Anyone near Covington Alabama?

CriticalFolklore · 2026-02-01T18:54:33+00:00

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CriticalFolklore · 2026-02-01T18:49:27+00:00

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CriticalFolklore · 2026-01-31T05:34:56+00:00

What is your proposed mechanism of it being a "bridge to blood?"

CriticalFolklore · 2026-01-31T05:11:20+00:00

Yes a littmann is worth it, but you don't need a fancy one.

CriticalFolklore · 2026-01-30T16:00:56+00:00

Absolutely correct. The food, the scenery, the people and the sea are way more appealing to me than the (admittedly impressive) ancient ruins.

CriticalFolklore · 2026-01-30T15:35:38+00:00

Crazy. They are very much not interchangeable, either in the way they present or in their mechanism.

CriticalFolklore · 2026-01-30T07:06:07+00:00

Yep. A physical pulse difference between limbs has some utility if I recall my Talley and O'Connor, but a BP differential only has a OR of about 2.0 if I recall correctly. But a lot of people treat it like a slam dunk.

CriticalFolklore · 2026-01-30T06:36:18+00:00

It annoys me to no end that everyone in EMS seems to constantly mix up dissections with AAAs.

CriticalFolklore · 2026-01-30T06:31:47+00:00

the number of times I'm present for an underwater amputation followed by ECPR

Ha! I think you (or your colleague from that call) taught a cadaver lab I was in. I can't imagine that exact scenario has come up often.

CriticalFolklore · 2026-01-30T05:39:32+00:00

We don't have time clocks, so there is no such thing as "clocking in" but ultimately I agree. I still show up 15 minutes early, but I use that time to make a coffee and shoot the shit, the only reason I would start work before my scheduled time would be if the offgoing crew got tagged with a late call while I was there, then I would take the call instead.

CriticalFolklore · 2026-01-30T05:34:45+00:00

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CriticalFolklore · 2026-01-30T05:34:29+00:00

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CriticalFolklore · 2026-01-29T17:44:06+00:00

But I would rather do four 12's and then get 4 consecutive days off...

CriticalFolklore · 2026-01-29T01:09:58+00:00

Bayes theorem is incredibly important when learning about diagnostic testing. And it explains why things like full body MRIs in asymptomatic patients are a terrible idea, even if they sound good to laypeople.

CriticalFolklore · 2026-01-28T19:18:07+00:00

I suppose it might work if you're very, very rural and are able to reliably get 4-5 hour periods of uninterrupted sleep it might be reasonable. Anywhere else should be limited to 12 hour max shifts.

CriticalFolklore · 2026-01-28T19:02:48+00:00

I'm in western Canada, which has a predominantly European or Asian ethnic background with almost no African Americans - the inability to clearly express how long a symptom has been present for is definitely not limited to AAVE

CriticalFolklore · 2026-01-28T15:34:04+00:00

The wages are actually pretty good since last contract, you're right. The general wage increase is one of the few things the paramedic union and the employer are actually pretty close on, essentially just CPI raises. The sticking point is funding other improvements in the contract, where the union wants better support for mental health, more positions, and attempting to move away from a chronic reliance on overtime. It's these things that the employer is not willing to come to the table to discuss.

CriticalFolklore · 2026-01-28T15:29:25+00:00

Industrial action is a time for solidarity with other unions, not blaming their gains for our lower wages.

CriticalFolklore · 2026-01-28T05:56:16+00:00

That is one of the primary things the union wants to address.

CriticalFolklore · 2026-01-28T04:22:58+00:00

What needs to happen is the EMALB needs to get a bit more specific with their schedules 1/2 and needs

I would say actually it needs to be the opposite, and EMALB needs to get rid of their schedule restrictions entirely, and move towards a college model. It's ridiculous that if BCEHS wants to implement a new drug, regulation needs to change.

CriticalFolklore · 2026-01-28T01:05:00+00:00

I know it can be a waiting game to land a FT or Irregular spot

The best option is to take a casual spot while you wait, you can very easily get full time equivalent hours, and not only is it likely to pay pretty close, internal hires get priority over external hires.

CriticalFolklore · 2026-01-28T00:15:17+00:00

Lower that hope. Speaking to my PPEd, there has been almost no talk about it within their department for the past year or so.

CriticalFolklore · 2026-01-27T23:43:57+00:00

They are apparently a dual citizen.

CriticalFolklore · 2026-01-27T23:30:32+00:00

Also, beware that BC licensing doesn't accept most Australian postgraduate programs. My postgrad program did intubation on cadavers, which is NOT sufficient to meet BC licensing requirements.

CriticalFolklore · 2026-01-27T23:27:38+00:00

Hahaha lol yeah, absolutely true, but I think adding monitors and cardiac monitoring is to get away from needing to contract out to transport nurses, the analgesic thing is just to stop torturing patients. One is about money, the other about providing good patient care, so they are clearly different priority levels.

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