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    The land where volunteer EMS doesn't exist
  1. Hi there, been quite a while since i posted in this forum. Here in Nova Scotia, we have been running a community paramedicine project for almost ten years. It was started in a rural community with no physician access (actually on a island, two ferry boat rides and a hour drive from the nearest hospital). The model involves a nurse practitioner assesing and treating patients in a clinic setting with local paramedics doing home visits, follow up checks and blood draws. The paramedics perform such assesments as weight for patients being treated for CHF, fall assesment, dressing changes and su
  2. I know this is getting off topic, but spec, the fact that you cant even name the different levels of paramedic in canada speaks to the fact that you dont have a clue about the care being provided or the education that is behind that care. Nobody is confusing anybody. When you call 911 with a medical emergency, a paramedic shows up at your door. What level of paramedic depends on the avaliabilty or capabilities of the system. Either way its symantics...your system has its emts and our system has its primary care paramedics at the basic level... I believe that our basics have earned the ri
  3. I completely agree...if that be the case then it would be well worth investing training more ALS than trying to upgrade BLS. I hate to get onto the whole "this is what we do here" thing...but i speak to what i know. In most areas of the province we have enough ALS. If one truck is not ALS than there is usually one close by. So i guess i was speaking to the MI numbers alone because the situation you portrayed is not happening here. 100% agree though...ALS problems need to be fixed first before trying to baindaid the problem by buying more toys.
  4. tniugs... Once again you have beat me to the punch...and in a far more elegant fashion than i would have done. I sat here reading this thread with steam coming out of my ears getting ready to let loose with both barrels.... While i realise that basic training/education is not standard...here is what we have going on here in NOS. PCP aka. basics do perform 12 leads, they should (and i say should) be able to interpret that same 12 lead without reading ***ACUTE MI*** The benefits??? Angioplasty is not a option in 99% of NS as there is only one catha lab in the province...Like tniugs p
  5. WOW...thats a strange thought process to go down... I dont think it is completely out of this world that a medic confronted with that situation would consider amputating the childs arm. Some of my thoughts would be... 1. is the child certainly gonna die because of the fire and am i going to bear witness to him/her burning alive?? 2. While i know i dont even have half a clue about how to amputate someones arm, would it be worth it to try knowing the child will die?? 3. Do i even have the equipment to perform such a procedure (even if im doing is half assed) I know the fire dep
  6. I completely agree.... First impressions are very important. Make sure your uniform is clean and tidy, you have all the necessary equipment and paperwork you will need for the shift as a student. Come in with a positive and open attitude and make sure it is clear to them through your words and actions that you are there to learn. I know personally as a preceptor i like it when a student has the attitude that they are there to learn as much from me as they can... I have had students with the "know it all" attitude and if it doesn't change in a hurry than i usually tell them that if they know
  7. While it appears that this thread may have gone off topic a little...ill throw my two cents into the ring... While this little gatget appears pretty neat, and in some places with limited dollar resources where a ekg machine is needed it may be a more affordable option, in my ambulance and among my regular gear, i have no use for it...Come talk to me when they can fit all the functions of my LP12 into a palm pilot...
  8. My advice...learn to memorize... When i was a student doing my ride time that was the philosophy that my preceptors had and it is the approach i still take today, and it serves me well. You may not always have a pen and paper but you will always have your memory. That being said, if i am running a really crazy call than i will key in blank events on the lifepack (if its a busy enough call that i have trouble remembering when i did treatments, the lifepack will be hooked to the patient and within reach). Then all you have to do is remember what order you did stuff in and match it to the e
  9. Here in Nova Scotia, we have one ambulance service which is responsible for all patient transports withing the province, be they emergency or transfers. Aside from a handful of ambulances that are dedicated to patient transfers all of our ambulances are marked in the same fashion, because the same truck that is taking granny from one hospital to the other will be available for emergency calls as soon as the stretcher is clear. Our normal ambulances are marked with the provincial providers name as well as "paramedics" decaled down both sides. "ambulance" is decaled on the hood and the rear d
  10. Here it is required by the schools for all students to have two preceptors, 500 hours with one and 500 with the other. Personally i think it is a great practice, as far a quality control the student is evaluated by two independent preceptors. From the point of view of the student, they have the opportunity two learn from 4 medics instead of two (partners included). You can never go wrong learning how different people approach the job.
  11. I know when i was a student, especially a PCP student, i had difficulty nailing down my patient assessment to the point where it was fluid, comfortable and effective. My main complaint was that i knew that there was a difference in parroting the SAMPLE OPQRST assessment that we had all practiced over and over in class and how a competent experienced medic did their patient assessment. I remember wishing that i could just once or twice sit back and watch my preceptors do their thing instead of always being the one out front stumbling along trying to find my own way through it. Thats why now
  12. I work a 42 hour work week. 24 on and 72 off. Max shift time is 36 hours straight.
  13. I might as well speak up on behalf of us in NS. We do have a operational community paramedic program in one community in the province and are in the works of developing several more. The community currently being served is Freeport/Westport. They are located over a hour away from the closest hospital and are in fact two islands at the end of a long neck of land. We have a unit stationed there 24/7 as part of our SSP. Due to the small but elderly population, being unable to get a doctor to cover the community, and the large ammount of down time for the medics working in that post, the CP progra
  14. Fiznat accuratly described what diagnotsic mode does. To get the machine into diagnostic mode if it does not com on automatically is a little complicated. 1. Turn the defib into manual mode by pressing the advvisory button and selecting yes to manual mode. 2. Ender the alarms menu by pressing the alarms button and turn of the vfib/vt alarm function. 3. Enter the options menu and select print. 4. In the print menu select diagnostic.
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