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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

Crisis Communication

The COVID-19 pandemic has given rise to crises across multiple spheres, and this has often caused panic or confusion, prompting behaviors that exhaust resources and spread infection. The pandemic has also changed the way businesses and organizations operate, including how they communicate with employees and other stakeholders [1]. It stands to reason that the need for communication is more than usual in a time of crisis. However, there is a delicate balance between addressing the individual’s communication needs and overwhelming … Read More

PTSD AND ME: A SHORT STORY

It hit me like a tonne of bricks. Me? It’s not possible. I’m not in that bad of shape! Or am I? A wild range of emotions went surging through my body when the person sitting across from me told me that after all my testing was completed, I had a confirmed diagnosis of P.T.S.D. Initially all I could do was stare. I had no words. Silence. To ease the moment, I stood and walked to the back of the … 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

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

World Patient Safety Day

Words by: Alejandro Olryd Let’s face it. We’ve all done it. It’s our dirty little secret and we hope no one notices but we’ve all been there. I’m talking about clumsiness with patients. You know, you stand up to get the monitor and trip on their feet, forget to strap them in properly, walk too fast while moving them on the stretcher… and a myriad of other things that every single one of us has done at some point of … 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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