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J306 last won the day on October 19 2015

J306 had the most liked content!

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  1. J306

    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. J306

    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. J306

    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. J306

    Air Ambulance Service Under Review

    The article regarding response times of STARS being slower in 20/21 responses than ground ambulance is an interesting one. I wonder how they would compare in Saskatchewan or Alberta. I agree that the training should be expanded from a 10 week program to a minimum of 6 months.. I find it hard to believe that there is such a large time difference between the BCAS/ORNGE and the STARS Critical Care transport program. The one about running out of epi is something that shouldn't have happened at all..The ground ambulance service was 5 minutes from a hospital and STARS insisted they intercept them enroute?? I sure hope Dr. Wheelers report sheds some more light on these issues.
  5. Yes they have, most of the urban centers have there pcp's completely bridged.
  6. J306

    Whats in your KIT?

    Change your attitude right now or you'll go down the path to becoming what the industry refers to as a 'paragod.' Inflated ego and self importance are a dangerous thing in this industry which Paramedicmike is trying to point out. Its great to be prepared, but its also wise to understand your limitations, especially as a first responder. I was told once that only around 2% of calls the ambulance responds to are true life threatening emergencies where immediate intervention by the providers would make the difference between life or death (early cpr included). The industry is evolving to more community oriented focus, so if you want to get into the industry for the 2% of true emergency calls, you won't last. Your passion is much appreciated, but maybe just a bit misdirected that's all!
  7. J306

    Peds pads and Zoll defib

    Mobey, does your service use the Zoll X-series? If so, what do you think of them compared to the LP12/15's? Any issues with them?
  8. J306

    Peds pads and Zoll defib

    Our organization is trialing the X-series and I planned to ask the rep about this during our in-service.. EMS being the way it is, I made it to about 5 minutes of the session before getting called out. I asked my boss if he could follow up with the rep and try and get an answer as to whether the problem has been rectified with the newer versions. Have you found out any more info on this?
  9. J306

    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.
  10. J306

    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.
  11. J306

    Hello Everyone!

  12. How are your PCP upgrades going Kat? Also, I heard the next step may be to align Sk ACPs with the NOCPs as well, which means a few more meds in our drug kit like Magnesium, Calcium Gluconate and possibly a beta-blocker for cases of A-fib with rvr. Not sure how reliable that is, but it would be nice to have a few more treatment options.
  13. J306

    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..
  14. J306

    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.