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altamedic

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Posts posted by altamedic

  1. I may have missed something, but isn't our job patient care, and did the dogs partner the police officer, who most likely had a bond with his partner similar to a relationship, and part of our patient care is to ease pain and suffering to HUMANS, by this it was done indirectly by helping the dog.

    Im not a pet owner, or lover or Bob Barker at all, but I see that this would be similar to a situation with a human that is palliative and actually giving a damn about thier patient and spending the extra 5 min at thier house to make sure that they knew someone care. Now I do refer to the "hand holding" calls to seniors lodges, personal residences, etc.

    We have treated spouses with SL lorazempam post sudden cardiac death. I see a similarity here.

    Last time I visited a palliative ward, more (general term here) people were suffering more from lonliness than that their diagnosis.

    I digress, Sory kind of a soap box,

    dog suffering = pain for partner

    < Suffering = < pain for partner

    I don't think that the dog came before humans, I believe that the Calgary Paramedics, or any other Paramedics would have treated a human before a dog.

  2. Now I know that there are a few towns here that have a red light system that detects the direction on a EV through the use of directional sirens, and changes the Red Light Green, it should help. Now as for Red Light cameras, I dont see why they could not be diactivated using the same technology. Calgary for example I believe uses forward facing stobe lights to help with traffic flow using a similar technology as the siren based system.

  3. That would be one way of doing it, except not with Edmonton.

    Edmontons FCA, is about a 6 minute obstacle course, that includes lifting techniques, walking over balance beam, dummy drag, pull station and stairs. It is followed by a 90 second sorensen back test, then a 160 Lb dummy on a scoop down 7 stairs and over a railing then back up 7 stairs, then you and your randomly selected partner re-do the stairs after switching ends.

    Our class 2 people failed it, including a Edmonton Fire Fighter.

    Assessment of functional capacity is typically performed on a motorized treadmill or a stationary cycle ergometer. Functional capacity can be measured directly by determining O2max or estimated from the highest treadmill or cycle work rate achieved. O2max is measured in liters per minute, although, it is usually expressed per kilogram of body weight to facilitate intersubject comparisons. Functional capacity, particularly when estimated rather than measured directly, is often expressed in metabolic equivalents (METs).

    So essentially, you could be running on a treadmill, hooked to an ECG, breathing through a mouth piece with nose clips on. Or, if the equipment is not that sophisticated, it'll be "trot till you drop" with a steadily increasing incline on the treadmill.

  4. I believe that you can challenge the EMT-A, however, I know quite a few people who fail the exam after coming from Sask because the scope is quite a bit higher than the PCP in sask.

    Just really know your drugs and protocols, probably best is to take a emt refresher course here in Alta

  5. What about safety?

    Is it really worth risking everyone elses life on the road whilst responding hot to your fire hall or Ambulance bay?

    What if someone in YOUR own vehicle runs the intersection that you are going through and crashes into you and now the family of 4 is dead in the car beside you, now ask yourself is it worth it? Especially how your insurance probably wont cover it, as it is licenced a private vehicle not a commercial. Now, if the exact same thing happened and you were responding to the hall for a minor call, and now you have your original call plus 4 dead people.

    Besides very few courts in the world would call the other driver liable, as your proceeded through an intersection without due regard.

    Now this is only one scenario of things that can go wrong on the street while you drive like a maniac to respond to a "Emergency Call", ask yourself how many emergency calls are worth risking everyone elses life, or even more importantly, your life.

    Finally, I don't know about where you are but, here in Alberta, the only thing mentioned in the traffic act is sirens, not lights, by law you cannot contravene the traffic laws with just lights on. Rightfully so, its easier to hear a siren as its a passive attention grabber where as lights are more of a active attention grabber, where the motorist has to be more or less paying attention while they are driving... and we all know how often this occurs.

    I lied, now finally, Why are we risking everyone elses life to save one life to respond to a call in our vehicle??? I mean is that not an oxymoron on why we got into this business to start with? How many people want to have a job where we sacrifice other peoples well being??

    Cheers

  6. Well, sorry to disagree but leadership is of a key note importance in the area professionalism it should be modeled first, then others may follow that model. One HAS to establish the correct acceptable conduct prior to evaluating the actions of others, it appears that some peer pressure has been very successful, in this case now and an sincere apology issued as well. This Is the way to conduct the profession, not a review of all postings by who ever and whatever, everyone has a right to there opinions truely .... well, in the free world.

    I would like to point out that this international forum (and to its membership) be cognitive to the fact that the laws of one jurisdiction vs another are a waste of farking time quoting....there is NO HIPPO in Alberta, on the other hand their is few Moose or two, that said it appears that there is a consensus of percieved professionalism with the membership that take the time to discuss issues pertaining to the industry is alive and well.

    Professionalism and the RIGHT thing to do is a very strong influence in my world and it guides me as when I get a gut feeling that something is odd, I for one WILL put my nose in peoples busniess if I believe it will correct misadventure, so rest assured that "some" that have had their reputations placed at stake here, have been duly notified.

    cheers

    ps: sometimes one just never knows who they are speaking too and about....I digress.

    Thank you for saying that!

    I just dont think that this can go without something being done, its one thing that it was done by a fellow emt, but its an entirly differnent that it was done by an instructor.

    Having said that, now that us members of the college who are empowerd by the knowledge of this event, do we not have the responsibility to report it to Conduct and Competency comittee? Is this any differnt that the member who got his licence suspended because he did not tell ACP that he saw his partner jerking off into a k-basin while his partner was in the back with an u/c pt?

  7. First of all... If you really want to know what school this girl goes to, it is pretty easy to just do a search on all her posts in that forum and she tells you.

    Secondly, I find it ironic, that to me it seemed her major concern in the post, is the PVC's and the abnormal rythms. Well maybe not ironic, however, funny. It reflects to what standard of instruction that student has been taught at.

    Thirdly and finally, I fear that everyone is complaining about this, but has or will ACP contacted about this. Everyone knows that apathy runs wild in todays society and even more I find in our line of practise. Has someone here said something or sent an email to ACP in regards to this, you dont have to post it publiclly, just send me a PM in regards to this.

    Now my two cents,

    What right did this instructor have to discharge a Defibrillator on a pillow or even a student. I am not a Defib technician, however, I would suspect that shorting out an archaic machine would decreese the efectivness of the defib. Also what the heck is an Artifact-finder 10 doing on a standby unit, again I am not a Defib Technician, but am confident that they cannot be updated to current standards, not even sure if they could be updated to the last standards. Now if they were used as just an ECG, well anyone who has used one of these would know they pretty much know that anyone who sneezes within 30 feet, will show up as artifact on the machine. In addition there is a million, well at least a 100, Lifepak 300s out there that are pretty much being given away, that could have been used for a ECG, as they are slightly better at tracings.

  8. My mistake, All PMA students do their CLINICAL practicum in Stony Plain

    Actually, its not true that PMA students have to go to Stony Plain, most of the Calgary students come right here to good old Calgary EMS for practicum. From what I've seen most of the students are well educated, and end up as good EMT's.

    Now, If you want to know a school to stay away from... SAIT is not my favorite... but that of course is MY bias talking

  9. No not really, the 2 instructors that we had a while back were fantastic, they are sups with edmonton ems, id give them 9/10 definatly know what they are talking about. But do not expect the school to help you out at all. One girl waited 4 months for practicum before she went into the school and said I am not leaving until you give me a spot, the co-ordinator went into her office and 20 min later had a practicum spot for her, so obviousluy she was just too lazy. All calgary students have to do their practicum in stony plain, which kind of sucks for them. One of the instructors started dating one of the students in this past class, and the school didnt really care, she did her practicum with him...favoritism????

    Like I said, instruction, fantastic, administration on the other hand, very poor. One of the biggest problems on of our students had, is that she had no one to gripe to; beacause alll of the staff are either family or very tight nit.

    I wouldnt recommend the school, however, I am bias.

    Is there a story behind this? I know lot's of people who have taken this course and gave rave reviews for both the EMT and EMT-P programs.

  10. They use 7 seperate ones, most of them are actually thier own books. Not a good school to go to, Do not get on the bad side of Kim, she will make you cry, as she did with a few people in our class. Best to sit in the back and not put your input in at all.

  11. :?: So.. uhh... What are we looking for now? :?:

    Of course we are distracted...oooo a girl with big boobs jumping rope...wait what is this tread about i was distracted.

    why dont we try royalty eating pop rocks

  12. BSI?????

    Also on the second one,,, gotta love they are taking precautions to prevent infection..by preping the area....then touching the area again. And I think they took the sheith off the syringe then put it back on the table.

    Something tells me they forgot that day in emt class

  13. Small Town Alberta

    On Call Employee - 96 On 96 Off - 2nd Car Out

    Start

    EMR/EMT - $160.00

    3% Raise Yearly

    Full Time Employees 48/96 - 1St Car Out

    Start

    Emt - 17.50

    emt-p - 22.50

    Plus all of the good stuff like rrsp matcing

  14. The simple answer would be the following:

    The Health Disciplines Act: EMT Regulation.

    Duties of registered members

    quote]

    Hey thanks a million, I was looking for that.

    quote="Ruffems"]this post just proves the God watches over idiots and the like.

    Remember, scene safety. If you die then who takes care of the patient?

    quote]

    So true man, I am just so happy that no one did get hurt.

  15. Tell the newbie he's wrong and right. There is one time you can't do it. When they are awake, alert, and oriented x 4, and they are a compotent adult, with NO alcohol or drugs on board, and they are not considering suicide/homicide, then you can't take them without LEO intervention. Otherwise, if they are drunk (or sorry, intoxicated), under the influence of drugs, suicidal, or otherwise a threat to themselves or others, you can certainly transport without intervention by LEO.

    But this thread still goes back to scene safety. I still can't fathom the fact that they did that.

    Thats the problem, scene safety is the hardest thing to teach and the easiest thing to forget in the heat of the moment. In my ifrst aid classes I always teach "Whos the most important person in the world?" I think people, especially inexperienced people get excited at scenes and forget to just breath and remeber to slow down and its thier emergency not yours. Also remembering why you are there.

  16. I do have to give kudos to the one attendant, she realized what was going on and locked herself in the unit until the police came. Had she not, the other guy a fresh emt from a crappy school would have stayed at the scene.

    This actually came to an argument with the newbie, he keeps trying to tell me that you cannot under any circumstances take custody of a pt without the police permission. Honestly what are they teaching people in school? He was the senior medic calling the shots, and the junior had to say no, im not taking this anymore.

    I remember we had a lawyer come into class for a week in my emt class to teach us legal.

  17. All I can say is wow......

    They thought this was ok? Why would one partner abandon the other to gather history when the pt already had been violent once? That was a stupid mistake. You should impress on both of them that, that could have ended their lives.

    In response to whether or not to transport, absolutely. Intoxicated people can't sign a refusal. At least not in the states. I don't know about where you're from. Judging from the limited information (LOL) I would say this person was definitely not capable of making decisions for himself. They should have transported with or without consent. Get the police to go with if need be. I know that here in Florida, they have different Acts that basically state a police officer may, if he feels the person is a danger to himself or others, force him to go to the hospital whether they like it or not. They don't get the choice in that case.

    This whole call sounds like a SNAFU from the beginning. That crew made several grave mistakes that they need to understand.

    I tried to explain that they screwed up big time, and they opend their selves up to a law suit. Thier first mistake was going in without backup being there

  18. I just came on and my crew prior to me had a call and they signed the guy off. We are in alberta and legal issues vary from province to province ; state to state. Let me know what you think.

    Call: OD / Poisoning for a 43 Yo Male.

    Got on scence, a 15 yo female byster approaches ambulance and states that you are not allowed to come into the house. Female appeared intoxicated, and did not own the house where the person that was injured lived. The house was a known crack house. RCMP was called at this time.

    The crew went into the house after they talked the female into letting them into the house with out RCMP. On arrival the pt was semi-concious (responded to verbal, no response on deep pain). The pt and the bystanders were definatly intoxicated.

    The pt passed out and the crew preceeded to load the pt. on the stretcher. Bystanders state he was coming down off of crack, meth and cocaine high and described it as a speedball high.

    The pt came concious and became violent and began to run. Bystander physically pinned the pt. to the ground. The pt. was attimate about refusing care. The pt eventually agreed to care prior to passing out again. Vitals were stable...for a crack head.

    One of the emt's stayed with the pt, and the other one went into the house to get a hx from the bystanders.

    The pt. woke up and became violent as well as the bystanders. The pt. stood up and falls on the wood burning stove. Pt. was taken back into the house where received 3rd burn from falling on the stove. The pt was pulled off the stove due to no sensory and did not respond to pain.

    The pt. began to vomit and aspirate and was put into the recovery position. The bystander became very violent at this time.

    The crew went to the ambulance to wait for RCMP.

    RCMP show up approx. 60 min after they retreated to the unit.

    The RCMP was briefed and went into the house with the crew. The pt was woken up and the pt refused care and passed out again.

    The RCMP refused to come to the hospital along with crew. The RCMP stated he wouldnt take custody of the pt and take him to the drunk tank.

    The RCMP asked a bystander to be a legal gardian of the pt. The bystander appeard to intoxicated.

    The crew signed the pt off with the guardian signing for the pt.

    Now I am saying that they should have taken the pt. to the hospital wether or not he said yes or no because he was not compitant to sign off himself, especially with 3rd burns and the intoxication.

    Where would I find the act or case in regards to taking custody against their will and what would the conditions be.

  19. Mee-s thinks your right. It sounds like Cops meets Ems meets Scrubs

    The paramedic show, titled "The Call," has been given a formal green light.

    "The Call," follows a group of L.A. paramedics, with each episode taking place in real time.

    The "24" team -- creators Joel Surnow and Robert Cochran and executive producer Howard Gordon -- are teaming up with "Kitchen Confidential" creator David Hemingson for the show. ABC outbid FOX for the show by offering a six-episode commitment, the showbiz trade papers report.

    Hemingson, who currently works on FOX's "American Dad," will write the script and executive produce with Cochran, Gordon and Surnow, who initially came up with the idea for the show. Hemingson tells the trades he's aiming for the gallows humor of "M*A*S*H" in depicting the way the two leads deal with their high-stress jobs.

  20. We are stuck with black EMS pants and white shirts. We can choose between button-up or polo. Personally, I would like to see something other than white shirts. Not really the best for the type of work we do. I wouldn't mind having jumpsuits either. Makes it a bit easier when we pick up a call late in the evening.

    White shirts are horrible, especially if you work in a service where you have to go from the hospital to the next call. Changing in the unit on the way to the next call because you have (insert your favorite bodily fluid here) on you

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