sledogg1

I can see why Toradol would not be popular for in field abd pain,,,,,,,,,,,,,,,,,,except allergy to M/S, but M/S is short acting and your pt will thank you and your stress level will be low. School is school.............this is real life and u as a medic have to think out of the box. You as well have OLMC don't be afraid or ashamed to use it........................CYA.

Ok..........this chicky is pissed off with the world and is a TCA OD........ give her the O2, IV, monitor 12 lead.......iv bolus, watch for the sz her BP is hypotensive (bolus) QRS >10MM wide complex tachy bolus 1 mEq/kg bicarb iv transport. You don't vagal or give adenosine to wide complex..................... thats monomorphic thats amiodarone or lido then 100 j biphasic cardiovert or polymorphic magnesium 1 g iv/ lido or amiodarone 100 j cardiovert unless pulseless 200j unsync. Like must school nurses she/ he is a twit..............

Wrong forum.....................but we are all burnt out somewhat

Wrong form.....................but we are all burnt out somewhat

Saw a new show on Tues night called Risk Takers with LA Fire/ Paramedics. Not bad, except the OD that was bounching around on the stretcher :oops: any of you on this form?

Come to Nova Scotia.................the company will give u materity stretchy pants and a year off with pay Our little 1 turned 7 months this month............boy it goes quickly. Enjoy.

Adenosine is a no-no for asthmatics and broncospasms...............did she go into flash edema from the salbutamol now CHF, can't cardiovert V/S stable.

It's a traumatic arrest, but would be interesting digital intubation, epi, atropine , pace, dopamine or epi gtt. Thats if you had 20 mins on your hands.

I am trying to be nice...................its hard

Hopefully soon, knock on wood......haven't missed 1 during an arrest yet.

Just updated my ACLS and a big thing was Adult IO's............we do infant IO's here, just wondering who does adult IO's out there.

Up to $23.84 step 5 ACP after a 3% raise.................waiting for next contract in April 08............it should be very interesting.

Went to Holland College, PEI for EMT.............in 1990 now PCP, Davenport Universiy in 95 for EMT-P and refreshed Atlantic Paramedic Academy in Moncton NB for ACP. Where u a medic in Amherst.........george nbbi

Regarding Abdominal Pain: Narcotic analgesia was historically considered contraindicated in the prehospital setting for abdominal pain of unknown etiology. It was thought that analgesia would hinder the ER physician or surgeon's evaluation of abdominal pain. It is now becoming widely recognized that severe pain actually confounds physical assessment of the abdomen and that narcotic analgesia rarely diminishes all of the pain related to the abdominal pathology. It would seem to be both prudent and humane to "take the edge off of the pain" in this situation with the goal of reducing, not necessarily eliminating the discomfort. Additionally, in the practice of modern medicine the exact diagnosis of the etiology of abdominal pain is rarely made on physical examination. Advancement in technology and availability has made laboratory, x-ray, ultrasound, CT scan, & occasionally MRI essential in the diagnosis of abdominal pain. Therefore medication of abdominal pain is both humane and appropriate medical care. We can give morphine for Abd pain NYD, lasts 20 mins and it will be back, dx with a ultrasound,ABG's.Don't let your pt's suffer if you have the tools and knowlege to see whats going on............Drs tx these pt's on without pain meds on board and it is wrong on cruel. If you have OLMC call them, explain what u have........CYA.

So..........Paramedics can't operate without EMT'S ..........................and vise-vera , AND THE PEE THING not very nice. This class has alot of work to do on the subject of teamwork. This is way there are boneheads out there with god syndrome

Congrats on the passing of the NREMT Exam, welcome and be safe. Chris Mizuik EMT-P Level 3 ACP Emergency Health Services Nova Scotia

I would do a saline lock not a full iv, is this for the nausa???? but again your partner could do the 12 lead and reassess v/s while you obtain a iv, or u can do it enroute if your pt can wait. What was the outcome of the pt, l/s was it CHF or the flu???

I was wondering if anyone still collects patches/crests out there. I haven't done it in years and hoping to start it up again. If you want to exchange a patch, email me at chris.mizuik@emci.ca. Thanks Chris

Good job, you did what u could do. It was a traumatic arrest so CPR would not have helped............ look after yourself and if you have anymore questions, etc let us know and i am sure we will be there for you. Take Care and thankyou for your assistance. Chris

AUSTRALIA NEWS ** An ongoing shortage of paramedics in Queensland has prompted EMS brass to recruit practitioners from England. The Courier Mail (Jodi Munro O’Brien/April 12) said over 100 providers have so far made the committment, with 5 already on the job. Since March 2006, demand for EMS workers in the state has risen 20.5 per cent. Ambulance Employees Australia Queensland secretary Stephen Crow said 250 new practitioners a year for the next five years are needed to right staffing levels. Sry to hear that, thats a kick in the butt as a CCP to a ICP but the surfing and biking would be heaven. Thinking of the Ornge course and do air med out of Moncton NB. Take care.

CCP Canadian in kangaroooooo land. Must have let u in with open arms or u had dual citizen ship. So, what did a CCP get u.?And what can a ACP get u? Where did u do your CCP at.................. we where CCP trained but do to paperwork.accredition crap.

Sry wrong spot -5 for the f..... u.

When the Lord made Paramedics, he was into his sixth day of overtime when an angel appeared and said, "You're doing a lot of fiddling around on this one." And the Lord said, "Have you read the specs on this order? A paramedic has to be able to carry an injured person up a wet, grassy hill in the dark, dodge stray bullets to reach a dying child unarmed, enter homes the health inspector wouldn't touch, and not wrinkle his uniform." "He has to be able to lift three times his own weight, crawl into wrecked cars with barely enough room to move, and console a grieving mother as he is doing CPR on a baby he knows will never breath again." "He has to be in top mental condition at all times, running on no sleep, black coffee and half-eaten meals. And he has to have six pairs of hands." The angel shook her head slowly and said, "Six pairs of hands...no way." "It's not the hands that are causing me problems," said the Lord, "It's the three pairs of eyes a medic has to have." "That's on the standard model?" asked the angel. The Lord nodded. "One pair that sees open sores as he's drawing blood and asks the patient they may be HIV positive, " (When he already knows and wishes he'd taken that accounting job.) "Another pair here in the side of his head for his partners' safety. And another pair of eyes here in front that can look reassuringly at a bleeding victim and say, "You'll be all right ma'am when he knows it isn't so." "Lord," said the angel, touching his sleeve, "rest and work on this tomorrow." "I can't," said the Lord, "I already have a model that can talk a 250 pound drunk out from behind a steering wheel without incident and feed a family of five on a private service paycheck." The angel circled the model of the paramedic very slowly, "Can it think?" she asked. "You bet," said the Lord. "It can tell you the symptoms of 100 illnesses; recite drug calculations in it's sleep; intubate, defibrillate, medicate, and continue CPR nonstop over terrain that any doctor would fear...and still it keeps it's sense of humor. This medic also has phenomenal personal control. He can deal with a multi-victim trauma, coax a frightened elderly person to unlock their door, comfort a murder victim's family, and then read in the daily paper how paramedics were unable to locate a house quickly enough, allowing the person to die. A house which had no street sign, no house numbers, no phone to call back." Finally, the angel bent over and ran her finger across the cheek of the paramedic. "There's a leak," she pronounced. "I told you that you were trying to put too much into this model." "That's not a leak," said the Lord, "It's a tear." "What's the tear for?" asked the angel. "It's for bottled-up emotions, for patients they've tried in vain to save, for commitment to that hope that they will make a difference in a person's chance to survive, for life." "You're a genius," said the angel. The Lord looked somber. "I didn't put it there," He said -- Author Unknown

All schools in Canada require u to have the BCG vaccine...............what school did u go to?????? It is a legal liability to send u to the street without it.

We use to back in the late 80's then now we wear tags with ID Number, Color Coated for level Green PCP, Blue ICP, RED ACP and Gold for the Flight Medic CCP suppose to get photos put on. Chris