courageheartx

the pelvis is definetly unstable.the pt is conscious but dazed a little bit. after all he was just hit by a car.

what if you did have a femur fx, would you splint and stabilize it before moving the patient?

I need an opinion.... If you came upon a scene of an accident, lets say vehicle vs pedestrian, you've assesed the patient level of conciousness. AXO3. His airway is patent,free of fluid. Is breathing rate is 24,shallow and labored. So anyways aside from your assesments,how will you move this patient? orthopaedic scoop,then spine board? how will you roll this patient to assess if their are any other injuries? Traction splint is out of picture because your protocol says it is a "assist advanced provider only"

I find it funny that bus drivers and train operators make just as much as paramedics in this city and paramedics have alot more education than any of these people. funny how paramedics are considered "unskilled labors" and at the last minute city counsel decides to say oh yeah we will increase wages. Of course that was bs. wasnt it convient that city counsel got a 6% raise? :roll: complete bs isnt it?

:shock:

That sounds like nothing but a pain in the ass. This is the only thing I have seen for going to different provines with AIT. tool If your looking to goto BC, I would suggest calling their EMA licensing office. They would be more than glad to assist you. EMA licensing Hope that helps,

A gunshot wound is a form of high velocity trauma. Irregardless of if their neurological response has a deficit,or if they are remarkable on your assesments,I would still suspect a spine injury. When that bullet enters,or any object for that matter enters the body,we as EMS providers don't or can't really detect for a true spinal injury (we suspect). Unless possibly you have xray machine in the back of your unit? I don't know where PHTLS came up with this,but i'd seriously like to find out. A patient who was shot would be collared,and put on a board just like a patient who was just involved in a collision and is walking around upon the arrival EMS..... If you suspect,especially from the mechanism,take every precaution. 1.You would be covering your ass 2.If the patient does have injuries,then you might have possibly prevented something from further occuring. Maybe as my clinical experience is broadened,I might change my views, but for now anyone who has suffered something involving a high mechanism injury or velocity for that matter,will be immobilized and put on a board.

You would think so eh?

Thanks!

1.High flow oxygen 2.Comfort. 3.Transport

"has a horrible taste in men"

I have an issue with first responders teaching first responders. No disrespect to the person teaching, thats like a PCP teaching another PCP and the person teaching hasn't even worked a day on the street.... I think it's pretty unfair to the people(students)in the classroom setting because anyone can teach out of a book. It's not just first responders that this happens with, there are a few institutions that i'm not going to bash but,they have EMR's,EMT-A teachers who haven't worked a day in EMS. Do you think it's right?Honestly...So Johnny just came out of PCP school and now he's going to open up his own "EMS" school and teach whoever he takes in for his "intake"...Johnny has no street experience. Should he really be teaching?Talk about a complete revenue grab :roll: But anyways, I don't think its fair to have instructors who have NO experience to be in a class in the teaching enviroment. This goes for cpr,first responders,PCP's,ACP's,ACLS whichever...... my opinion. good call on "not reading the topic". My bad

if you really want to know why i think first responders shouldnt teach,then pm me. im not going to post here.

Dear Vivian, It's been awhile since i've seen you online or recieved an email from you. As we both have hectic schedules,I just want to leave you a quick note here. Happy birthday, and hopefully you get what you want now,and in the near future. and just one more thing? LOL

I honestly don't know much about if your coming from the United States to Canada,but my only suggestion is to check with the regulatory body in Alberta. Alberta College Of Paramedics Hopefully they don't put you on hold when you try phoning :roll:

First responders shouldn't be teaching period.

Epinephrine is an ALS drug when your talking about actually drawing up the drug into a syringe and slapping a needle into somone. Pre-loaded EPI pen jr's are BLS and assist only. Atleast in this province anyways.

back issues now= cripple years down the road. I'd say weigh out the options. Sure if your determined,you'll do it,but what's more important?having a normal life and have a piece of mind and back,or get into EMS? your pick. hopefully it isn't discouraing,just the reality.

doesn't ORNGE run ALL of the air medical transports/critical care in ontario when it comes to flight? I didn't think there was any other providers other than ORNGE.... sorry,just curious and bump threads

palm t/x's are the biggest pieces of crap you'll ever use. I bought one and within a month,the headphone jack was crap. I don't suggest anything palm based. Go with the windows based pda's

I really can't comment on the standards of care within the province because I haven't been in the EMS long enough to make that call. All I know is that if the care being provided is so crappy,then why don't you step up to the plate and start working in a big city providing "platinum care." We can sit here all day and bash other providers,but when the truth comes down to it,we need to be looking within outselves. All i've seen since i've been taking EMS courses is people continually bash providers,teachers,acp and whom ever. back to the dam topic..... You can't really generalize what school is "elite" or the best. There are many many many good schools. Consult with the Canadian Medical Association for their accreditations and what schools meet the standards with CMA and PAC.

I laughed

go with your gut feeling.

My advice to you is to a)verify that your grades are adequate and your average is high enough for whatever undergrad programs you apply for wherever you are. b)really,i mean really take the time to do the research and critically analyze yourself. I could give you a book you could pick up and take a look at. It's called a life in medicine. Im sure you can find it anywhere. Its published by the princeton review. c)this is not an overnight decision. with that being said,i wish you the best in your future career decisions and remember,you only have one life to live! :twisted: *edited*

Paramedicine is a completely different ballpark then medicine.