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Hey if every single company in LA gets its own thread I think our Country can manage 4.

Interesting, Community Paramedicine is looking a little different in my area and is really a spectrum of programs that include both emergency operations and separate Community Paramedicine Unit outside regular ops. I'll attempt to describe the relationship between our current and developing...

If you push the tab on the lid of your coffee into the cup it acts as a baffle and you won't spill as easily.

Also consider where in Canada you may want to work as Paramedic employment in some areas is extremely competitive, especially for PCP's. For most of southern Ontario for example, expect hundreds of applicants competing for a couple dozen spots. As a result, since their may be no need for...

Except conversion rate makes no sense cross border since you'll find we pay very similar prices for things in our respective currencies. Consumer price index is more reliable, but really it's neither here nor there. We have very few steps in our pay scale, hit max in 18mths for my position...

I liked "remember where belts are concerned, there's a fine line between keener and weener."

Same reason I wear the two piece belt. When I try to shut it down at night and grab some rest it's nice to have all that stuff hanging of the truck mirror. I carry Belt - Radio w/ lapel mic - Truck smart phone - Leatherman - Glove pouch - Big shears - Small flashlight Pant pockets - Directive...

I know pay and cost of living in vastly different areas are hard to compare, BUT I was reading the ATCEMS description out of curiosity and find it hard to believe $19/hr is a good wage. I'm at $42/hr in Ontario. Once again, I know these things don't compare at all, but it's still hurting my...

Care to elaborate on what shocked you, I'm not seeing it. I see a fire crew arriving scene on a moderate severity MVC, conduct a scene size-up and then off camera begin treatment. Despite the youtube title, I don't think that pt was ejected so much as laid down on the ground. Beyond that I'm...

Amiodarone works along 4 pathways to prolong Phase 3 of the cardiac action potential: - Na+ channel blocker - Ca+ channel blocker - Beta-blocker - K+ channel blocker It's not currently in my medical directives for ROSC patient's and in fact we carry lidocaine over amio for some reason. I have...

Don't really do resolutions, but I think it's only natural to reflect and plan during the holidays and year end. Professionally I'm planning: 1) Finish ACP school. Semester 2&3 and consolidation will take me through the summer. 2) Study consistently through precepting so I'm not cramming...

What a ridiculous schedule. Best thing our Chief did when he was new, implemented policy that said if you get a late call, when you clear the hospital, you're out of service unless closest to a cardiac arrest, an ongoing MCI/state of emergency or specifically instructed to stay in service by a...

Remember "not being a HIPPAA violation" is not the same as being a good idea, professional or keeping with employer policy. Nor does it affect how it might be viewed by the public if taken out of context. I maintain a Twitter account that I use predominantly for professional purposes. If and...

Ya I think so.

Last I saw it prehospital was during a research trial a few years back. They halted it early due to complications and negative outcomes.

Are you not requiring to take regular training on HIPPAA? Our equivalent in Ontario in PHIPA (Personal Health Information Protection Act) and as Health Information Custodians (HIC's. I know.) we're required to take training on PHIPA and renew that training every two years. It's a nothing...

Tegraderms works really well to plasticize the beard and improve mask seal.

Also, too many providers seem intent on providing BVM ventilations as a single provider skill, even though it can be extremely difficult to get and maintain a good seal while also having decent positioning on some patients on for some providers who have small hands. It is not a failing to do a...

That sounds rough. We're ~45 24hr (coverage not shifts) trucks (depends on staffing whether our swing shift trucks are running or not), 6 12 hr coverage, 9 RRU, 3-5 Superintendents or Captains, 2-3 Special Response Units and the Bus/ESU for a pop of 1.1M and ~80k calls/yr.

Not questioning your commitment or competence, or saying that your system doesn't provide good care. You asked for the "sweet spot" I think the sweet spot is no Fire-Medic, because no more than a First Responder trained FF is needed for the occasional manpower augment on very high acuity or...