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Each province will have its own association. I would suggest contacting each one that you are interested in working with. Labour shortages/surpluses may determine what they are looking for and how easy it is to get in.

Actually it's provinces....we're short on providence at the moment. Plus we have a few territories (Yukon, Northwest Territories and Nunavut) that aren't considered provinces.

Good judgement comes from experience...and experience comes from bad judgement. I've been let go from more jobs than I care to remember in the admin side of things, and it's harder when you're the main breadwinner. I have been thrown under the bus a few times, because this business is full...

The masks that are being used in Canada are as a line of defense in the pre-hospital setting up to and including the care and transport of patients prior to isolation facilities. Its upon first contact when oxygen therapy is being applied. That's the problem with common respiratory etiquette...

China manufactures a significant percentage of disposable medical devices and the quality is certainly there if you go to the right facility. That being said, any company who puts their name on it and sells it still must perform their due diligence in quality control. There are delays in...

So no blood thinners or organic/naturopathic blood thinning foods or drink? Its a bit of a reach, but you never know what home remedies people ingest nowadays and some people will go overboard if they see it as a miracle food.

Quick question about billing and reimbursement: is Bilevel different from simple CPAP? I realize the clinical implications and outcomes, but from a logistics persepctive, is there a difference besides cost of equipment? I'm exploring a cost/case examination.

Not along the same vein, but I artery be OK with it.

I aorta known you would say something like that.

When I had just started as a RT, one of the hospitals I worked at was next to where Canada's largest airshow took place. A British Nimrod recon plane had recently crashed (1995) with no survivors. The ICU doc later explained that his buddy was involved with the investigation and examination of...

They were developed back in the day when you ventilated with 10-15 ml/kg, and we have kept those sizes. For a standard 1500 mL adult BVM, the one hand stroke volume is still 850 mL while the two hand effort can reach 1150 mL. You could probably vent using a pediatric bag (600 and 740 mL...

Its more of a "control the issue" medication versus a rescue medication and traditionally not used as a first line drug for acute exacerbations. Even if the studies prove to be successful, one has to determine the cost/benefit analysis of making them pre-hospital and even then it would take...

Come on, man...given the tools, we make it work!

Thank you all for your comments as this suggestion has perplexed me. As a matter of reference (and for full disclosure) I work with a BVM designer and manufacturer (plus a crapload of formal education and clinical experience, mind you): Our standard adult BVM has a volume of 1500 mL, single...

Need some help from the professionals here. I have heard of people using a collapsed adult BVM for use on children and/or infants in order to obtain a smaller tidal volume. As a clinician, I never needed it as we always had a supply of proper sized units. For the life of me, I don't know the...

If a patient has no shunt (i.e. no issues absorbing oxygen into the bloodstream) a very rough "rule of thumb" is that the PaO2 should be 4+ times the FiO2. That means a normal person should achieve a blood gas PaO2 of 80+mmHg when breathing 21% oxygen. Likewise, if receiving true 100% (NRM...

Mask/circuit connectors must follow an ISO standard (ISO 5356-1) which is also captured in the ISO standard for BVM connectors, ISO 10651-4. The masks must either have a 22mm female connection or a 15mm male connection. The is why most masks have both, with a 22mmOD/15mm ID connector. Infant...

CPAP can decrease the work of breathing, hence its use in COPD, asthma and other pathologies not APE. Technically, any positive pressure application has the potential to create a pneumothorax, so you always have to be vigilant. Its interesting that your protocols may not indicate its...

When given the choice, most healthcare professionals would prefer Bilevel (BiPAP is a brand name of Respironics) over CPAP because you are able to control more parameters. That being said, I don't believe there is a scientific based consensus on which provides better patient outcomes. Also...

. Good judgement comes from experience and experience comes from bad judgement. When we used to pre-cut the tubes, we would do it on an angle, however too much of an angle and the cut would be longer than the actual connector (facepalm). At least you didn't cut the pilot balloon.