rdelisle

When and what did she last eat? Is she using "diet supplements" to maintain her figure? Also a quick check of the abd would be in order to rule out injury or "corsets"

Perhaps the "String Bikini" or her boyfriend took offence to the Pts advances and kicked him in the head prior to the drowning. Were there any signs of trauma?

HAPPY + WIFE = peacefull living

Any chance he struck his back on the toilet on the way down? Sounds like he may have a pinched nerve left over from temporary swelling around the spine from the impact. Maybe have a check for lumbar spine injuries? Just a thought

Hey Tech welcome to the site and the biz. My first call was to a respiratory distress as a student. When we arrived on scene my preceptor allowed me to run the call. So while trying to demonstrate my new found skills, I upset a security guard by ordering him out of the way of the door, and managed to run right past the patient. #-o The patient was outside sitting on a bench. Needless to say once everybody finished giggling at me " :laughing6: " I learned very quickly to completely assess a scene on entry and don't be afraid to ask questions.

Hi all. I instruct for St. John Ambulance and their current stand according to a memo I just received is until ILCOR gives a decision they will still teach compressions and ventilations for lay people and health care providers. What I took from the studies I read was that they are looking at dropping the ventilation in an attempt to reduce intrathoracic pressure and increase circulation. IMHO I always understood that by creating negative pressure in the chest with compressions the recoil of the rib cage should be enough to draw in a sufficient amount of air.

Is the blood pressure the same in both arms? Also I'd like to check the redness in the axillary region, any swelling or pain to touch?

I know this may be too simple but is any body else in the household possibly Lactose intolerant? While were at it why not listen to the abdomen, does it sound normal?

Hi all. I'm not trying to bump or revive an old thread, however I have a new question on the same subject line. First off thanks to all that responded before. New question is which provinces currently have or are in the process of beginning a Community Care Paramedic Program. Yes I know about Nova Scotia and kudos to you guys for the idea and all your work.

Hi there. I instruct for St John's ambulance and they charge a flat rate of $55.00 per person for the class (level C- CPR) and then pay the instructor a $100.00 per day per diem + $1.00 per person per day to instruct for classes of six or more. If I'm teaching a group of less than six then I'l usually only charge the course cost plus around $20 for myself if I teach it at home. Depending on the CPR level required the price varies. Level A, Adult one rescurer is $40.00 Level C, Adult one/two rescurer, child and infant is $55.00 HCP, CPR for healthcare providers includes defib and BVM is $65.00 I hope that is of some assistance.

Captain Standup, I think perhaps you should have read the note at the bottom of the article Spenac posted regarding age of consent. If you had, you might have noted that where one party is an adult over the age of 18 they can and will be charged if the other party is under the age of 18. Canada is not a "target rich" environment as you surmised and I personally find it insulting that such a thing could be assumed. IMHO if one is under 18 and the other is over 18 then paws off, especially in a position of trust or authority.

Hi all. My missus and I separated right before I started second semester and yes it is a lot of stress. Good news was we got back together about a year after I finished school

Try a fireman's ball (dance) or a fundraising "tollbridge"

IMHO fire should handle the rescue, however the area that I work in is very rural so EMS is often times alone on scene. Also we have members of our Ambulance service that are also Volunteer Firefighters so we tend to do the extrications ourselves, not the best option. If we need Hydraulics(Jaws of life) they have to come in from 35 minutes away and then the crew that brings them uses them. I feel since both fire and EMS have different training they should do what they are trained for and my level of extrication training as a paramedic is basic at best. I'm expected to supervise the rescue and treat the patient, how can I do that and cut a car apart as well? If it's just a matter of pry the door open fine otherwise I call for serious back up.

The police are at your base handing out riot gear and "strongly suggesting" that you wear it till told otherwise.

Hi all. I started off working in factories and driving heavy fork-lifts and always ended up as a safety rep or first aid rep where ever I worked. Then I got my carpentry papers and as I was finishing that course a paramedic course came up. So, long story short I became a medic at 36 otherwise I would have been a carpenter or cabinet maker. I remember wanting to be a medic as a kid and just figuring it would never happen but one never knows now do they, LOL.

Sorry jmac I didn't mean to come across that way. I'm aware you weren't doubting me, I had three kids carrying on in the background and was a little rushed for time. I appreciate all the input I received on this and feel a litttle better about the call now.

Palpated and observed on monitor. I've had to many times that the pulse ox has given me an outrageous number to trust it too much for pulse readings. Also I'm a little paranoid and like to double check when possible.

Jmac to the best of my knowledge the afib was controlled with meds in hospital and determined to be transient in nature with no known recurrence. Also yes the pulse was 56 however it increased to low 60s enroute with constant cardiac monitoring. Patient also maintained a pulse ox of 98% or better on room air and all other vitals remained constant. Perhaps it is as Ak and itku2er stated and nothing more than a healthy 70 year old who is a little tuckered out after playing tourist.

Hi all. I called the ER later on in the day for an update on the patient. He had remained drowsy while in the observation bed and it was discovered he had undergone home cardiac telemetry monitoring two weeks prior with nothing found. However, the ER Doc was just as stumped as myself and after running a 12 lead (negative findings) and blood work (again zip) patient was released. Thanks for all the info both pro and con to transport. Up until the patient stood up I had been contemplating leaving him at home as he was refusing transport. After I seen the stagger I "mentioned" that the patient was more serious than first suspected and "advised" transport.

This call we went on this morning has me stumped. We arrived to find a male early 70s only complaint is from the family stating patient was hard to rouse after drifting off for a nap while sitting on the couch. Vitals were Bp 150/80, pulse 56, respiration 12, BGl 4.9, pupils 4 and perl, temp read as low on our tympanic but patient's skin was normal and unremarkable, 3 lead showed NSR. I did a thirty second stroke (cincinatti) scale and found no deficits. Patient staggered slightly when trying to walk but otherwise unremarkable. Only meds are lasix, asprin, metoclopramide(?), and med for prostate cancer. Patient treated for Atrial fib five years ago with no relapse and no othe hx. Only other symptom was patient slept for 30 minute transport and woke when spoke to. I even asked about ETOH and recreational drugs with negative to both. Patient plays golf x2/week and works out in gym x3/week. Any guesses as to what might be up or if I missed anything.

What were the events leading up to the injury? Was she having a cup of tea just prior to a sudden onset of pain? You gotta watch them spoon injuries they can be serious. Seriously I've seen it happen, patient got distracted while making tea and got poked in the eye by the spoon he used to stir the tea when he forgot to remove it from the cup.

I'm going to guess that the first patient is a dog and the second patient is a family member only because I have seen similar happen before. A couple I knew owned horses and they could get a vet out the day after calling for artificial insemination but had to wait six months to see a fertility specialist so they could have a baby themselves.

Does owning the first three seasons of Emergency on DVD count? If yes then I'm a whacker :shock: :oops:

You could try making him your "Honourary Training Dummy". One instructor I knew did that to a trouble maker when I was in the reserves. They duct taped the "dummy" to a spine board then stood them up in a corner and "forgot" they were there for about 20 minutes, by making the trouble maker the center of attention in an uncomfortable way the trouble maker soon gave up.