Search results

No I'm saying they shouldn't have a system so poorly resourced that a properly staffed Ambulance takes 15 minutes in an urban or suburban area for to reach a high acuity call. I work in a very well resourced area, our response times are at records lows and FD does not beat us to calls in an...

The sweet spot would be no fire-medic at all. There is no need to have an ALS provider available for the care needed in the seconds to short minutes they'll actually spend with the patient. The only patients and interventions that are that time sensitive require BLS care. If arrival of a...

http://www.objectivesafety.net Check out the INDEMO module they've put together as a proof of concept.

We've had 3 LUCAS 2 and 3 Autopulse on some of our trucks on a trial basis for sometime. Crews seem to like them but with the lack of evidence to support them, our low rates of transport for SCA and our practice of sending minimum of two Ambulances to cardiac arrests, it's been a hard sell to...

That might have been the problem. I think the sensor they trialled was unreasonably reactive.

I'm not disagreeing, it just remains that we have yet to create the perfect mix of vehicle and equipment that allows 100% belting all the time. That's why I find it ironic that I'm more likely to be unbelted when I need it most. R.e. EVOC, all of our new hires are given EVOC training by our...

If they're the one's I'm thinking of Nadine Levick from the EMS Safety Institute has a position paper based on crash testing against them. We have sliding side seats that can adjust through 180 degrees and move along the length of the stretcher with three point belts. The expectation by policy...

Funny things is in Canada anyways we're rapidly getting away from the term EMS too. In even the last few years, easily a dozen services in Ontario have dropped EMS and gone to "_____ (County/Region/City) Paramedic Service(s)" including my service just last year. (Like the new name, hate the...

Honestly I think your biggest problem is high cost, profit driven private health care. How can your pursue more appropriate assess, treat and refer type care if reimbursement is based on transports? How can you provide integrated out of hospital health care when every organization has motivation...

I didn't pick the term. I think Professional Certificate might have been a better descriptor but like most things, the powers to be did not seek my counsel before deciding. (When will they ever learn.) Looking back, I skipped the main point of my post originally, my employer (large regional...

Sorry terminology issues: In University we have the standard bachelors, Masters, PhD Paramedic education is delivered via the Community/Technical College system (though there are some combined programs where you complete a BSc simultaneously): They have certificates and diplomas. A certificate...

I'm lucky in that not only is my employer covering the full cost of my Advanced Care Paramedic program (typically 15k for tuition since post-grad program tuition isn't regulated) including books, supplies, etc. AND paying my full time pay and benefits while I'm in school without the hassle of...

We carry calcium gluconate for hyperkalemia arrests/pre-arrests, though I couldn't tell you if it's ever been used. I think the odd time we'll still get a Doc over the patch line order bicarb in a prolonged arrest (we have a strange requirement to patch after 3 rounds of epi. Not necessarily for...

https://myhealth.alberta.ca/palliative-care/health-care-professionals/ems-resources Here's a program from out in Alberta that I had the opportunity to check out at a conference last year. Fantastic program I'm hoping we'll see in Ontario in the future.

We're finally getting EZ-IO's at my service, just in time for me to start my precepting for ACP. Hoping we'll be getting the glidescope next, I know a neighbouring service is trialling them and our Service Quality Unit will probably advocate for them from a patient safety standpoint.

Under my directives I can access in an arrest or pre-arrest situation when IV access is unavailable. (Don't have to actually attempt just consider and rule out) However, since it's in my scope I can patch for an order to go ahead and access if the need arises outside of this.

Thanks! You have no idea how much that improved my mood before bed.

****. Granted I've been writing papers all day and evening and have had a few to drink, this is probably a troll, but this is hilarious. Oh you have a useless Associates Degree? Well, you're practically a professor. I have an Honours Ba in Philosophy, a two year Paramedic Diploma and I'm...

Roger Roger, what's my clearance Clarance? (I mourn the death of Leslie Neilsen more than some relatives) It's going to be entirely system dependent. What has been set up in the area you are, how much discretion you're allowed to exercise for activation in your system and what can your local...

Souther Ontario, Canada. One month of orientation covering P&P, some operational training, MCI exercises, certification with the regional base hospital, driving, etc. One month riding third with a mentoring crew. Not a formal FTO process, the crew isn't evaluating them, just expected to guide...