courageheartx
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Posts posted by courageheartx
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What does traction splint have to do with moving the patient? You've said nothing to indicate it's even necessary.
If you're scooping, you better pray like hell that there is nothing significant on the back that's going to surprise the hospital because you never looked.
what if you did have a femur fx, would you splint and stabilize it before moving the patient?
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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"
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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?
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Best way to get into BC with an American certification is to go to Nova Scotia and get registered as they will recognize you with an NREMT-P and then you can apply for a BC license under the AIT. If you are already a Canadian citizen that will really help the process.
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.
If your looking to goto BC, I would suggest calling their EMA licensing office. They would be more than glad to assist you.
Hope that helps,
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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. -
Damn, so easy a 16 year old high school student can do it.
You would think so eh?
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Ornge is contracted by the MOH to provide Air Ambulance services for all of Ontario. They fulfill this obligation three ways:
1) Dedicated Service Providers - Voyageur Airways and Canadian Helicopters have a number of aircraft that are dedicated to providing 24hr air ambulance service. Altogether this makes up 10 or 11 of the aircraft (I'm not exactly sure how many helicopters are out of Toronto at this point, but I know it's more then 1.) Paramedics that work on the dedicated aircraft are employed directly by Ornge. I'm not sure about the pilots and maintenance staff.
2) Preferred Service Providers - To my knowledge, there is only one preferred provider in Ontario, and that is again Voyageur Airways. I am not entirely sure what sets these contracts apart from SOA carriers (see below)
3) Standing Offer Agreement Providers - Across the province there are a number of companies that have a standing offer to provide air ambulance service. These service providers have no obligation to be available to Ornge. Their availability for the next day is faxed to Ornge Communications the day before. These aircraft are often configured for charters, or other usages, and reconfigured for air ambulance flights. Paramedics, pilots, maintenance person ell are all employed by the air ambulance service provider.
When it comes to Critical Care Service Providers, only Toronto EMS, and Ornge employs CCPs.
Ornge also acts as the Base Hospital, so all paramedics regardless of their employer are under the medical direction of Ornge at any given time.
So to sum up, Ornge isn't the only provider of air ambulance services directly , however they do contract all of the carriers in the province, run dispatch, and act as the base hospital. Oh, and they also run PTAC.
I hope that answers your question.
Thanks!
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1.High flow oxygen
2.Comfort.
3.Transport
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"has a horrible taste in men"
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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
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if you really want to know why i think first responders shouldnt teach,then pm me. im not going to post here.
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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
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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.
Hopefully they don't put you on hold when you try phoning :roll:
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First responders shouldn't be teaching period.
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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.
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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.
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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
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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
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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.
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Then read them this...
LOL
Seriously, it is difficult finding videos on some topics. I tried to find some things while teaching immunology earlier this semester. How do you keep the students attention while talking about immunoglobulins, T-cells, B-cells, and all those other fun and exciting aspects of the immune response??? Gotta' get creative buddy. I would offer you suggestions, but I have found, what works for one class does not necessarily work for another. Good luck.
BTW I think spell check is on vacation. I almost got the Grammar police on my a$$ for spelling necessarily wrong. Caught it at the last minute. :oops:
I laughed
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go with your gut feeling.
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Ok, so I'm currently an EMT-B I have been one for two years and I'm in medic school, my senior year of highschool (last year) I had the strong desire to become an ER doctor. However I didn't take the right classes and it wasn't towards the end of the year when I realized that I wanted to be one. So here is my plan, I will finish medic school get the AAS in that, get a job as a paramedic while going back to school to become a pre-hospital rn, and then go on to finish up what I need to, in order to become a dr. Is that a good idea?!?
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*
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I don't know about the states but I know it will be a possible route to MD in Canada very soon. The programs are coming into place now that will allow students to attain a 4 yr bachelors degree in paramedicine. I don't know anyone who has done it to date but none of the programs have been in place for very long either.
Personally I would choose students with either a nursing or paramedic degree over students with a bachelor of science. Bsc students have a great academic background but they usually lack patient care experience. I'm not saying Bsc students can't develop that, they're just at a disadvantage in that arena.
Paramedicine is a completely different ballpark then medicine.
Fx pelvis and femur injuries
in Education and Training
Posted
the pelvis is definetly unstable.the pt is conscious but dazed a little bit. after all he was just hit by a car.