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All calls receive a Paramedic ambulance. During peak times (0600-2400) in higher density areas a RRU will also be sent if the call is in its zone. If FD is tiered they are often cancelled before scene or shortly after; or response times are similar throughout our region. If the call is...

Toronto Paramedic Services not only has the usual Tactical medic team but has also integrated some Paramedics into the Police Public Order Unit. I'm not intimately familiar with how they operate but I know they're issued protective gear and train with PD to better coordinate advancing with them...

Each service sets their own tiered response agreements with their local FD. Generally in areas served by paid FD they would respond to cardiac arrest, unconscious, chest pain, SOB and obviously MVC/rescues. Areas served by volly FD about the same though some do less due to demands on...

We're on 12's almost exclusively in Ontario and definitely at my service (3rd service, municipal ALS, limited FD response. 1.1M served, 80K calls per year). I work at one of our busiest stations and have for 7 years. We have 2x 24 units plus our deployment moves us to stations (sometimes far...

I've had a chance to use the M-series while doing some training (I run with the LP15 at work). I liked the bright display and the size/weight and generally found it easy to use. I prefer the LP15's interface, but I don't have a problem with the M's. Can't say I've had a chance to really run it...

I've always been someone who sweats easily and this has gotten significantly worse with some meds that I'm on that leave me breaking into a dripping sweat in an air conditioned room some days. Good deodorant, well laundered uniforms and a change go a long way. Also it's counter intuitive but...

Dude, between a couple of really bad calls and the death of my wife last year I'm heavily medicated and in treatment and still working without problems full-time and starting school for my ACP in a few weeks. Like any person with a medical condition, you decide in conjunction with your HCP's...

I'm also reading this question in two ways: For the purpose of QA, Safety and Complaints/Misconduct we have a Supervisor in Charge of Investigations. He looks in to internal issues and makes recommendations on proceeding with discipline, whether a problem was a system or equipment issues which...

Are any of these courses actually required for a medic to get on their tac team in most areas? Up here our tactical medics go through selection (written exam, scenario exam, the PD tactical team physical test, then an interview) but all the training is done after they're selected. I'd have to...

Depends. Some of our patients are cases of complete abuse of the system that are resistant to all efforts to adjust their behaviour. We're often just stuck transporting and they become some of the quickest easiest calls, yet still frustrating. Those ones are rare but they stand out. Otherwise...

We've been doing a long term trial on both the Lucas and the Autopulse. Three of each rotating through trucks though predominantly our outlying stations. Have used both in arrests, prefer the Autopulse but would be fine with either. Not sure if we'll see their use expanding in my area as we...

Certain people will always find problems; thankfully they're a tiny but impactful part of the population. I've had people have problems with my partner being a woman, I've hand Muslim child initially uncomfortable exposing skin for the cardiac monitor and be comforted by her parents and told...

I don't think any of the muslim women at my service wear hijab, but they certainly could. I regularly see MD's and RN's wearing Hijab and others wearing Kippah. There is no policy against it and more importantly unless there were a bona fide safety requirement that would make it impossible...

Relative hyperventilation of a closed head injury with signs of cerebral herniation is still indicated, but likely not in the way you're thinking. It's not that you'll be ventilating them at 30+ bpm. In the closed head injury Pt. ventilate at a rate of 6-8 ppm w/ a goal ETCO2 of 35-40 (low end...

Whenever you wear a mask, remember to cut large eye holes for safety and consider adding some high vis stripes so drivers can see you as you dart from house to house trick or treating. Beyond that, there's enough good sources on best practices for infection control that are a google search...

Agreed, you're overthinking it. If you have a state or regional policy that requires vital that often, than sure do them that often but don't freak out if it's 16 or 14. On most of my subacute patients with relatively short transport times I may take 2-3 sets over the course of the call...

Given the size of the Olympics and the huge number of MD's on site they may just have a very strict "trauma" policy that says you board and bring them over and don't touch anything, think or generally exercise any judgement.

Even if the object had penetrated deep enough to risk serious damage, I can't think of anything else that I would have done with the tools you have at your disposal. I often find the most challenging calls are the one's where you find yourself running through differentials and finding that once...

The current two I'm not letting my partner (who is otherwise an extremely intelligent, competent, professional who I'm only 99% sure never visits this forum) live down: 1) Asked Pt's daughter if Pt. spoke English, daughter replies "She is. She's Scottish." (A not very thick accent I might add.)...

For a good crash course, borrow a toddler that doesn't sleep well for a week or so, preferably one you like, but not that much. (To simulate a pt) Be on duty for whatever they need and respond instantly until you resent them horribly. That's a set of nights. "What?! But you already have water...