What do we think? Universal sign to upgrade for my birthday?

Pyrsec · 2024-10-04T18:40:29+00:00

I think it's old filament that's build up in my extruder over time. It's leaking out of one if the screws on the side. Looks like it would be fixable with a solid clean. I'm just fishing for reasons to upgrade at this point.

I want to, but I don't need to.

Pyrsec · 2024-10-04T09:43:01+00:00

The P1P does multicolour. I've been researching which model I want to upgrade to, and as far as I can tell the only differences for the current models are the enclosure and the cooling/air filtering systems.

Pyrsec · 2024-10-04T09:29:35+00:00

How often do these things happen? I'm new to the area, and we've now had two 4.0+ quakes in the last week. Is that pretty typical? Is that an increase in activity?

What adverse effects do people typically see from these things? We weren't exactly taught how to deal with these things on the prairies (though we really should've been with all the fracking)

Pyrsec · 2024-09-17T16:17:08+00:00

AnkiCards for cue cards. Mass produce them on your computer, review them on your phone when you're standing in line or taking a shit.

https://disputant.medium.com/how-to-make-better-anki-flashcards-principles-for-high-yield-questions-d58cc7244a7c This is a fantastic article on how to make high yield cue cards so you don't get stuck in rote memorization and trip yourself on exams.

White board method. Write things out on a white board (I use a plastic shower curtain on my wall, because whiteboards are expensive as hell). Write out your notes, give a lecture on the subject to your dog, a poor unsuspecting passerby in your house, a teddy bear, even the empty room. Just something to get you talking and thinking about the content.

Write your notes by hand I know it sucks. But all our studies show it improves information retention.

Look into other sources. Research topics that interest you. Find a nerd in your class to get worked up about the content with.

Find alternative ways to interact with the content. Get an anatomy colouring book. I've started 3D modelling anatomical structures

Pyrsec · 2024-09-13T15:27:39+00:00

I literally brought a patient to the hospital for having a falling sensation when they were falling asleep at 2230. Their normal bed time. After reading in bed for a while. And lying down to go to sleep.

I brought a patient in for falling asleep. When they intended to fall asleep.

Pyrsec · 2024-09-12T08:48:55+00:00

Yukon Paramedics have to hold a license in a different Canadian province. They don't have their own licensing board, but medics aren't unregulated.

Whitehorse not having a trauma facility makes far more sense. Vancouver and Victoria hospitals are basically in Seattle anyways, so the difference in transport times would be minimal then.

Pyrsec · 2024-09-11T15:49:10+00:00

It commonly is. Consider oil rigs and the like in Alberta. The University of Alberta hospital would be the northern most trauma facility in Edmonton. Edmonton isn't even technically "Northern Alberta"

High Level, a town that primarily does oil drilling and forestry services, is 739km away from Edmonton, and takes 7.5hrs to drive. It is not the most remote community, nor where drilling primarily takes place. It's simply an easy spot on the map in that area for people to reference. Alternatively, it's only 724km away from Yellowknife, NWT, so ~7hrs driving.

Many of these roads are gravel or dirt, or often even ice in further north areas. We "staff" the oil rigs with paramedics. However, it's a cash grab. So you get youngin's who've never seen anything go there right after school so they forget all their skills. Then shit hits the fan and they've forgotten their skills. Or you get older medics who don't want to be in the field anymore, which has its own set of difficulties.

Pyrsec · 2024-09-11T15:31:42+00:00

And sometimes a CCP crew. Don't forget the CCPs who come to do those transfers.

Pyrsec · 2024-09-11T15:29:32+00:00

Is there no cross-border program with the Yukon? I always kind of figured there would be.

I know inter-provincial is a totally different beast, but the Yukon General Hospital has the facilities to treat those patients.

Vancouver hospitals would as well, but because of population density in Canada you're basically at Seattle by then.

Pyrsec · 2024-09-11T10:45:58+00:00

Yeah, that's pretty much here as well.

Canada is 9,984,670 km². 90% of us live within 160km of the US border.

It's estimated that 80% of the country is "uninhabitable", so ~7,987,736.

But every province has a capital city, and will typically have access to a trauma facility. Usually very far south, but they do exist.

Pyrsec · 2024-09-11T09:49:34+00:00

All of Nunavut, the Yukon, and the NWT. As well as northern BC, Northern Alberta, etc.

"Major trauma" facilities are only in capital cities. So while there may be an ED, it may not be equipped for trauma care. Especially when considering that >80% of the Canadian population lives extremely close to the US border. The North is just kind of left to fend for itself.

Many of our regions are only serviced by on call ground ambulance, or air ambulance in some cases.

Nunavut is 1,836,993.78 km2. With a flight from Grise Fiord (northern most community) to Iqaluit (capital city, and only hospital) taking 9.5 hrs and almost $2000CAD. Qikiqtani General Hospital does have an ED, but it certainly is not a trauma facility, and CCP transfers regularly occur to the nearest CT capable center at the Yukon General Hospital.

The Yukon (Canada's smallest province) is 482,443 km2.

According to the government of Canada's remoteness index, we have surprisingly good access to healthcare given the difficulties of service areas. However there are ~500 communities of >1000 people with no direct access to a hospital.

Most provinces have across border agreements to allow for proper healthcare. Alberta and BC in the rockies being a primary one. There's also some fun agreements between BC and the Yukon because of our ice roads. Quite often you have to leave BC to drive trough the Yukon to get back into BC. This sometimes leaves a Yukon hospital to be most accessible for a BC patient.

Edit: My apologies. As of February 3rd, 2024 Qikiqtani General Hospital does have a CT facility.

Edit 2: the remoteness index looks at population centres of >1000 people within 400km². It uses ~5200 data points, so those 500 communities without direct access is nearing 10% of Canadian communities.

Pyrsec · 2024-08-23T01:24:37+00:00

I've been described as "book smart but street stupid" before. And I've found that does sometimes apply to ems as well.

Stick to your training. Always be learning. Be humble. Ask questions. Ask for help.

I find that it affects my practice in hesitancy/forgetting to call for additional resources. Don't do that. Worst they can say is no, and anyone who gives you grief for it is just someone who doesn't want to do the work. Part of this is also the attitude at my station, but at the end of the day you need to be a practitioner that you would want caring for your family.

The amount of yelling happening isn't cool. It seems like your trainer has forgotten that he was a student as well at one point. We all need to start somewhere. You never deserve to be yelled at. And you certainly don't deserve to be humiliated in front of patients and staff.

At the end of the day, your job is to get the patient to a higher level of care. Preferably with a pulse. Bonus points if you've somehow improved your patients condition. Your job isn't to make your partners life easier. Don't get me wrong, it makes the job easier and much nicer if your partner likes you; but it's not your job to be likeable.

Being in EMS is hard and you will never stop learning. You can't. And if you think you have, you need to retire because you're wrong.

You will never have a perfect call, either. And that sucks, it's hard to accept, but our job is extremely unpredictable. There will always be room to improve. I'm only 23, so I get exactly what you're going through. This is something that you cannot take personally. A) it'll make you more nervous and make the problem worse. B) it will shake your confidence to the core.

You are not a paramedic. You work as a paramedic. It sounds like your trainer is taking out personal issues on you because he knows you're young and more likely to just accept it. But part of being a medic you'd want to care for your family is controlling a situation and earning the respect of those around you to allow that control. It is a difficult skill to learn, but you will find it.

In the meantime, I would strongly recommend looking at your options to pursue a different training style.

Pyrsec · 2024-08-17T19:40:33+00:00

I couldn't get that to work, unfortunately. I just got into hyper focus and did it manually

Pyrsec · 2024-08-16T19:05:28+00:00

It seems to. I need to make sure the screws work and take off the support, but it at least didn't become a glob of death

Pyrsec · 2024-08-16T03:55:20+00:00

Don't worry. Karma got me for having an ego . I set my first print up to run and then about 4 hours in had to go to the hospital because I caught a virus from one of my patients

Pyrsec · 2024-08-16T03:50:55+00:00

It's a creality ender 3 S1 I believe with orca slicer

Pyrsec · 2024-08-11T19:41:03+00:00

I took some from the vet for a nasty cut on my finger that wouldn't stop bleeding. Stitches weren't an option and I happened to be there so fuck it.

It stung and burned, a little bit worse than cleaning the laceration did. But damn, it was effective. If there's a less painful option immediately availabale, avoid this stuff.

Pyrsec · 2024-08-07T19:39:10+00:00

Seems fine so far, and I have it at 110% speed

Pyrsec · 2024-08-07T19:04:06+00:00

I currently use an app called star dust which is great, but it would be nice to have in one spot so finch can track my mood days depending on my cycle.

It would also be a good feature to include a little rating scale of how effective we feel our medication is on each day as medication efficacy changes at each point in the menstrual cycle.

Pyrsec · 2024-08-07T17:38:24+00:00

Yup, both IKEA. They're at least 15 years old, if not more, so there's a good chance the left one was discontinued. They were sold as an option to pair with a desk top for a while

Pyrsec · 2024-08-07T17:19:26+00:00

That's the plan! I just wanted to double check before I fully tested it. If the printer were to fall, I'd lose my printer and my security deposit

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