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Hi, I will be entering the critical care field soon (well I have 2 years of training to worry about getting through first). When I do fly with the CCPs, I always find their knowledge of aviation really interesting. I know that they have gathered this through 30 years of flying and chatting with...

Winter is upon us and with the cold comes hypothermic patients. I'm not just talking the patient that fell in the icy lake, but almost every patient we bring in (especially trauma patients. In regards to the huge (and unrespected) increase in morbidity and mortality from even mild hypothermia...

I've wanted to clarify some stuff regarding EMS here in BC. I won't get much into the EMR and PCP role and the poor staffing and odd pay structure of rural EMS here. What I would like to share is what I believe is the best EMS education in Canada and I sometimes ponder how it stacks up...

Primary care paramedics in British Columbia have some changes on the way. An anti emetic (presumably gravol), possibly TXA, CPAP, 12 lead ecgs (in select areas, and cyanide poisoning kits. Pretty cool for them, any emts out there using cpap in your service? Is it bein used appropriately...

http://globalnews.ca/news/1251968/calgary-woman-miraculously-survives-being-trapped-in-tree-well-near-whistler/ This happened... Anyways, I know some of the details are odd but this is pretty amazing, everything fell in to place and Dr Doug Brown has really been pioneering some great...

Are there any courses out there to learn to put the pieces together in regards to interpreting lab values? Ill be taking this course in the summer and am excited to learn my blood gases really in depth. http://www.tru.ca/distance/courses/hlth2573.html I understand that patho/physiology...

Hi, so my dad has had 3 NSTEMI in the past few years and lots of chest pain spells (actually more palpitations/racing) that were associated with dizziness and SOB (completely different than his MI's) that were always called angina (resolved before seen be dr). Well last night he went to the...

had an interesting call the other day and I thought I'd run it past you guys for some opinions. 18 yr old male with down's syndrome and seizure HX since age of 13 (a seizure every few days). We were called for a seizure and en route dispatch sent police because the last call to that house...

Anyone have any experience with a Sengstaken–Blakemore tube particularly during transport? (Or any similar device) I just worked my second disaster airway caused by ruptured esophageal varices and despite securing an airway both times my patients have died (last night was DOA). Just wondering...

Alberta has a program called CHAPS. (Community Health and Pre-hospital Support) "As first responders often granted access to private homes, EMS is uniquely positioned to identify older individuals living in the community who need a home care referral or other health and community supports...

I apologize if this thread is a repeat. If it is, then I hope that you can link me to old threads, or that this can be the thread that ties old ones together. I work in a province (thats Canada eh?) that is not progressive with its scope of practice. My fear is that this company/service is...

Are there any BLS services out there giving epi Q5 for all cardiac arrests (while continuing the AED analyze and shock every 5 cycles). I know there is controversy regarding epi in cardiac arrest but it is the standard in ALS and ED codes. Perhaps amio/lido and bicarb etc. are too much for...

I didnt see this post yet http://www.thestar.com/news/canada/2013/05/31/ornge_helicopter_crashes_in_northern_ontario.html "ORNGE helicopter crash kills four shortly after takeoff in northern Ontario Two pilots and two paramedics aboard an ORNGE helicopter that crashed after takeoff from...

Thought I'd share this because it was new to me and my partners (and the emerg doc) 30's male smoked some crack. friends called for a seizure. Pt talking, confused (seemingly postictal). Pt codes as he is transferred to stretcher. 5 mins of code and an attempt to intubate is thwarted by...

So this will be a little different from other ECG threads. Hopefully we are all familiar with reading a first degree block or A-fib. This thread is for you to describe more "advanced" ECG interpretations and the criteria you go off of. Examples could be LVH and "all" of the presentations (not...

Hey, I'm looking for research on diagnostics such as ECG/istat/troponin/ultrasound for EMS. I am looking to explore how these things are studied. Feasability-can paramedics learn to do this? Cost-is it worth it? Pt outcomes-does it change anything, transport decisions? Treatment decisions! How...

http://www.12leadekg.net/ultrasound/SonoSitephysioproject.htm SonoSite, Physio-Control announce development collaboration for point-of-care ultrasound in EMS market 3. May 2010 08:49 SonoSite, Inc. (Nasdaq:SONO), the world leader and specialist in hand-carried ultrasound for the...

Hi, I am an advanced care paramedic student from Alberta, Canada. I am completing my first year of schooling for this program. I will then have my first practicum (10 tours) starting in August. my school supports students that would like to pursue a practicum outside of Alberta. My problem is...