Search results

This has been the norm in Ontario for a number of years. Instituted not from within the service but from the Province deciding that emergency services working on the road must follow the same rules as other workers on the road. So vests and helmets at all times.

I've said a few times that new rules should include a preamble "The following is enacted because Bob needed it spelled out that you don't take the Ambulance mudding." or be named after the person who triggered it: "The Bob Jones backing policy"

Our trucks go up to HQ every 6-8 weeks for PM and standardization. When the logistics tech and the fleet guys finish with it and put it back into Operations they seal all the bags, shrink wrap every container in the cabinets and seal the cabinets signing every tag. They sit in HQ as response...

Interesting. Up here in Ontario, it's very much part of the culture of EMS that the employer has a service sticker that they issue to every medic. Ditto for fire departments, though often it's the IAFF sticker. I don't mean it's common, I mean damned near universal.

It's not that oxygen therapy is not entirely contraindicated, it's that routine use of oxygen is not recommended in cardiac patients without hypoxia. When a patient is decompensating whether in cardiogenic shock or haemorrhage, they will likely be hypoxic.

Certainly programs exist but they are Paramedic Diplomas/BHSc. They can enter practice by the end of the third year once the Diploma requirements are complete. This new plan is more akin to the BscN program where the degree would be the requirement to enter practice and the certification.

Details have not been released, probably because they have been determined yet. But my understanding from a few people I know who work in research and education and are consulting on this process is that we may see an end to PCP/ACP as we know it. Likely one level an advanced level to reflect...

The topic of increased education in EMS comes up so frequently on this forum that I thought I'd share a very interesting development from the Paramedicine Across Canada Expo conference I just attended. The Paramedic Association of Canada who writes the National Occupational Competency...

Ours don't. They're integrated into the light package and go on when the truck is in drive with primaries activated. We have them on most major thorough ways and busier access roads. Makes a huge difference in good smooth driving when you have to go L&S. (Code 4 here)

I won't force anyone into an intersection so if it's a red and too congested for people to move over safely I'll ease up as I approach the traffic and give the opticon a bit more time then move into oncoming and proceed cautiously. I wouldn't want to chance someone pulling into the intersection...

I had a 24 y/o M c/o 5/10 retrosternal CP radiating bilaterally across the front of his chest, onset while shovelling snow. No history, no known family history, no meds, denied drug use, reported good health in preceding days. Begin my assessment with cardiac not at the top of my list, leaning...

Not quite. The Ontario Professional Firefighters Association, their union has. It has been rejected as unsafe by the Ontario Base Hospital Group, the body of medical direction for Paramedic services in Ontario, the Ontario Association of Paramedic Chiefs has come out against, the Ontario...

I'd do a forum search since this has been covered before, but essentially it's an extremely tough situation. Jobs in Ontario are extremely competitive; for example we just finished a recruitment where I work and we had more than a thousand applications for the 30 spots we hired and that's about...

Sorry I don't blame politics here. Granted maintaining that level of restriction on AED usage (and the article seems to imply its AEDs not monitors being removed) is excessive when they're deregulated for the public, but if you want to provide medical care, then do it properly and take it...

Our tactical medics have them and often (but not always) wear them. Some of our Superintendents wear them since they're supposed to be monitoring the air all the time. There was talk of them being issued at one point to increase privacy, thankfully that died since I already have trouble blocking...

This case was used during a training on human factors and root cause analysis we did last year. Human factor identification and "just culture" have been the main thrust of patient safety initiatives this year at my service.

It's not universal nor is any organization entirely immune to it, but organizational culture is key. I work in a large (500 medics serving 1.1M) urban/suburban municipal third service (as most services here are). Last time I checked the service is between 55 and 60% female staff in operations...

My only advice on Phd's come from the three people I'm friends with who have started them. Watch for burnout going right from your Masters on. Two of my friends stopped their PHd's (one genetics, one English Lit) part way through because they'd just had enough. My other friend finished his PHd...

Did a quick pubmed search. If anyone wants full text of any of these PM me, I should have full text access to them through work or school. "Quantitative relationship between end-tidal carbon dioxide and CPR quality during both in-hospital and out-of-hospital cardiac arrest." Resuscitation...

You might not be able to get the waveform, but the LP15 saves a ton in the background. Print a trend or if you use an ePCR system that let's you review your data do a continuous complete dump and you can get a good feel for ETCO2 across the call. If the ETCO2 started that high and persisted I'd...