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chevy

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Everything posted by chevy

  1. I am just finishing my didactic component for my ALS program This is followed by a number of days in the local ERs, a week in the OR for intubation hands-on and 400 hrs on-the-road as third-man jumping ALS calls. All good stuff, but my home area doesn't see very much trauma, especially GSWs (although that is changing, hence the need to get ahead of the game) and I feel that I need some extra time practicing my new skills in this area. Does anyone know an ER in a major city that would take me in for a few training days so I can increase my chances of working cases that come around infrequ
  2. chevy

    BLS 12 leads

    [quote="BEorP That is a valid point about the ACS part of the study not being completed yet. Wasn't it also OPALS who showed no benefit of ALS care for cardiac arrest outcomes or was that someone else?
  3. chevy

    BLS 12 leads

    Algonquin in Ottawa
  4. chevy

    BLS 12 leads

    Not sure how it's relevant to a discussion on BLS and 12 lead given that during my BLS training we were taught to apply and interpret 12-leads for purposes of bypass decisions (Thanks to all who pointed out that Cath Labs are not always accessible from where they work - this is an urban luxury I'm afraid). To answer your question - Nothing (the $15.5K in tuition gives one indigestion though). I start my ALS training in Sept. - takes about a year in these parts.
  5. chevy

    BLS 12 leads

    I thought the title PCP would give it away. The second "p" is for Paramedic for which I competed for 50 seats against 1000 people and worked my glands off for 2 years fulltime. I will not mention the 6.5 years of university I had before that. You think you are the only one with book-learn'n here? If you are going to make snarky remarks, at least get your facts right beforehand. Chevy. B.Sc., Paramedic
  6. chevy

    BLS 12 leads

    Dust. Not sure where you are working but bypassing a hospital by interpreting a 12 lead and ending up at the right destination in the first place does not save 5 minutes at the hospital by spending 10 minutes in the field. Getting into an ER, having them do an ECG, deciding to transfer and then getting that done is a time period that is measured in hours, not minutes - at least in our part of the world. Actually the 12 leads don't consume any time worth arguing over. The vast majority of the time we do them enroute. We have to attach the 4 pads for regular monitoring so the extra 6 pads t
  7. More and more PCPs are going straight to ACP. Rather than "Zero to Hero" its more like "No Job to Job". Services demanding experienced ACPs are getting squat 'cause there are not that many available. The response is to take the green ACP and get them the road hours/calls asap. (it's calls that count - not hours!) The writing is on the wall for PCP programs. Within a few years, I'm betting that Ont colleges will do a 3 year ACP program and PCP programs will go away. Let's face it. Unless you want to work rural jobs, no one wants PCPs anymore. As for the arguement that experiennce be
  8. chevy

    BLS 12 leads

    Point 1: BLS medics ARE being taught 12 lead interpretation for diagnosis purposes Point 2: In some areas, this knowledge is being used to bypass the ER and go straight to the Cath Lab with great results As we are an evidence-based profession: see 17 Jan 2008 New England Journal of Medicine http://content.nejm.org/cgi/content/abstract/358/3/231 it's conclusion: "Guideline door-to-balloon-times were more often achieved when trained paramedics independently triaged and transported patients directly to a designated primary PCI center than when patients were referred from emergency depar
  9. Company policy against phone/texting while driving. Maybe, but it's commonly ignored.
  10. Speaking of driving safely, how about yapping on the cell phone and texting while driving? I'm working for a private service as sumemr gig and many of my partners do this. Drives ne nuts, especially when we have a pt. on board.
  11. I have had the fortune of observing a local ER doc a number of times in this situation. He "goes with the flow". He always readily agrees if asked to join in prayer. If people are holding hands, he does so. He bows his head in respect and doesn't say anything. He offers a few non-religous words of encouragement post-prayer depending on the situation (" It's good to have such a strong family, good friends" etc) He then departs. It seems to give comfort to the family and patient that the care providers are involved. I have no idea what his personal beliefs are but I have seen him do
  12. My family and I are visiting the UK in July for 2 weeks (1 week in London and 1 up north towards Manchester to see some in-laws). I was thinking that it would be a great experience to see how the EMS system works in the UK versus here in Canada (Ontario specifically). Would it be possible to do a ride-along in London and if so what would I have to do to make this happen? Cheers...chevy
  13. My opinion is that, unless the scene obviously has sufficient personnel, to stop (if safe to do so), state your "cert level" and ask if the crew needs a another set of hands. If they say no, leave. I am not implying that you stop everytime you see a crew by the side of the road, but if there are obviously multiple patients (multi-vehicle MVC) and only one crew, then maybe it's a good idea. We are taught to use anyone and everyone at a scene if an extra set of hands is required to do exactly the sorts of things you mention (and also how to get the unwanted "rescue randy" out of the way)
  14. I have to agree with the masses here. Would a pilot be allowed to fly with a disability that prevented him/her from seeing properly? EMS requires manual labour. Allied services may or may not be there to help when you need them. If you are only 2 people, your problem has just become the patients problem and that goes against the "first, do no harm" rule which should never be compromised. In Ontario, we just heard that the minimum lift load for a 2 medic crew is going from 195 to 205lbs. (Stop eating people!). As an average sized male, this is not a big deal for me but for some of
  15. To add...We are taught that for a hip or tib/fib Fx. The max should be 10% to a max of 5 lbs. The point is to restore the limb to as near normal anatomical alignment as you can, reducing impingement on neuro/vascular structures. The force required will vary by pt. We practice alot with the Sager (fiddlely bugger, with all that velcro) although the pro's tell us that they seldom use it. That being said, one of our instructors used one a couple a weeks ago on a broken femur resulting from fall off a roof. Happy politically correct seasonal greeting inseted here. :bigsmurf:
  16. Based upon my 20+ years management experience (outside of EMS), unless this is a chronic offender with respect to carelessness (Doesn't seem to be the case by what you have written), I see no need for termination or other punitive measures beyond the "office chat" and an examination of what could be changed going forward to reduce the chances of this happening again. If we shoot everyone who makes a mistake, no one will ever own up to making one at that's not a good situation to be in. I'd even consider getting the offender involved in implementing any changes to protocol.
  17. EMS - Fighting Natural Selection or EMS - The Last People You Meet Before You Die May Shock You Seen on T-shirts someplace
  18. Now that we are totally off on a tangent... The captain of a girls rugby team visiting from Australia was being interviewed on local CBC radio, a pretty conservative station (kind of like PBS in the US). The interviewer asked the captain about the protective equipment the girls wore when they played, in specific she inquired whether they wore a "jock" or a "jill", as the genital protective cup is known in mens/womens hockey. The visitor seemed somewhat puzzled by the question, being unfamilar with hockey, but then exclaimed "Oh, you mean a manhole cover!". The was a considerable peri
  19. Anyone got a bucket? (I feel slightly ill after the fork answer - oh boy!) Sounds similar to the "if you were a salad, what kind of salad would you be?" This was an infamous 70's interview question. thanks becksdad - These questions are to you to get you thinking on your feet in an interview. Not sure if they are based upo a real case but it was tossed at some students by a Team Leader during a recent event at Paramedic HQ.
  20. "First off, the only acceptable reason to attempt harm to a patient is in self-defense. My safety comes first, then my partner, then my patient." Yes, but what if it wasn't self-defense? Maybe the pt. said something derogatory about the medic's ancestral origins. What then?
  21. What are the best interview questions that you have received or heard of? Give a suggested answer if you want. I'll start: "You see your partner kick a patient. What do you do?" Possible answer. "My partner has now become a "hazard". As the safety of my patient comes first, I will take actions to make sure they are safe. I check my pt. to make sure that they are uninjured. If they are unhurt by the kick, and if I judge my partner able to drive us safely to the hospital, I will take over patient care, while he/she drives. Once we get to the ER, I will tell my partner to stand
  22. As my flame-retardant suit is at the cleaners, I won't venture a comment on the pro's/con's of fire dept. medics, however in our region, the entry requirement for P-school students is the same level of training as our fire guys have who are working, so on the first day of class, all PCP students are as trained as any firefighter in our city. (This is a little known fact to John Q. Public). As per a previous post, a BLS crew can pass up to an ALS, but I don't think the opposite happens. The target for our city is to have 100% mixed BLS/ALS crews as a minimum staffing configuration. Each med
  23. "There is no cure for stupid"
  24. Armani? Seriously - I called the local store. The jacket I looked at is the 25" drytex duty jacket. Model I1010 The one I looked at has highvis sleeves as previously described. The web seems to show the regular colour. http://www.rnicholls.com/catalog.php?lang=...uct&id=1845 These jackets come in XS size in both short and regular lengths. The lady I spoke to checked their inventory and the main office in Longueuil (pronounced "long gay") has 10 short and 4 regular in stock so could ship asap. The Longueuil # is 450-442-9215. It's in Quebec in case you haven't figured that out
  25. For winter look North! Try calling Nicholls in Ottawa. I was in there the other day and saw 2 kinds of winter EMS jackets in XS. One was a very nice high-vis hybrid (Sleeves, lower abd high-vis, rest dark blue), the other was more traditional all dark blue. Both have reflective stripes as they are made specifically for EMS. We get -30C up here, so I'm betting these would do the trick for NC. I think the high-vis was $179 ($US 159) and the other $149 ($132 US). Not sure what shipping would be but they could tell you. My wife is the same size and I'm betting they would fit her. Ni
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