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AS2020 – Editorial

In my 20+ years in EMS, I’ve had the fortune of working on all types of settings, urban, rural, remote, sports, industrial and even on a motorcycle, days, nights or mixed shifts; this allowed me to experience the different challenges in every one of them. Even though Mexico City is 100% an urban setting, the traffic during rush hours, anytime between 0600 and 2100 hours, will make your response times as long as any rural settings; in the same way,

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The Polar Opposites … or not? Comparing rural ambulance in Canada and Australia

Two ambulance crews respond to two different incidents simultaneously. Both crews are highly skilled practitioners, both crews are halfway through their shifts, both crews are using specialised vehicles to make the journey, and both crews will take approximately 70 minutes to get on scene. The dispatch information sent to one crew indicates that they are responding to a bear attack on a remote property whereas the other crew is sent information from dispatch that they are responding to a jellyfish

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A Rural Call in Mexico

It’s 9am on a Saturday. You and your crew are at the gas station filling the tank for the next shift when two calls come in simultaneously. The first, a pregnant woman 5 minutes away; the second, a single vehicle accident with four victims, possible fatalities and life threatening injuries 20 minutes away. You are the nearest ambulance for both calls and the next closest ambulance is 30 minutes from your current location. Which do you take? There is no

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Case Study: Navigating Complex Palliative Care Calls in Rural Areas

Editors Note This article is meant to spark a discussion on a case that we may all face at one point or another. The article does not represent Canadian Paramedicine’s point of view nor that of its representatives. Feel free to send your opinion on the questions at the end of this article to mail@canadianparamedicine.ca and we will publish some of the answers received. The collision of poor family dynamics with the grind of prolonged caregiving puts the paramedic service

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Rural or Urban? Doesn’t Matter in Saskatchewan

Saskatchewan has 651,900 square kilometres with a population, in 2017, of  1,174,000 people; Half of the population is almost evenly distributed between Regina and Saskatoon, the rest of it is spread in roughly 435,000 square kilometres (1); this area is covered by 105 ground ambulance services, air ambulance and STARS. According to Statistics Canada, The term “urban” was used intuitively for a concentration of population at high density or a population of at least 1,000 and a density of 400

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Op-Ed: The use of Video Laryngoscopy Versus Direct Laryngoscopy in Rural and Remote Settings

Disclaimer: The views and opinions presented in the following article do not represent those of my employer or any partner affiliate. They are mine alone. Rural and remote settings can offer Paramedic practitioners some of the most challenging experiences over their urban counter parts. Perhaps one the most stressful challenges a practitioner will encounter in this realm is the difficult airway – in the middle of a pandemic. It perhaps stands to reason, that given the setting and the current

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Air Ambulance: Cancel, or Keep it Coming?

The phones in Ornge’s Operations Control Centre (OCC) ring 24 hours per day, seven days per week for air ambulance responses across Ontario. Ornge, Ontario’s provider of air ambulance and critical care transport services, transports the most critically ill and injured patients in the province. Approximately 95 per cent of Ornge transports are interfacility, or hospital to hospital, while the remaining transports are on scene trauma patients. When Ornge receives a request for an on-scene trauma response, the OCC will

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Board of Editors

Becky Donelon
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Walter Tavares
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Chris Hood
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Francis Kelly Sheppard
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Mike Billingham
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Steve Whitfield
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Judah Goldenstein
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Dean DiMonte
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Tim Hiller
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