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Don't you mean crazier ..... Oh and can I become a member of that fraternity too, but do you take loonies (double meaning) as dues ? Some days I just cant stop me fingers .... LMFAO.

Go north young man, just over the bridge in Prince Albert and its Gods country ... but don't tell anyone its a well kept secret. ps move over I think I am going to join you .... and get away from this transition crap that we are enduring in AB. Be damn certain that the SELF REGULATED part is entrenched in your bylaws as this is huge joke here in AB now with public appointees by government and an EMR as a President ? ACoP has not only fallen flat on their regulatory faces becoming a direct venue and being dictated to by government, this in 3 professions that I know of under HPA, Dental Hygenists, and Respiratory .... may god have mercy on Stelmachs ass if he tries with Nursing ... Well I sure hope that CUPE takes it higher to the Supreme Court of Canada, this equates to slavery ... there is essential services order but there is not an "STATE of EMERGENCY" sheesh, just wait till theres a MVC with an Ambulance and when they look to hours worked in the previous week and rest periods .. hey BC truckers hauling logs or big rigs are mandated to have rest periods .... and they have to keep records . Just like we are seeing HERE in FREE Alberta a hiring freeze ... on damn near all HCW, AUPE was out in full force yesterday in Edmonton, because they want to place 300 or so mentally ill patients back into the community .... er cells / remand . Pay Peter to save Paul phylosophy it just doest work ..... cheers

This is a standard procedure in the oil patch industry so should it be different in any other industry ? A past member of this website KodiacX is dead and a very close friend leaving a 5 year old and a 5 month old son without a father and by a very experienced EMS provider so lets not lets Mike Jolins death be anything but a reminder to us all. RIP my friend.

Chbare, and now YOU are to be capitalized ... brother you know, South African Medics are some of the best educated MO FO in the world and bitch less than the vast majority of offshore and hostile environments ... HATS OFF to them, I wish I could be even close, I still have a long way to go ! cheers

I believe that SA Medic was quite clear ... gross negligence or just give up because of lack of resources, I can not and will not fault the MD ... accept for his attitude as was the RN sister but be very wary my Mother a Korean VET was called a that an Nursing sister ! AND buried last year as you know donated her body to science that others may learn. this at the honerablbe rank of nursing sister Lieutenant and theres as an bloody "F' in that, she treated British, American, OZ and Kiwis ... AK don't you dare go there or the Wrath of Khan will come on your head like ton of fucking bricks. Ok so a failure to address an issue that can be surgically corrected should be discharged ps I was privileged enough to have worked with (Dr. Neil Finer an associate professor and now a Professor in the university of San Diego and stolen from the Royal Alex hospital in Edmonton, just like Wayne Gretzky ) so to hell with diaphragmatic herniation and ECMO btw we celibrate the 18th bithday of the first "experiment" next month and I will be there for Ashely,I was so privileged to be a very small part of her care. Helicopter, your luck to get a Caravan, single engine on a gravel strip or if you damn luck a KA 100, thats if your G damn lucky, and PMI please educate me I am am a bloody idiot. Nitrogen gimme a break this in is Nambia fer fucks sake do you believe the world revolves around the US of A get a grip, SA_medic is asking for help, and did he do the right Thing I commend him and he should get the Noble prize for simply trying . I believe even dust would back me. . You best not pick apart SA_medic care there is no conflict with patient care in a 3rd world country and because you have never walkied in his SA shoes .... nuff said nor have you treated a Teepee chest/ RSV from Frobisher bay /Iqaluit. SA MEDIC gave this child the best possible chance at survival anything else would be negligence on your part Kudos my brother, cant wait till we meet. And more assumptions, is trach required with recruitment for sats of NPT on 10 of PEEP ? is a Peg required for a child that an be on NG tube feed for 5 days WAY too many assumptions have been made here. cheers

Ok first off I have much love in my heart for you TERROR, But the link you posted is treating Heroin addicts WITH Heroin ... thats what they want and yey need, do I disagree with you opinion ok yes, because I respect it even though its WRONG .... ducks runs hides in fear. Terri you have always been there for me but face it what you posted and what your saying are different. As for that pervert Aussie Phil, (of which I worship the ground he walks upon in envy) ... so to answer that query using ICEBERG RHUM (the correct way to spell btw) I have spent way too much time in the Caribbean to talk the gibberish that you OZ prostitute and call the Queens English. When this gets L5S1 thing gets better ... will bring you a bottle mate. Just hope AK is not following this thread, its screwing my chance to help with his cause of which is next on my list of stuff to do. well guess the cats out of the bag ... damn. Never the less, Terror this Turnip never gives up ... ever, veggies are like that. cheers

Actually it not my personal point in the slightest, its evidence based medicine that proves the point conclusively,so 22 G to treat a heonine addict in UK, or 50 G for incarceration in the US (and theres no drugs in Prisons?) LOL ... its just that your US policy in foreign affairs and your past presidents, starting with that self proclaimed crook Nixon that started that bull shit. Do you know just how many addicted GI Joe's came back from Nam .... and then treated like crap because they needed some escape from the reality they were forced to endure, (mean age of 18) they were hurting bad ... and without any help cause they we baby killers and druggie's ... nuff said. OH Breaking News and NOT Reuters: THE CIA has recently released information that Opium in the "Golden Triangle" may be funding arms for the Taliban, ROTFLMFAO brilliant, and putting Pablo Escobar in prison has not affected the cocaine trade one freaking iota. So just ask yourself this this question HONESTLY! If you continue to think the way you have aways thought, you will continue to get what you have always got. Is prohibition working ? ... so remember your own history the Kennedy's were well know to be the Rum runners from Canada and became rich wealthy and rather famous ? ps bless them today personally, for my legal relief of my pain. cheers

Methadone is cheaper, as are needles that are clean, as is treating for HIV and AIDs, AND your paying with taxes for law enforcement, increased crime, incarceration for addictions and if you think that cold turkey works ... just as Mick Jagger hes a registered user in the UK. We in North America are laughed at by most European Nations that have really addressed the issue and crunched the numbers and think N.A. are fools not to have any control ... when its just black market rules we all loose. When the Governments have control this rules out the middle man dealers, guns and all that goes with the drug "turf" wars that kill innocent people. cheers

A man of experience speaking here. Wonder if the MD gave paracetamol, or isorbide .... ever hear of Nimbex ? cheers

SA I felt really uncomfortable the was I spoke with the Triage RN yesterday, so I phoned her and apologized to her, she understood that my comments were not aimed at her, for being rather blunt .... as for the MD ... I'm writing a letter to his regulatory college thanking them for the restrictions that they place on him and his lack of compassion. cheers and thanks ... know any reliable heroin dealers ? j/k Good thing that I have a booze store within hobbling distance ... as I toast my full glass of legal pain relief.

'VentMedic'It would depend on the type of PNA as to whether antibiotics would be warranted. ...When you say collapsed lung, do you mean atelectasis or a pneumothorax? Well I will take this one on do you think they even have virology in this government hospital in NAMBIA ? ... the child was 2 months premature, survived @ home for 2 months then admitted to Hosp ... no antibiotics no anti viral and sub therapeutic fluids replacement (hell why even bother if your withdrawing therapy) .. very curious. Pneumonia I would highly suspect, very difficult to improve sats with BiPap with Pneumo and most likely cause a tension ... was this mask or NPT ? Better Query what were the prior films and were they offered for your review SA, knowing SA I highly doubt that every possible attempt at PMHX was attempted, this medic has worked from sinking rusty jackup oilrigs to some of the worse conditions in the world .... and just how was the Sudan SA Medic ? did you ever get that Kevlar coffee cup lid I sent you? Do readers in EMTcity even comprehend that one round of 10 days of Cipro can tuely save a life .... honestly sometimes I just get disgusted the judgments of some. See above statement, does the machine really matter USE what you have, and highly unlikely a volume vent was used (come on please) and with initial Sats on a cold foot and actually warming the kid to NTE the sat monitor is a waste of time (its perfusion related) .. BUT treated and markedly improved ... a no brainer query, I always took my sweet time with any newborn and RNS freaking out to get a heel cap gas, cause it tells you nodda when perfusion is compromised. PDAs are reparable Arnie Schwarzenegger being just one example, in South Africa they are the Leaders in cardiac Surgery .... look to history. Ok good question so this small patient survived at home for 2 months ...Quote: (a 2month old, premature (born 2months prem) does Coarctation of the aorta patients survive without treatment for 2 months at home AND or were the kids lower limbs blue and upper torso pink? kinda a DGA. Quite clear the outcome with this MD treating was DEATH, Hypothermia, inadequate fluid maintenance, with SAs interventions things are looking up well just uneducated humble opinion. And some times the patients actually SURVIVE, WE live in an entirely different world in N.A. Anecdotal, and SA Medic is no frigging student, and I can tell stories of R3 that are dumb as posts. Vent this is an assumption and very atypical, of you have you ever been in Africa? SA simply did his job to the best of his abilities he is not an RRT ... if this kid does survive it is because of his actions ... and as you WELL know in NICU one just never knows until ... maybe just another female Stephen William Hawking in the making ? I would not charge the MD with negligence I would send him a picture of the child playing on your lap in a year. cheers

This has been done in Europe in many countries, very successful, it reduces crime and prostitution hence reduction in transmission of HIV, its only in North America that we are so retarded to believe that anyone wins any "War on Drugs". I hate to tell you but the US has LOST that WAR .... addictions are a disease, treat them dont incarcerate them, some individuals more prone to dependance than others the biggest legal addiction being ETOH and all the fallout from that "legal" drug, far more a societal issue than heroin, crunch the numbers. So a little Story: I speak from my heart as yesterday I sought help myself for extreme back pain 11/10 to receive 3 tabs,5 mgs of Endocet from an ER MD that was more worried about writing a triplicate form and doing the huge volume of paperwork ... btw, no physical examination, a 20 second contact and I spoke more to the cleaning staff than the MD ...I was crystal clear that my GP was on holidays for 8 days ... the asshole ER GP even suggested that I drive to my GPs office over an hour away and get my GPs "designate" to sign off (as if I could even get a appointment) .... well can't tell you how disappointed I was with this ok yes I will I was in tears ... so I returned the 3 whole tabs to the triage RN and suggested that the GP use them as a suppository, and if I could have been capable of administer it myself. So after 20 ozs of rum and 4 tabs of asa I fell er passed out ... our North American anti any drug philosophy receives a HUGE a FAIL, I personally would give more pain meds to a dog. Thanks to Terri and Happi so I could at lease tell my story, almost 30 years now of humping stretchers around equates to one tab of endocet per 10 years .... so pass the heroin. cheers . Looks like a big FAIL here too I would like to send my condolences to this family today ..... chronic pain can be extremely serious problem insomnia can cause psychosis .... and we are ignorant and judgmental when it even comes to our own.

Although I must agree kevkie, in todays "Hit the Wall" this philosophy can be very challenging to actually implement, point in fact my comment prior (grizzly bear attack) my issue was in the QE 2, in passing in my personal opinion (and McLean's magazine) one of the worse facilities in Canada. Even on a wait and evaluation and then 90% return rate to sending rural facility, the flight crews were expected to babysit the patients in the halls ... now when push came to shove and a meeting was held with AHC the direction was that we could monitor drips but not give IV meds. Quite the blank stare when I asked "So if the patient arrests just who is responsible to work the Code" ... well the hospital was responsible, oh and I have not been invited back to further discussions either. Some facilities, and especially with the idealistic Lieperts pipe dream (er blow smoke up asses) that Paramedics work in rural facilities as Primary care providers, flashback well in those days direction from AHC was very clear once past the threshold of the door to ER the facility became responsible for ALL care. Your mileage may vary

http://www.jems.com/news_and_articles/columns/Wesley/battle_of_the_sexes.html

I suspect you did not read Seb Wongs reply and the advisor Paramedic quit the show and because of the inaccuracies. Must disagree the general public believes what they see on TV is the truth, time for true professionals to stand up and call crap when they see it.

An excellent reply to foolish questions. cheers

TV Under the Knife .... well that says it all. Ahem Trauma comment again. I guess I missed the EZ IO part, umm the ETI was a cric ... WOW and a roll to a spine board, thats bloody brilliance just what will they think of next ? a scoop stretcher, or a KED or SKED or maybe long line sling out of a school yard ? Oh and then the very realistic MCI when Tactical EMS and unarmed enter an non secured area .... oh yea thats super realistic ... on the keystone cops or the three stooges meh. I did like the colored plastic Tarps for triage that WAS an idea I have not seen but just how would that work say when the weather sucks or the wind is blowing or its - 40 C ? and with on liter of Ice Water Saline to prevent spinal shock and pericardocentesis for a penetrating injury to the heart from a GSW .. and and and .... not to forget da WASCALLY WABBIT, who in the next show is predicted to wear his underware on the outside of his flight suit. Did we forget the transmission of MRSA/ VRE in the the back of the gut wagon ... shucks my bad. So + 25 years in the field as a grunt (non administrator) and I say WTF ... Over ? Jimmy H. I believe your nose is so far up NBCs ass YOU need to be intubated ... just to breath ! cheers

You best check again, you couldn't afford a camping spot.

Dah! Of course

Oh Damn I think I am going to miss the New Episode ... I have to get my nails and hair done ..... pity. ps Please don't slam William tells overture of 1812 I so loved the Lone Ranger or was that Robin Williams ?

Flashburn you make an excellent point, when your pointing a finger the other ....wait a minute let me count ... OK the other 3 are pointing back at YOU. But seeing as you ask ... I check every time on ...... on my rig because after - 20 the block heater plug is on the front and the back of the rig is in a snowbank. When I am responding on my moose ... well it hates the cone unless there's oats in it and I still cant get the damn thing it to back up anyway ... moose are like that. Ok can we say we have beaten this horse to death ? IMHO I think so. cheers ... live and learn from the errors of others, look before you leap.

And now the additional fallout spreads the virus to the Nazi Occupation of Alberta: http://www.calgaryherald.com/business/Alberta+unions+reject+wage+freeze+call/2109515/story.html First EMS declared essential services er legislated then the "transition without a plan" reduce the number of dispatch centers to 3 from 26, hire more middle managers to promote well more committee meetings accomplishing nothing. Force EDM and Calgary to become members of a union they did not support now a frezze on wages and PLEASE check the link and comments in regaurds to the MLAs wage roll back. I for one will fight this Conservative Government Tooth an Nail, and please send Stephen Druckett aka Mr. wing it back to OZ .. I will donate my Airmiles and a swift boot in the ass, and give assiephill a spare baseball bat to tune this arse up. GO GET THEM HEATHER, bring this G DAMN government to its knees ! Other stats of interest: Freeze hiring in Hospital (sending all new RN/ RRT grads else ware) Withdrawl of sigh-on agreements with graduating family practice MDs (Canadian trained) for rural areas ... cause we already have to many. insert vomit smiley. AND make waiting lists even longer for hips, knees, and elective Angios) THIS for the very people that voted this clown show to power. I officially declare Jihad <end rant>

Cough ... Splutter ... **** ***T this is a re: make of the very old ORO Intubator, (basically an OPA with a hole large enough to accommodating an ETT #7.5) I have had one of those in my kit for over 14 years and it was designed by a Paramedic turned Gas passer in Calgary, there is no way the concept is anywhere new. "Quote: The new patented disposable S.A.L.T.) the key word / fine print is the give away .... • Establishes patient airway like an oral airway. (OK) • Eliminates the need for a laryngoscope. (Nope) • Makes endotracheal intubation simple, fast and easy. (if your patient is flat) • Patented securing clamp and strap included. (the fine print) If you want Quick practice with an L scope, this is not faster its another step and eliminate the need for an L scope well I disagree, what this SALT device promises is a profit margin for the company. That said these are good devices, about a 85% first pass success rate (in OR settings) and provides a good bite block, as for blocking secretions and preventing aspiration well good luck with that is is a marketing tool, once one dilates the cardiac sphincter you have opened it up to MRE regurgitation... Stated in the PDF "Claim to fame" * There are no hassels Really? what about the 15% or so % that is unsuccessful, fill the gut with Air ? * No need to struggle with an clumsy L-Scope ? Interesting because how can one remove a FBO just me I dont find a L scope clumsy in the slightest (I like to see and visualize the cords)besides are the marketes insinuating that going blind is the best of all worlds ? *Reduces procedure time. PFFT. *Reduces Packaging Waste. Or add more crap. *Safe Easy Effective. OK all invasive procedures are Safe, Easy, and always effective, quite obvious we are talking a very flat patient here like no V/S and no gag. Bottom line Let the Buyer Beware.

I can't disagree but safety should not be a dictated policy, if so then common sense should be dictated to and that just is not realistic as common sense cannot be taught.... Safety it should be an attitude and agreed adrenal driven seconds do cause errors, here is a point in fact. That said without being directly involved and just reading the rags, we sometimes form some rather jaded opinion's (in passing) this is a event that could wake call to ALL. A very realistic situation to the possibility that a frequent flyer, with ETOH on board and would even believed he knew what door would be opened aid in the patients own care ... I dunno have heard far more Darwinian theories. The question I ask event is there no 360 degree walk around the rig before moving it ? On to the other highlight and a personal passed on story, 2 of my partners found an 8 ball while doing some food shopping on a wait and return, very difficult time was encountered when they contacted the LEOs and hand over the what they knew was illicit rx, so could the possibility be that a patient managed to hide a small baggy under some laundry before the patient was searched in ER ... well just saying, could WE be the ones jumping to conclusions based on what the newspapers print ? cheers

Dear Phil: Sorry to send the postcard to your Mother ...