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Well thats great, perhaps we will meet @ the AGM ?

Matt: Ahem: Not bucks .. please. Did like the all seasons tires, and KaBec jokes .. good ones ! It sucks that you cant get a Timmies where your on shift ... heck even AK can get a Large double double ... and thats in Kandahar ! There are some very valid reasons that the PCP level (title) will be a very hard sell in Alberta, besides that the voting member's of ACoP mandated to maintain national affiliation with PAC @ last AGM 2008 ... The council took a lawyers advice and they resinded that motion (see the Presidents message in the last Dialog on the website) not ALL of Alberta Paramedics and EMTs agreed with this path. AGM is coming up and I believe that this topic will be debated with some vigour I highly suspect. As a Profession we will go ass backwards until we recognise that National Affiliation is mandatory before any advancement will be made ... just my 2 cents. MI/MEDIC: Ah that sounds closer to the truth, direct reciprocity is jump on a truck and go, so your training has been accepted to challenge exams (written and senarios) I bet $$$ that a field evaluation will be next, an endorsement of an experianced Registered Paramedic is "factored" in as well, I hope ACoP informed you of this as well. Soo just how long do you think it will take before you get your first paycheck MI/MEDIC ? The grass looks greener from the other side of the fence. Good advice kevkie lol, AND I have been lead to believe that the failure rate is rather high in the last few classes and that would be individuals that were trained here. cheers

So just walk in and jump on a truck no exams, no restricted licence in any way ? Good luck with that.

Disagee mobey: Firstly I was born here this makes this MY "HOME" too ... a lame excuse and the vast majority of first nations are of mixed blood the DIA Card is a scam. I know of many that take the step off the reserve and make it, but very few because its too easy to stay and no one starves on a reserve. I certainly wish with my children had the same and equal access to funding for education alone let alone free health care, free education and all the government programs in every area of "Canadian Culture" so when does the native overfunding end too ...... just when is the land we paid for 'paid in full" When will all Taxpaying Canadians call: enough is enough ? btw the First Pations Peoples are living in House's on reserves built by Canadian taxpayers if they were true to their "CULTURE" they would be living in Tee Pees and subsistance living conditions and off the land, not chips and pop .. but I guess you can have your Cake and Eat it too previso being, if you are from a certain privleged ansestory. ps ... If I was hungry I could not: Hunt out of season or fish out of season this is a joke with my native friends, they live in Homes around me and are in no way subsistance survivors, have fleets of Trawlers not the War Canoe and nets made out of woven willow branches ... double standard, use the modern technology follow the rules like the rest of the world. I can not demand a school built by the federal government, Then have the right to NOT send my children to school. I can not claim "harassment" by an employer based on human rights (in fact I have had a complaint was disgarded) because I was not female, visable minority or different sexual preferance or non christian, I was told that Human Rights comission was not mandated to secure MY Rights ... as a WASP. Why if everything is supposed to be equal opportunity does the Canadian Constitution have a "longer list of rights " for First Nations ? A double standard excists ... Quite Clearly. Quoting Gwynne Dyer: When one has a difference in any country in rights. This will eventually lead to civil unrest.

I am not suggesting that her age was the issue, just a mitigating factor. Unless one has walked in her shoes, one will never know why taking her life was the only option she felt she had left. Depression actually does cause physical pain and fairly obvious that she suffered from depression. Who knows what the real truth is really, in any news release to start with.

AGREED so shoot me for having an opinion that is not "popular" . Hiring or Promotion BASED on % and numbers (i.e. affirmative action) is in ITSELF a clear definition of racism, sexism. 2 Wrongs do NOT make a Right, this is just over compensation based on the guilt of our forefathers errors and political correctness to the extreme. Hey: I didn't do anything wrong, so why am I as a White European, North American Born, being held responsible ? I had nothing to do with historical politics and when it comes to the "First Nations" issues either. We are absolutely over the top in N.A. with human rights crazy, where new immigrates to Canada have more rights than a "White European Canadian Born" from families contributing years of military service and + + + taxes, if fact they built the country. Soooo don't get me going on that topic ! Point being when does "affirmative action" END, When hiring/promotion based individually in merit, experience, education and seniority, I can hope. When the percentage of this group vs. that group becomes equal to population base ? This its just irrational and illogical thinking. Some of my family history is that of the IRISH (if anyone wants to look into the persecution of that group as well) The thing is most groups of immigrants have been in some way persecuted. Frankly, I get so sick and tired hearing of "other groups ancestry and how badly they were treated" and forcing it down my throat and pointing fingers with their families ancestral history, when this or that group have no knowledge of MY family history ... now thats pisses me off. Ever hear of the Jews, Polish, Ukrainians mass murdered by the Nazis complain that they were did not get hired by the fire department because their grades were not good enough, NO! I bet $$$ the "WHITE" people's ancestral ethnicity was not evaluated in these exams. Look to the root cause of the individual's failures DO NOT compare ethnicity as this just promotes racism, its OVER NOW with Obama being your President ! It make's those attempting to use the Race Card a mute point. Turn the Page !

My guess is this was the biggest mitigating influence, + the oldest recruit and then a fail x 3 .. this gal must have been really down. The news release does not state if she served on active duty in a war zone ?

'nick Hoffman' explenture Vent ... is it just me that is overly concerned with these statments ? Any SpO2 pre O2/post O2 ... ? Is ETCO2 available ? Did anyone think of doing a Temp ? Uptake of nebulized medication ??? I believe is called "Side Stream" delivery. Urine frequency is not a good indicator of Ins/Outs, Colour is a better indicator (clinically0 Stutum color and production always helpful ... ask them to cough then spit into a klenex. Fluids are not a bad idea if your looking @ possible Pnemonia, tachcardia is compensatory mechanism when patients are dry. Oh and its damn hard to kill the vast majority of patients with Albuterol +/- Atrovent, in this situation from the pmhx provided ... listen to your partner. cheers

CBEMT: Thanks that was a good laugh . cheers

Simply astounding, just a few rough calculations about 50 million views now on You Tube alone .... You think she may win ? LOL ... Walk away now Susan and start recording but please tell Simon shove it ! CHEERS

Ok .... so I am one of the worst when I get rambling. Shane: Does it boil down to this ? Your saying that new improved utilization (AHS model) of ground units in your area but roving deployment means that in the primary service area is going without coverage ? or just changed in type of coverage ? But must agree Wait Times should be shortened .. I have seen up to 5 Aircraft sitting on the ramp in GP waiting for a "possible admission" @ the QE 2 ... what a bloody waste of resources. Something I missed from this OP. There are citys that have bylaws concerning this item, and transfers limited to approved providers that is did those bylaws get suddenly vanish ? Although on paper this "back-up" sounds like a good idea to assist it can get very complex to track with current methods and I foresee a logistical nightmare now with even fewer dispatch centers. If transponder GPS tracking province wide does become a reality, maybe then a coordination of services will improve with this "improved utilization concept" I seriously have my doubts these days and I will not hold my breath waiting for any capital purchases. The standard "Wait and Return" type call or "Prebook Transfer" will never go away but what should be reevalluated is bringing in extra staff locally to provide "E" services to the Primary coverage area .. and good luck with that because = increased COST. I bet the next thing reported will be the mid route intercept concept (it makes sence managing trucks) You know arrange a meet somewhere in between 2 communities ..... like in the snow ..... in the middle of no where with patient in the back ..... frezzing ... a pass the patient deal ... this would be a disaster just waiting to happen and very negatively affect continuity of care. The big question remains in my mind ... just who will get the hammered with the lawsuit or investigation when the system screwups cost a life ? AHS, Dispatcher, the individual EMS Provider ...? cheers

Shes singing on Oprah, 30 million YouTube views now 5 STAR. The origional singer of this song I Dreamed a Dream broke down into tears http://www.susan-boyle.com/messages/view/XBVMQRRLL67HCN9P As did Demi Moore ... http://susan-boyle.britains-got-talent.co....itains-got.html Comments By Drew Barrymore http://susan-boyle-talent.blogspot.com/ Every Hollywood celeb is smitten ! Hell I just wish I was her Cat Pebbles ... I want more of her singing, just when you believe there nothing but crap in this world ... a shining Star dressesd in rags lifts the spirits in such a way, loved the bra strap hang out and the 2 buggers back stage knew that the feel good bomb/ shockwave was going to be dropped ! Here's the words to the song: I dreamed a dream in time gone by When hope was high, And life worth living I dreamed that love would never die I dreamed that God would be forgiving. Then I was young and unafraid When dreams were made and used, And wasted There was no ransom to be paid No song unsung, No wine untasted. But the tigers come at night With their voices soft as thunder As they tear your hopes apart As they turn your dreams to shame. And still I dream he'll come to me And we will live our lives together But there are dreams that cannot be And there are storms We cannot weather... I had a dream my life would be So different from this hell I'm living So different now from what it seems Now life has killed The dream I dreamed. cheers

If this does not bring YOUR Spirits to SOAR ... then you are DEAD.

I dont know about the rest of the group but my BS indicator is on high alert, first off because this interview (the fresh in his memory excuse) posted on U Tube so the world can see ? An ulteriour motive me thinks and not to just to warn the rest of the country that he was mistreated somehow. If I was in a situation similar to what he describes, I would be talking with a Barristor and he/she would advise ... shut the hell up ... say nothing ! 1- If this fellow had cooperated in the first place (ie If he had nothing to hide from LEO) his own admission of his behaviour caused this incident (I put my money on he was DUI,but sober now and knowing that nothing found in his car) well so he claimes. Did he learn a lesson the hard way and is whining like a 12 y/o .... yup. the lesson: Might makes Right. 2-With his own statement (all the windows must but have been rolled up) in order to break the glass out, dont need a CSI to figure that out, he was not cooperating quite clearly. He was informed that the windows where going to be broken out that sounds like he was warned to me. Heck even if at "Check Stop" at 30 below ... I would open my window upon request by a uniformed officer, just saying, he made bad choices made here ... AND is this the first time he has ever been through a "Check Stop" ? 3- Using "The Pastor" status is in my mind a indicator of "something is a foot" rarely does one see a "Nun" or "Priest" get dragged from a vehicle, my point being anyone can claim religious affiliation without identification is hinkey. 4-The continum of force was used, very lucky thing the LEO just used a Tazer ... instead of LEAD, those that lock themselves in a Car become a serious threat as a weapon could be pulled from under a seat in a mili second. Mesage: BOTH hands on the wheel when being stopped ... just my rule not to get shot . 5- Dogs mark in many ways most drug dogs just sit and then scratch, search dogs bark ... and seldom do dogs lie. cheers

Now I understand what you were talking about, that was in the National Post (the link provided) cause serious stoopid knee jerk reactions from many that do not understand that the media loves embelishing they know nothing about it, and appears some in our fold did not do a follow up either. http://www.nationalpost.com/news/story.html?id=1419824 I would have attached pfd but I am puter challenged, so have included for all, the media got the story from it was Edmonton and not TO, compare the medis release and its alarming conclusions and then read the real McCoy ... got to love the National Post as a source of medical information ... sheesh.

Rock_Shoes: Firstly be very careful what you ask for and review all the stellar positive comments <sarcasm> concerning ACoP from its membership that show true insight and on many other EMS websites as well. Before signing on with another layer of licensing, boards committees, exam process and paying out more of your pocket for something that you really do not need on a provincial basis, and if the government wants this .... let them foot the bill. 1- Assure that the body is accountable to the membership .. hence my advice regarding the Alberta College and Association of Respiratory Therapists (note the Association part) 2- Assure that true "self governance" is guaranteed in the by-laws, not an over riding Lawyers input. 3- Assure that you have democratic representation, transparency and accountability. 4-assure a 2 way street for communication between members. ACOP recieves a huge FAIL in these areas IMHO. You have all of this with BCAS already ... again don't reinvent the wheel ... we desperately need accepted National Standards, (acceptance first then continue to raise the standards) true reciprocity and far less provincial govnerment chronies input, as this will just serve perpetuate provincial territorialism. Contact PM for Pro National contacts ... heck go to the PAC website there are very active members in your own province right now ! cheers squint contact info for CARTA Bryan Buell E-mail Address(es): Bryan.Buell@carta.ca

Are you using your own meds ? Quite obvious you are a FF/EMT-B but you make an excellent point why Paramedicine should be removed from the firehall mentality in its entirety ... medicine is health care not public safety or save a basement. In fact if you look just a little tad deeper than TV shows, Paramedics originated from corpsmen returning from war conflicts Korea and Viet Nam ... that is where the truth lies, not propaganda from an organzation bent in hanging onto taxpayers moneys. cheers

Just trying to think out of the box and just throwing an idea out there. Lobby government, local, state/province, and national to change building codes, (kill 2 birds with one stone per say) ... make it law that all new building's, to be built with mandatory with sprinkler systems installed. Look at it this way. Less Fire risk to people = less cost in health care. Less Property Damage = less cost to communities, individuals. Lower property insurance rates = less cost to everyone. Less funding required for Fire Protection = funds available for Health Care .. Or just make all LEOs .... Fire Fighters, you only need one man to drive a fire truck after all. It always amazes me why the IAFF claim that their response times are faster for medical calls using a huge truck and more staff than one can swing a cat at. This has to equates to ++++ costs overall, saying that its free service is not the real economic truth. cheers

Firstly : OUCH ! Secondly: I am no way near as old as the Dust Man .... Hey this is turning into a good teaching post, cheers to Vent.

Dependant on the size of the PE, Aa Gradient is a better way to dx ... again ABG use the applied step on the gas methodology for treatment, either clot busters or embolectomy (loosing favour) Angio suite notification an idea too. Got CPAP or BiLevel Support (far better) on your Truck ?... PEEP/ EPAP em up ... but slowly treat these as in titrating a trop. Patient history, current meds and the golden question ... When this happened last time what helped you ? First Hit that Paramedic with a stick about the head send him back to school .... Maybe do a BGL ? Then fluids (dependant on BP)and ask when they last had their last insulin, get a baseline, the definitive answer is treatment is in ER, unless you give insulin on sliding scale. In a true DKA not a hope ... so good luck with that, the patients brain is dictating things on a lizard level, just saying, your wasting your breath. A Temp maybe a good idea too, as one could have both Sepsis and DKA ... treat the life threat first. cheers

Now thats the way to make a salad .... when is dinner ?

Well once again quite clearly we see many in EMS that do not understand that Ventilation C02 and PH, vs Oxygenation these are clearly separate issues ... and just because bedside your pulse ox is reading 100% does not mean that one is not hypoxic ... ie histotoxic and anemic hypoxia just for starters. A hint .... just listen to Vent, has a much better understanding (and explanation) than most, I agree with every word. Paco Peco Paco to you ! LOL> In the vast majority of cases and agreed ... Vent but should we introduce a large (rare) metabolic alkalosis component just for fun ... nah, when the relationship of PaCo2 and PH without any complications is misunderstood (hoping just a typo) we have serious problems from the get go. This entire question should be removed from your exam bank, IMHO it perpetuates "generalities" and "myth" (s) as 30 years ago asthma was considered a phycological problem ONLY. Hyperventilation is defined by Shapiro as PaCO2 > 30 mmHg so one needs a ABG to diagnose, ETCO2 will not help, in fact without a solid background in pulmonary pathophysiology it could be misleading. Tachypnea is NOT = to Hyperventilation, nor is increased MV ... I will not even bother to state the definition of cyanosis by Shapiro as this would cause a **** storm of contraversy as well. Just as is the general misunderstanding of Hypoxic Drive in EMS, hit the books to Mr/Ms Instuctor would be my suggestion. cheers reason for <edit> can't say shit here.

I liked the part when they were providing assisted Ventilations to the Patient breathing in in an ataxic breath pattern ... just scary. Sure hope Ventmedic doesnt see that or there will be hell to pay. I think the IAFF need Real Paramedic Advisor when they film fiction. Seeing as we all do not have access to chat now : FYI…Podcast tonight to discuss the “Fire video” at: http://emsgarage.com/ cheers

Best take some sedation / Beta Blockers and Anti Hypertensives prior to viewing This will definately "Fan the Flames"

Kevkie: Interesting post. Is AHS going to foot the bill for 12 leads on all trucks in AB now .... bwhaa haa haa ! Or just restrict practice ? Good thing Sookrum is heading up Edmonton EMS he is so pro-active, no RSI, no ETI, (and Wangs studies are based in 6 centers that are Yall based F/F medics ) so no nothing ! Honestly another step back ass wards ..... "soo again: the Patient was rushed to the Hospital" (to wait in the hall way) jeeze the Snos was way more together with the trust issue with his staff. So just when are all the CPAP machines coming into service (although CPAP is so not the way to go for CHF, Asthma or any end stage COPD ...Bi level support is the way to go btw, very clinician dependent success ratio, just how can one quantify that little issue > and most reciently discussed over beers and wings at the ACART critical care education day last week ) So but lets take furosomide off the trucks in the deadmonton too, because Alberta Trained Paramedics have no idea the difference between CHF and a Pnemonia ... honestly this is just a SLAP in the face, it is $1.20 a vial. Ok so what if the typical angina patient that is already prescribed Nitro ? AND had one shot before his wife activates EMS ... EMT's can't assist because it cause its against the rules even though asa and nitro EMS studies are quite conclusive as to improved outcomes .... bhah but who reads that stuff anyway. Can we even justify how many RVI given Nitro actually attributed to increased mortality/ morbidity either in EMS ? So barking up the wrong tree without EBM proving so and here I though the new improved "trendy" medical director had his poop in a group ? What are the real stats in evidence based medicine research in regards to incidence of RVI vs inferior, septal, anterior or lateral wall infarcts (note the sequence svp) btw I Suck At Leads too ! Top that off with the fact that ECG changes ST can be a late sign cause so ... should we all look should to the monitor first ????? hmmm interesting concept after Lieperts public release isnt it ? and not to mention common sense. Oh and sign me up for that free 12 lead course province wide ... I am a bit rusty and it will boost my CIMS credits too I missed that part of the budget I guess. I'm so "on board" with TNT Diagnostics ... simply 3 drops of blood and look at the bars, its bloody EMR proof and the first bedside troponin done early increases % of properly dx by 35 % second in hospital Trops up to 78 % accuracy and then definitive care sought we are so behind the way times .. AND if you factor in the cost in education and 12 Leads on every truck and as if telemetry is available in all areas of the province too. cheers way off thread .. in a way more or less.