Table of Contents
COVER ART DESCRIPTION
The title for this piece is the chemical formula for cellular respiration. Glucose and oxygen meet and are transformed into carbon dioxide, water, and ATP, a readily available energy source.
There are a multitude of places in the body where transformative transactions take place, and this piece is about those places. These transformations can be chaotic and painful, or deeply beautiful and redemptive. Transformative interactions take place in our bodies, our relationships, our work, our experiences, our traumas and resilience.
The work of emergency medicine is a human endeavour. It involves a series of short, intense relationships in times of crisis and chaos; exposure to an assemblage of griefs and joys. It’s in these moments that we transform the most.
Tyne M. Lunn, Cheryl Cameron, Sarah Logan, Becky Donelon There is no quality in healthcare without equity (quintuple aim) which is interdependent between the paramedic and the patient. Quality care is underpinned by a fulsome understanding of the context of the entire community, how women, nonbinary, marginalized, Black or Brown, Indigenous, and other intersectional people experience health is different than what is considered the norm that centers abled cishetero-white males. This edition speaks to and from the perspectives of mostly
Sheryl Thompson & Polly Ford-Jones As the paramedic profession in Canada continues to grow and advance, we hear increased discussion of equity, diversity, and inclusion [1-3. This discussion calls on individuals to consider the ways in which equity, diversity, and inclusion apply to practice and the field of paramedicine. A number of principles were recently identified to guide the future of paramedicine in Canada, among them: prioritizing patients and their communities; providing health care along a health and social continuum;
Laura Hirello Paramedics have always been a little different than other healthcare professions. Existing at the junction between healthcare and public safety, paramedicine has evolved from funeral home and fire department-based transport only services to a distinct profession that provides high quality out-of-hospital care. These changes have occurred quickly, in response to gaps and opportunities in the healthcare system (1). The rapid evolution and success of modern paramedicine represents a disruptive innovation in the healthcare industry. To progress and grow
Georgette Eaton *Trigger warning. This article contains graphic accounts of sexual harassment * He was sniffing my leggings, again. As I walked into the office, I watched him fold them on the back of my chair and move back to his desk. It was a routine we were both used to, and one I found both curious and unsettling. Curious because I ran the commute to work, making use of the staff showers and leaving my (sweaty) clothes in the
Synopsis of Victorian Equal Opportunity & Human Rights Commission Independent Review into Workplace Equality in Ambulance Victoria
Jennifer Bolster, Maria Cirstea, Shauna Speers, Melissa Vose As paramedicine in Canada continues to evolve and professionalise, so does the expectation that the paramedic will treat their patients with respect and dignity, but what about how paramedics treat each other? Do we practice the same moral and ethical behaviours with each other that we demonstrate in our practice with patients? The history of paramilitary internal discrimination, bullying, and harassment is deep-rooted. Only in recent years have the voices of those
Mahdiyah Bandali When I was a little girl, I dreamt about becoming many things: a vet, an actress, an engineer … the list went on and on. And whilst it seemed that I may have considered almost every vocation as I was growing up, Paramedic was never one of them. Through the many ups and downs of life I somehow fell into this role after leaving school and can proudly say I have never looked back since. Yet, I do
Becky Donelon, Bre Hutchinson Advancement and growth in leadership roles in paramedicine require significant planning and support by those already in leadership, those aspiring to the roles, alongside specific leadership education, experience, and ability. Currently, achieving a leadership position, whether early-career or on the executive team, is thought to be available for all paramedics and based simply on merit. Emerging evidence challenges this myth of meritocracy in that it is now known that male leaders who believe they are objective
Keep Reading from this Edition
Shauna Speers, Melissa Vose, Maria Cirstea and Jennifer Bolster Gender Representation in Emergency Health Services (EHS) In contrast to gender equality, which assumes that men and women benefit equally from the same support structures, gender equity recognizes that each gender has their own set of circumstances and aims to provide each group with the appropriate tools and opportunities for success. Since the 1960s, women’s participation in the workforce has steadily increased, including women entering vocations traditionally held by men. With
Suzanne Maynard BHSC, ACP Breaking the traditional molds within Alberta Health Services Emergency Medical Services (EMS) wasn’t something I aspired, or necessarily set out to do. I never considered my gender to be a barrier to success. But throughout my professional journey I have come to realize the disproportionate number of women in EMS leadership positions. There were some around me who wanted to stifle my growth, refusing to see my worth – my knowledge, abilities and experience. I choose
Amy Hobbs Entering the paramedic profession can be an exciting, yet intensely daunting experience. Student paramedics are a diverse and motivated demographic, who may face a variety of ingrained cultural, academic, and social pressures upon initiation into the pre-hospital setting. The protected characteristic of gender is a factor influencing our experiences and interactions within the workplace, a microcosm of wider society, and at times may amplify these pressures. Throughout this article, I will discuss how advocating for student paramedics that
Vanessa Burns In paramedicine, it is no secret that every day is different. But for these four women, employed by Advanced Paramedic Ltd, this especially rings true. In this article, we will share their experiences, advice, and highlight the diverse roles of paramedicine. Carolyn May ACP and Team Lead for Advanced Paramedic Ltd.’s (APL) Indigenous Services Clinic (ISC) Division. What is your favourite part of your role? The continuity of care – you are involved in primary care, preventative medicine,
A celebration of Equality, Diversity and Inclusion on International Women’s Day 2022: The Irish Paramedicine Education and Research Network (IPERN) launch The Dara Fitzpatrick Award The Irish Paramedicine Education and Research Network (IPERN) are an inter-professional team of paramedics, nurses, doctors and scientists dedicated to increasing research capacity for out-of-hospital care in Ireland through engagement, education and collaboration. Since the establishment of the network in 2021 IPERN have hosted events on Human Factors, Mental Health, Medical Logistics, Trauma and Paediatrics.
Rhea Bell, ACP, BAppBus:ES, MBA candidate Lucia Antonucci, M.C., R. Psych introduction In Canada today, 1 in 4 paramedics (25%) will develop a mental health disorder, such as Post-Traumatic Stress Disorder (PTSD), Major Depressive Disorder (MDD), General Anxiety Disorder (GAD), Panic Disorder and/or a Substance Use Disorder due to nature of their occupational duties. Paramedics often experience repeated exposures to psychologically traumatic events, such as violence, human suffering and death. Furthermore, additional stressors may include unsafe and unhealthy workplace environments.
Tanya L’Heureux, RD, MAdED, PhD (c); Jasneet Parmar, MBBS, MSc, MCFP(COE); Sharon Anderson, MEd, MSc, PhD; Jamie Stewart, Learning Consultant “Suddenly, my mother couldn’t talk. I called 911 and paramedics arrived shortly thereafter. While doing their assessment, they asked me about her medical history and what had changed. They listened intently, as I said, ‘Yes Mom is 100, but this is new. She was able to talk cogently and walk around the house.’ They suspected a stroke and then asked
Deborah Cooper Paramedics are the general practitioners of out of hospital emergency medicine with knowledge spanning from cardiology to musculoskeletal injuries. Being such polyvalent practitioners, paramedics are sometimes faced with treatment modalities or styles which they are not familiar. One of these treatment modalities is that of harm reduction, an admittedly controversial and politically influenced treatment for individuals suffering in substance use disorders. Despite the negative perceptions of harm reduction, it has been proven to be an effective tool in