The Safety And Efficacy Of Morphine Vs. Fentanyl In The Pre-Hospital Setting: A Critically Appraised Topic

The Safety And Efficacy Of Morphine Vs. Fentanyl In The Pre-Hospital Setting: A Critically Appraised Topic By Dan Piquette, AEMCA, PCP Peel Regional Paramedic Services Brampton Introduction and Clinical Question Acute pain is a significant consequence of many medical conditions and is a common reason for ambulance system activation in many countries (1). In fact, in 2014 it was the number one reason for emergency depart-ment visits in the United States (2). There are many medications available for treating pain, … Read More

LIFESUPPORT Interview

Paramedics play an important role in international air ambulance missions, helping to move patients safely home when they become ill or injured while abroad. Canadian Paramedicine recently caught up with Graham Williamson, CEO of LIFESUPPORT Air Medical Services, Inc. to talk about the critical work performed by Paramedics on international air ambulance missions. According to Williamson, Paramedics are often dispatched on international medical evacuation missions around the world, particularly when the situations are complex and the demands are high. “Paramedics … Read More

THE FACES OF FATIGUE

Fatigue is a legitimate and dangerous problem affecting many paramedics and first responders today. On November 1st, 2017 I began painting 100 paramedics portraits over 100 consecutive days. I initiated this journey with the intention of creating awareness surrounding the important issue of EMS fatigue. This project is nothing short of an artistic marathon, inducing fatigue in myself, to raise awareness about fatigue in the field of paramedicine. As soon as the project launched it quickly became evident what an … Read More

Crews treat a range of critically injured patients at Icefield rollover

BY DEBORAH TETLEY, SENIOR COMMUNICATIONS OFFICE, AB, STARS When the call came into the STARS Emergency Link Centre (ELC) that a glacier sightseeing coach filled with passengers had overturned, with many fatally and badly injured patients, crew members at all three Alberta bases jumped into action. In Calgary, transport physician Dr. Mike Betzner launched an urgent assessment of where all the STARS resources were, and a decision was made to dispatch helicopters to the scene from Grande Prairie, Edmonton and … Read More

Transport of the ECMO-Dependent Patient: Introduction, Indications, and the Novel Role of Critical Care Paramedics

Transport of the ECMO-Dependent Patient:  Introduction, Indications, and the Novel Role of Critical Care Paramedics.   By Francis (Kelly) Sheppard. DHSc M.Ed BHSc AEMCA CCP and Dr. Russell D. MacDonald. MD MPH FCFP FRCPC.   Introduction and Background Extracorporeal Life Support (ECLS) is an expanded scope of therapies offering heart and/or lung support. Such therapies include Ventricular Assist Devices (VAD), Impella heart pumps, Extracorporeal Carbon Dioxide Removal (ECCOR) and Extracorporeal Membrane Oxygenation (ECMO). These various therapies can assist in treating … Read More

Horse-Powered Ambulances (2012)

Horse Powered Ambulances By: Peter Adsten In 1940 the armed forces of Germany invaded The Netherlands and soon after a shortage of gasoline and diesel fuel resulted in the closing of 9,000 of the Netherlands’ 12,000 refueling stations. The occupying forces also appropriated many of the motorized vehicles in The Netherlands, including ambulances. Although the call for ambulance service in The Netherlands was as great as ever, without fuel, the few remaining ambulances were useless. Ingenuity was required. Some ambulances … Read More

Crisis: A note to the new medics

By: Robin Young A non-EMS work acquaintance of mine went out on a ride along recently to observe the local paramedic service in action and bring those experiences back into the classroom. She was surprised at how many persons in crisis her paramedic crew had to see during their shift, the intensity of some of the crises and how the crew effectively dealt with each one in a very short period of time. Working in paramedicine is the ultimate school … Read More

Hallway EMS (2010)

Hallway EMS By: Darrell Bardua   As EMS Off-load delays in the emergency department continue to plague systems across North America and beyond, are we prepared to meet the demands of our patients in this setting? Most paramedics are clinically prepared to manage patients in the hallways of emergency departments. However, there are more than just clinical implications. A new set of skills is often required to get through these extended delays in the transfer of care. Many of these … Read More

Gorilla in the Mist (2008)

By: Steve Urszenyi, A-EMCA, ACP It’s 3 a.m. and you’ve been called to a residence for an 83-year-old woman who got out of bed to use the washroom. In doing so she tripped over a pile of laundry that was laying in the middle of her bedroom in her less-than-tidy little apartment over the Three Sheets Laundromat. Her 61-year-old daughter meets you and tells you that “Mum hasn’t been doing so well for the past few months, ever since getting … Read More

I can’t hear you!

Article published in the 1996 October / November Edition Words by: Heather Mackenzie-Carey Consider the following scenario. You are dispatched for a conscious, breathing 45-year-old male patient complaining of chest pain. It’s a cold snowy night and you were on the phone to your “significant other” discussing the weekend plans when the call came in. Your partner is not your regular partner as he is off sick. You are attending so you ask the patient appropriate history questions while your partner … Read More

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