Let’s Talk About POCUS

LET’S TALK ABOUT POCUS By Cristina D’Alessandro   POCUS Background Portable ultrasound is a burgeoning technol-ogy with unrealized potential at a critical point in its evolution 1. Now reaching its “tipping point” it is being rapidly assimilated into many medical specialties beyond radiology 2. The emergence of ultrasound, especially in its hand-held porta-ble form, carries unexplored theoretical poten-tial to alter clinical decision-making, improve time to perioperative care and enhance triage 1-3. Francis Galton first generated ultrasound waves in 1876, however … Read More

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

I Can’t Change The Direction Of The Wind, But I Can Adjust My Sails

By: Mike Billingham It looks like the winds of change are reaching paramedicine in Canada with the paramedic degree initiative on the horizon. In case you haven’t heard, the Paramedic Association of Canada has a vision to move toward a degree paramedic program by 2025. As you might imagine, any change in the workplace usually triggers big questions. Like “What does this mean for me?” The short answer is “probably not much in the short term”. But we are definitely at … 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

The Evolution of the Paramedic

Introduction The role of the paramedic is one that is rapidly evolving, across many countries. Demands placed on health services, offload delays, cuts to budgets, increased expectations from the general public and an increasing older population all place the paramedic profession at a crossroads in its development. Paramedicine has yet to figure out where it belongs. Does it belong in public safety? Does it belong in healthcare? The road less travelled requires the paramedic profession to be pursue identity as … Read More

Training For Attendants Available In September (1978)

For the first time, an emergency medical training course, recently approved by Northern College, will be offered north of Sudbury to ambulance attendants to improve emergency services in the north and to bring these in line with those in southern Ontario. Because provincial legislation requires that all ambulance employees hired after August 1977 must study an Emergency Medical Care Attendant (EMCA) course at a community college to make them comparable to a paramedic, Northern College has agreed to sponsor such … Read More

Paediatric Patient in Paramedicine

Whilst paramedics, emergency medical technicians (EMT) and students manage complex clinical cases as a part of their professional roles, many will find paediatric patients somewhat alarming and confronting. This is likely attributed to a deficiency of paediatric exposure for most crews. As a result the limiting exposure to paediatric patients, a somewhat deficient assessment is sometimes performed. This short article attempts to simplify this issue by providing two simple paediatric specific assessment tools for use by paramedics and students in … 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

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