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I can't speak for all of Canada, but definitely all of Ontario is unionized. (And most of Canada is I think) We have a few private contracted services otherwise entirely 3rd service municipal. Paid way better than the unregulated IFT industry (they're not legally Ambulances in Ontarion and...

I've never had issues having LTC staff help with it. Often times they have to go get the sling or the lift is shared anyways. For home ones the patient and family and usually well versed in its operation. Beyond that I've never found them difficult to use and if the patient is so ill that I'm...

I'd reflect as objectively and dispassionately on your first post; I think you'll find your answers there. For instance: - Not taking the first run through seriously to the point of not reading the questions reflects on how seriously you took it. - Blaming the system or calling it rigged shows...

Not in the least. I'm extremely close with the folks in my station and on my Platoon. It's a supportive bunch. Like any workplace not everyone gets along, but it remains professional. I think our size makes a difference; with 500 medics in Operations people who don't get along can give each...

Couldn't find the course outline for the EPIC education, but here's a research overview for EPIC which touches briefly on the 6 week (F/T) course the ACP's used in the program were sent to. http://www.emergencymedicine.utoronto.ca/research/ptmr/CS/EPIC.htm This outline also highlights my main...

I think the key to success in Community Paramedicine is keeping programs geared towards short-term assess, treat and refer. The goal of even these more sub-acute programs should be providing appropriate interventions (medical or social) with an eye to quickly transitioning these patients to more...

Forgot to put narcan on that list. Probably because I've never once used it. Opiates aren't the drug of choice in my area.

The technology exists already (but not the wherewithal) for standardized, cloud synced medical records. One where the database is used by all providers including pharmacies, family health teams, hospitals and Paramedics to make available and complete, accurate and searchable Pt. record. This...

Those are fantastic numbers! I hope our program sees similar results when it hits its stride. Better for the system and faster more appropriate care for the patient.

Our Community Paramedicine programs cover a few different areas and all are currently linked to research or pilot projects: - Enhancing Paramedicine in Communities (EPIC) started a few years back as a two cohort before and after study looking at the effects of Paramedic home visits on patients...

BLS doesn't mean the same thing in all areas. As a Primary Care Paramedic (PCP) I'm a BLS provider in Ontario. My length of education is two years of college. In terms of drugs I carry: - ASA - Nitro - Epi 1:1000 (IM or neb) - Salbutamol - Glucagon IM - D50 - Acetaminophen and ibuprofen PO -...

Unless absolutely required for your area's code STEMI plan, it might not be worth the effort and money. Only time we were transmitting 12-leads was during the ATLANTIC trial a few years back where the study protocol required the interventionist review the ECG for enrolment. Caused a lot of...

Ironically, most of our Superintendents were Advanced Care Paramedics when they were promoted, but recently because of their extremely limited patient contact and concerns about them getting bogged down in patient care either as back-up or during a major call our Chief required that step their...

I was very lucky with my circumstances. Coming off University I'd worked three jobs in my last year and my grades weren't completely unscathed. Entering Paramedic school one of our instructors strongly suggested we think twice about a part-time job given the workload and competitiveness for...

How do you not have a stair chair? Granted if they've had recent hip surgery (and ignoring that discharge home to a second floor room would be a poor plan) and can't be secured in the stair chair there are other ways to get the patient in. If the stairs are steep or have turns I'd use the scoop...

By 2025 in Canada it is expected that for a Paramedic program to be accredited it will need to be a four year Bachelor's Degree. This doesn't guarantee that all the Provinces will immediately come in line, but for labour portability it will likely happen. This is per the Paramedic Association of...

Don't do the Vics vapour rub thing either. Eucalyptus and stale urine is much worse than just stale urine and your sinuses are wide open to let it in. Breathing through your mouth doesn't necessarily help either, then you taste it. Honestly the thing I've found works best for my more pungent...

In Ontario teams that I know of: Toronto Paramedic Services - Emergency Task Force (Tactical) - Public Order Unit (Riots/Large Gathering) - CBRNE York Region Paramedic Services - Special Response Unit (Tactical, Haz-mat/CBRNE, rescue, bariatric) Simcoe County Paramedic Services - Incident...

Our Dispatch system in Ontario is provincially run and Paramedic badge numbers (OASIS #) or issues by the province regardless of the service you work for, so if I call 911 I give my name and number right off the bat. Like others have said, it helps bypass the questioning a bit; and given the...

Now whenever PD is directing traffic at construction site where I am, they wear helmets. MOL just hasn't traditionally enforced these rules with PD. Source is just Occupational Health&Safety regs here. The big green book...