Malignant-Hyperthermia

Ahh yes, truth to be told i dont hold a dimwitted narrow minded view of EMT's, as i give everyoe credit for their actions, their qualifications and the way they present themselves. So when you present yourself as using EMS to further you office career you get zero respect Right back at you

Uuuuuuhhh chaser.......have a read The bloke doesn't even want to be in EMS - Congratulations for taking a job that a serious person might have had

Although i must admit i know nothing about Stat Packs gear, they have some tac bags that at least look promising :? You got any idea how these kits stack (in general)

Unfortunately i dont have a link for you as i have it on paper, but i assure you there was a fantastic debate right there, lots to be learned. Whit and Dust taught me a thing or two

my apologies

I was witness, no instigator to an argument in the chatroom the other day that made the G6 riots look like a fart in a fan factory [insert lead in story here] Basically i said all patient trasnport capable vehicles should have someting like an Intermediate as the minimum standard of care with appropriate education (diploma), and Basic should be first responder or 3rd officer OR an intermediate in training. How silly of me to think this was a good idea - you know for those patients that get picked up? Anyway - a massive fight ensued where people to scard to think of new concepts used arguments such as Basics save lives Basics save paramedics Most calls are BLS Some paramedics are bad too Some basics a very good Not 1 argument against my suggestion was worthy of more than a slogan on a bumper sticker. So, for fear of causing another argument (we are all adults - right?) i would like to seriously know why people clutch so tightly to BLS and not believe practitioners should probably be doing more than advanced first aid??? May the debate start or not start..whatever Mal

There needs to be qualifiers to identify who to test and who not to test, and an apropriately scaled set of punishments Testing is reserved for post incident, return to work and random screening. Post incident is strait forward, you damage a car, say back into a post or run over an object without extenuating or explainable cricumstances you cop a cup Random tests are reserved for person who have been taken out of the workplace for one high end reading of THC, OPI, BENZ, METH, or for 3 low end reading that were followed by a suspension after which they are assigned a number of randoms over a 12 month period in both cases Return to work is carried out when an employess returns after a serious incident where high ranges of drugs or alcohol were found to be present. This is more of a legal requirement rather than a meaningful test - they were clean when they came back, its not our fault kind of stuff There is also a sliding scale for punishment and is determined by the doses of drugs, alcohol present and number of offences. So the guy who had a couple of chuffs of weed gets a low reading, gets a "bad boy" letter, 3 of these he gets a suspension followed by 12 months of random trests, where there is a zero tolerance policy in position during this probationary period The system also allows for honest stupidity - i had a bloke a few eeks back admit he had been really crook with a head cold for a few days and ws taking double doses of "Pseudofed", this was noted on the PCR and chain of custody, he turned a potential positive and a urinalysis by the lab proved exactly what he sud - double doses of the OTC drug....he got a slap on the wrist "that was stupid" there are ways for this to be fair, though these programmes are usually a last resort after education fails

Sure Each of the test strips we use is entered into a registry so that it can be tracked. We probably carry a dozen in the D&A kit at any one time. When we have a client who wishes for a D&A test to be carried out, the person to be tested (donor) makes a selection from the dozen or so test kits that we carry, in order to minimise the risk of being accused of reporting a negative as a positive or tampering with the test strips. I dont believe this is a rquirement of the chain of custody, i believe this is a actually a requirement by the clients and was agreed upon with the dockers union, in order to get it D&A policy through as there was some concern by the union that ringleaders in the dock strike a few years back might be targeted

I HATE these things... Part of the industrial standby that im involved with is running drugs and alcohol tests for the Port Botany in Sydney, whihc means putting them on the bag and getting them to pee in a cup, kind of a F%$K YOU from the headshed after the dockers went on strike a few years back........ so naturally my boss who i have taken to calling "Mr Fishbine" jumped on board to make a buck He really only has tree choices here. The chain of custody requires him to fess up to me and this is noted on the pathology report who confirms it with a tox screen of his urine and rehab action is taken from there, or he says nothing, gets a "potential" positive for THC and the lab confirms it and the headshed flips out, or he refuses the test, i note it and the head shead freaks out even more Induction and committment to D & A means they also have to offer rehab - if they fess up, but denial and a positive test results is an instant dissmissal Random selection by the donor of which test strip is used, coupled with third party confirmation of testing processes and a negative reading, means there is no room to botch the system either - if the chain of custody is followed correctly Best option for all concerned is he fesses up, and id tell him that.

Priceless again!

Priceless!

There it is! Right there! THAT is what this place is all about!

Im guessing that was a cheap shot at an otherwise sound statement on my half........ Police Mounts are retired after 5 to 7 years here, not because they are old and buggered, but because they need to be in order to keep the internal training mechanisms and knowledge exercised in the hands and heads of those that dispense it in the police service But im sure you will provide the funding to buy, rare and train new horses right?

No doubt....so in this case who is the better medical practitioner? the Physician or the Paramedic? I love these fruitful debates that end in a backhanded comment........ leaves a very sour taste However, this is what these forums are all about, and a good joust like this not only sears at your synapses, it brings out the best information people have to offer Good show ol'e chap!

Nice post vs-eh?