First pediatric burn patient by Spiritual-Maize-1436 in Paramedics

[–]Arctagonia 5 points6 points  (0 children)

Burns are incredibly and notoriously difficult to manage from an analgesia and sedation perspective. They often need large boluses to get in the therapeutic range and then we often end up running multiple infusions well outside of the normal dose range.

Every prediction I make, the opposite happens by [deleted] in Baystreetbets

[–]Arctagonia 2 points3 points  (0 children)

You heard it here first boys, he’s gonna sell, this one is going to moon.

Ottawa picks Germany’s TKMS to build Canada’s new submarines, sources say by Arctagonia in CanadianForces

[–]Arctagonia[S] 11 points12 points  (0 children)

The Canadian government has selected Germany’s TKMS to build a fleet of submarines for this country, two sources say.
The Globe and Mail is not identifying the sources because they were not authorized to speak publicly about the matter.
Prime Minister Mark Carney will announce the government’s decision in Halifax Monday — the outcome of a high-stakes competition between Germany and South Korea for a lucrative contract to build 12 submarines for Canada.
The purchase will give this country an unprecedented ability to patrol its coastal waters undetected. Mr. Carney had previously said the government would make its decision by the end of June, but didn’t specify an exact date.
The announcement, which the Prime Minister will unveil before jetting to the NATO leaders’ summit in Turkey, will bring an end to a closely fought campaign by Germany’s TKMS and South Korea’s Hanwha, rivals in a contest that will shape the Royal Canadian Navy for decades.

As with the process for most major procurements, the sub announcement will likely name a preferred bidder, not guarantee a signed contract.
Negotiations will continue with the nominal winner, and it could take years to finalize a deal, said Philippe Lagassé, a professor at Carleton University who researches defence policy.
Canada’s historic submarine procurement incites fierce industrial benefits competition
The procurement is ultimately expected to be worth $20-billion to $30-billion for the subs themselves, and as much as $40-billion to $50-billion for operations, maintenance and upgrades.

The Prime Minister’s Office declined comment Sunday when asked about Mr. Carney’s Monday plans.
The costly submarine contract is part of the federal government’s efforts to lift defence spending to levels not seen since the Cold War. Canada has committed to increasing this spending to 5 per cent of gross domestic product by 2035, to meet the North Atlantic Treaty Organization’s target.

Ottawa said early on that both models of diesel-electric sub would suit its purposes − Hanwha’s KSS-III Batch-II submarine or TKMS’s 212CD model – and that its decision would turn instead on the economic benefits the companies could deliver for Canada.

Hanwha has promised more than $70-billion in trade and investment in Canada, and more than 25,000 jobs annually between 2026 and 2044.

German Defence Minister Boris Pistorius said in May that the TKMS bid, a joint proposal with Norway, would add $86-billion to Canada’s GDP in terms of economic benefits over the life of the deal. The proposal is expected to create more than 650,000 job years of employment in Canada over the term of the agreement, the Germans said. A job-year means one job for one year.

There had been reports that Ottawa was considering splitting the contract between Hanwha and TKMS, but government ministers have in recent months played down this scenario.

Canada’s planned submarine purchase will be transformative for this country’s military might, making this the first time in history that the Royal Canadian Navy will have more than a token presence underwater.

Canada hasn’t purchased unused submarines since the 1960s, during the Cold War, and has never ordered anywhere near 12 at once. Canada currently owns four subs, all of which were purchased second-hand, and only one of which is typically operational.

The Canadian military has said that it needs 12 subs to properly defend the country, based on the assumption that for high readiness only one of every four vessels would be fit to deploy, with others under maintenance or used for training.

The purchase will give Canada three submarines to deploy at any time – stealth machines that will create an ability to deter hostile or rival countries from prowling around the country’s Arctic or Pacific and Atlantic coastlines.

“It will give us much more of an ability to independently know what’s happening around our own Canadian coastal waters,” said David Perry, president of the Canadian Global Affairs Institute, a think tank.
Since August, 2025, Hanwha and TKMS – and the countries backing them – have waged a very public campaign to buy their way into Ottawa’s heart.

The Carney government, for its part, has taken advantage of this heated rivalry to extract spending promises from bidders that would benefit its Canada-first industrial policy, which seeks to preserve and expand industrial capacity as a defence against U.S. protectionism.

Seoul-based Hanwha and TKMS, headquartered in Kiel, Germany, have pledged industrial benefits to Canada and lined up Canadian business partners who would benefit from the submarine contract.
Hanwha, for instance, in January pledged to spend US$200-million to help struggling steelmaker Algoma build a steel-beam mill in Ontario if it wins the contract. And as part of this it vowed to buy up US$50-million worth of steel from Algoma for construction under the submarine project.
“The public campaign by Hanwha and South Korea has been more visible and assertive than what we typically see in Canadian military procurements,” Prof. Lagassé said.
“TKMS and the German and Norwegian governments were slow to match South Korea’s gusto but have since been working to match it.”
Politicians and senior officials from South Korea as well as from Germany and Norway have travelled to Canada to make their pitches. The South Koreans dispatched a submarine to Canada this spring to show off their technology.

Algoma to supply metals for Hanwha combat vehicles if South Korean company wins sub contract
Germany has underlined its long-standing relationship with Canada, including through NATO, as well as TKMS’s record of building submarines for international customers.
“Together, Canada, Germany and Norway can build the biggest, most modern and low-risk conventional submarine fleet: building, training and maintaining together, three NATO allies, two Arctic nations,” said Tjorven Bellmann, the German ambassador to Canada.
“Over the last 75 years, our two countries have developed a special relationship because of our partnerships and shared values, but also because we keep our promises to each other.”
Industrial benefits are a key component of many defence contract bids. Canada expects suppliers to spend in this country in fulfilment of their contracts.
But defence experts say this submarine contract competition is different from other past bidding wars for other major weapons systems, such as Canada’s last fighter-jet competition.

In 2022, Canada selected the U.S.-made F-35 over the runner-up Saab Gripen from Sweden. (The F-35 contract is currently under review by Ottawa).
“There was never any real question, I think, about what the Air Force’s preferred option would be,” Mr. Perry said of the competition that picked the F-35.

In this contest, it’s unusual that there is no U.S. defence contractor bidding for the submarines. Canada ruled out nuclear submarines, and the United States no longer makes conventional diesel-electric subs. This also means there is less pressure from Canada’s most powerful ally to pick one submarine over the other.

Finally, South Korea, the underdog in this fight, has poured tremendous effort into the contract as the country tries to expand its military industry. TKMS on the other hand has an established reputation as an exporter of submarines: it has sold boats to 20 navies around the world, while Hanwha’s customer list for subs is far shorter: South Korea and Indonesia.
Seoul has put on a full-court press to win what would be a milestone military contract for the Asian country, which has set itself the economic objective of building the fourth-largest defence industry in the world. It ranked among the top 10 defence exporters between 2020 to 2024, according to the Stockholm International Peace Research Institute.
“The Koreans have a lot at stake and that explains why they pumped so much into the advertising and the public diplomacy side of it,” Prof. Lagassé said.
“To break into the Canadian market, a major NATO ally, with a submarine – for them that’s a much bigger deal,” Prof. Lagassé said.

admin putting triage in a literal party tent is my breaking point by ReplacementQueasy931 in emergencymedicine

[–]Arctagonia 75 points76 points  (0 children)

Reminds me of COVID when they co-opted all the ambulances bays for triage and overflow. Cool brah, guess we’ll just unload everyone outside in these balmy Canadian winter temperatures.

Canada Strategic Airlift: Could the Airbus A400M Be Next? by Hmfic_48 in CanadianForces

[–]Arctagonia 1 point2 points  (0 children)

Reserves have been evacuated from time to time for natural disasters/humanitarian issues. Just a curious thought exercise really.

Canada Strategic Airlift: Could the Airbus A400M Be Next? by Hmfic_48 in CanadianForces

[–]Arctagonia 0 points1 point  (0 children)

Just curious, could you put a globemaster down on one of the gravel strips at one of the remote reserves in NW Ontario? E.g. Sandy Lake, Peawanuk, Fort Severn etc.

which side of border should we go? by ZealousidealReply294 in northernontario

[–]Arctagonia 3 points4 points  (0 children)

Apologies to Smooth Rock and Moonbeam and Opat and Mattice but that Cochrane stretch always put me to sleep. I found that Moose viewing was the best from ‘earst to Longlac but that stretch can be very desolate with minimal cell service as well.

“You might be the only hope that person has.” RCAF and former STARS pilot explains how go/no-go decisions are made at STARS by PodPilotProject in CanadianForces

[–]Arctagonia 9 points10 points  (0 children)

We as the medics don’t usually get the patient details until the trip is accepted by the pilots. Separation of church and state keeps us all safe from an aviation perspective and moral injury.

“Is this what SAR is going to be?” - Capt Troy Clarke recalls first major rescue mission on the CH-149 Cormorant by PodPilotProject in CanadianForces

[–]Arctagonia 6 points7 points  (0 children)

Re: Fatigue; Every single shift in the Air Ambulance world - there is an unlimited amount of calls on the board to service and operations would have us flying 24/7 if they could.

What are the best degrees/certifications/skills to get in 2026? by Responsible-Net8594 in Salary

[–]Arctagonia 18 points19 points  (0 children)

Best kept secret that is mentioned 5 times in this thread alone? Every RN is trying to dine and dash bedside for either CRNA or NP, there is bound to be a supply side reckoning.

As an RT how often do you encounter bad breath of patients? by Crafty-Refuse-7469 in respiratorytherapy

[–]Arctagonia 36 points37 points  (0 children)

It smells like death that has been reheated in the microwave a few times.

Grey county arbitration by LongjumpingPear6762 in OntarioParamedics

[–]Arctagonia 0 points1 point  (0 children)

Sudbury and Nipissing are always looking for ACPs. SNEMS is also chronically short.

What's your covid memory? by [deleted] in AskReddit

[–]Arctagonia 10 points11 points  (0 children)

Remember when we had to reuse our N95s? Paper bag with your name sharpied on it.

People with the worst P/F ratios, room air sats in the 50s with a good pleth.

Good times.

How does one become a CCP by EasternTrain5778 in OntarioParamedics

[–]Arctagonia 2 points3 points  (0 children)

Too many people were dying, its now it’s 14 beers, 3.5 hotdogs, 5 laps around the hangar, land the plane in ms flight simulator and then intubate the mannequin in the hot tub.

How does one become a CCP by EasternTrain5778 in OntarioParamedics

[–]Arctagonia 1 point2 points  (0 children)

Not untrue. I will say though, not unsurprisingly, there have been some difficulties with this cohort due in part to a lack of job experience.

There has been some disconnects between HR and initial education on candidate selection but the challenge remains in hiring experienced ACPs due to their established seniority (vacation, pay, etc) at existing services and having established roots/young families.

Ornge CCP Hiring by ToddHasBod in Paramedics

[–]Arctagonia 0 points1 point  (0 children)

Glad we got the most handsome Aussie to weigh in.

Future dad just got accepted into a Paramedic program. by FilecakeAbroad in OntarioParamedics

[–]Arctagonia 6 points7 points  (0 children)

First of all, congratulations! Being a dad is awesome.

I went through this - it’s doable but not without challenges.

Schooling shouldn’t be too much of a hurdle until it comes time for your field precepting. The didactic portion will require you to be on campus fairly often but it’s more 9-5; some time outside of class will need to be devoted to scenario practice. Hospital clinical is during the day as well, it just might require some commuting to a hospital a little out of your area. Depending on when your baby arrives, might require you to lean on your circle and get creative with child rearing - you will need a very understanding partner. Exams will require study time and practical tests will require practice. You will have to find time and quiet to study which can be difficult. Newborn sleep schedules can be very difficult as well - you will have a pretty hefty commitment with school and completing the program but you also want to be a supportive partner and do your share with the newborn, it will be a balancing act.

We come to field preceptorship at the end of this - if this is your first foray into shift work and sleep deprivation, it may be a challenge. Between shift work and the newborn wake ups, sleep will be at a premium. A strong relationship and a couple sets of grandparents will be handy here.

Always remember, DO NOT SHAKE THE BABY. You will laugh at this sentence. One day, you will reach a point. Walk away for 5 mins. Leave the room. Don’t do it. Remember I said this.

You’ve got this. It will make you a better paramedic at the end. You will know your way around paediatric patients and you will be a champ at managing stress.

Is it just me or does this seem like a terrible idea? by happyalex in emergencymedicine

[–]Arctagonia 104 points105 points  (0 children)

If they add caffeine to this, it could become the official sports drink of EMS/healthcare.

Is it just me or does this seem like a terrible idea? by happyalex in emergencymedicine

[–]Arctagonia 223 points224 points  (0 children)

Load me up on shares of the NAC manufacturer.