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icebergmedic

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Everything posted by icebergmedic

  1. I thought the "Cop" from the Village People was black...?
  2. It's truly a dilemma, I can say as a Canadian, (Eh?) and working transport around Vancouver, BC that MOST of the NSG homes are good. Good enough to put my family into if required. However, some of the General Hospitals... My unit, aka:Car (not BUS see:transit) was called non emergency to a Med/Surg ward in a large General Hospital, (also a level 1 TC) to take an elderly man back to his NH. It was a Saturday morning, approx. 0900 and upon arrival at the unit, my partner, (newbie @ time) went to patient to prepare for movimg to our cot. He came back a few minutes later with a distressed look on his face. At the same time at the nurse station, a Nurse "magically" appeared. We three, went to the Pt's room. The general appearance was very ashen, and mentation level was low. I then queried stats, and admission reason. I returned to station w/Nurse, and reviewed chart. Four day's prior, query Pneumonia. Sat's were low 90's and nurse St's "pt taken off o2 before our arrival" we bagan vitals, and I instructed partner to get our o2. On our o2, and transporting the pt the 15 Min's to NH, pt resp. began to slow, down to 15, shallow, effective as we arrived. When we entered tha facility the staff were surprised that we were back w/Mr.X, as his family had been informed that he would not be "discharged from the Hospital" Family had already come, and cleared out his room... as he had been expected to die in Hospital...
  3. Go right ahead! Plug it in and talk away, you were sitting way to close to the gunner Dude! Ya ever notice those old episodes of EMERGENCY! Roy & Johnny wore helmets going on runs... it was an LA county reg at the time...? If it's a rule.... (aren't rules open to interpretation?)
  4. Here there and every where.... some are even FF...LOL
  5. All hail the mighty PARAMEDIC!!!!! Lest we forget where we came from... ? If your jurisdiction is fortunate enough to have an intake Paragod (oooops!) program than lucky not to have climbed the ladder to the top! EMT-B, EMT-A, EMT-P Most of us were not as fortunate.... one day a FR may just save your ass...
  6. Ah Dust, alway's playing the "Devils Advocate" I know a few "B's" that are worth the weight in gold, many climbing the ladder to the godlike "P" status... many work in the EMT/ALS relm of split service. We all like to make $$$ What about a "B" being a fire/medic...? :twisted:
  7. BEorP, I'm presently an AB Medic. As the posts state, you will need to check with Alberta college of Paramedics regarding licensure. I'm origianally from BC, and recently becan to accept out of province medical proffesionals. See the following link: www.healthservices.gov.bc.ca/ema/oop.html BC Ambulance Service is actively recruting ACP/ALS for BC. Once again, check with the EMA license board. As for work, In BC EMR is not accepted in industry. You need an Occupational first Aid Level 3 certificate issued by an approved WCB training agency, OR an Advanced First Aid Certificate that is recognised Eg: The hoky EMP Canada, (couldn't resist) check out this link: http://www2.worksafebc.com/Topics/FirstAid...d-Equivalencies. As for work, go to Canada 411 and search for "first aid service" in Fort Saint John, Fort Nelson BC. For BC companies in the north. And for AB try the employment section in the ACP website. Start looking a couple months before hand. Summer work past 3 years has been very good. Good luck, And keep us posted! Iceberg
  8. As an EMS typically we are not allowed to carry "weapons" but an Ambulance has a lot of things one can "improvise" with... Lotsa sharp things to poke eyes out with, slug with your O2 tank, restrain with velcro straps, and "dart the opressor" with sedative drugs...
  9. I'm an EMT... but... my Paramedic partner is also an RRT with greater than 10 years experience in ICU, weaning COPDers off of ventilators and working on chronic respiratory units. This is what he teaches for the EMT the KISS method- (Don't withhold O2 it won't kill you) but he might! 1. Asthma "one part of the COPD triad" historically was believed to be psyc. in nature! WRONG! 1a Withholding O2 is asking for a law suite, the opinions expressed before that 50 % of COPD are panic attack related is "folly" I would panic too if I were SOB or perhaps having a silent M.I. ? COPDers have been known to Infarct! (ps 47% of all stats are made up on the spot) 2. The venturi mask has gone the way of the "dodo bird" for good reason, serial blood gasses make chronics look like a "pin cushions" doing incremental 2% changes and then stabbing again. 2b. The only correct means of diagnosing CO2 retention and hypoxic drive is serial ABGs (hypoxic drive is a very rare bird!) 3. Nasal Bipap and full face is a currently is the prefered treatment in excerbation of COPD, in conjunction with broncho dialator therapy. 4. Atrovent may show better improvement in FEV 1/ FVC, than exccesive use of Sabutimol and have less systemic side effects like aggitation and axiety! 5. Inhaled steroids in early application have been proven to be more effective than previously understood and by numerous studies. (NEJM searches) 6. KEEP a SpO2 88 to 92 % "hey that rhymes" (look up the ODC) oxygen disassociation curve, available on a quick google search you will see why......he made me you can too! 7. ETCO2 is unrealiable in determination of PaCO2 (it should only be used as a trending device) this is BECAUSE of V/Q mismatch.....! Quoting Punisher 2. Most (up to 85% depending on the study you rely upon) of COPD patients have some manner of psychological illness- usually a panic disorder of one form or another. Some researchers theorize that more than a few of the COPD exacerbations we see may actually be misdiagnosed panic attacks See #1a If anyone wishes to see the documentation backing up this, let me know. I do, I have a royal flush, ICE BERG.
  10. Now folks we have beat this issue to death... Consider the "ethical legal aspects" of your training remember that chapter in your book? It's about providing patient care. I'll leave it at that...
  11. No, cheating? You need to talk to him... is he lacking something? in his life? Communication is the key...
  12. I've been in EMS for almost 20 years, last 13 maried to a nurse... just lucky I guess... if your hubby has a firstaid/CPR ticket, encourage him to do a ride along... or get involved with any comunity events with your service. good luck with this and don't let your EMS Love consume your life...
  13. What about SpO2? do you have an oximiter on your rig? As a Basic I can see where your concern is... Is Ridrider an RT now too? More small letters to add behind his name....
  14. CC stand's for "Canadian Club" type of Rye up here in Canada, I prefer Rum & Coke... or a good "fatty"...
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