jules1977

Entry?EXit...like what was said who cares...But I think that generally the exit will be bigger. Think of what a bullet does. You could have multiple points of entry...that is shotgun. I had one recently and there was a couple inch diameter of small pellet wounds in the front, nothing too dramatic. However his back had a huge gaping hole. As for Tx, just go! There is nothing definitive that you can do in serious cases. The person needs a surgeon and all you can do is ABC's. The more time you spend on the scene the longer it is too surgery. Always think 5 or less, if it can be done.

COPDer...Hmmm Well, I would have to say, and I am willing to argue, if a person is in severe resp distress....Give them O2. That would be by NRB, no matter the Hx. Sure COPDers rely on their hypoxic drive to breathe. But one must realize that if they are truly SOB their PO2 will be significantly lower than what it should be. O2 will not hurt for the amount of time you will be with the pt. It will help. I would guess that no one is going to be with these people for hrs, so there is no need to worry. That is what it would take to knock out their hypoxic drive. And who really cares if you did....Bag them and fix it. It is not that bad of a problem.....Maybe if you intubate them it will cause problems, that is much more invasive than you need....And besides, I challenge someone, with out exagerating, to tell me a time that a NRB actually caused someone not to breathe. The whole hypoxic drive theory causes way to much worry. We all know that as soon as we get to the hospital, regardless of how low the PO2 is that the nurse will take off the NRB and put on a NC because she will be worried about it. They are the same people who see an SPO2 of 45% and believe it. And we all should know that this is not conducive to life....peripheral constriction anyone????

I am just new to this website. I get paid $33 and hour. I read the post about what CCP gets paid and since you are the only city that has them....I would guess you live in TO and they actually get paid $45 with the last contract. The only reason I know is that I also work air ambulance and I heard rumblings of what the CCTU medics in TO made and how the new Air Ambulance Services Co. would have to beat that hourly rate if they wanted to employ them. As for your hourly rate I would have to say you work in Durham, or somewhere close to, and I would rather live here. If you factor in the cost of living I make much more hourly than you do. I pay less to live, so get to spend more. I also heard, maybe I am wrong, to get that rate of pay you guys made major concession in you collective agreement. Only a thought