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Dust: micpar has a good logical plan, he is informed and has recognised some very important fact's in this transition : a serious FAILURE to communicate with the real EMS workers, as one can observe from a lot of maturity in the previous comments: Ok so lets LOOK at the facts crunched from the handbook to transition, (albeit from the village idiots helper handbook) A wonderful theorem, did Walt Disney write this stuff ? 1- So First EMS will be regionalised THEN SuperBoarded ... the superboard has as its primary goal as HEALTH CARE Provincially and very sorry to tell you that EMS being a very small part of that "little" item and budget too. When regional health boards managers are looking elseware (like for a another middle management job) and bitching about their job loss. Do you believe their focus will be on mere transport of the patients ... meh. This is an exercise in doing the duck walk! 2-annie love you dearly ... but with this "improved utilization concept" .. so your truck could be attempting to find a address in the Hat ... do you feel comfortable with that after a LDT (and no coverage in your community) cause there's no trucks or transfer returns that day? Do Calgary guys feel comfortable looking for an address on Wolf street in Banff .... Will Leduc guys (fire based) run a code in MillyWoods ? Anyone following my ramblings its absolutely ludicruis to believe that everyone will have to know huge areas ... put it into perspective. Edmonton is the Largest Size of a municipality in all of Canada .... it in itself is HUGE .... now send EDM crew to Sherwood Park ..... or St Albert on a possible Crib death ....? This is the ill conceived "utilization concept" has nothing to do team playing it has everything to do controlling co$ts with a concept that has never been tested. 3- Echo is putting some issues into a very realistic perspective albeit in his own "tenor" And I bet my bottom peso HAS worked dang near everywhere, Mobey PLEASE don't judge a one post as a personal philosophy, get the milk out off the screen yet ? echo has some interesting input to be seriously considered. 4- Wendy T it becomes very obvious that you have never worked for any Government agency as "echo" is trying to point out and from my previous posts on this topic "someone has no idea the difference between the House of Parliament and the Provincial Legislature, reading the entire thread it can help out... so Health Care is going from Regionalization to Centralization (SuperBoard) EMS will first be regionalised THEN to centralization HUH ? I am confused, different plan of action for "now" essential services ? As if we have not been for decades ... this is simply a move to control labour ... HELLO ! This is a promise that will introduce yet another layer of health care administration for at least 10 years .... anyone want to take a bet ? 5- A recient directive from ACoP, so once the patient is delivered to the Hospital ... it now becomes THEIR problem, we have done our job its now up to them, oh sure help out, but don't tie up another rig as now your prime directive is to get back on the street ... check out Tammy's release from ACoP. THIS is a HUGE problem in Grande Prairie due to the last conservative "regionalising idea back about 12 years ago" and ties up a many complete Air Ambulance Team's (thats 4 ppl and a KA 200 sitting on a ramp waiting for an overworked GP to take a look and obviously no beds at the INN anyways ?)... and this just because there is not enough RNs in GP, so not my problem I want to eat .... anything ! Lieperts claim that some how hiring Paramedics in the ER ... i.e. doing mini triage before hitting the Triage Desk .... will somehow open more beds up ?.... Man, I so want some of that CHEMOBUD from BC. 6- micpar Is that an abbreviation for something te he : I have stated over and over United we Stand, Divided we FALL (on our faces) joining the strenghth of IAFF may not in the long run address HEALTH CARE ..... IF there is 8 different unions representing Paramedics .. future government negotiators will use this to a huge advantage ... divide and conquer .... the average wage will become the deciding arbitration ruling hey just LOOK to what Calgary learned last go around ! Once again: You have my vote micpar as does I.H. BUT you will have one hell of a PR job on your hands, the rural areas have huge fear daring to go against their local "private for profit employers" so Good Luck with that, and let me know when your in my hood please. 7- EMSEDU .... zactly! are you happily married .... 8- imac .... hello wake up, your dreaming again ... :roll: NOW for your Pleasure and enjoyment sleeper makes a great point ! So check out the Government Bill 41 HEY the MDs don't like it at ALL..... any comments micpar ? ACoP Told me basically to shut the F up "we are trying to be recognised by HPA" hey maybe HDA is a better option for now... anyway like thats going to work telling me I can't write letters to my MLA.. :twisted: And now facing April /09 BC direct reciprocity ... yikes, :shock: yet another can of WORMS. ps (that's called foreshadowing btw) cheers

One just never knows WHO may just put in an appearance, sans firearms. I think a fishing rod would be more more helpful with the weather reports lately.... Ike may just improve the fishing ? cheers WHAT no BEER ? sheesh forget it then lol.

Put a little pressure over buddys liver .... any neck veins jumping out ? ... thinking Portal HTN here but not a lot of prehospital treatment if hes Alert well besides pop in a line, .... got any berroca C. maybe some V/S and ECG Lung sounds (perhaps a bit damp?) and Med History would help out. Hes GREEN ? or is that more yellowish ? Any scleral oedema ? lmao with Hypoethanolemia, ERDoc as ALL the irish suffer from this malady. Good thing, I didn't want to report you to the Kilpatricks ..... lol. Hey Late Entry ... is this patient repeating a Phrase ? Their Magically Delicious? if so look for a rainbow !

Umm Ahem ..... did you forget about that other "province" ... the ONE that Ontario follows all their lead's ? cough, splutter, hack.

Maybe today we should think about why we are ALL over there .... it is 9/11, today so take a minute for all the military, civies and ex pats that are fighting the good fight for us all. Kudos to Gerad, for telling like it is. cheers

Yes J.W. is high speed ... well, thats what ALL the women say .... I worked with him and he is a riot. chaney75 what are you looking for exactly offshore platform, CPS, or Clinic stuff ??? cheers

So: Why don't you just contact Greg ... i.e. Greg Clarks E-mail Address(es): greg@ccofems.org I am quite certian he could explain the entire process (s) of acreditation, honestly he has enlightened me on many "other topics" as well. Last I heard he was teaching a course in Norway .... that shmuck ..... ah and those naked saunas ..... and I hear that Finland make's the BEST vodka too ? sorry off topic, shucks. Greg is very much a plethora of much much information and in many venues, those that listen in his lectures are usually quite impressed. previso: WELL Ok SOME then ... :roll: cheers te he

Annie: Lets put this in a better light the US is not the only area affected right now, besides I could use a few good Cuban Cigars .. lol. From CNN: There is an voluntary evacuation order in place for N.O. ... FEMA has learned to be proactive and this could save one heck of a lot of lives this time. Maybe the Canadian Relief Fundation or Global Medics will be helping out in Cuba ? (speculation on my part) I am contacting as we speak ... so stay tuned, one needs the paperwork in place, cipro and doxycycline (personal use) and all the immunizations for that area. You are now on my list Annie, when the going gets tough the tough get going ! cheers

Now thats the ticket .... wish I was on that truck ! Be safe and if it gets really rough PM me I will get some Canukistanians to give you a hand, there are no borders with the brotherhood of EMS. cheers

Well said Ventmedic. This previous poster has a very serious problem, I certianly would not want him to take care of me if I were sick or injured with this attitude. Frankly when I was in N.O. post Katernia all walks of life got the life sucked out of them, over 2552 died during that event and not just the poor. In a side note I would not want this type of individual at my side as a partner either, beer being a priority in ones life and snide comments show the mindset of this dedicated, caring EMS provider ? 71 dead in Jamacia ! Who knows how many in Cuba ? and landfall expected in Loiusiana with a possibility of CAT 5 .... then Hanna with a possible 2 whammy and now there is also another organised tropical storm off the coast of the leewards ... this is not shaping up very well for hundreds of thousands of people, and my prayers have been sent by a very different server and medium. cheers PMHX .. EMT city was a means of communication, recruiting and even just emotional support to those (MY)brothers and sisters of EMS in the disaster zones of Katrina / Rita EMS49393 you have been reported so please out of respect for the others carring EMS providers keep your foolish comments to yourself .... Thanks in Advance.

SO MUCH FOR A SLOWDOWN IN THE INTENSIFICATION RATE OF GUSTAV. YESTERDAY AT THIS TIME WE CONVEYED THAT RAPID INTENSIFICATION OVER THE NORTHWESTERN CARIBBEAN WAS POSSIBLE...BUT THIS IS A LITTLE MORE THAN WHAT WE HAD IN MIND IN SUCH A SHORT TIME. THE HURRICANE HAS REACHED CATEGORY FOUR STATUS WITH AN INTENSITY OF 125 KT...HAVING BEEN A STRONG TROPICAL STORM JUST ABOUT 24 HOURS AGO. THE MAXIMUM SURFACE WIND VALUE IS BASED ON A FLIGHT-LEVEL WIND AT 700 MB OF 141 KT...SINCE THE 90 PERCENT ADJUSTMENT TO THE SURFACE USUALLY WORKS RATHER WELL FOR INTENSIFYING MAJOR HURRICANES. THE AIRCRAFT FIXES INDICATE THAT A NORTHWESTWARD MOTION HAS RESUMED...AND THE INITIAL MOTION ESTIMATE IS 315/12...RIGHT ALONG THE PREVIOUS ADVISORY TRACK. NO CHANGES TO THE 1500 UTC FORECAST TRACK HAVE BEEN MADE...BUT THE INTENSITY FORECAST HAS BEEN ADJUSTED UPWARD THROUGH 96 HOURS. GUSTAV COULD INTENSIFY SOME MORE DURING THE NEXT FEW HOURS OVER WATER...AND ONE CANNOT RULE OUT CATEGORY FIVE INTENSITY BEFORE CROSSING CUBA. THE FORECAST NOW CALLS FOR A PEAK AT 140 KT...CATEGORY FIVE INTENSITY...OVER THE SOUTHERN GULF WHERE OCEAN HEAT CONTENT WILL STILL BE HIGH...FOLLOWED BY A VERY GRADUAL WEAKENING OVER THE NORTHERN GULF WHERE OCEAN HEAT CONTENT IS LESS. Looks like Cuba is getting beat up big time.

You can watch the storms advance on this link: http://www.ssd.noaa.gov/goes/flt/t1/loop-vis.html hope it works one may have to copy and paste. No mention quite yet as to how hard Jamacia got slammed that I can't find quite yet, although it was a catagory 2 I believe when it hit land. And do not forget if this becomes a major concern that a second WAVE or back/up is most times an after thought. cheers

Ventmedic: Yes indeed a double whammy would not be good atall. Thing is if FEMA gets involved (they have learned some valuable lessons btw) as many volunteer rescuers became rescuee's, there not ALL idiots, as common misconception has lead ppl to believe. The issue of actual and tangible USAR qualifications become quite an concern, and for safety ! This was one of the "reason's" used to detur we lowly Canadians from coming down to help out during Katrina / Rita events of past. It could be that Pafford would be following Acadians lead/precedent with that inititave ? Besides: FEMA was very concerned that we Canadians would take jobs away from the Americans ... and quite laughable in fact, as if there's not enough jobs in the soon to be frozen wastelands that are better paid, and a larger scope of practice to boot. Well: If it does hit the fan, I certianly hope CNN/ media does not get involved and cause "kneejerk" responses from every Tom Dick or Mary TEAMS from "Dog River" this was a recipe for a communications / coordination nightmare. As for the No Camping EMS49393 .... you big WOOSIE ! ... Just don't eat the MRE's called "Lung in a Bag" as commonly refered to as cheese omlette with veggies ... OMG instant heartburn ! Whatever, getting qualified teams ready in advance may be self serving but it is an improvement proactive not reactive .... just saying. cheers

I have rubber boots, and it appears from NOAA sattellites its headed for ... you know where .... not again good grief. cheers

Nope thats: M.C. and R.O.V.E.W. Otherwize known as Marine Crafting and Reduction of the Volume of Enviromental Waste. lets keep it green shall we ?

I SO must agree with Bledsoe the Vanity of this so called Profession is diluted by all the 2 bit cheezy courses that ppl seam to need to add to their signatures, ever hear the term alter ego ? It is a compensatory mechanism only. Standardization is a key factor to promote the Profession of Paramedicine and gain the acceptance of the other respected Health Care Providers. We have a similar concern here in Canada and this seriously affects reciprocity and mobility of labour, just in passing. Redundant quals ITLS, BTLS whatever AND for your true pleasure and enjoyment ..... ACLS is really just a weekend course! Truely shocked that one can call themselves CCP with an 80 hour course .... sheesh. True confusion exists in the Publics eye of what just IS or IS NOT a Paramedic. Do we try to correct this confusion ? Nope we are to busy beating on our own chests to see this clearly, as for the "life saver" title pfft it is truely BS ...... ever read my signature ? I remain VIH = village idiots helper .. just saying lead through example is all and blow away that patients should be treated by a protocol ? guidelines are the way to go cause every case is a different story and some patients dont follow the rules ... ever see an ER MD just practice protocol or are they practicing medicine ? Well Ok one exception the almighty highly respected CTOP "Case Tractor Owners Program" which I intend on taking very soon and will include in my signature as soon as I recieve the paperwork... LMFAO "with" Bryan B! cheers :roll:

Edited due lack of incentive to proof read, and sorry bout that :>) Look to the "inclusion criteria" in the OPALs Study, the out of hospital arrest outcomes are not based entirely on initial ecg rhythums. The whole attempt to prove or disprove ALS providers vs BLS providers change outcomes (In Arrest Situations ONLY) its the time to location thats the signal most important influencing factor, did I not say that before? Good point, so I introduce the concept that many a BLS level provider may NOT be experianced enough nor confident enough in "Calling Them Dead", because once anyone (say like a FF) starts CPR the first place it is akin to stopping a clown parade, this one of the flaw's in the inclusion criteria to start with in this study. Question: 1- Have you actually read the OPAL study ? Question: 2-Your Avatar states you are a Paramedic .... analyze ? [Perhaps] I am the not only one guilty of failing to proof read, or somewhat confused? Question: 1- Do you need studies to prove that a higher level of training and scope of practice will have any influence in positive outcomes (Best Practice) or are you talking (Economics) ? 2- You still did not answer the first question posed. cheers

Ok maybe I am confused just how many services do have the latitude ? Odd but most have it listed in protocols, yet not on car ? ps there is a reason btw. You may just want to reconsider that statement in 2 regards: 1- What and how do you believe the HPA is superiour piece of legislation? Just because ACoP told you ? the HPA was mandated by Ralphys Government to the colleges not voted on by the ACoP membership, this "vote" occured in the Legislature. (ps remember the little ACoP Gap thingy under HDA, point in fact as this was to bring the AB EMT level up to Ontario PCP level without sending all the EMTs back to school) ...... almost a pity. 2- Your assuming that somehow standardization, and introducing yet another layer of government intervention will somehow give you a improved scope of practice ? please explain to me just how this will be accomplished ? ... folly in my view. The thing is BLS was quite clearly defined in the HDA as it was pretty much standardized in AB with the old Alberta Health Protocols, was it not ? So how will HPA make anything better for your patient ? In statements in your first paragraph state AB EMT assist/ then down the page you state administer .... am I confused or are you ? It is on the ACP webpage if you really want to know in a release about 2 years ago.... "see approval for of GAP in the on line so called Dialog or communication releases" And PLEASE check again the on-line protocols/ guidelines from AB, BC, and ONT they are all available for comparison. I have gone into great depths in other threads to explain why the educational concepts of ie the "pyramid" vs the inverted pyramid, and why the Egyptians got it right a long way back. cheers

Ok first of all I am not a federal officer I am a PSO (huh?) read on ..... this "OP" if one takes note is not from the US of A! Just saying, that it sometimes I am get a bit irritated that folks will comment on issues that they have really no understanding beyond their own borders ... as many times I want to say please remove head from colon, but I am far too polite. So if this poster is a BCAS licenced Practitioner at the minimum PCP level, (sure don't think so because of the nature of the query and he would have access to the same info that northernmedic has access) Now: PAC 'Paramedics of Canada' lobbied government a few years back and under Kanukistanian federal guidelines a "Paramedic" is now recognised as a PSO = Public Safety Officer .... as are Police and FF allowing all 3 entities to react to "Protect the Public Safety" (there still remains some fuzzyness around the title at the PCP level.) I can tell you that in BC one can transport a patient under WCB regulations in an approved MTC on paved highway, in Alberta one cannot "legally"unless directed to "meet" with an approved Alberta Health Ambulance but even then one takes a very huge liability risk in doing so, it does get somewhat sticky and complex with insurance. IMHO and Best Advice: "guided by the best interests of the patient" BC is not as clear in regards due to the mingling of different legislation and acts, HSA and WCB in either case anything using more that 4 ways flashing and your just asking for huge trouble with a patient on board an MTC, northernmedic please correct me if I am wrong but is not BCAS is currently "looking into" the "Code 3" transport by MTC? Ok back to the topic the use of a Lights, primarily RED rotating beacons are restricted to ERU ... any Emergency Response Unit (go to each provincial Hiway Safety Acts or Statutes for definitions) Private Companies contracted to provide health care or safety to industry do use them but if push came to shove if you were involved in an MVC responding to a call or even hit while stationary well ... I would not want to be in that spot. I have asked these very pointed questions (letters) to BCAS and BC Health Minister ... there is currently no provision for regulations nor licensure for the delivery of "private" Health Care in the Province of BC therefore unclear responses in that regard (ps the Health Minister has yet to respond ... well after all it's only been 5 months... sheesh) For those that understand the heated issues regading the private vs public health care delivery systems in Canada ... a very touchy subject bottom line, like taking a gun out of Charlton Hestons cold dead hand, I digress. OK REAL LIFE: I carry a lighter adapter Red rotating Beacon to protect scenes that I happen across ... WHY ? Because I am a Whanker ? whatever but really don't think so man , again, there are very different cultural values and serious legal differences than down south, I guess we Kanukistanians don't have as many ambulance chasing Lawyers .. Thank DOG ! NO WAY is anything OTHER than a Red Flashing Light is effective to slow traffic, RED/BLUE combo is restricted to Police only, AMBER for Caution (mostly construction) GREEN has been used for volly FF responding but reciently this has come under very serious "reconsiderations" (sp) because a Volly FF killed 3 in an MVC. I have used RED Beacon many times and strictly "discrectionary" but then I have all the "licences" and member of SAR groups as well part of disaster services .... I have NEVER been questioned by an RCMP/Peace officer EVER in the use of my beacon, usually they shake my hand and thank me for assisting. SIRENS hmmm dicey even if the "Supervisor" is a Construction Safety Officer (s) for a company, they are called CSO .... talk about a few whankers there .... most are idiots but occassionally one will run across one that is very very good. I wonder if this traumateam1 is an OFA level 3 ? working on, say a pipeline project somewhere northern in BC ? ..... LOL. Just a word of advice to traumateam1: DON'T DO IT !

I have to strongly agree with VENTMEDIC the use of Flow Inflating / Jackson Reese manuel resusitation should be restricted to the "practiced" and experianced provider. Just the concept of pressure ventilation vs conventional volume ventation is NOT even closely addressed in the vast majority of Paramedic programs, that I have encountered. If one were to ask the typical REMT-P what influence say for example increasing Ti (with RR remaining constant) would have on oxygenation or Vt of a neonate, most would be stumped. I suspect very few paramedics would even have a justafiable number of "calls" to warrent anything other than Self Inflating Bagger for this piece of 'kit" on their trucks. I also must agree that a Manometer "should" become a standard on ALL Manuel Resusitators for every level of Practitioner. Question to 4cmk6 ... why do you even want a smaller size BVM anyway, maybe I am missing something here ???

Well it appears that with this latest evidence that departure from the traffic lane can be a fatal error. The L+S could be mitigating circumstances "scaring" the deer into traffic. I my situation I braked hard, unfortunatly the blasted critter actually lept in front, but, I did not leave the lane as this is just a recipe for disaster. But sincere condolences to the family and co-workers are in order, yet another LODD ... its making me sick to hear of so many these days. no cheer.

Yes: These are can be very difficult calls to attend, in fact and correct me Rid but most SA are not only under reported but the actual "call out" can be very under curious circumstances. What dispatch is informed vs what you find on location can be a very different horse. I know of a paper done by Dr. B. Able ( no joke thats her name) and an RN E. DeGrandpre a rape crisis center and in hospital protocol was established here in very "northern texas" ok that is a joke (University of Alberta) I will look for the paper and direction given to EMS staff. The best advice that I have been given is just be supportive and asking any questions concerning the issue can complicate issues for the experianced investigator, and you could become a witness for court so document, document, document and try to avoid any personal comments in your reporting. I ask 2 simple questions: Are you physically injured ? This is the EMS priority in my book. Is there anything I can do to help you ? This comment is a bit disconcerting as working in EMS is not about ones deeper understand of your life it is service to the public. If one believe's that they can heal all wounds I think maybe you have picked the wrong field. I could be wrong but you could be setting yourself up for serious disapointment down the road. cheers

spenac Thanks for the lead, I choose a fab four a "Roo Bumper" designed in OZ .... imagine that. PLEASE go and bolt it on, I will pay cash!