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FM2020 – Editorial

Obituary of Chris Skelton Chris “Bones” Skelton, 1953-2020. With his family by his side at St. Joseph’s Hospice in London, ON,  Chris “Bones” Skeleton passed away at the age of 66 on January 12, 2020. Beloved husband of Lou Ann. Father to Peter, Chris Jr and Lauren. Grandfather to James and Robert and brother to Tom. Chris will be fondly remembered by his second family Middlesex London Paramedic Service where he proudly served for 46 years. Chris was an amazing

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Community Paramedicine: Part of a Modern Emergency Health Services System

By the Ontario Community Paramedicine Secretariat (OCPS) Established in 2018, the Ontario Community Paramedicine Secretariat (OCPS) mandate supports the community paramedicine network in Ontario, enabling and facilitating work on the creation and dissemination of standardized care processes, performance reporting and measurement activities, and aspects of knowledge translation and exchange. The OCPS Steering Committee has representation from multiple key stakeholders including Ontario Health, the Ontario Association of Paramedic Chiefs, and frontline community paramedics. The OCPS was established at a time of

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The Community Paramedicine Glossary: Frequently Used Terms and Definitions

Included here are a number of frequently used terms and their definitions used by the Ontario Community Paramedicine Secretariat (OCPS). By submitting them to Canadian Paramedicine for inclusion in this issue, we hope that they can help promote discussion amongst the broader paramedic community across Canada with respect to community paramedicine. Community paramedicine program: a program that uses paramedics to provide immediate or scheduled primary, urgent, and/or specialized healthcare to vulnerable patient populations by focusing on improving equity in healthcare

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It’s Not Just All Grandmas And Cookies: A Day In The Life Of A Rural Community Paramedic

Let me paint the scene. It’s a dark, overcast, cold day in December. I’m the first to arrive at the small paramedic station, so I turn on the lights, pour a cup of coffee, and start preparing for my day. This year will be my 25th as a paramedic, so yes, I’m old, stuff hurts, and there is a lot more grey on my head these days. For the past five years I’ve been a Community Paramedic (CP) in Grey

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Launching and Evaluating the County of Simcoe’s High Performing Community Paramedicine Program

The emergence of Community Paramedicine (CP) in Ontario has challenged Paramedic Services to change the way they think about supporting individuals in the community. Community Paramedicine shifts the focus of service delivery from being traditionally reactive, to preventative and supportive. Although approaches to supporting patients through Community Paramedicine vary from service to service, all programs benefit from partnerships with local community and healthcare service providers. Partnerships are the foundation of a successful CP program, and a key element of program

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A short History of Community Paramedicine in BC

A fairly long time ago in a land far away, a community paramedic program was conceived. Community Paramedicine got its start in Canada back in 2001, on Long and Brier Islands, remote communities in southwestern Nova Scotia. This innovative project was developed based on a theory that patients could be treated at home instead of traveling over land and sea to be treated. The proposal also predicted that patients would be happier and that the government would save a significant

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A Community Paramedic Approach to Addiction in the Community

A major issue presenting across Canada is the number of opioid related deaths. Since 2003, the number of deaths has increased 136 per cent with more than 850 deaths in Ontario from opioid-related causes in 2016 (Public Health Ontario, 2018). The key concerns with this issue are the alarming rising numbers of users and related overdose deaths and that users are not getting the necessary help or support to overcome the addiction. Niagara EMS has recognized the need to take

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Community Paramedicine: Specialized Education

Healthcare systems worldwide and here, at home are facing delivery challenges. These challenges have been brought on by population growth, epidemiological demographic transitions, that is to say, the increasing burden of chronic diseases and population aging in addition to a shortage of healthcare providers [1 p. ii]. Paramedics have evolved and adapted from a one-dimensional practitioner who initially only responded to emergencies to become an indispensible member of a mobile integrated health team (MIHT). Community Paramedic program themselves are noted

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A look at BCEHS’ Paramedic Response to Overdose Calls Across BC

BC Emergency Health Services (BCEHS) is the sole provider of out-of-hospital emergency care and inter-facility transfer in British Columbia, and is the largest emergency medical service in Canada. BC Emergency Health Services (BCEHS) paramedics continue to be called to an incredibly high number of overdoses across the province. In 2019 that amounted to 24,166 overdose calls, or an average of 66 calls each day for a potential overdose. BCEHS has been monitoring the overdose crisis since it began in 2016

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UK Paramedic Student’s Experiences in Vancouver

I am a 22-year-old Paramedic Science student at the University of Surrey in the UK. The 3-year degree programme is split equally between university and working shifts with the South East Coast Ambulance Service. In summer 2019 I had a 3-week placement with the British Columbia Emergency Health Service. UK Paramedic Student’s Experiences in Vancouver Between our second and final year of study we have the chance to organise an Elective Placement to explore practice areas of interest or investigate

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Bridging the Gap –Primary Health Care Paramedics/Community Paramedicine in Australia

Introduction The Australian health care system is a world class scheme that includes private insurance companies, not for profit organizations, allied health, public and private health providers and all three levels of government (federal, state and local). In other words, it is a rather complex network of providers, and like many other westernized countries, Australia’s population is changing. Its population is growing, maturing in age and culturally, we are making poor lifestyle choices. For these reasons the Australian health system

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I Never Saw It Coming

In 2019 I had a very unexpected and unwanted visit from P.T.S.D. I say unexpected because I did not realize at the time what was happening. There I was making my way through day-to-day life the same as we all do until suddenly, I wasn’t. I was at a dead stop. I couldn’t focus. I wasn’t functioning. I wasn’t living. I was just … still. As a hobby writer I tend to write many thoughts and stories down anyways and

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Role of TXA in Management of Traumatic Hemorrhage in the Field

  Art Proust, MD, FACEP and Kyee Han, MBBS, FRCS, FRCEM   The guidelines and references contained in this document are current as of the date of publication and in no way replace physician medical oversight. Introduction Hemorrhagic shock remains a serious problem for the multiple trauma patient. It is the leading cause of preventable trauma deaths after loss of airway. Rapid and effective control of exsanguinating hemorrhage has been demonstrated to markedly improve survival and outcome, especially in the

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The Canadian Resuscitation Outcomes Consortium (CanROC) Paramedic Primer

By Nick Sajko & Judah Goldstein The out-of-hospital component of medical care begins with a 911 call and often ends on arrival to the Emergency Department. In this setting, a wide breadth of medical issues can be encountered, the most serious of which require out-of-hospital resuscitation (OHR). Although a broad category, OHR mainly involves two major conditions, both of which are associated with high mortality and morbidity rates. These conditions include: 1) out-of-hospital cardiac arrest (OHCA), and 2) major trauma.

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