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  1. Outbac1

    Holiday to North America

    Maybe for us. I was in Alice Springs once and wearing shorts and tee shirt at 20C. The hotel staff were wearing wool sweaters and what we call winter jackets. I think Puppy would find it cold here in March. Mind you if he (?) went to a ski hill he might find a snow bunny to cuddle. :rolleyes:
  2. Outbac1

    the 100% directionless thread

    Medic Tim Congrats!! Where is the new job? Oil Sands? I have several friends working there and more co-workers leaving every week or so it seems.
  3. Outbac1

    For Nitroglycerin to be administered

    A headache is common. I haven't found "lightheadedness" to be a common side effect. If it happens it could be from a drop in b/p. The n&v can often be eased with gravol or similar. Catching side effects early is why we always recheck vitals and ask the pt what they feel like after the medication...
  4. Outbac1

    For Nitroglycerin to be administered

    Your local protocols/guidelines and NR may be different. Here I have b/p 90 sys for nitro. Easy to remember N for nitro and N for ninety. If vessel dilation from 3 sprays of nitro doesn't relieve pain more nitro isn't likely to work. Time for something else, eg: morphine. We have a higher min...
  5. Outbac1

    Want professional respect?

    Well put!
  6. Outbac1

    Do paramedics have/use clot busting drugs?

    We have had it here in Nova Scotia for a couple of years now. It is not something we do everyday. There is a strict protocol of how they want it done. This includes faxing it off to the nearest regional hospital for the ER Dr to confirm and order it. It was part of my ACP education.
  7. Outbac1

    New NRP bridge and scope

    For our ACP I believe we were taught everything but the Morgan lens. I remember discussing blood chemistry results but we were not taught the actual testing of it. At my service I wish we had capnography but we do initiate thrombolytics. Time wise it wasn't an issue as there is about...
  8. Outbac1

    Where do you live?

    I have my own home and have had since I was 23. (and that wasn't yesterday). I live a grand distance of 7kms and about 12 minutes from work. Having a home is an investment. As others here have said one should never go into debt up to the eyeballs to get it. I see so many young people that...
  9. Outbac1

    dnr

    This! Your medic was right.
  10. Outbac1

    What would you add? ALS and BLS

    Here we have both CPAP and TNK. We have one cath lab and a lot of the population lives more than an hour from it. TNK has been used in the field dozens of times with good sucess. I have used CPAP several times with very good results. Even our BLS (PCP) crews can use CPAP. Mind you our PCP is...
  11. Outbac1

    Oxygen Question

    "I am uncomfortable performing any intervention when I can't justify it to a doctor or nurse." "Our doctors teach us to treat a patient, not numbers. Which is why our protocols put so much emphasis and signs and symptoms. I give Oxygen because it is warranted based on clinical...
  12. Outbac1

    My call suggestions?

    As others have said you should have listened to the lungs yourself. Having said that maybe all there was to hear was diminished air entry. Make sure you listen in several places. Often a neb of ventolin will open the airway enough to have a little better air entry and you can then hear some...
  13. Outbac1

    Where do you keep your pocket knife?

    Clipped to my R front pocket.
  14. Outbac1

    SURVEY: How many moving traffic violations have you received in your life?

    Male. In 38 years 2 speeding tickets. One I was able to get thrown out. 1 failure to stop at a sign. 1 failure to display current plates. None of which happened in the last 26 years.
  15. Outbac1

    Reciprocity from US to Canada (Quebec or Ontario)

    Medic Tim pretty much sums it up. Although one should never say never, the chance of EMT-B getting you anything in Canada is virtualy between nil and none. I believe even Quebec runs all PCP now with a smattering of ACPs in Montreal. You need your EMT-P to be considered virtually anywhere here.
  16. Outbac1

    Late calls

    We are responsible for calls right up to shift end. If our replacement crew is not in we go. If we are on our way back to base and are closest to a 911 or stat transfer we get nailed. We get time and a half for all OT. Once shift end comes and I'm at base, not my problem.
  17. Outbac1

    BC vs AB as an ACP/EMT-P, your choice?

    I'm guessing you have a reason for moving to Alberta or BC besides the fact it is a few hours closer to Australia than our east coast. I jumped through Albertas hoops last year. It took a couple of months waiting for them to process everything. Only takes a few hrs to check out their...
  18. Outbac1

    kvo

    If I dig deep into the memory banks I believe it was about 30mls/hr. Here we use locks and don't worry about it. The hospital only flushes a lock a couple of times a day. If we hang fluid it is for a reason and set the rate accordingly.
  19. Outbac1

    Cpap

    Great tool! I love having it as an option. I've used it several times and only once did it not have a positive effect. The pt got tubed. The others all had good outcomes. Two of which needed nothing more after arrival at the ER. We use I believe a Miller device which has a guage on it. It...
  20. Outbac1

    EMT-I moving to Nova Scotia, Canada

    Sorry I don't do the facebook and friends thing. If you have any questions please just ask.
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