threebl9mice

So is the emergency medical physician from Podunk Hospital ER any better or worse than the emergency medical physician from St. Community Hospital ER?

mmm geee wouldn't that be a great debate topic?.... maybe I just posted that to get in to the chat room...... I seem to remember some thing about this topic... in my text book...lets see if I can remember... unconscious incompetent, conscious incompetent, conscious competent,unconscious competent..am I right on this? I'll have to go back to the books....I hope some day to be unconscious competent. Which medic would you trust your little johnny to? Some one who has 1 call per week and drives every other call.... or some one who gets 20 calls per shift? ahh well they all graduated with the same test right? well mabe not in saskatoon....(jokes) I get to chat now...got enough posts....he he

Um, exactly when were medics required to get a 12 lead before defibrillating and/or where are novices with no medical training allowed to electrocardiovert? I honestly think that comparing 12 leads to manual defibrillations to using an AED is a non-sequitur.

You're right, technology is here to stay and it is about patient safety and care. So tell me, what part of an EMT-Basic's education prepares them to interpret or even make use of the information provided by a 12 lead ECG?

I said with an in-service pcp's can understand...not diagnose that there is a problem that needs higher level of service and adjust course and activate other links in the chain of survival...mabe even bypass the small country hospital and link up with the medics on the life flight. we do that right now for stroke protocol... some times I think these posts are useless...so many protocols for so many services, governing bodies, and differing states/provinces and countries. why bother arguing as we are talking about pears and oranges...

protection under Bill c-400?

Should the Death penalty be enacted for killing or attempted killing of EMS Personnel.....

There is a private members bill being presented in Ottawa that is going to see firefighters have the same protection for violence against them that police have. There is no mention of EMS workers in it and I am trying to help get the word out to the masses and try to help in attaining EMS under this legislation as well.

If we can get the word out and send letters to your MP as well as your provincial college or association, maybe we can get included in this as well. Nationally we were included in the public safety status initiative so I don't understand why we have not been included in this piece of legislation.

I got a response for this from the MP of my riding...

"As for Bill C-400 – this is a private members bill sponsored by MP Mario Silva. It received first reading on February 2007. It would be possible to amend this bill only in the event that it proceeds to Committee. We will try to monitor the progress of this bill."

get on the band wagon....lets make these criminals pay dearly for attempted murder/murder of civil servants like fire fighters and medics.

as I stuff my wagon wheel (canadian ho ho) in my mouth and glance at my radio LED still flashing green... no call yet dammit and its 2:30am....I ponder the its not what I nessicarly do but what I know to do argument....and I wonder at what a NewYork Medic is doing? what about my counterpart in Iraq....damn... 5 flairs ..SH*T is hitting the fan again ...wheres my aid bag??

...we qualify our titles by the diploma or degree that we own.... what about work load titles? you can not tell me that an ontario city PCP has the same workload/ title as the alberta country medic with one call per week....

my personal experience....why not ? It requires an in-service to get up to speed....then go for it... I have had bosses who didn't trust electronics....insisted on all vitals being done by manual not by life pack...The boss hated these new fangled boxes why he could remember a time.....I laughed and said yes sir yes sir 3 bags full....

This is new and valid technology. medics use to have to transmit to the doctor the ecg and then wait for the ok to shock....now a novice w/ no medical training is shocking....I only see our scope expanding as the technology increases. For those of you out there in medic land who want manual all the time...Pttbbhhttt! Technology is here to stay... keep up or get out! Its all about the safety and care of Pt.s right??

Pre-merger into the FDNY, NYC EMS used to display their badges on the outermost garment, per the regs. If earned, an enamel pin, which we called a "ribbon", was worn over the badge, and the name tag below.

I had a New York City Health and Hospitals Corporation Vice President's Unit Citation, and another one for, while off duty, holding the hands, in essence, of 2 old women in a spun out car from a hit and run with no real injuries (they wrote a nice letter), and under FDNY, I have a "Lifesaver" pin for a pre-hospital save, and a service "Campaign Ribbon" for just being in the department on September 11, 2001 (no stars, if 1 star, means worked the Trade Center for the first 72 hours after the collapses, if 2, were there from the time the first plane hit to the second collapse).

Nowadays, the pre-hospital save and campaign ribbon are only allowed on the special occasion "Class 'A' Dress Blues" uniform. Badge is only for ID, not used on any FDNY uniforms, and let's not hijack this string for badge/no badge discussions already in progress elsewhere on the EMT City site.

Also, I was one of many wearing commemorative ribbons for NYPD and an EMS Officers killed in the Line Of Duty, which the FDNY stopped us from doing.

PS: I have seen some members of the FDNY, Fire Fighters, Fire Marshals, EMTs and Paramedics, who wear some small pins or service ribbons from the military on their class "A's". Most of them are also reservists who have been to either Iraq or Afghanistan, and some have been there several times.

PPS: Many members wear commemorative T-shirts for an FDNY Lieutenant/Reservist Army Sargent who was killed in action in Iraq.

I was a reservist who went operation Iraqi Freedom, I have felt a simmering hate between some civilian services and the military. Some services will not hire or give credit for time served as a medic or combat lifesaver. Others want to deny we are even at war.

I started wearing pins on my uniform more out of protest to that type of thinking, I wear small pins and a Iraqi Freedom vet. badge on my jacket. the service I work in has no "class A's" since it is a small young service. I would wear my awards and ribbons on my class A's as we are cross over service personnel.(I practiced pre-hospital medicine in the military)

I believe that military service is the highest form of civil service. Awards won and honours earned should be recognized by all civilian services. I received several good conduct medals and proficiency medals, how can one reason that my behavior over the last decade has no reflection on the type of medic I am now? I believe it shows that the Prior service medics, and combat lifesavers now serving on the civilian side have a special dedication to the art of healing and not just a scoop and transport mentality. A dedication worth recognizing...we've done our time in hell and we're still here to help joe public with their boo boo's. I am one of the first veterans that the public has seen in my area. I get many questions and have the opportunity to account for our work "over there", I feel a special respect from some members of the public and have been thanked for my service. I had one person question my abilities as a medic as he was frightened and wanted the best care and as I proficiently went about my job he noticed my pin and asked about it. He said it put him at ease as he figured I had handled worse in that hell hole. Thats been the majority of my experiences wearing the pins and badges. It has not been sanctioned by my ambulance company but it has not been discouraged either. I think that tasteful use of these pins and badges are a good idea ...even a needed act as we need to be aware of veterans and thankful for the freedom they have bought with their time, energies, bodies and for some even their lives.