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J306 last won the day on October 19 2015

J306 had the most liked content!

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  1. Old folks Still here?

    Wow thinking back this site and a lot of the people who have posted on this thread have honestly really shaped the Paramedic that I am. I've even worked a bit for someone I met here! I joined my first year on the job, and now at my 6th year I've already taken a step back from EMS to do some traveling and reflection. Actually writing this from a cafe in Malaysia! MedicNorth sounds like a good outfit, but not sure if I'm built for the month in month out rotation that they do. Rock shoes, when do you start your CCP program? I looked into doing either that or the PA program in Toronto for the future.
  2. Old folks Still here?

    Not sure if I'm considered an 'old folk' but I'm still kicking! In Nepal right now and may be doing some disaster relief with GlobalMedic in the coming weeks.. MedicNorth, do you work for the company MedicNorth based out of the Yukon and NWT? If so, I'd love to ask some questions as I was considering applying in the new year.
  3. Introducing Myself From Canada (:

    Welcome. I hope you find this site as useful as I have while developing as both an EMT and as a new medic. You'll probably learn this once in EMT school, but most places in Saskatchewan at least use medic in relation to EMT-P or ACP, and not for first responder, EMR, EMT, or PCP. True that a lot of the messiest and nastiest calls a lot of us have been to also become the source of a lot of memories we wish we could forget. One of the most important lesson, for me when working with marginalized population groups is that everyone, every patient was once their mother's bundle of joy. Best of luck and don't hesitate to PM me with any questions!
  4. Ketamine and Trismus

    In Saskatchewan we unfortunately do not have the scope of practice yet to use paralytics.. Our options include Ketamine, Midazolam, Etomidate, and Fentanyl. Protocol is only a couple years old and has had mixed reviews so far.
  5. Ketamine and Trismus

    I've heard of Ketamine causing an idiosyncratic reaction similar to the one you described. I believe Ketamine was used as the primary inducting agent causing a trismus type reaction. I believe Midazolam 5 mg completely reversed the reaction with no complications.
  6. Hello Everyone!

  7. Good ways to kill patients

    I've seen a few docs use portable ultrasound to get central lines, and even saw an anesthesiologist use it to get a large bore IV, but it was my understanding that cutdowns were popular in the 90's and then were proven to greatly increase risk of infection so weren't even taught anymore..
  8. Good ways to kill patients

    -Trying to give Activated Charcoal IV The above actually happened in a neighbor province. Don't worry Mobey, it wasn't your province.
  9. A humbling call

    Good story! Thanks for sharing.
  10. Cloudy urine in trauma

    You bet! That'd be great!
  11. Cloudy urine in trauma

    I have to head west sometime and do some ride alongs to see how different things are out there.. I'd be interested to see how some of the integrated systems work for you. Will you be attending the GlobalMedic cross country training session when it passes through Calgary?
  12. Cloudy urine in trauma

    I try to use the KED as much as possible for patients with a longer transport or in situations where offload delay is expected. Still considered full SMR, easier to pad and make them more comfortable, and patients I've had in a KED for 3 hours have far fewer complaints of SMR induced back pain than those restrained to the backboard for that amount of time.
  13. Cloudy urine in trauma

    According to the book "The Trauma Manual," cloudy urine in trauma situations where patients suffer sustaining crush injuries, severe extremity injuries (# ankle?), or vascular injuries are at risk for myoglobinuric ARF. It says these patients may have Rhabdomyolysis, and that the urine will present with a tea color when CPK is high. It goes on to say that "Cloudy urine that is dipstick positive for protein or blood, but without RBCs on microscopic examination, suggests Rhabdomyolysis." http://books.google.ca/books?id=_Ik-V7DwCd8C&pg=PA365&lpg=PA365&dq=cloudy+urine+in+trauma&source=bl&ots=jXlIggWv2W&sig=GQIahvZexJIDsLABdWBswQJ0IWM&hl=en&sa=X&ei=7CBdUtfvCqSayQGCoIDwDw&ved=0CDYQ6AEwAg#v=onepage&q=cloudy%20urine%20in%20trauma&f=false
  14. I'm alive! I just watched that movie called "Bringing out the dead" with Nicolas Cage, and I have to say that it was one of the most depressing films I've ever seen.