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xlq771

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Posts posted by xlq771

  1. Dusty,

    Try asking the families of the four RCMP members who were murdered in the line of duty in Mayerthorpe, Alberta, if they were real police officers. Or the families of the other 170 plus members who paid the ultimate price.

  2. At the risk of offending my American neighbours, the best way way to increase professionalism in US EMS would be to simply drop your National Standard Curriculum for FR, EMT, EMT-I and EMT-P levels and adopt our Canadian PAC National Occupational Competancy Profiles for EMR, PCP, ACP, and CCP levels.

    Before anyone complains that I am wrong, I have trained in Buffalo, NY as an EMT-Basic (NYS and NREMT certified) and in both Ontario and Alberta as a Canadian EMR. Even though my EMR course was only 80 hours, I learned some things that were not covered in the US course (137 hours), such as applying a 3 lead ECG, and setting up an IV set. How many others on this forum can say that they trained in both systems?

    The problem with the US EMS education system as far as I can see, is in what material is taught, and how it is taught. Many Canadian EMR courses use US EMT-Basic textbooks (my Alberta course used Mosby's The Basic EMT). Many PCP/EMT courses in Alberta use Mosby's EMT-Intermediate/99 textbook, so the problem can't be the textbook used.

    The problem can't be the length of the course, either. Professional Medical Associates, in St. Albert, Alberta runs a CMA accredited PCP/EMT program that consists of only 240 hours of classroom didactic instruction. Yet even with such a short program, this program is rated as one of the best in Alberta. And it is short enough that even volunteers can take the time to take the program.

  3. Here is the information website (on the MOH equivalency FAQ page)

    http://www.health.gov.on.ca/english/public...equiv_qa.html#5

    RN's with 450 hours 911 ambulance experience can challenge, and RN's with ER and ICU experience can use that experience for up to 330 hours of the 450 hours required.

    Physicians trained outside of Canada are specifically mentioned. I emailed the MOH equivalency liaison myself and asked if Ontario doctors can do the same. I was informed that they can, under guidelines for equivalency established by the Ontario College of Physicians and Surgeons. I was also told to contact them for those guidelines.

    PCP and ACP from a province that signed the Agreement on Internal Trade complete a AIT written exam and 4 practical scenarios. If successful, they automatically receive the AEMCA certificate; they do not have to take the AEMCA exam.

    I assume it was done because of a shortage of paramedics(7000 paramedics for a population of 12 million, compared to 80000 nurses in the province).

    The MOH equivalency liaison can provide further details.

    Email - mohequivalency@sdsx.moh.gov.on.ca

    Phone- (416) 326-1561

  4. I'm a little confused about this apparatus. Is this truck capable of transporting a patient on a conventional wheeled ambulance cot, or is it designed to transport a patient on a folding stretcher, basket stretcher, etc? If the unit has a stretcher mount, it is designed to transport the patient in something.

    While I wouldn't want to see the fire service transport a patient this way on a regular basis, the only way to decide if it was appropriate for them to transport in this situation would be if much more detail was provided as to what exactly happened, preferably from a source that is independent from either the fire service or paramedic union, as both are biased. Did the patient suddenly deteriorate to the point where waiting for EMS would endanger the patient more than transporting him/her? Was the scene unsafe? Was EMS response time too long? If EMS can't arrive for 20 minutes, and the fire service can have the patient at the hospital in 2, waiting is not in the patients best interest. Did the patient have only a minor injury that an EMR/Firefighter can handle, and the fire service decided that tying up a paramedic unit would be a waste or resources? Not enough information about what actually happened is provided in the press release by the paramedic union to make any kind of decision. All the press release seems to be for is for political purposes, to gain support for their cause.

    Laying off firefighters, and hiring more paramedics is not the answer. Hiring more paramedics is the answer. To suggest laying off members of one service to increase the staffing of another is unprofessional. EMS is a young service, compared to police or fire services. Such suggestions make paramedics look childish in the eyes of the public. Paramedics are supposed to be on the same side as the fire service. Both are supposed to be looking out for the patients best interest when handling medical calls, not union, or job security, or funding, or other issues. Paramedics should also remember that it just might be them that requires the services of the fire department. Cutting those services so more paramedics can be hired might just come back and haunt them, should they have a house fire, and trucks take longer to respond because a closer firehall was closed to hire more paramedics.

  5. At the start of the course, the instructor is required by NYS EMS Bureau to have given you a copy of the BLS protocol book, and a student reference guide. In the guide, Section 3, page 5, it states the requirements to retest on the practical skill stations. Show this to the instructor.

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