jonas salk

Very good scenario.

prinzmetal's angina....?

Inhibits the release of ADH while at the same time inhibiting the release of oxytocin both of which are released from the posterior pituitary. And if I'm correct: This structure's name found on the skeleton is from the Latin for "little vinegar cup".

Then there should be remuneration from the employer for food costs incurred during the shift I don't buy it. Most trucks on the road have the option for side compartments, one could be allocated for storage of personal equipment. Yeah, that's a cop out. There are ways to mitigate it, the service just has to be willing to provide more than just bare minimum in coverage.

Really? So what do they expect the staff to do for food? If you're not allowed to bring food then how exactly are you supposed to eat during your shift? And why would they prohibit food in the vehicle?

We have our two 30 minute meal breaks per 12 hrs, unfortunately they can be disturbed. But when that happens we get an extra $10/missed lunch for the shift. Personally i'd like to see stiffer penalties, but it probably won't happen. The last service I worked for had no compensation if we missed a lunch; all the CBA said was that management would 'endeavour' to give us our breaks. Though i'm sure that'll be changed once they get their new contract. As for the kitchenette, it's a nice touch, but I'm not sure we'd be in base long enough to utulize it. As for the roving deployment plan, i honestly don't mind it so much. We are put into bases, so it's not like we're sitting in a parking lot somewhere.

None of the current bases I work out of (roving deployment plan so there is no real 'home base' in my service) have an oven or stove so I never have to worry about running and leaving something in the oven lol. But as i've mentioned, there have been a few times where we've been toned out almost as soon as I pull my meal out of the microwave. As for restaurants, i've had happen a couple times. One day while working at my first service my partner and I decided on Quiznos for lunch, right as we ordered our sandwhiches and they were placed in the oven dispatch radioed us for a call. We paid and walked to the truck. A few hours later after we cleared we went back to the Quiznos and they had our subs for us, just they were a bit soggy now. We collected them, only to get dispatched to another call. One that had 2 hours of offload delay. All I can say is that Quiznos tastes much, much better when it's fresh and non-soggy. I tell every student who comes along with us, that they should bring food with them, it is so much healthier. I work with some people who eat out every shift, and it shows. Personally, I don't want to spend 5-10 bucks on a meal at work, and when I do (due to me forgetting food, or the shift was a last minute call in), i just remind myself that the $10 processed crap i'm eating represents about 18 minutes of work.

interesting hearing everyone's break situation. I thought my last service was bad, where all they did was endeavour to get crews a meal break. My current service gives us two 30 minute meal breaks during the shift. We're still available for calls during them, however. If we have a call, or miss a meal break due to offload delay issues or coverage, or what have you, we get a small sum of cash ($10). So far this year I've received an additional 250 bucks on my pay cheques for missed meal breaks. It's quite amazing to see how quickly they add up. Personally for most shifts i bring with me something to eat that doesn't require re-heating, like a couple of sandwiches, some fruit, which allows me to eat just about anywhere even if we don't make it to a base. While it's nice to have a warm meal, i've learned that it's not always wise to tempt fate, as more than once the 'tones' have gone off within seconds of the microwave buzzer.

It will be hard to prove what you suspect, particularly when you take into account factors other than what school the individual went to. My guess is that there is a huge geographical bias in the statistics, in the sense that the majority of the individuals who go to schools such as SLC, St. Clair, Confederation etc are generally from the surrounding area and as such have no real interest in applying to GTA services. I've encountered many individuals from the aforementioned schools who were unable to find work in EMS and i've met many who have. Riding out in the GTA doesn't always give you an advantage, the only exception for this appears to be Durham where anecdotal evidence suggests that they really only look at students who either did their consolidation there, and those who did their centralized scenario with them. Which ever school you decide upon just remember if you put everything you can into the programme you will become a good medic. Every college teaches the same fundamentals, the difference is what the student is will to do with it. Study, practice and have fun. Make use of after hour lab time, and practice practice practice.

both the stryker and the ferno 35 series are rated for higher weights when they are at their lowest levels.

I went to St. Lawrence College in Cornwall. The programme was amazing, the college was meh and the town was terrible (lol). There were several factors that lead me to SLC, but the most important one of them was the coordinator of the programme. He gave honest answers and didn't try to BS me when I was there for the open house. What really appealed to me was the fact that the programme had very small class sizes. On our first day we only had 36 people, and by the start of the second semester we were down to 22. Coming from a university that had incredibly small class sizes in upper years this really suited me. As for deciding, my best advice would be to go to each of the schools during open houses, look at the facilities and talk to the instructors. I would also forget about reputation as a criteria as it means nothing when it comes time for you to look for work. You aren't going to get special treatment becuase you went to school X.

My god, I couldn't imagine doing a 24 hour shift, let alone a 48 or 96. 12 hours is enough for me.

There are a lot of factors that you should take into account when deciding on which programme to take. Personally i'd write a list of pros and cons with all the schools you're interested in, that should help you make the decision. As for opinions on the programmes, you're going to hear a lot of different ones. Some will be good, some will be bad and all will be biased, so take each one with a grain of salt. I only know a little bit about each school. When I was applying for programmes several years ago i got accepted to Humber, but didn't apply to either Centennial or Niagara. Several things turned me off of Humber, the first being how the programme was structured. I honestly can't remember the details, I just remember it not appealing to me. Another thing, and the one that was the biggest turn off, was during the Open House, I asked what the first write A-EMCA pass rate was for Humber's last class. She replied "100%". I knew this wasn't true as I known people who had gone to Humber in that year. I felt that if she wasn't willing to give me an honest answer then I didn't want to be there. As for the calibre of Humber students, I can't really comment on that. I've known people who have graduated from there and they are good medics. What I know about Centennial is that they have HUGE class sizes. That turns me off right from the get go. But I do know some of the faculty there and I know it's a good program. Niagara, I really can't say much about it as I've only know a few people who've gone there. What I can say is that i've had students from both Niagara and Centennial rideout with me, and hands down the Centennial students have been better. But again, that may not be a reflection on the school, but rather of the students. For finding work, it has, for the most part, very little with where you went to school, at least for the larger services in the GTA. Some smaller services tend to prefer to hire on the students who do their consolidation with them, but most of the larger ones will go for anyone as long as they have the requirements and know what they're doing. As for CMA accreditation, within the next few years just about all the public paramedic programs will be accredited so I wouldn't worry about that.

My first one went surprisingly well. The pts husband knew that his wife was dead and basically just wanted to hear someone else confirm his thoughts. My last notification was pretty brutal. It was a call for 'man hasn't been seen in a few days'. We arrive at the pts apartment and his family was waiting out front and were quite frantic. They tried getting into the apartment but were unable. My partner and I were able to get in through the balcony and found the pt dead in his living room. He'd been dead for a while. I left the apartment through the door to get some paperwork from the truck. On my way down the stairs I ran into a cop and let them know that the patient was obviously dead. Unfortunately I hadn't noticed that a couple of the patients family members had made their way inside the building and were within earshot when i passed the word. Learned a valuable lesson that day.

Regarding CPR, I firmly believe then unless you get a ROSC you shouldn't be transporting a VSA, unless there are exceptional circumstances.

You want an exciting career but want to be a firefighter? So sitting on your ass all day watching TV, eating then sleeping, and occasionally going out to put on a NRB on patients is your idea of excitement? Or do you just want to go around telling everyone you're a firefighter, one of the real heros, just so you can get some herpes infested tail? Go take up sky diving.

I wrote Humber's test three years ago now and was successful (though I ended up going elsewhere). I honestly don't remember much about the bio or chem parts. What i do remember was that they were both pretty straight forward. In the bio section several the questions were based on information they give you (ie: look at this graph and answer questions). It wasn't anything too complex. The chem was basic grade 11 level chemistry, basics like dalton's law of partial pressures and so forth. With the math, I do remember that the fast majority of the questions were on fractions, and that they didn't want you to use a scientific calculator during the test. I did, and no one said anything lol.

any dependent edema? Was a 15-lead performed? Are the PVC's multifocal or unifocal?

My first call was for a 30 something year old drunk woman who stumbled into an Old Navy store, stumbled to the change room where she fell to the floor, sobbing. She had some dried blood on her so the staff thought she had been assaulted. It was an easy call.

Is there a breakdown of how many of these accidents took place while running L&S? And further to that, for collisions that occurred while transporting, is there any data pertaining to the use of L&S and how severe the patient was?

On a perfect day I'm usually out of the hospital and back in service within 30 minutes of arrival at an Emerg. But perfect days are few and far between. Offload delay is a huge issue where i work. My service is also a busy one, and there have been numerous occasions where i've been multiple ACRs behind. Personally I hate it, but it sometimes happens where as soon as you're stretcher clear there's another code 4 waiting.

My service has PCP's (BLS) running the PRUs and ACP's working on transport trucks. A large number of our supervisors are ACPs as well and they can self dispatch to calls if they so choose.

http://ems12lead.blogspot.com/ this is an excellent resource for 12-leads. Best advice I can give is strive for perfection every single time, sounds stupid eh? Do the utmost to have perfect data quality, even if it means taking an extra moment or two to replace a 'dot' if one of the leads has a wandering baseline. I also do my best to use fresh 'dots', this annoys some partners who don't like it when I take an extra few seconds to open a new pack.