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Well SUX does work IM ... just saying. Even tribalistic pygmies have the technology to use blow darts can't they ? So drop the offender, put tubes in every know normal orifice and wake up in ICU ?. (well besides WE CAN make at least 3 more holes too) AND the problem was what again? :twisted:

Canada is the only place in the World that can tolerate the Frenchies. Why because the chicks are HOT .... just saying. cheers

Absolutely, agreed rockshoes Hitler did not practice euthinasia he practiced MURDER, may his tortured soul never rest in HELL for eternity. Timmy: I too am very impressed with you, you are mature beyond your physical age and thing is I also have been in way too many similar situations, and I understand exactly what you are saying, as I too believe in passive Euthanasia and a living will, I was personally tested with my Mothers death in January last, no heroics SHe did not want that. I will say when an initial resus takes place, one never ever knows what the outcome may become: Sometimes great ? Sometimes worse than death itself ? Maybe think of this way, that old lady had tears of joy that you took your time for her, as compassion is a true human atribute that I very much respect. Who really knows that, hey I live in a world of my own too .... just saying who really knows what is going on in another persons head, really, just look to Professor Stephen Hawking. A fact is when those CP kids can be evaluated by "modern means" many demonstrate higher than average IQ .... I did work in NICU and asked the same questions myself, still don't have an answer either. These are never easy questions to answer I think that is exactly is the point, I can say if it were myself in a vegetative state ... go slow with that MS my friend so I get a damn good buzz going out . cheers

Lord thunderin bouy ... we call those Frogs ... :twisted: We have Spuds, Blue Nosers, Red Necks, Stubble Jumpers, BC Buds and the now famous Neuwfee. Snow Birds are commonly refered to as "Blue Hairs" sorry way off topic, just cant help myself some days.

They do have an employee buy in / shares (worker ownership) a good motivational tool which is very different than most operations that are Privately Owned. I have a good friend a training officer that works out of BR, he just recieved an asscociates degree with Acadian assistance, I suspect he may be going further up the educational ladder. Plus they get all the huge ass Hurricanes too ... just a bit of gallows humour there, my bad? I do personally have concern with the fling wing they operate, single Pilot, single Paramedic ... thats just not a good recipe in my personal books (and night operations without IFR is scary stuff) and on the BK 105 .. as this was designed as a "twitchy" gun ship. Guess no ones perfect. 8) Up side is they operate KA 200 (a great machine, good beefy gear for rough airstrips, a proven reliable Medicac Bird) and a Lear which is all good fun. "I feel, I feel the need fer SPEED !" quoting Maverick in Top Gun. Nifty ..... (I Tell You What) LMFAO, dang knarly .... my the investment in rossetta stone is paying off .... Eh? But best check those passports there is a diffence between a Canadian and someone packing a Canadian passport .... oh don't get me going .... what do you call them ? ... Frozen backs ? j/k. cheers

Best look to evidence based medicine studies with that especially pediatrics . Sure sounds like a top Notch show ... now if I could only speak "yall" cheers

Disagree Strongly, I will explain my rationale: Privates (as you put it) get fired if they walk individually, there's a dozen rookies that want that job because of the dumb ass "I want to be a life saver mentality" does it tickle when you blow somoke up yer own arse ? meh ... this is the exact mentality that shoots you guys in your own foot, are MDs called 'Lifesavers' no there called Professionals. So open the mind and look to Professional Associations/ Unions on a worldwide perspective .... NZ and OZ "mates" are in the politicians faces and the news daily fighting a good fight for their membership, not just wages but work conditions, meds and kit, if you look OZ are some of the most highly educated Paramedics on the planet .. thanks in part to the Charles Stewart programs. Threat of withdrawal of services is a viable concept and even when you are declared an essential service so just what can they do, have the Police: Throw all EMS workers in jail ? That would look good to the taxpaying public .... There ARE slow downs, large numbers of members that "cough, sniff" book off work on a certain day, to make a point and put all the supervisors on the road to tune the middle management up a tad to reality.... just saying, lots of ways to skin pole cats. Or "forgetting to enter the correct patient billing info" Unfortunately British Columbia tried that exactly ploy i.e. no billing info hit the government in the "man purse" they failed miserably this was many years ago and now it reflects the present delivery of care because the idiotic government knee jerked to punish the EMS workers (more or less they punished themselves) by shutting the doors with the Justice Institute AND this was the ONLY training facility in BC funny thing is the accredited Instructors (government drones) supported this dumb ass move.... The Result: Only a couple of metropolitan areas in a HUGE Province now have ALS services now, about 10 years behind the rest of Kanukistan, yes unions can be stupid. Thing is if one can learn from others errors and evaluate over the long haul ... Hey may be someone could do a comparison the present day delivery of services vs. the history of development of Ambulance Operations on a very large scale ... Oh Hello Dr B. you busy these days ? Oh yes agreed an actual strike does not work for anyone, period, and financially if one does the math and it becomes quite clear. and the general taxpaying Joe on the street thinks its just about the cash ... well at least in my hood. One loses serious credibility with the a profession if one walks, Hey ever hear of a Fire Department or a Police department going on strike ? I have NOT, compare wages and work conditions, I double dawg dare you. You sitting down? I am presently not a union card holder LOL ! I have chosen to be an industrial whore, laws of supply and demand actually do work, but we here are on the verge of exactly that unionization provincially (I so hope it becomes a unified voice) I do support large organised associations that proactively lobby government ... NOW here is how smart PAC is .... thats Paramedics of Canada, good researchers presenting well worded documents to individual government officials and personally walk the halls of Parliament physically knocking on the doors of the MPs (called Members of Parliament) AND the part I find immensely hilarious is their funding comes from the regulatory bodies and the unions ... well for now here in very Northern Texas, just 15 bucks a year is peanuts. Earlier retirement, Public Safety Officer Status (akin to the same powers of LE and a Fire Chiefs) assualt us and your going to crowbar hotel, involvement on a national development level, working on national reciprocity, proactive with education forums. This 15 buck's for the national cause will become a debate in our ACoP in the next annual general meeting I have been told. Good Grief.... May DOG help them because I will be there to umm "enlighten" them, PAC has done more great work behind closed doors for the EMS Profession than any regulatory body or small union, ever has. end of missive and ramblings. cheers

I would pick a service Hospital based service, associated with medivac and have an option to work part time in the ER doing some Primary Care under an proactive MDs direction that had access to practice intubations in an OR (within walking distance commute to work) snowshoes in the winter and bike in the summer and near a big water (Lake or Ocean) And work in Dusts Clinic, 3 months out of the year ... but just in the Iraq Winter.

So I guess we should just allow the private for profit EMS providers to voluntarily give you raises and represent you in a dispute if its in their interests ... looks like its working well with the huge wages that you emt b's recieve in the US. Unions are no different from any politician/s, let them run free rein and thats what one gets, but be involved and keep's them responsible, just saying life is always a double edged sword. From personal experiance I changed my views radically I was anti-union in the idealistic years of my life but when I was properly represented in a dumb ass grievance as without them I would have been asking .. fries with that burger sir? cheers ps I forgot that we can claim union and association dues are a deduction on our taxes here ...

But what would the poor Lawyers have to do then ? ps and OJ didn't do it either.

Ok maybe a knee jerk comment but 2 strikes ? That is an assault with intent not horseplay, but the union lawyers will make a buck on it is my bet. Would not a rational person stop if he mistakenly injured someone in an accident ... sounds kinda phishy to me, but its just a news reporter anyway. Are the FF allowed to run with scissors too ? cheers

Please take the time at watch this video that was put together from Paul Carson ( Peel ), This was shown at this past weekends OPA conf. This is a very moving tribute to the fallen Paramedics and all others who have given their lives while on duty to this Country of OURS. These HEREOS have fallen for us. Please pass this video along to all you know, sure hope the link works, an example of standing togeter well Ontario has .... http://ca.youtube.com/watch?v=n896h8jZ3yU

I guess ones personal definition of proffessionalism is subject to some interpretation, so be it. Dust if we do have another LODD (I sure hope we do not) but I will invite you personally to stand beside me, as I know Mike will be busy, and even the ACoP AGM meetings the focus is on Con Ed. Perhaps we could change your mind a bit with the new Alberta "brotherhood" that is finally standing together, we as proffessionals have learn to support our members throughout their entire carreers so that we can continue to provide some of the best care to the public in the free world, correction the best care in the free world.

Agreed pull a unit out of a scarcely serviced area, just to support the service ... thats the Alberta Health care dollar paying for that .... read on my friend, it gets more complex. ONTARIO .... no man your so swayed by your short visit, this is the province that has spent 125 million to attempt to dissuade the general public from supporting ALS providers ... the extremely flawed OPALS studies are even filtering down to you in the US .. Dr. Wesley is agreeing with these dumb ass conclusions in survival rates of "out of hospital arrest rates" AND "Survival of Blunt Trauma" pitting ALS vs. BLS .... NOT what can be done to improve care in the field whatever level .... do your home work dust PLEASE, so follow the new OPAL studies conclusions and one might as well go back to horse drawn carts, it is a greener option, sheesh. Dust: The funding formula is that in most instances "was" that the municipalities paid and supported the Emergency Response Departments but this was recently changed because of underfunding and continual complaints from the municipalities, this has now changed bring Emergency Medical Response under the "Health Care Umbrella" supposedly and in this transition. Yes, overall one would hope that this will improve the profession ... but a big issue is the all 3 ways of delivery of service will remain options: fire based, municipal or privately operated or perhaps just an attempt at political appeasement? I digress. Why Stelmach just did not provide the funding needed and instead attempt to restructure is way beyond me, as in the end they will pay way more for the same outcome ... government aint it the way. Can a blend actually work and work together in a seamless manner ?... I seriously have my doubts from the onset, why break a system that actually was working generally well Why: "CONTROL LABOUR IS ALL" Alberta EMS workers has little to no input. Transport to the Hospital for whatever reason, injury, illness is not paid for from Health Care wallet as it is in Ontario and BC .... AND oddly enough delivery of ALS services overall to the public in general Alberta is far higher percentage per capita than ALL of the aforementioned provinces, so we must be doing something right! Once the patient becomes an "inpatient" and requires care above and beyond what "snowshoe" hospital can provide, then and only then are the bills paid for by the Alberta Health Care System. Something that Canadians feel as strongly about (equal access to health care for all no matter what walk of life) as you in the US feel about (the right to bear arms) ... just saying a different culture, and in part it defines Canadians IMHO. My friend this is very close to a defeatist type statement, you HAVE had some contact with ACoP have you not ? The initial plan was just that before the government took over control regulatory body via the act called the HDA. The history behind the now ACoP was called the APPA the Ambulance Prehospital Profession Association and one of its prime mandates was to do just that: Promote the profession. This was thwarted by the conservative government when it took it over and THEN basically cut off that arm to distancing the government from liability the new improved regulatory body ACoP does very little to promote the profession ... it is just not their mandate. Point being the present conservative provincial government has forced this issue, or declaring essential services and removing the right to withdrawl services, yes I do agree Unions are self serving to a degree .... so just what become the option's left on the table for the workers for ANY type of representation ... a volunteer organization we did try that and it failed miserably too. (but a good try Ken) No, I would disagree as the other Health Care Professionals do understand what we are now facing they are all unionised and dang big influncial ones too why should we sit on our thumbs now? The government has with the "transition handbook" started this not the EMS providers so lets get that right from the get go. The Alberta Employment regulation are the only thing that "supposedly" protect EMS workers that are non-unionized and they are "very different" regulations from any other standards of any other workers in "any" profession or trade, so please trust me when I tell you the are ancient labour laws and have not been revised for 25 years, when Standard ST Johns First Aid Ticket was the "Golden Standard of Care" If you wish google http://employment.alberta.ca/documents/WRR...S-FI_esfs16.pdf Just for example: Work for a 24 hour shift but be paid for 10 hrs "if" a bed is provided by the employer ... the OT was calculated based on "on a call" that is just one sore spot with me. Oh yea, it worked in the 70s but this is 2008 and the place is crazy busy with oilpatch development and ALL that goes with it. No mandatory crew rest periods and non unionized rural services can be worked for 24 days in succession ... happy? well rested? suitably fed? .... more akin to overworked drones. cheers

sweet diagram.

=D> A lot of options out there and lots to chew on, I do enjoy the pro/ con breakdown so Thanks Mike. It clearly demonstrates that you are doing lots of homework thing is with reciprocity (so called on the horizon) Would not a national influence be the way to go, just a larger voice. No way that I am as informed as yourself but hey, can you count this as education credits with ACoP ? cheers

Watch for Bradycardias ..... remember why ? Ok I ask one question and no one replys .... pfft vent and dust shush up. Let some others present a possible answer.

I just have to say, you Ohio guys ROCK ON.

HELLO AK ? You sleeping ?

Cowboy7427 They don't need Cowboys (no offence) but this happened at Katrina and it screwed stuff up .... big time. Hunker down and observe all I am suggesting : This from an inside source, I have asked for permisson to release but can't make contact I think hes a tad busy? I hope I am not in shit but that washes off too, but yes a second wave of certified people could become a reality and I know the EMS world is watching. squint: So Guys and Gals: Looks like everything is covered, so stand down a bit and don't let the media "hype" get your BPs up, let the pros and the planners call the shots, they have this covered six ways since sunday. That said: Maybe think about prying your wallet/ purses up a bit, lots of folks may need some economical support and very soon. And a little prayer may help too .... just saying it couldn't hurt, and whatever you believe is the great spirit. cheers

AGREED! But maybe a Wheel Chair ? I have to keep ahead of medicnorth you know ... LOL. but seriously my focus right now is now on IKE, this is a fucking monster.

YIKES IKE! Ok just an wildlife observation, but I walk every night (I am on the Canada Geese migration route and over 4000 kms away) The geese have been honking and grouping up for the last 2 weeks. Today: CLEAR skies, NO WIND, barametric pressure is 101.3 hPa .. that is relatively high. The Geese are sitting on the ground and feeding ... NO FLYING ... hmmm NOT good. This tells me WAY more than CNN. Just get to a safe place FIRST your no damn good if your dead .... this monster is huge ! If you need help after ... just give me a holler "Northern Texans" like way north will help out too.

sorry missed this post vent. Kids are a real different deal fer certian.

Mike: EMT city has more Alberta types than you can imagine, perhaps we could convince admin to start an Alberta forum ... we are rather vocal on EMT city and great input from old devils. I so tried 8 years ago to have a listserver with ACoP ... motion defeated due money issue? WTF? OR perhaps they did not WANT us to Communicate ? don't get me going ! PAC site is zzzzzzzzzzzzzzz! CPW site just starting out and some teck problems in notification ... har har. As for facebook contact no freaken way, because I would be plagued with so many admirers ..... (ps thats a joke btw) Fight the good Fight my "skirted brother" LMFAO! cheers

Brady is correct, don't use excessive force cause your banging the carina upon insertion (everyone is different lenghthsie ETT to carina) ... if one can get further thats good but most likely your entering the R mainstem .. the "old" twist cath left or right to enter left mainstem is BS. Actually roll it between your fingers (I doubt very much your using In-Lines a closed system or Whisle tips) well on most trucks, more like the standard suction cath in a bag .... hey that reminds me of my last MRE meal...opps sorry. Big point being watch for Bradycardias ..... remember why ? not going to give you ALL the answers here.. te he. AND above all "flare" or use "intermittent" suction (NOT GI settings on most units, do it by feel) as the murphy eye can adhear to the trachea wall and cause Tracheal "hickies" this best observed in a good autopsy post ICU .... and multiple suctionings. Now the question: What negative suction pressure setting will now surface ... So to that end: I use STEWS law: If your suctioning concrete use what you need to do the job .... point being that an arbitrary "say like minus 180mmhg setting on the suction unit" IT does not know what your dealing with and you may not be using enough ... just tickling, causing a cough reflex and increasing ICPs for no reason. If you have to suction a head injury PT, use Lido 50 mgs IV ! (NOT via ETT thats just stupid) and Fentanyl too (please, allow some time to become therpeputic) Studies prove this to is a good therapy to decrease noxious stimuli and decrease possibilities of increasing ICP ... a very good study. If your trying to suction Pulmonary oedema .... your sandpapering your @#! use PEEP, suctioning PE is just causing more problems ... changing a balance of osmotic vs hydrostatic pressures ... your doing harm. cheers