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First of why are you defending someone else ? I have been in many nursing homes that to an Awesome job of caring for the elderly, the assumption that all should be lumped into one catagory is not only folly but disrespectful. How in hell are we going to as a proffession recieve recognition if we slam and lump all into the same group, I just wonder what the LPNs and Caregivers say when the gods gift to paramedicine arses leave the building .... plant seeds, not burn crops if you see where I am going with this, don't forget you are judged too. Interesting but the issue of pushing thiamine for nutritional issues is a bit beyond most Paramedic concerns, can one from a clinical observation diagnose malnourishment ... the primary reason for giving this medication is Wernicke-Korsakoff. As stated prior its not a bad thing to do but if you were going to go this step, why not give Mag Sulfate as well ? Most chronic malnourished suffer from hypomagnesemia, its the protocol monkey attitude that annoys myself to no end. cheers

Well I have waited long enough for an intellegent response so I must assume that you are correct dust. I find it curious as to why the BCAS doods and doodets adhere stictly to wrote protocol and seldom respond when challenged. well the winds of change are in the air in that province with Agreement on internal trade being mandatory in April. I for one will be challenging the stupid ass territorialism that I see in the Justice institute very, very soon. Someone has to do it and I pic me. ps The Northern Texans are comming and will improve the BC system whether they like it or not, enough of this protocol monkey buisness, smashing the union, and throw away WCB regulations too ..... this IS the best thing that can happen ... for the people ! sorry ranting and off topic please kill me. :shock: One Riot One Texas Ranger this will be all it takes in communist BC. cheers

medicv83 Instead of pointing the finger of blame towards another group of health care providers, (many with very limited education or experiance) perhaps one should ask firstly what are the resrtictions placed on those groups by administration in order to protect "themselves" from liability issues ... one should ask that question first. A 2 hour dispatch "hold" could be a huge complicating factor in this situation....I can just hear it now .... Its ok the ambulance drivers will be here any minute ! Just how would that LPN know that it would take 2 hours, and what if she had moved the patient with a broken hip ? The trendy thing to do these days in health care is point fingers without factoring all the mitigating circumstances and after all as EMS providers we only see a very small "snapshot" of the entire big picture. yet more often than not we jump to a rapid judgement, medicv83 I am not saying your wrong at all this is a disapointing event. Just thinking out loud, as I was not on that call. cheers

Well your a lucky man mobey, I just got back from a "camp" dinner, I believe the bird was the raven I saw yesterday eating garbage at the dumpster ... a bit chewy but a very unique flavour .... never the less a taste delight. ps is one supposed to take the pumkin out of the can before making a pie ? cheers

Thats not incompetance, thats attempted murder! Can't you BC guys push D50 W ? and why Thiamine, not that it will cause any harm, was there a history of ETOH abuse ?

Ah nice try but one can see that your definately not a graduate of N.I.T., "Neuffee In Training. The saying is this: Joey where yah too bouy, ill come to where yer at. cheers and pass the Screech.

"Lard tunderin Jaysus"

Why is death ugly as it is a part of life ? After all maybe its just a new begining ? I so hope that there is reincarnation, I so enjoy many North American native cultures ideas ... I would love to return as a Raven, no taxes, no borders, and lots of stupid campers and road kill galore to get a free lunch. Don't ask me I have no answers because I haven't been there quiet yet.

fire_911medic Bravo a most excellent post, but if you would be so kind to allow me to add. This MASH thing is where we ALL came from, take time to reflect that this conumdrum has been pondered for many years before we most of us were even born. 5 out of 24 in my graduating Class (have at their own hand) moved on in their individual Journeys. I for one will NEVER JUDGE WHY but I miss them and I do know what they stood for that is all that I know for certian, What they stood for is all that matters to me. cheers

Ah a slow day in the ER ?

Yes that too looks like a great educational conference .... Now if I could only find the keys to this Texas Crow Bar Hotel .....

AHH the brotherhod of the Armadillo er EMStock raises its collective educted heads from the Burrow. te he watch out EMS. Hey Asy so what red blooded North American (insert type of plumbing here) doesen't like spreading a bit of lead / love around ? I slay me ...

So in my feeble mind a question is raised .. just how can these hurdles be overcome? There must be a way to improve the system to improve educational standards but the question remain just HOW ? It will not be overnight or fly by night a thoughtful action plan started by one school leaving all other educational institutes to follow the example ... did not D. Freeman start things out this way ? Just idea, but what about including serious dedicated experts to teach ? Not the run of the mill ranks present Paramedics teaching presently .... quoting we do it this way because it has always been done this way, I believe its the educational process that recieves a failing grade. Use EXPERIANCED bedside RNs, NP, or PA to teach anatomy physiology, cardiology, bedside assesments +++. Good RTs to teach pulmonary mechanics as this topic is quite complex in itself. D.I. to teach xray interpretation (a great way to fully understand pathology) and the Lab types to teach Haematology do you get my point ? AND ER MDs that are pro-active to teach topics that currently exceed present standards USING evidence based medicine as the guide? and not just to direct to follow protocols. ALL this could really make a difference in the Proffession working with the Hospital staff to become a part of the Health care team, and not the bastard son, gaining other dedicated Health care providers approval and confidence as oppsed to those damn Ambulance drivers that bring us MORE patients. Just think have a friendly discussion in the hallway, with an RN talking about a educator in common ... this could go a long long way. I have a dream "someguy" said ? Sure hope Kelly sees this. Would this not decrease the liability issues as well ? as the Alberta Experiance is the Paramedic level is a rare bird in the courts system (unless as a witness's for the Crown) This could address the risk assessment for liability issues and make the difference in the educational process a positive instead of a fear driven policy that I have observed as a outsider, reduce the liability issue and expand the roles of the Paramedic ... Ah using Lawyers for the GOOD instead of EVIL ... just saying, it can be accomplised with the right attitude. I for one would certianly would like to hear the Wes's of EMS/Law have to say about this concept ...Hello Wes You out there Brother Man? cheers

Timmy: Just for comparison we had awesome speakers, the give aways included a couple of REEL splints, sweet kit for your area of interests, and 2 brand spanking new technology Pulse oximeters from Masimo Noninvasive Carboxyhemoglobin Monitoring, they are not cheap kit. http://www.masimo.com/pdf/Noninvasive_Carb...onitoring_A.pdf And enough books (give away) from all the Major Publishers to sink the Bismark, many of the authours sleeping in a tent next door too, that Texas Campfire still has me laughing. Boundtree was giving away huge bags of everyday high use items, BVMs, C Collars +++ when I whent through customs ... the bell rang "WIN" te he. And all this, and sit and talk to the companys reps while listening to the band(s) and eating the best BBQ cuisine offered in texas ... cheers and cash in your airmiles for next year.

It was from Cow Town what do you expect ? It wasn't as much a complaint as it was disgust. On the front page of an internationally accepted magazine? Who is doing the editing anyway ? Have to agree with you Wesley rocks on, he wants feedback from the guys and gals in the streets. Feedback is good for everyone.

Nor would you want a Paramedic or an GP/ER MD teaching Transport Ventilators and Capnography ..... ooh so don't get me going. :twisted: But they do..... ! So put me on the Big Red truck and I would too be lost in space .... you mean turn this knob ? And they run towards the Fire ... You Crazy ? take the most knowledgeable medical responder and put him/her at the highest possible risk to injury ? Hey Dust I will take your test .... is it written in Canadian EH?

Oh no dont do that they would break em all and then tie die all the bed sheets.

pffttt .... That cause Y'all didn't invite the Royal Canadian Mounted Moose Troops to those parties, just picture this .... Option 1- 12 dudes mounted on swamp donkeys, or mounting (you pick) dressed in Kilts ... yall would run fer cover cause we don't wear girly panties either. Option 2- 13 Nuewfies (sober in a rowboat) informed of cold free beer on tap, and Rye Whiskey to boot .... now thats one scary site, da bouys would row down .. Lord Thunderin, hide the Womem and the Silver. cheers phud you slay me ... te he he.

Ha Ha: On that one we Kanukistanians are WAY ahead, no need to pack of ice around, as the ice is ALL around. Just figgered it out disregard pm, and still I do not understood what a coon ass is EH ? I would get slapped around in a bar (big time) if I said that out loud..... and then some like being called that ? te he

KUDOS! Love your attitude man, thing is most bachelor's degree program here are a Buisness degree, not Sciences, this makes for zip progress in delivery of care .... sadly its about becoming management or running a for profit show. Would be great to see a a Paramedic Practitioner Programe but then it would have to be called PP :oops: Just watch in April of 09, things may change quite radically when AIT becomes mandatory for provices to comply. Have you checked out Paramedics of Canada website there is an AIT "tool" in it. Open the wide!

Admin, zactly an oportunity to rub shoulders with some of the legends of education of EMS, truely no rank's event and for 20 bucks entry fee an on site HOT massouse BABE, Great BANDS, the down side was what again? Hey whats your excuse ? Oh sorry for standing in front of the sign, ADMIN my bad and why do I have this feeling of impending doom " like under moderation" ? no worry everyone knows of EMT city, but great idea "a boot" the RV Dust we could name it EMT City Central. We did had 6 extra beds too, the bunk house deal, don't need a table. I tell you what and dang good thing I dodged that bullet yall, but they were a great bunch too, Hey Im starting to talk funny too. cheers

Oh yea thanks ... why dont pants dont fit any more and I got charged for over wiegth baggage.

More like a pack of Swarming Killer EDUCATORS (with play by play) MEDICS (all poised to get field ed credits and punch in a central line) and MDS (I pick Bledsoe as team leader) Dude there even was a gut wagon on standby for such an event and Birds hovering in Air ... AND I bet with all the venders there on site ... a quick Cardiac Cath setup and then discharge back to the festivities. cheers

Dust: Don't you mean what the possum dragged in, yall? Thing is Phud is the most awesome cook and besides introduced me to a thing called the "Patron Saint of Patron" I do believe that the emptys were mine :oops: sorry dust. Now for the record, are you sitting down TEXAS BEER is great stuff (the free part was good too) was that my outside voice again ? How will I live with the shame of it all with this confession. Hey, I even won a door prize (first thing I even won, well there was that a turnip in grade 3 ... nevermind) Brian B. was hilarious, he announced that it was worth $150.00 USD but in Canadian it was $1500.00 ! whoo hoo. WIN! For those of you that missed this year there is always next, but do yourself a favour don't eat 2 days before you will need the room, the multiple conversations at Dusts RV "Central" it became the unofficial "House of Lords" it was true the egos were left by all at the gates, informed opinions were not. I guess Shreech has that effect on people. Quoting the Govenator ( btw: who is this Chuck guy anyway ?) I'll be BACK, and will be bringing a swamp donkey for Phud to Roast! cheers ps so just who did win the the title "MOST TOXIC CHILI" funny awards stuff.

I do not believe that is quite correct, I think that freak maybe have something got left that out of the post as ACoP requires both Field and Hospital endorsements and practicums at the EMT level and the Paramedic level the idea of "zero to hero" is not quite the reality, it is mandated before moving up the feeding chain. This was build into the system of checks and balances many many years ago, yet saddly lacking in the EMR qualifications or OFA level 3 (BC) in passing, many EMRs in the oilpatch have no understanding of how the EMS culture works ... How could they with present regulations for a sub basic level. As for minimum patient contacts this is a bit of a concern and addressed by ACoP in the past, as one really has no ability to pick and choose calls let alone the types of calls ... this concept of minimum patient contact was challenged by ACoPs membership over 15 years ago and frankly its a bit of a red herring and frought with problems. For example in the very northern communities Maternity calls abound, in Vegreville (cardiac central) or working in a major urbal area where Critical Care interfacility transfers ventilated, IABP, with tropes running and stat Cath lab transports are more the norm, these expose the urban practitioner to many the weird and the wonderful, the different geographical demographic population base dictates the call volume, that's just the way it is, and how in a realistic means can one adjudicate. Running on a Blue Hair express back to an nursing home .... is this really emergent care? I agree that just hours is not the optimal way to do things but about the only way to currently address the situation, and a big stumbling block to ACoP to be included in Health Proffessions Act. A good Con Ed program and developing a learning plan to the individually addresses "streghths" and "weaknesses" this is conceptually a good idea, but lots of hiccups with that too.... live and learn I guess, Dave MacLean is on it and it is improving slowly, lock and unlock competancies is just plain ass stupid. Introducing the CIMS concept is not easy with the all the software glitches ... I guess patience is a virtue. In passing sure wish I could get a hardcopy of my records ... would make it a whole heck of a lot easier ... sorry off topic. So really in conclusion is there really a zero to hero program in Alberta ? ... not really no one can go directly from EMR to Paramedic without touching a patient. RockShoes: Don't you just love Government ? btw, sorry to hear of your conundrum. I do know a good Lawyer if you want to push the point of misdirection that could impact the JI if you don't get in and you have good documentation. All the best. cheers