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spenac: Dood First off Impact is blowing smoke ... ok yes this is a good ventilator but by no means is it the best on the market .. the Pulmonetic LTV will run circles around it, theres no Pressure Support nor Pressure Control, NIPPV its just a volume ventilartor .... sorry not your query. Just what advice are you looking for setting VT, MV, PEEP, RR rates, Flows, I;E ratios ??? like what specific questions do you have my friend ? And the enlargement picture sucks to see what the controls are ... got a better picture ? We can go from there. cheers

Mobey: Well I have a far better one than the Stomp, the Zulu 9 and its not in my closet . Thing is I put it in the Chopper on Woodland Fires with a Sked, Monitor +++ ps The Stomp is used by many operators in remote deployments and I dare say that some of this "gak" would really have the the old boys envious. I wonder if we have not jumped the gun with this post ... honestly this sounds like this poster is posing as a goof when one looks at the kit it aint off the shelf there was some thought used here or maybe I'm reading something wrong here. BTW my survival gear should be carried ON the person IMHO ... as one can't go back to a Chopper/ FW BBQ and get it and no crap on belt's ... it gets caught in the windows, and egress is kinda a priority with me. ps I have to agree with Doczilla, there is some redundent crap that is not needed ... the narcotics and perscription level meds are interesting as to how this fellow "aquired" these ... hmm, I wonder if the webmaster can see his IP addy .... hello DEA officer I was just wondering, are ZombieHunters allowed to carry ...... ? Quoting Dust's "gorillacillins" now that IS humour ... akin to "amphoterrible" ... te he ! cheers

AL: I can assure you that your next door neighbours are also watching very closely ALL the proceedings, especially CUPE members ... We in "conservative land" have also been changed to essential services ... therefore LEGALLY not allowed to strike. Thing is at least you have one union representing your members as "multiple" unions are competing for our membership votes ... the divide and conquer scenario, HSAA is being forced down the throats of the major cities ... BY the Government. Seriously you stand a far better chance to gain parody with other essential services than we in Alberta .. as we lack solidarity and are generally in up heaveal with this government control scheme and transition to a "provincial system" Cheers and in Solidarity. Please remember this: If you continue to think the way you have always though, you will continue to get what you have always got. Is it Enough ? Agreed and well said !

Licence, Insurance and Registration please ... hey why no Plate ? Stand out of your truck sir and take everything out of your pockets ! te he.

I am so with you on this Ruff ... if buddy can drag is lame ass that far whats a few more feet ! If he did get that far I would clinically clear C Spine quite obvious to me ... BUT tie his legs together (so that this tourist) will not get out of paying his bill. Ladymedic250 : Has the best advice of all ... she obviously has worked in 3 rd World countries, as I have you would be dang LUCKY to get an ambulance with a locally fabricated wooden spine board ... more like a local "rich" farmer with a beat up toyota 1/4 ton and an old out shit house door as a stretcher and just push the pig going to market over a bit. To the OP rpcarnell ... good luck with your law suit ... in Panama / Wisconson, as for the suicide by shotgun in a chatroom (a deadication ?) ... well yea know that is quite a stretch too ... so good luck with that. The thing about the truth is that it is repeatable and does not change midstream, you may go away with one thing about this EMT city site ... most experianced EMTs/ Paramedics have an excellent BS indicators built in because we have heard most all of it before. GDay

Well just me but I have been doing this for (fill in the blank) years. Now if someone has an idea to stop nitrogen bubbles from forming inside both "Fliud Bag" and "IV Line" when assending to altitude (ie Flight in pressurized and unpressurized Aircraft), and a little thing called Henrys Law .... to stop the IV pump from alarming "air in line" incessantly ... hey I am all ears. cheers

Well I voted this way, but with one previso ... that those with the papyrus credentials had a modern day tempered approach to evidence based medicine, as not all studies have validity. The vast majority of my continuing education is a result of direct contact with MDs and RNs and oddly some with a very crabby outward percieved "demenour" but good hearts. Lumping the humour personality type, funny vs the grumpy appearing is stereo typing and a huge error (sounds a bit jaded already) as just because one comes from this background or that ... academic or street really has little bearing as we are humans too with good days and bad. off topic ... had a partner once nick named "Mr. Sunshine" tonge in cheek ... but my god he knew his stuff. What does make the biggest difference to me is a sincere effort and passion to learn over ones entire carreer ... I am honestly disgusted with the "Your only as GOOD as your last Call" a philosophy more than prevalent in and with antiquated EMS employers and managers. That said one must have tempered experiance to factor in not only the "academic" portion of emergency medicine but distinguish between the personal anicdotal observations and statistical EBM, yup funny thing most times its all grey but there are many ways to skin a cat ... if you follow my ramblings. cheers

mobey: The current trend in thinking is that Atrovent (due to the fact that it is related to atropine) tends to dry secrections, hence with a Pnemonia the clearance of secretions may be hindered ... this does remain somewhat controversial. cheers and hope that helps

This is where the "rational" thread was taken off topic ... but as everyone knows one simple statement or query in EMS has many ramifications, using that concept ... if its possible to go off topic, it will. My comment was quite Clear I thougt, as did mobey's comment as well, there is no subversive agenda other than all trucks in Canada should be ALS ... is that a bad thing ? NOPE it should be the standard of care no mater where you live and anything less is an excuse to give substandard care. As I have stated before, chipping away one drug at a time is a waste of bloody time ... no clear research has ever been undertaken as to the the incidents of true anaphlaxis and the outcomes BLS vs ALS ... the whole philosophy of "supposedly" improving care without ALL the tools required to do the job correctly this is not only folly but the duck walk mentality and we are setting precedence to never become accepted as highly trained proffessionals, just ambulance drivers that can take care of "some" issues. Point being that carring Epi vs actually TREATING the Acute Anaphlaxis patient ... do you see the point because if not its just daft thinking. So to sway off topic look to one of the largest call type .. seizures ... should BLS providers start packing benzos too ... because one person died ... again a huge error IMHO. cheers

Funny I thought this is why we do studies ? This comment is really very poorly written and hard to understand, but I think you are trying to say that response time is too obvious of a factor to be considered by rigorous research. On that point you are completely wrong. I don't think I should have to explain to you how often so called "common sense" solutions have been proven ineffective, or worse, detrimental to our patients. This is the reason research exists. ...And no, of course they didn't spend all of the grant money on answering this one question. Duh.

In that light ... DipROM The Diploma of remote and offshore medicine (in the UK) may be an idea as well. cheers

My Bad ? :oops: mobey started this .... :twisted:

Sure its a good idea for the Parents (in this case) to provide an epi pen for their children, but this is off topic ... umm not that I don't stray more often than not. :oops: Disagree, mostly because the vast majority of Anaphlaxis ARE self limiting oh yes really,really and the number of kids told by their GPs (in Challenge Studies by a Dr. Zuberbulher et all) that possibly more than 80 % of kids are a "precautionary Dx only" quite interesting is it not ? Ok is epi a drug of abuse ? ... and again yes ... I have seen this on many occasions just to get a "rush" and some will try to get a buzz anyway they can, just to mess with the providers. Now can you kill someone with .5 of epi ... again oh yes you can, just take the next obese cardiopath (that just so happens to "react" to bee stings and is already taching along at 140 bpm ... give him epi instead of benadryl ... because he is still moving air and 15 minutes after the insult ? Ok then, good luck with that. cheers The entire point of my musings is this "epi situation" in itself is good grounds to justify the upgrade to ALS services . PERIOD. :roll:

Yes it does ... and what did OPAL prove ? ps Yes I read Dr. Westlys JEMS comments, he was baiting for a debate, but then I debated with him over a bottle of Whiskey ... LMAO quite amusing. OK some brilliant conclusions in OPALs : That the sooner you get to an out of hospital arrest (BLS and ALS) then more of then patients survive (ps and old CPR standards) Bloody Rocket Science .... and it only cost 12 million to evaluate that .. sheesh man. Now on the same issue this has given the Fire Departments impudus to purchase AEDs ... huh? And If you look and actually READ the ALS outcomes in Trauma .. you will find a differenet demographic group was evaluated in ALS vs BLS. (ps geriatrics composed more in the ALS group) hmmm again. If I can recall a .8 % difference in to door discharge ... I will look at the study again this just off the top of my head. Can You say FLAWED, I can on the groups studied alone ! But look to the success rate of Intubations WITHOUT paralytics about 80% first attempt ... and large bore IVs established .. nice job Ont ACPs ! Look past the very now very dated info and jaded conclusions but do look to the recognition of superiour treatment for SOB and Cardiac and outcomes and OPAL researchers conclusions there! Honestly, it amazes me just how many pple read the conclusions and political/media spin ... INSTEAD of reading the entire study and draw to their own conclusions. Please remember that this study looked at to door discharge ... no factoring in the ENTIRE hospital treatment. Besides the major centers and most highly populated areas were "ommited" from the study because they were exclusive ALS provision of care. Late Edit I belive the study was concluded in 1998 and thats 10 years ago and many protocol changes since then .. one marked difference was volume of fluid and targets for MAP, just saying field treatment of trauma has also changed in 10 years. ps Absolutely no mention of "chest decompression capabilities even m entioned on the OPAL study either, I guess that over 3000 patients entered in the study ... no one had a tension pneumo ? I digress. cheers Now tell me why basic providers should be doing advanced treatment without ALL the tools to deal with the anaphlaxis issue .... like again ? <END RANT>

Studies Please ... ask the Brits, OZ, and Canadians if ALS is not proving its worth .... its the US studies in ALS giving Advanced Providers a black eye. sheesh

So why does not the family take resposibility for their own medical condition(s) ? There are far more individuals that suffer from siezures ... so maybe we should allow all BLS providers to carry Benzos ... honestly this thinking is flawed bottom line, its catering to one special interest group. Why not put more ALS trucks on the road ? (what if the epi pen does not work) as this could improve medical care on numerous fronts and not just purely for the anaphlaxis patient, as the next step is D50W, then bronchodilators, chipping away at what should be ALS intervention from the get go. My grandfather away said if your going to do a job right, get all the tools you need to do the job first and then go to work if anyone is following. cheers <edit> dang you mobey ! beat me to the punch again.

Well that is simply great and good for you, that's is terrific (Is that what YOU are looking for ?) BUT have you ever though of covering a shift for others and not just for a High profile News Event ? .. Sure it's tragic but no less tragic than a crew member passing from cancer, a cardiac event or debilitating disease or say occupational disease (ie as in the 9/11 rescuers?) or even a member of the brotherhood killed in LODD in an MVA or Helo crash ? By the way these are far more common event's than a shooting. Kind of a harsh statement there friend, maybe look in the mirror yourslf because this "group" has done lots behind the scenes that you have had absolutely no involvement, perhaps get off your high horse first would be friendly advice. Just me: I am an advocate for very harsh penalities for a cold blooded killing of any Public Safety Officer while doing their duty, EMS, Fire or LEO. I am for the death penalty in ALL of these cases to send a very clear message to all the bug eaters out there .. besides swift justice. Thing is that not everyone will react the same way as yourself, every individual is different some get angry, some sad, some loud, some quiet ... and some will try to incite others to act, just saying, theres no cookie cutter EMS model on behavior of EMS workers. So then, you must be too busy writing letters to politician's to lobby for a change in laws or too busy as a member of a benevolent society, or possibly too busy doing humanitarian relief ? Yea that must be it, so I guess thats why you don't visit or post much .. as all I can do is guess about an your internet personality. Thing is all opinions have some degree of validity but please don't expect all the personality "A" types in the City will agree with your opinion(s) or your tenor. cheers

Ok some days I can't help myself .... but "some women want to be catered too" ... so like thats out of the expected norm for north american women ? HUH ? btw In the Inuit Culture the only time a Women has any status is when they are expecting ...

Agreed: but the "zero to hero" so lets loose that EMSism svp .... better decribed as a good educational background in order to make proper diagnosis, implementing viable treatment options based on good medical practice and constantly reevaluated guidelines. Yea ok so its a bit "wordy" :oops: There has always been this educational attitude in the well recognised health disiplines ... perhaps it is time we as EMS providers change the silly stepping stone concept to come in line with other professionals, odd too but no other disipline(s) practices this very negative old school concept. Thanks rock_shoes for the abbreviations and translation, I am just learning to speak B.Columbian ... I wonder if one would be in advantaged position if they held BOTH RRT and REMT-P from another province, that in regards to reciprocity? Heck, I think there is only 5 of us across Canada ... that I know of. ps RRT(s) are nationally recognised just in passing, unlike Paramedics, RRTs write National accepted exams to practice ...... maybe some day .... but good luck with that as ACoP have just anounced "diversion" from involvement with PAC ... another dumb ass move and quite typical of ACoP these days ... sheesh. cheers

A bit confused with some of these BC abbreviations ? PLAR ? TRU-OL ? And are EMRs allowed to start lines ? or just maybe I am reading this wrong ? And this RN/RT thing ... is that counted towards equivlency at the ACP level, sans a couple of courses, kinda odd that oxygen therapy be included for RRTs ? cheers

Thats odd the avatar opens up just fine for me ... <grin>

So I guess the ACLU protested the last school shooting ? Richard, maybe I was not clear the turkey shoot is not sanctioned, just another "shooter" with issues ... just saying if the crazyies can shoot kids in schools why not go out a hero and take a few maggots instead.

Just me: I think there is the medical and the surgical aspect of removing cancers from society ... but no one is willing to say that these individuals are in fact sub human. The most curious part to me is this, with cop killers, and now more EMS killings, school mass shootings, and Church mass shootings (most end up in segregation) they recieve better food, health care and housing than most minimum wage earners) ... because society has treated THEM poorly ... sheesh. Why has no one has tried mass Prisoner killings (they are locked behind fences and easy to pick off) ... this would be a very trendy band wagon to jump on and the shooter would go down in history as a HERO as opposed to a killer of the innocent ... and sure would save a lot of tax payers dollars in short and long run ... just saying. cheers

OK Crazy Idea here: So someone with balls, table a motion next AGM that ... (Ok ... lets follow our US brothers lead in the EMT- that EMRs must have a Field practicum and a Hospital practicum to work on Car AND be endorsed by a registered member of ACoP. The power of organised association and labour should not be underestimated, more than one way to skin a polecat. A Self regulated proffession to raise the high bar .... just remember that little dity, don't slam up the anti. CHEERS