*Lifeguard*

I seem to be repeating myself. Maybe this is the wrong forum to request prehospital emergency care for an aneurism victim. The death was not reported to the Coroner or the safety authority, therefore, no autopsy was performed. I am only a PCP student, which heard of this ignored 2006 incident. These workers are mostly immigrant workers and do not speak English. They rarely report hazards or refuse unsafe work. I took the initiative to report it to the Coroner's Office. Our Coroner is now investigating this incident. However, he is not a Doctor, and may conclude that that nothing could have been done for a victim. I am ensuring that the circumstances surrounding this ignored death are thoroughly investigated, in the hopes that similar deaths can be prevented in the future. My original question was: what advance protocols can be used in the streets to address this emergency? I did not think that this effort would be taken in such a sinister way.

WOW! You Paramedics must get big great money up there in Whitehourse to walk away from an incomplete $6000 course. Something tells me your work for the JI

I would never go before Licensing or before a preceptor after two years of no training. My Lawyer compares the JI to a movie theatre, whose projector broke down. An immediate refund is required. The Kelowna BC class has retained a Lawyer. . [ quote name='DartmouthDave' date='01 February 2010 - 06:05 AM' timestamp='1265022316' post='235050'] Hello, Go ask the JI for your money back. Good luck. I am sure they will claim that it isn't their fault for the delay because the strike is out of their control. It is an 'external' issue between the BC government and CUPE. If all you have left is an ambulance clinical just wait for things to sort out. Otherwise, you would have wasted a great deal of time and money. Cheers

There is a big difference between a headache and a severe, unrelieved headache. There is a big difference when a worker reports it to an employer. There was no First Aid Attendant on site. The victim was working alone, with no radio. The sudden and unexpected death in the workplace was never reported to the Coroner's Office, as required: Coroners Act [sBC 2007] CHAPTER 15 Part 2 — Reporting Deaths Deaths that must be reported by anyone 2 (1) A person must immediately report to a coroner or peace officer the facts and circumstances relating to the death of an adult or child who the person has reason to believe has died (a) as a result of violence, accident, negligence, misconduct or malpractice, ( as a result of a self-inflicted illness or injury, © suddenly and unexpectedly, when the person was apparently in good health and not under the care of a medical practitioner, With regards to the employer's Duties, any injury or death must be reported to your State or Provincial Safety Authority: In addition, when a worker reports a severe, unrelieved headache and requests medical aid, the employer has very serious Duties to ensure the safety of the worker. General duties of employers 115 (1) Every employer must (a) ensure the health and safety of (i) all workers working for that employer, and (ii) any other workers present at a workplace at which that employer's work is being carried out, and ( comply with this Part, the regulations and any applicable orders. do everything that is reasonably practicable to establish and maintain a system or process that will ensure compliance with this Part and the regulations in respect of the workplace. Part 3 Division 10 - Accident Reporting and Investigation Immediate notice of certain accidents 172 (1) An employer must immediately notify the Board of the occurrence of any accident that a) resulted in serious injury to or the death of a worker, Incidents that must be investigated 173 (1) An employer must immediately undertake an investigation into the cause of any accident or other incident that (a) is required to be reported by section 172, ( resulted in injury to a worker requiring medical treatment,

I think the JI is responsible for all costs.

Great story. I find the Coroner`s excuses not to investigate the circumstances surrounding this ignored 2006 death is very crass. He informed the family that even a medical intervention hours before would not have helped the victim. What would ALS do to aid this patient

I completed the classroom portion of my PCP training January 2009. I still need to complete my on-car protoion. In British Columbia, the labour unrest has shut down the Paramedic Accademy and I am unable to complete my training. Although I am completely behind this fight for better wages, benefits etc, I want a complete refund of all costs associated with my incomplete training. I`d rather4 wait and take the course again later. What should I do

I am investigating circumstances surrounding the 2006 sudden and unexpected death of a 63 year old woman at my workplace. It has never been reported to the Coroner's Office, the safety authority or even the company safety committee. She was a healthy woman, with no history of any medical conditions. She came to work with an unrelieved headache, which eventually was reported to her employer as a severe headache. Hours later, she had a massive aneurism. Hours before her collapse and subsequent death, she had reported a severe headache to her Supervisor. Would it be reasonable to conclude that if this patient had early medical intervention, that she may have survived? How early would be considered an early medical intervention? What would some of the medical interventions be? What could ALS do to stabilize this patient?

I have been studying at the Paramedic Acadamy from April 2008-January 2009. However, I could not complete my program, as a result of an appeal process. I won my first appeal to take an exam again. Errors were made by the Justice Institute. However, this appeal process extended to December 2009 as a result of the labour problems with the BCAS. This delay has adversely affected my ability to complete my training. The Paramedic Acadamy is closed indefinately. I am seeking to recover my fees and associated costs so that I can take my Paramedic training at a private college. Can I recover these costs through Small Claims?

I had a question given to me in my Paramedic course: “State the importance and rational for early defibrillation as it relates to the electrical phase verses mechanical phase, and to the PCP treatments and Protocols”. The best answer I received: The "electrical" phase of cardiac arrest is the short period of time that the myocardium is best able to respond to a defibrillatory shock. This happens within 4 minutes of arrest, and chances of success are reduced by approximately half for every minute of duration. The "mechanical" phase of cardiac arrest is a period that follows, approximately 4-8 minutes from time of arrest, with complete elimination of any type of contraction, fibrillatory or otherwise. This period is best treated with effective compressions to supplement any blood flow that the heart can generate. Following this is a metabolic phase that is highlighted by the buildup of metabolic waste products that must be eliminated/managed before attempting to manage the presenting problem. Anybody have something to add?

Hi Firedoc, Thank you for your post. I was presented a question for my Paramedic class, which focuses on why protocols require 2 minutes of CPR, prior to AED protocol, for unwitnessed aresst patients.

Thanks for the replies. I guess I am looking for the importance of coronary perfussion and CPR for unwitnessed cardiac aresst patients. I think it is a big mistake initiating AED protocol to an unwitnessed cardiac patient without first giving adequate CPR.

The employer has a legal Duty to ensure the occupational health and safety of Paramedics. The greatest risk to emergency responders occurs during two phases of Traffic Management; set-up and takedown. During the set-up phase, emergency vehicle staging and the placement of equipment establishes an emergency traffic control zone. Until warning devices are in position, approaching motorists may not be expecting to find emergency responders and their equipment on the highway. During the takedown phase, tasks are performed under non-emergency conditions, yet the removal of equipment and personnel is just as critical as the set-up. The INCIDENT COMMANDER should develop a plan for the re-establishment of normal traffic flow and communicate that plan to all personnel working on the scene. Emergency vehicles should be used to shield responders during the removal of equipment from the roadway. The Police Service should remain on scene until all responders have departed. The risks associated with working in moving traffic and the constantly changing emergency scene environment can be reduced through awareness, training, teamwork and communication. Each situation must be evaluated individually and an Incident Action Plan made in order to perform each task as safely as possible.

AED Protocol for a witnessed arrest and arrest due to asphyxia requires 2 minutes of effective CPR prior to applying the AED. What is the rational behind this protocol?

What is the importance and rational for early defibrillation as it relates to the electrical phase verses mechanical phase? [/font:fa756163f9]