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scott33

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Posts posted by scott33

  1. I have noticed the same. I don't have the answers other than to say that a forum is only as good as its contributors. One of the 'rival' EMS sites don't see to be suffering quite as much, so I don't think it's a case of everybody having crossed over to Facebook. 

  2. For all those who chide the American healthcare system, we sure see alot of Canadians who choose US Healthcare over their "free" national healthcare:

    In 2013, 41,838 Canadians went outside the country to get medical treatment, down from 42,173 people leaving the country in 2012. This is interesting since wait times for patients who had consulted with a specialist till the time they got actual treatment increased from 9.3 weeks in 2012 to 9.6 weeks in 2013.

    You appear to be assuming that because some Canadians are traveling abroad for medical tourism purposes, that can only mean to the US? Medical tourism is a global and thriving industry.

    Destinations, according to a University of Minnesota study that looked at Canadian companies that arrange medical tourism, include Costa Rica, India, Thailand and the U.S. Some companies even send clients to Mexico, Turkey, Poland and the Dominican Republic.

    http://news.investors.com/ibd-editorials-obama-care/012214-687213-canadians-seek-medical-treatment-outside-the-country.htm

    Any guessing which of those 8 countries will be charging substantially more than the rest for, arguably, similar outcomes?

    ETA - According to the CDC, 750,000 US residents travel abroad for healthcare.

    http://www.cdc.gov/features/medicaltourism/

  3. Obviously a Troll. Not a word of what he says is true.

    ALL healthcare in the UK is free, no insurance required. No nothing

    Incorrect. The NHS costs the UK tax payer billions per year, regardless of whether they use the system or not. There is no option to opt out of paying into it, even if you use separate private healthcare services. If you have a job, you pay for it. Unlike with the US, there are no point of care fees which can give the illusion that you are getting something for nothing when you need it most. You will still find yourself out of pocket for dental and optical care as well as prescriptions.

    We do not get meal breaks, and the idea of one would make any Paramedic laugh

    I think it's a little short sighted of you to ignore the position that many UK ambulance staff have, in respect to their protected meal breaks. It would be completely unheard of in the US for someone to be 1 block away from a cardiac arrest or chocking child, and not get pulled from their break. Not so in the UK.

    http://www.birminghammail.co.uk/news/local-news/west-midlands-ambulance-service-paramedics-405112

    http://www.telegraph.co.uk/news/uknews/3060387/Paramedic-on-lunch-break-refused-to-help-dying-woman.html

    http://www.dailymail.co.uk/news/article-2542782/Unacceptable-delays-led-death-man-despite-four-calls-999-wife-Paramedics-delayed-enforced-breaks-coroner-finds.html

    http://www.dailymail.co.uk/news/article-1156762/Paramedic-refused-help-man-broken-lunch-break-let-off.html

    It seems like everybody gets an emergency response for literally anything.

    The NHS use a wide range of prehospital clinical providers, who in turn can provide a wide range of clinical pathways for the patient - at their discretion. Transport, treat and release, treat and refer etc etc. The UK do not have the 'you call we haul' mentality of the US. Why? because US EMS primarily only generate income when they transport.

  4. The backlog of current visa applications applicable to nursing goes back to 2006 - meaning those who had an application in with a processing date of 2006, are still waiting. The nurse specific H1-C visa was stopped around 2009 so that really leaves the H1-B visa (non-immigrant specialty occupation) as a possible option.

    Problem being, the H1-B typically requires the applicant to have a degree specific to the occupation. Right now, there is no national mandate in the US to have a BSN in order to practice, so the USCIS (the ones who allocate visas) don't really see 'nursing' as fitting the H1-B criteria. Perhaps with certain speciality advanced practice RN positions, a remote location, and a good lawyer it would be a slim possibility, but it's not for the majority of general staff nurses looking to move. Additionally, there is a cap on the amount of H1-Bs given out per year (< 70,000) and about a third of these are allocated to IT professionals from the Indian sub continent, the day they become available.

    Contacting the likes of the NREMT will only waste your time and money unless you already have an 'in' to the US. They cannot provide you with one.

    It's not all doom and gloom though. Sweden is one of the countries eligible for the diversity visa lottery program, so you may wish to look at this.

    http://travel.state.gov/visa/immigrants/types/types_1322.html

    Also have a look at Canada. You could always visit the US.

    Good luck.

  5. I'm a paramedic in New York and here, for adults, IO is only allowed for an arrest.

    The protocol is currently being revised to allow IOs in patients in decompensated shock with the addition of 2% lidocaine bolus, prior to infusion, if required.

  6. Hi, I know this is an old thread. However, me and the family are looking into Nova Scotia. My ex brother in law has emigrated there about 2 years ago (that's about as much connection as we have out there).

    We're looking at about 2 years time. I know paramedic doesn't qualify for the skilled workers visa. Is there another visa? What about jobs etc etc. Would they employ a paramedic practitioner? Willing to do remote stuff etc or work for a DR out of there surgery doing community stuff. Extra skills above usual paramedic stuff include fundoscopy, supply & administer abx/prescription analgesia etc. Wound closure Inc suturing, medical glue, minor surgical procedures, otoscopy and treatment and/or referal of minor health problems/injuries. My ex bros in laws wife's cousin is the local DR and their neighbour is also a family DR. Enquiries are being made. Just wondering if there could be opportunities in that neck of the woods. Any help would be appreciated.

    You are going to need an employer-specific visa as a requisite for moving - not unlike the 457 visa for Australia. Ordinarily I would say stick to the Canadian immigration website, but in this case I would also suggest getting your CV out there too. You may wish to seriously consider getting your qualifications officially transferred to Canadian standards - be that paramedic or 'other'. This should realistically involve a couple of trips over there, so your 2 year projection seems reasonable. Whereas none of this will automatically lead to a visa, it will make you more marketable if you are able to show potential employers that you are qualified to start work the day you land. It will then be up to your potential employer to apply for your visa, and the Canadian government to issue it, providing you tick all the required boxes.

    Canada certainly isn't impossible for what you want to do (the US is), and I personally know 2 SAS techs who moved out there in the early and late 90s. What I don't know, is whether they already had an 'in' though other means, or how much has changed since then.

    There are many threads which may be of help in the Canadian section of the british expat forum.

    Good luck.

  7. Find a place you want to move to and live in, then let us know where that is and we can help you start finding the right resources to get you rolling. Your first place to start would be the www.nremt.org to get your national registry as most states require that now to get a license.

    The other place is www.state.gov which would be the place to start looking at immigration process.

    I think you got those mixed up in order of priority.

    As mentioned, even if she got reciprocity and her NREMT-P, it would not lead to an H1B. There is the additional burden of the sponsor (employer) of said H1B, having to prove to the US government that there are no US citizens able to do the job.

    It's a lot more complicated than people seem to think - particularly those who have never gone through the process themselves.

  8. I have just become a member of emt city. I am a paramedic from Scotland looking to emigrate and looking forward to any help or advice anyone can offer me. Many thanks.

    As mentioned, a lot depends where you want to go. The US won't entertain immigration based on being a paramedic, but some parts of Australia will. Canada might be a possibility. Assuming you are a UK citizen, you also have the whole EU as a possibility.

  9. They have morphine already IV and oral. The jury is still out regarding Midaz and Ket. May be reserved for their CCPs to begin with. Pacing? I don't think so, Cardioversion (Chemical or electrical)? No.

    Most of the new guidelines will be things we have been doing for years - bearing in mind you need to be a CCP to use CPAP.

  10. They have been due for an update since April 2011 and JRCALC haven't bothered their arse to make it known (officially) why there has been a delay. They current guidelines will be going on 8 years out of date by the time the new ones are published. Rumour has it that there is nothing earth shattering to look forward to. TXA, IV paracetamol are a given, though already being used in some trusts.

  11. You're thinking of the Hatzoloh Chevra VAC, the biggest VAC in the world.
    Not saying you are wrong here, but I am curious to know how the numbers compare to St. John ambulance? They too, are mostly all vollies and provide basic EMS services in countries such as the UK, Canada, NZ, Australia, South Africa, Malaysia, India, etc etc. Basically anywhere you can throw a Christian bible at someone, and get them to catch it, not dodge it.
  12. I did some more research, and what I came up with was that he could definitely transfer to The Republic of Ireland with his Paramedic certification and some work experience/references.

    There are no definites when it comes to international transfers, and PHECC is no exception.

    Applications for recognition are examined on a case-by-case basis and there is no provision to recognise an applicant’s professional qualification automatically.

    http://www.phecit.ie/DesktopDefault.aspx?tabindex=0&tabid=578

    Geographical proximity to the UK would not make UK HCPC registration any easier...otherwise it would be full of Frenchmen.

  13. The Previous discussions between UK and US EMS systems have usually used the NHS ambulance service as the benchmark. The majority of paramedic jobs in the NHS now require training and education at the degree level, as well as registration with the HCPC. However, there are private providers in the UK which, although plentiful, have no set standards of training or education for their staff. I would even go as far as to say that several UK PAS providers could only dream of training equivalent to the US EMT-B.

    Of course, none of this solves the visa issue for the friend of the OP.

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