter tent and arctic sleeping bag may be the only option available, I hope your staff member has experience winter mountain camping. I have friends that have rented their condo in Pemberton about an hour north of Whistler($8000 for that period and only a 2 bedroom)One late comer offered $10,000 but my friend has some integrity. Besides the commute will be rather long from Vancover and the price gorging going on in Vancouver is simply criminal, the commuter bus ride alone unless VANOC is arranging will cost an arm and a leg and check on-line for the availability, some issues reported in the news. http://www.google.ca/search?rlz=1C1CHMA_enCA347CA347&aq=0&oq=VANOC+trans&sourceid=chrome&ie=UTF-8&q=vanoc+transportation+plan Just friendly advise that your "medic" not seek assistance from a member of BC ambulance as they may NOT receive a typical warm Canadian Welcome that we are well known for ... please accept my apologies in advance, but BC Ambulance employees did not start the abusive situation for my brothers and sisters in EMS ! You should read this rather important information and links(s)if your service believes in a thing called democracy best be politically informed, many respected members from this professional forum and Paramedics from across Canada will be very hard pressed to support VANOC after their political shenanigan's and removing human rights using the excuse of "essential services" legislation. I certainly hope a member of CUPE does not see this. http://www.emtcity.com/index.php/topic/16843-bc-paramedics-legislated-into-contract-extension/ http://www.emtcity.com/index.php/topic/16341-job-action-escalates-in-bc/page__hl__BCAS__fromsearch__1 With this extremely late request I hazard a guess that VANOC is putting contingency plans in place at very late stage, if you would be so kind when did your staff member get notification , as this would be quite interesting to hear. I would suggest that a few questions should be asked by your "medic" for his her own well being in regard to: 1- What is the Scope of Practice they are expected to provide ? 2- Who is covering malpractice/liability insurance ? 3- Do they have direct reciprocity under BC regulations or have they applied ? 4- Is your member "aware" of the term OFA level 3 ? Last but not least .... Does your member have a pink / salmon BDU shirt ? Best look into those and read the thread links provided. I am so trying very hard to be polite to our new member of EMT city regarding this request it has tested my "tolerance" to the limit, I just took a 10 mg of Valium and a beer to not loose my cool, true that cheers

Well don't know if its tacky but my family has quite a reputation for returning "joke" gifts this initially was started by my Mother and her Mother (my Grandmother) they exchanged the same Christmas card for over 40 years, this started during my Mothers deployment as an RN during the Korean War. My middle brother would exchange the same can of herring (in tomato sauce) for as many years to my Mother, and she was always disgusted by this. A can of SPAM has been lost some where in these continuing transaction's and the expiry date in in the 70s. My younger brother and myself a "nose warmer and hand knitted" found in the most curious of containers, one year in a baked potato, one year in a bottle of wine, oh yes that was my idea. Thing is my brother visited me just one day ago, damn him, I have not located it as of yet but I know it is now somewhere in my abode, the bugger, I just haven't located it as of yet, perhaps a means of psychological sibling torture ? Well it's working. 4c6 I am Bamboozled once again yet almost intrigued, honestly have absolutely no idea what MacGyver could make out of this stuff although I am quite positive that we will eventually find out some and a very twisted application. cheers and a good thread

Brilliant comment to be certain, heck when mine was 4 he could open dang near anything he wanted too, or get the dog too do it. This Kid has a great future as a member of the "Trailer Park Boys" my investigation has resulted in uncovering April Wright's myspace picture.

Well just speaking 'unofficially" for the frozen ass north, I have yet to even hear a even a hint of cutbacks in the area of justice and the court system. But oh yea IAFF is doing their best to get the biggest piece of the pie they can in Winnipeg and trying in Toronto as well. cheers

Then add to that the British military model, many of the "medics" are conscientious objectors just a historical perspective. Heck even Bobbies carrying a handgun is relatively "new concept" although the recent terrorism in London did change some traditionalists minds a bit. That said shooter medics are used extensively in the Sandbox for CPS (close protection support) or contracted EOD teams as back up sniper / medic. IMHO if I were to be called up to a non secure Hot Zone without having the ability to return fire, well count me out of that one thanks, even with vests level 3 and all the badges your just cannon fodder, the objective is eliminate the threat first. Yes I am aware that ARMED MEDICS is controversial but thats my take, no bullets, then bring the patient to a secure area. cheers

I picked up a decent pair of Dakotas ~ 150 CDN with a composite fiberglass toes and insulated (its mandatory here) and I can boot doors down with them too, I love them and so NOT a fan of Steel Toes in 30 below. HERBIE1There is no WHACKERS forum but is an idea Was thinking we should start a FUND for 4c6 so he he does't have to put his socks on over his worn out boots for traction.

Thats a tripping hazard and for assiephil its the only way he knows what is left and right.

The typical Vibram pattern can get rather confusing. Can you notch Rock Slippers ? Bwahaa ha ha ha .

The fact of the matter remains that comparing the US system to Canadian is a completely different horse, in many instances I would donate my left (N_T) to have a few more helos in strategic areas and with the capability of winch would be nice too. The actual cost of medical evacuation remains comparable its just that its spread out over the entire population. Don't get too cocky their BC boys and Girls Alberta bails you out in Northern BC because some clown put a slowtation II out of Prince George when a shorter strip capability and more STOL craft was needed ... care to see my flight log and don't mind the dust. cheers

I was chatting with a member of the local RCMP the other day ... NO was not under arrest The topic of rapid identification and elimination in a suspected crime scene "ie tracks in snow, mud or blood" btw the LEO was a dog man. I thought this was common practice for most EMS services and SAR groups but apparently not these days. The LEO had a very strong pro stance on the issue as he was very experienced in tracking and thought this idea should be forwarded to members of EMS community to help track down the bad guys. cheers

What a poor excuse Phil are you not issued a Superman Suit when you graduate in your tiny little country ? My query is where was this patient impaled ? Is there not Firemen for this situation as they do lift heavy things. cheers <insert wink>

Good Point with cxray any experts on the rads films vs CT ? I was always under the impression that a cxray was higher ? I dunno even where to look cheers

This restructure of AHS EMS in AB is huge folly and costly too AND during a resetion ... WTF ? On an related topic its becoming rather apparent that in AB Comrade Stelmach may be going back to his farm in Vegetable Ville and get his ass kicked by Danielle Smith. http://www.wernerpatels.com/2009/06/danielle-smith-to-run-for-wildrose-alliance-leadership.html <edit for Grammar Nazis LS>

ditto Yes a good thing ..... just to be safe I chose a demented she devil that presently can spin her head 360 degrees and spit pea soup 100 paces .... so good for me I would use a thyroid cover and wear it as a baseball cap (and the cheapest glasses because I was told the cheaper they were the higher the lead in the plastic) ... YUP I looked stupid but after pictures were taken (no joke) and sent to "admin" then they started taking us seriously about acquiring a transport ventilator for CT, the studies of maintaining CO2 in a controlled fashion were included as well. ps Lost a fellow RRT just 3 months ago from a brain tumor @ 56 y/o I will miss Bill Hoh was truly a dedicated professional, he was one of my clinical instructors and I will never forget his advice ..... Walk with Purpose .

Double Post ... ? Weird

Your lucky you got a badge it took me 4 years of begging and screaming to have a transport ventilator for CT .. agreed I would really like to see studies of HCW exposed on a daily basis, I clearly remember the DI gals telling me ..Its Ok is just a small ammout of radiation, while standing behind lead covered glass 2 inches thick ... right them. For diagnostic purposes risk vs benefit the news media picked up this story too .. laughable on one reporter saying there was less radiation exposure in MRI or Ultrasound ... well that hit my funny bone because the "health watch reporters" have simply NO idea what they are saying (good thing there are Q cards) cheers

Yes the Evil Union was the cause for all this Then came Bill 21, forced OT, and the Stellar Comrade Campbell + VANOC (and his cronies) breaking every rule in legal bargaining possible ignoring basic human rights and to top it off using H1N1 as an excuse and not prioritizing first responders to have access for vaccination to protect there families ...<end rant> Then additional punishment close the Educational facility ... good thinking again the exact same strategic plan used during the last "non-strike" and that worked so well so many years ago. To answer the Question the small claims courts have limits, and I have no idea what they are. I think you would be barking up the wrong tree seeing as the Judge highly likely would be sticking his/ her head out for ladder climbing in BC. In any case you need assistance with real legal advice or you dont stand a hope in hell of winning in small claims. If I were you .... well besides going to media like a trouble shooter type to expose the government, I would go to CUPE as well they have Lawyers as I highly suspect your piggy bank is quite empty ? More stupidity from BC Government, shut the school so that no one can be trained in an understaffed system EPIC FAIL for health care in beautiful communist British Columbia. cheers

Did we forget about treatment for Hypothermia ? Or are we working on the "hypothermia is protective" research is valid in this senario ? BTW although "standard" definition of tachycardia, I seldom get excited with a heart rate of 110, heck my heart rate is that high when I get to go flying in a A109 E, just to compound the scenario (if it was longer flight time and weather a complication and a CG Eurocopter AS365 Dauphin 2 was available would one pick that as an option ?) well in a perfect world Working out out of that bird well my heart rate would go up and become sexually aroused ... Pretty much, brief the PIC of the situation, but his/her call ultimately. Agreed the PIC is ultimately responsible for entire air crew, patient and a rather expensive fling wing ALWAYS. If s/he has to go higher well I don't have a death wish personally. FSW = Feet of sea water. http://www.scuba-doc.com/physics.htm However, upon reaching 435 FSW, the patient began acting strange and suddenly developed a brief period of what is described a "seizure like activity. This could explain the Lung Sounds a possible aspiration pneumonia ? the FiO2 of 10 % (so something YES does sound fishy) a tad on the low side. I am not familiar with in trimix but CO2 scrubbers in operating room can fail or absorb so much CO2 to become useless (good QA/QC is the ticket).. but testing I suspect that this would fall under the "dive investigation team". My experience in Hyperbarics is for CO poisoning, identified anaerobic sepsis or a sudden decompression for fighter pilots and big ass land based submarines (as coined by CAF Captain IC) so I am out of my "depth" with the Dive stuff, the anti static long johns were the only reason I volunteered because I looked so svelte in them .... cheers