BushyFromOz

John Barnett, contended that the officers were acting within the scope

of their duties when they tried to detain Thomas and that the transient –

who had schizophrenic tendencies -- caused the melee when he "defiantly

disobeyed" a lawful order.

So the bit where he said "these fist are going to fuck you up" was a lawful order? Or the bit then thomas gets scared and he pulls his baton out?

And Bushy...you studied in NSW, did ride along with the ASNSW, applied to join the ASNSW..but became a Mexican.....maybe it is you that needs a Phsyc consult.....LOL

i had one, it was at rozelle....... they then lost the results and denied they had ever assessed me. I then re-applied, but managed to get committed somewhere else, and im glad i was. The psych ward im in here is much better than some of the shit holes i could have been sent to in NSW :/

Never got a reply?

As much as i question the use of PA, i have in the past also attempted to become a member, and like you the orespondance was lacking to i dropped the idea

Um, its NSW?

my point exactly

porn does sound better though:D

errr yeah...

i was thinking more like sleep debt, depression, unstable rosters, inflexible leave arrangement, shitty workplace cultures, being at the mercy of whether your partner is a good bloke or a fuktard, the ridiculous levels of bullying and harrassment in healthcare, things like that.

eggs benedict

Aside form the violent bit... just looking at the rate of career or life altering workplace injuries that ambo's sustain compared to general population is cringeworthy

Working for ASNSW???

i dont know what your talking about.....

Did you piss in that guys cornflakes kiwi?

We get to help the best and the worst people in the world at some of the worst times of their life.

Being an EMT can be very dangerous at times

Or, we are helping the worst people in life while the best people are walking in the front door of the hospital because they "didn't want to bother us"

One day im going to write a list of the things i wish people had told me before i cam a paramedic, included would be all those nasty little "hidden costs" of being an ambo, and a shift worker, that they dont tell you about.

Nope... PA has a good set of ideals but they are piss poor in my opinion at selling themselves. Yes they are a lobby group and yes they will probably end up being our professional collegiate but at the monent they will get 300 bucks of your money and offer almost nothing unless you live in a Sydney, Brisbane, Melbourne or Adelaide which makes them a pointless affiliation for most of us.

Bushy me old china, sound a little like sour grapes.........lol Besides...MICA (mobile intensive care ambulance).......why have that name, yet to see an ambulance that isn't supposed to be mobile....so do you have SICA or PICA in mexicoland? (Stationary intensive care ambulance and parked intensive care ambulance) Have a good 2013 bushy and my friend south of the border

No mate the grapes are good. Brown Brothers is putting out some great reds this year, but the fortifieds from campbells are better

it was MICA because it was initally designed as a mobile IC type setup using Dr's and regular ambo's to do the lifting etc, so it was a MICA unit. MICA Paramedics came later

By the way, MICA = Most Incompetent Crew Available

Of course the acronym for SCAT is better

The old Ambulance Officer level has been renamed Emergency Medical Technician and no sir, I do not like it; I would much prefer we adopted Primary Care Paramedic like in the Canuckistanada although that would require renaming Paramedic to Advanced Care Paramedic which I do not mind.

I never did understand why AV and QAS named the Paramedic level ALS and ACP respectively; confusing!

Politics

Some governmental ass clown made an election promise to have "paramedics" on every truck, only thing was that he only "Paramedic" in vic was MICA = big $$$$, so the silly pratt couldn't find the money and made up some new names

The old ambulance officer became QAP's (qualified ambulance paramedics)

When ALS skill set was was added to QAP's they became ALS Paramedics

MICA stayed MICA

To be fair the ALS bit came with a diploma level education through monash uni

Because they are Queen slanders and Victorians....does it need any more explanation........

Yep... they had the foresight to have a title that reflected their role instead of giving them a "level"... sounds like your guys are playing donkey kong half the time

Busy mike, really bloody busy...

i do lurk a little bit but im so tied up with some other stuff that i just dont have time to post.

to think.... this is the subject im going to post on for my first post in a few months.....

You are all well aware of the knee jerk reaction that the government took here in the wake of the port arthur massacre in 1992. Firearms ownership is not illegal, but is quite restricted. Semi automatic refiles are banned, firearms are legal provided you are a member of a sporting club and compete 'x' number of times per year. Hunting is a reasonable excuse for ownership but you have to hold permits to shoot on publuc land and letters from landholders for private property

The regulations on storage and transport is strict, the penalties heavy.

Self defence is not a legitmate reason for ownership

The bleeding hearts here will try and tell you that after the new legislation came into effect, firearm related homicides are down, so is firearm related suicides. Pro gunners will say since "disarmament" violent crime is up. The statistcs say though that suicide rates have increased with the method of suicide being substituted. I recall an article form the ?? crime institute, saying that suicide by firearm reducing had more to do with the cessation of a decade long drought than the new firearms laws. In anycase the firearm related suicide had been reducing for 5 years befor the new laws came into being

Fire arm related homicde was decreasing before the new laws came into effect. Academics have pointed out many times hat the homicide rate was to do with gang and drug related crime, and periods of economic depression when crime increases. Statistical differences in reducing homicide by gun was linked heavily with breaking up of major crime and drug syndacates and had little to nothing to do with the fire arms laws. homicide rates have actually increased but the method is subtituted. There is also an academic article floating around saying that in the vast majority of homicides the outcome would have little to no change should the deceased have been carrying a firearm in the circumstances of their death.

Given our experience, I dont honestly believe that removing any particfular type of firearm will ultimately change the situation. If the desire is there then the method will be substituted. Mcveigh didn't use a firearm and he still killed a lot of people. The same or similar method could be used in any of the recent massacres.

Interestingly when a person starts shooting people the the media calls it a massacre. When the deaths are caused by explosives the media calls it a "bombing"

I have no opinion on fire arms for self defence, the only thing i will say is that i dont believe it is a step that is necessary in Oz at this time

rebuilding a 1969 ex australian army landrover 2A

So does the promotional exam give bonus points for writing like a junior high text?

Fantastic

As to the article....

Seems to be a fair bit of apathy on the part of the ambo's, i wonder what the story is there? no one comes to work to do a bad job, stuff like this always has some kind of cultural factor or preconditioning leading up to the mistake. I mean they could have been the perfect crew for the previous ten thousand bullshit jobs they did for the year and they get complacent for one job and it turns to shit on them

Still no gear = no assessment and is bad juju either way.

Time on scene to time of arrival at hospital = 20 mins? sounds reasonable to me

"give people oxygen so they will live" is a bit annoying

I wonder what they were doing for the other 7 minutes on the driveway?

I wish EMS would take a page from the airline industry point of view, and instead of investigating with the view to decide if punitive action is required against thoise being investigated, they should look at the system.

Medic got tunnel visioned

Why did medic get tunnel visioned

Medic performed procedure not supported

Why did not medic perform said procedure

Medic allowed EMT family member to stay on scene

Why did EMT remain on scene

If the system is not at fault then the medic is then up the creek in a barbed wire canoe. I know why my lot dont to a systems analysis, and its because they know its busted and they dont know how to fix it.

You dont see any of these articles saying "medic X was cautioned, suspended without pay for 1 month then placed on a rigourous re-education program and probation for 2 years". Sacking doesn't really get to the rot of the problem

Kat

Ive been reading through some of the judgement from you professional body and it concerning to me how rigid their application of "scope of practice" is

I didn't read anything in any of the judgements i read, none mentioned anything about clinical decision making that is appropriate at the time

Its concerning, they employ a bunch of motivated, intelligent, educated people place them in a position where problem solving skills are the order of the day then tell them to follow a cook book and any "problem solving" gets you a professional misconduct charge

At least thats the way it reads

Most have been used traditionally, believed to have a beneficial effect

My favourite textbook line "the mechanism of action is poorly understood, however is thought to be mainly due to ..........."

You get the idea

Random,. random, random thought.......

More because ketamine stimulates sympathetic outflow, so it tends to cause tachycardia, hypertension and bronchodilation, at least if the sympathetic nervous system isn't completely exhausted, or the effector tissues unresponsive, e.g. some sepsis patients, a few other conditions. So, if you're going to intubate with something, an agent that might have an added bronchodilator effect is a good idea.

Would you be hesitant to use ketamine as an induction agent for a patient with spinal chord lesion / transection who has a history of autonomic dysreflexia?

A new phenomenon has also seemed to develop over the past number of years. Many of this newest generation are deliberately disrespectful toward their elder colleagues.

True, i find that many of the "problem" Geny Y'ers are often deliberately defiant.

For exaple, one particular Geny Y'er we had when being councilled on wearing thier uniform appropriately around the station argued back that she would refuse to do so based one "not being made uncomfortable in their workplace"

Its even got a name

"butt chugging!

Who comes up with this stuff?