tniuqs

A most interesting commentary ... is crying the only sign of short term depression, clinical depression or possibly be PTSD .. are there any other possible "signs" that we as co workers might observe ? ps Defib a bit of foreshadowing here if this thread continues to be active. cheers

I immediately stop drinking rhum and switch to red wine.

Quote from Pulp Fiction .. being a character does not necessarily mean' one HAS Character. cheers and GDay.

I stand corrected .

Most seriously my coping measures and perhaps my personal longevity in this area of EMS, would be the friends that I work with, a simple hug can go a very long way, we are after all just primates and physical contact is very supportive, if one looks to studies in NICU physical contact (gestational age dependant) the "gerbils" thrive after physical contact at > 40 weeks. Just saying the "I need a hug" should not be as tongue in cheek as I believe it was intended, perhaps should not be overlooked, (correct me if I am wrong) We have had a tradition of EMS 'tough guys" hey this shit don't bother me .. to find out down the road that it really DID. cheers

Before you jump up and down about the benefits of this CISD stuff, check out Dr. Bryan Bledsoe website "handouts" "Snake Oil for the Masses" a powerpoint presentation regarding the topic at hand and the meta studies most interesting whom is profiting this and without question I believe that it was Bledsoe published way before the WHO article was published. In fact reliving the event shortly after an 'Incident" can and does put it into long term memory banks and can contribute to PTSD. How the UN became mentioned .. is way beyond my diminutive comprehension. <shrug>

World Health Organization Single-session Psychological Debriefing: Not Recommended The purpose of this brief communication is to draw attention to some aspects of mental health interventions in emergency situations. The world is witnessing an increasing number of conflicts and disasters - causing enormous mental suffering. As a result, more and more governmental, nongovernmental and United Nations agencies are involved in the provision of mental health assistance to affected populations. One of the most popular approaches is the so-called ‘single-session psychological debriefing.’ It is the technical opinion of WHO's Department of Mental Health and Substance Abuse -based on the available evidence - that it is not advisable to organize single-session psychological debriefing to the general population as an early intervention after exposure to trauma. Mental health interventions during and after disasters and conflicts are being discussed widely in the medical literature and popular media. It is well-known that common mental problems (mood and anxiety disorder, trauma-related problems) increase after exposure to severe trauma and loss and that forrmal/informal services for people with pre-existing disorders often collapse during emergencies. Fortunately, a range of sound strategies for social and mental health interventions are available to reduce disorder and distress. These are summarized by the Department in the document Mental Health in Emergencies: Mental and Social Aspects of Health of Populations Exposed to Extreme Stressors, available in four languages (English, Arabic, French, and Spanish). Single-session psychological debriefing is not among the recommended strategies. Single-session psychological debriefing is a formal type of early intervention after exposure to trauma for which several models have been developed in the past two decades. Its origins can be traced to efforts to reduce psychiatric casualties among soldiers immediately after combat throughout the last century. It became prominent in the 1980s when the principles were transferred to civilian life. Presently, it is seen more and more frequently that relief agencies seek to deliver psychological debriefing to the entire surviving population in certain trauma-affected communities. Debriefing typically involves promoting some form of emotional processing/catharsis by encouraging recollection/ventilation/reworking of the traumatic event in a single session in the near aftermath of the trauma. Psychological debriefing as an early intervention after trauma is likely ineffective and some evidence suggests that some forms of debriefing may be counterproductive by slowing down natural recovery. Authoritative sources for this conclusion include: (1) van Emmerik et al. (Single session debriefing after psychological trauma: a meta-analysis; Lancet. 2002 Sep 7; 360: 766-71), (2) Rose et al. (Psychological debriefing for preventing post traumatic stress disorder [PTSD] [Cochrane Review]. In: The Cochrane Library, Issue 2, 2004. Chichester, UK: Wiley), and (3) National Institute of Mental Health (Mental Health and Mass Violence: Evidence-based Early Psychological Interventions for Victims/survivors of Mass Violence. A Workshop to Reach Consensus on Best Practices). NIH Publication No. 02-5138. Washington: US Government Printing Office, 2002). There are a few proponents of debriefing who question the aforementioned conclusion. They argue that the debriefing that has been studied is different from the debriefing that is given in emergencies. Also, it is known that many recipients and providers of debriefing are satisfied (i.e., they are satisfied even though it does not reduce psychological problems). Much of the critical evidence on debriefing is quite recent, which explains why many well-meaning agencies and professionals are still involved and without a doubt will continue to be involved in psychological debriefing. In conclusion, (a) emergencies are associated with wide distress and elevated rates of common mental disorders and trauma-related problems, ( single-session psychological debriefing to the general population is not recommended as an early intervention and © a range of social and mental health interventions exist to address social and mental problems during and after emergencies (see Mental Health in Emergencies: Mental and Social Aspects of Health of Populations Exposed to Extreme Stressors). 1 For questions, please contact Dr Mark van Ommeren, Department of Mental Health and Substance Abuse (vanommerenm@who.int) http://www.who.int/mental_health/media/en/note_on_debriefing.pdf

Query: Why do you need an RN to sign paperwork to take over care ? We just don't do that gig here . cheers

http://www.ctvvancouverisland.ca/2011/11/election-shocker-in-port-alberni/

I took the time to look back at the original post, it has zero to di with the RN scope of practice (suggest you zippyRN should too) .. the "root problem" stems from the very serious fact that the RN union is resistant to work in collaboration with EMS in hospital setting. We presently have a Government that may in fact dictate that .. but an election is coming up and I seriously doubt anything will transpire until that is over. In closing I would refer you to the Alberta College regulations under Health Disciplines Act an RN cannot be directly employed by an ambulance operation unless registered under the Act as an EMR, EMT or EMT -P. I was always frustrated when working in ER as an RRT and was permitted to do arterial access but not venous could not pick up paddles.. even though in the ER garage I was "legally permitted" (but not across) the invisible territorial RN Union Line.

ZippyRN: Feel free to attempt to convince the REMT-P's registered in Alberta or BC that RNs are anywhere near the same scope of independent practice and I wish you good luck with your argument. cheers

Thanks Ruff

Sweet ! Thanks Ruff.

zippy RN Canada vs UK .. 2 completely different sets of rules of engagement . cheers

DFIB but No O2 key on either ? As a short term fix I went with these: http://www.crkt.com/...ack-KydexSheath http://www.selfdefen...?products_id=45 I split some Gorilla, then taped both sheaths together, a bit of black chute cord and it looks like this. It fits in me pocket ... yeah, yeah sure its a concealed weapon ...... what ever !

We call em sappers here.

Zee Medic Eh? Welcome ! No beta blockers in your cook book ? hmmmmm .

So Blowing shit up aint awesome ? come on man !

Sweet !

Nov 20 and zero reply from OP .. Mike and Ruff you called it. Do I have to pay up now ???

Got to be on your game to pass RRT registry .. set you sights higher than EM-B that said if you pick EMT B be really good at it ! cheers

Welcome: Stuttering can be cured you know ! Define "larger"

Whats your current trade ? oops Welcome

Welcome Black Belt .. good chatting with you in the room, things are picking up again in chat . Tell it the way it is Mike a very good post worth bookmarking for next time we observe a similar intro.