whitewolf

First off...WOW. I'd say that definitely falls into the catagories of wierd, bizarre, and creepy, however I'm not quite sure where the criminal charges are stemming from, because as mentioned several times already, if wierd, bizarre, and creepy were crimes, we'd need to massively overhall the prison systems to make them much bigger. The only reason I can think of for the charges is because A:) it seems like he was going out solely for the purpose of harrassing people, and B:) the cops were grasping at straws for what to charge him with. w

odd, alberta Health and Safety Training is running an ITLS-Basic in April. I'm in it, and as far as I know it hasn't been canceled again.

Thanks.... Am nervous about the written. Guess time will tell.

Hmm, interesting. Who'd you hear THAT tidbit from? Nah Passed both of them with flying colors. First was a chlorine gas leak, second was MVC.

I aced my scenario's. Now waiting for the writeen result. Yikes. Not sure how I did with that. Brutal exam, could go either way.

hmm..I thought paramedics write soon too...anyways... Yes I am done my EMT. finishe in January.

ehhh....my emt exam.....sorry, brain fart with the acp, I thought you were refering to Alberta College of Paramedics...not advanced care paramedic.....

I head up friday morning with one other.

LOL at dwayne! hmmm...adding more weights, why didn't I think of that? Rolls eyes.

Main dif between air amb and charter helo, air amb has all the equipment med crew needs, charter helo's crew need to bring all their on rig equipment with, as well as with some of the charter helo's I have seen, the pt. access once loaded is greatly reduced for providers. Although good pick-up on air support is air support Anthony. For the sake of the scenario I was distinguishing the difference between an actual air amb and a charter crew with a medical crew due to the fact that alberta does have air amb coverage provided by 3 helicopter bases in the province, as well as military medical choppers out of one of our air bases in the East central part of the province. The area where this hypothetical is taking place is outside of coverage of any of these assets. Therefore medical crews must rely on charter helo operators who may or may not have medevac experience, in sometimes less than ideal aircraft for the operation (the a-star comes to mind.) The a-star is a great helo, just not when you have a boarded pt you are trying to fly out. And if the pt is over 6' you're screwed, as they won't fit, which is another consideration. Anyways I digress. For sake of scenario, helo available is an a-star with an experenced pilot. Again, minimum 50 minutes out. Add in for argument sake, the incident happens with less than 75 minutes til night fall. Helo is not equipped to fly at night. How does this change treatment options? Thoughts?

no...this ws not based on a real call to my knowledge, it was a question that was posed to me by one of my EMT class mates, due to my experience in the oil patch. She is working in an extreme remote area, and stdying for her registration exam, and she asked me the question based on a what if scenario. I agree with Dwayne. Without actually being on scene and conducting an assessment, it is all conjecture. Several people did bring up good points, as in how soft the ground was, etc which could influence several factors/decisions such as moving the pt. and begining transport. Weather also places another factor. To my knowlegde -35 is not ideal flying weather, however not a huge issue. Weather and time of day are factors as well, with most helo's being unable to fly at night or in low visibility. This did turn into a better learning question than I thoght it would. Interesting to see how different people look at this scenario. Thanks for the input everyone!

"Its cheaper to not have ALS and there are endless amounts of EMR willing to do the job for lesser rates." -akflight medic I was being rhetorical, just blows me away that companies can operate this way.

for argument sake, the ground transport you have is an ETV (emergency transport vehicle) which has the bare minimum it needs to qualify (basically a few splints and bandages, and a full tank of gas) probably a suburban or the like. Nearest hospital is a local small town hospital. Nearest major trauma centre is approx 90 mins from town by fixed wing. My question next question....a job like this with cf(clusterf***) factor this high......why no onsite ALS?

Hey guys, While preparing for my Registration exam with another class mate, she asked me a question that I didn't know how to answer. The question has to do with a crtical patient in a rural setting. Scenario: You are in the oilfield making extra cash as an industrial first aid attendant. You are working at EMR/ First responder level, which means no IV's, no meds, etc. You are 2hrs plus away from town/nearest ALS by ground. No nearby air amb. temps are around -35celcius. And you are in in your shack staying warm when a crew member from the rig runs over to grab you. He informs you that another crew member was pinned under a an approximately 2 ton load when a truck was moving around a piece of equipment. You arrive on scene, pt's vitals are good, and he is concious but in a crap load of pain. He is pinned under the equipment with both legs around mid femur level. 911 is immediately activated, however it will be minimum 50 minutes before a charter helo with an als crew can arrive, due to no air amb in area. The consultant on the site says that they have another piece of equipment that can be used to lift the object off the patient, then you can package him and meet ALS enroute. Now the question is, with the times we are talking about, do you A: stay on scene until ALS can arrive, and treat for shock and constantly evaluate, along with trying to keep the p. wrm, or do you B: take the consultant up on his offer, have the equipment lifted, package, and run. I've had several people I've talked to go either way on the subject. personally I would stay until ALS arrives due to no ability to replace fluid, as I'm pretty sure he'd bleed out as soon as the load was lifted. What does anyone else think?

I'm neutral as far as this topic goes, because people do have a right to privacy, and newsies do have a right to report the news. As far as taking pictures at the scene, we are not newsies, and we open ourselves up if we do start taking photos at the scene.Also, I have one question. While I agree that docs can get a better feel for what is going with a patient by seeing scene photo's, if you are busy playing camer man....who is looking after you patient??