tag:blogger.com,1999:blog-13233701.post6002963644358575040..comments2023-10-14T04:49:08.458-07:00Comments on Drug-Induced Hallucinations: AirwayPDXMedichttp://www.blogger.com/profile/13523700840591813388noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-13233701.post-83482327937822562762010-08-25T08:33:03.876-07:002010-08-25T08:33:03.876-07:00Hi There!
Love your blog. I am a BLS/EMT(Technical...Hi There!<br />Love your blog. I am a BLS/EMT(Technically a PCP, Primary Care Paramedic) in British Columbia. We have the system you are proposing, with ALS (Acute Care Paramedics) cars responding to key worded calls like "Chest Pain" and "Shortness of Breath" as well as able to respond to a PCP care requesting help (bad airways, call went sideways etc). But these cars are only in cities. I work in rural Northern BC, where transport time is sometimes 2 hours to a hospital. When you are 10-15 minutes to any hospital I don't see a need to stay on scene for 20 minutes to do an intubation. Where I DO see a need is in rural areas like mine. The downside is the ALS car working out of those stations are not going to get the high ALS call volume that they need to stay practiced. What can you do? I wish though that BC would let its PCPs perform alternate airway maneuvers (Like the king or a combi) for situations like mine. I think change is coming though, and Seattle seems to be a leader in a few things Pre-hospital care (CPR success rates I know is another area they seem to excel in). Great article, and great writing in your blog, you have another follower! :DUnknownhttps://www.blogger.com/profile/15755721121432697718noreply@blogger.comtag:blogger.com,1999:blog-13233701.post-29381044646314325432009-12-29T20:05:56.499-08:002009-12-29T20:05:56.499-08:00How many of those misses did the ER docs struggle ...How many of those misses did the ER docs struggle with? Or use the glide scope with or have the chance to RSI and properly sedate the patient?<br /><br />I agree that Paramedics as a 2 year program is not that long, in Ontario that is for the basic life support level - which differs from province to province. The third year is your advanced levels - and we do x number of tubes in the OR during clinical shifts.<br /><br />I am totally an advocate of the best practice is BLS, and that it is a bonus to have ALS, but I also believe that we need more studies and proof that what we do is right or wrong, or needs changed. How many of these studies and how much of our practice is based on hospital settings.<br /><br />One thing I agree with - the programs don't need to be 50 - 75 students. I think it should be much more selective and focus on high level of training and skill.<br />Thanks for the discussion.<br />Cheers.<br />- new medic 10.new medic 09.noreply@blogger.comtag:blogger.com,1999:blog-13233701.post-72628403920596115062009-12-24T23:15:57.688-08:002009-12-24T23:15:57.688-08:00Yeah? With who's money?Yeah? With who's money?Drew Rinellahttps://www.blogger.com/profile/04643051934872137743noreply@blogger.com