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chbare last won the day on December 18 2016

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About chbare

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  1. Dobutamine is a tricky one. Like some of the other sympathomimetics, it comes as a racemic mixture. One isomer has very mild alpha 1 agonist effects while the other isomer has mild alpha 1 antagonising effects. This means it may not reliably support blood pressure, even if it does enhance contractility. In an already hypotensive patient, dobutamine may be problematic without the concomitant use of agents that are better at supporting blood pressure.
  2. I completed an EMT-I/85 to AEMT transition class and took the national exam and I currently teach AEMT classes. It will be roughly similar to EMT. You can expect an additional 200-300 hours of lab, lecture and clinical experience. You will dive into some concepts such as pharmacology and the human body in more detail and learn about a few new interventions, interventions you probably have a basic understanding of, being an Army medic. The registry exam is interesting, long and much more complex than the EMT exam. Good luck.
  3. Depending on the pharmacology course, taking chemistry first may be quite helpful. Possibly a survey class that covers a bit of gen chem, O-chem and bio-chem. After this semester I cannot say how important bio-chem knowledge is for upper level pharm, particularly if your class goes ba**s deep into phase I and phase II biotransformation/metabolism reactions.
  4. I also think we need to be reasonable about a few things. When people say chemistry, I don't think they mean you need to dive into Hartree-Fock approximation theory to predict energy levels of multi-electron atoms. Nor do I think when people say "advanced" maths that they are referring to stuff like linear algebra and differential equations. I'm not sure of the requirements in Canada, but I doubt the programmes mandate such high level courses. I'd focus on doing well in the required classes. Many places in the United States allow students to take allied health or medical physics and chemistry courses. If applicable in Canada, these courses will probably be fine. Perhaps you will be required to take a sequence if general chemistry or general physics, but I doubt you'll need upper level courses beyond the ones I outlined. Unfortunately, it's easy to misinterpret what people are saying. Good luck.
  5. Man, I remember being sixteen. I didn't want to take math, physics or chemistry. Therefore, I didn't. I ended up having to take a year of "developmental" classes in college before I could be placed in the standard courses. During High School I was more interested in getting lucky with my redheaded girlfriend during lunch. At least you seem to have focus beyond that. Moral of the story, you compromise your college career by not having proper focus and thinking like a little child when you should really listen to us as we know best. The lesson I learned...totally worth it, no regrets. Wouldn't change a thing in-spite of paying for it with a year of my life. Good luck moving foreword.
  6. Actually, public education should be an important component of EMS. Injury prevention, public outreach, public health issues, disaster management and other areas are important and working in the "field" gives us unique perspective and can allow us to being said perspective to the public. If anything, public outreach is sorely lacking in the United States at least. This may be as simple as teaching CPR and first aide courses or complex as working with the public to develop a comprehensive community disaster plan.
  7. Ultrascope knockoff. Cheap, under $20.00 on Amazon Prime, one head fits most, durable and did I mention cheap? My knockoff is lime green with a yellow diaphragm decal.
  8. Superinfections are huge and the problem is only getting worse.
  9. On a serious note, the potential for a serious breakthrough in treating a deadly, drug resistant superinfection may exist. It's known as foecal transplantation and limited data indicates it may significantly impact our ability to treat [ C. diff ] super infections. It may be funny but the importance of this type of research cannot be over-emphasised.
  10. Job markets for EMT's are often overcrowded and in many places, you will be hard pressed to find full time employment due to the numbers of volunteer providers willing to take calls for little to no compensation. Unfortunately, the pay is often not particularly good and benefits vary quite a bit as well. If you want a career, you will need to strongly consider paramedic school and even getting a good job is no guarantee at that level. In addition, back injuries are a common problem and frequently cause career ending conditions for many pre-hospital providers. The work varies quite a bit and yes, it can be exciting and quite fulfilling at times.
  11. Welcome; however, you may need to be a bit more specific if you are looking for specific information. I would also suggest you focus on proper use of written language and good grammar. While I do not expect perfection, developing good habits regarding written language will make you appear to be a professional. In addition, the good habits you develop here may carry over to the charting that you will complete as a pre-hospital professional.
  12. I was also born in the 70's. Scary thought, but in the next decade or so the Gen-Xer's, on a large scale, will start filling positions of political influence.
  13. This is certainly my general, go to site concerning all things EMS.
  14. Yes, flightweb. It's a site dedicated to aeromedical transport.