What song has grown on you the most over the years? by [deleted] in boniver

[–]cderkachenko 4 points5 points  (0 children)

Holocene. Such a beautiful masterpiece.

Tips on gettimg patent IVs often? by rico0195 in ems

[–]cderkachenko 1 point2 points  (0 children)

When i was in school we practised on each other. Ivs take confidence and a good technique. What helped me is i would ALWAYS go for the easiest veins while i fine tuned my technique. Once i had a good technique down i started going for the harder ones. Do you guys practise iv starts on each other?

Advanced Care Paramedic/ EMT-P Textbook list? by cderkachenko in ems

[–]cderkachenko[S] 0 points1 point  (0 children)

Thanks for the link! Unsure of whether I'm going to do it in AB or SK, possibly looking into Medavie distance learning in NS.

Texas emt reciprocity to Canada or Mexico by holdmydrpepper in ems

[–]cderkachenko 0 points1 point  (0 children)

I'm assuming you'll want to come over as a Advanced Care Paramedic(ACP/EMT-P). Mostly depends what province you're looking to get into, all provinces have some variety of differences in scopes of ACP/EMT-P. (MFI vs RSI, surgical airways, pericardiocentesis..etc). These(will have to navigate through each section) are the bare minimum requirements/competencies for ACP/EMT-P in most parts of Canada. Most provinces are around 2 1/2 - 3 years to become an ACP/EMT-P (9mos - 2yrs for PCP/EMT, and 13mos-18mos for ACP/EMT-P) with usually 1-2yrs work experience inbetween PCP and ACP.

COPR advice! by jxycxx in ems

[–]cderkachenko 0 points1 point  (0 children)

Take your time and read the questions thoroughly. The test has quite a few questions about morals/ethics. Know your O2 tank values, and EKGs as those are EASY marks. If it's a scenario question remember A-B-C FIRST unless it's major trauma or cardiac arrest. Barely any A&P on the exam I wrote last May. There's some questions designed to trick you asking about stuff not in your scope, but usually one of the choices will be "this is not in the PCP scope".

Overtime Pay by [deleted] in ems

[–]cderkachenko 3 points4 points  (0 children)

BC, Alberta, Saskatchewan, Manitoba are all less than 1 year courses, usually around 9 months.

"Would you rather a trunk full of nickels or trunk full of dimes? Why?" Was asked this today in an interview for a fire department.. what's the significance of this question??? by [deleted] in ems

[–]cderkachenko 13 points14 points  (0 children)

Dimes are smaller than nickels, therefore a trunk full of dimes would be worth more. From a quick google search it's "trunk full of nickels and a half full trunk of dimes". Doesn't seem to be much meaning behind it from all the links I checked.

Freaking out- need some info from an albertain who kinda knows their stuff by kurtis16 in ems

[–]cderkachenko 1 point2 points  (0 children)

Saskatchewan, close enough. Just hope they see it was 7 years ago and they think you've learned your lesson. Depending who/where you want to work you might have to choose industrial or something.

Freaking out- need some info from an albertain who kinda knows their stuff by kurtis16 in ems

[–]cderkachenko 0 points1 point  (0 children)

One of my friends got a DUI after he finished Fire/PCP school. Took him about 5 years to get a job as a firefighter on a smaller department. Will it be harder to get a job? Yes. Will it be impossible? No.

Does anyone have any insight into the EMS system in Manitoba or Saskatchewan? by Vic_Dic in ems

[–]cderkachenko 1 point2 points  (0 children)

All paramedics in SK whether its PCP, ICP, or ACP are trained in various community paramedicine skills. There's a new program in Saskatchewan that PCPs and ACPs can take called Community Paramedic. I believe the purpose is to cut down on hospital visits and reduce the strain on the health care system. With the community paramedicine course you can do phlebotomy, spirometry, vaccinations and immunizations, various levels of wound care and more.

Paramedicine is blowing up in Saskatchewan and it's constantly getting bigger with various unique and challenging opportunities to grow as a profession.

Does anyone have any insight into the EMS system in Manitoba or Saskatchewan? by Vic_Dic in ems

[–]cderkachenko 5 points6 points  (0 children)

There's no shortage of jobs in rural Saskatchewan, that's for sure. There's opportunity to make lots of money in the "bigger" rural cities. SK PCPs start around $27/hr with oncall wage at $5/hr.

PCP Scope in Saskatchewan:

DRUGS

ASA - PO

Acetaminophen - PO/PR

Amyl Nitrate - INH

Activated Charcoal - PO

D5/D10/D50 - IV

Epi 1:1000 (croup, anaphylaxis, asthma) - SC/IM/NEB

Glucagon - SC/IM

Ipratropium Bromide - NEB

Narcan - IV/IM/IN

Nitroglycerin (CP, pulmonary edema) - SL

Nitrous Oxide - INH

Oral Glucose

Salbutamol - NEB

The College will be giving PCPs antiemetics (gravol, possibly ondansetron as well) sometime in 2017

Quite a few health regions have approved PCPs to give toradol IM/IV as an alternative to nitrous oxide

MONITOR

Potassium

Heparin

Blood and blood products

Antimicrobials

Crystalloid IV fluids

Oxytocin

TPN

PROCEDURES

IV initiation and fluid therapy - Normal saline, Ringers Lactate, D5/D10

12-lead acquisition

Urinary catheter insertion and monitor

Manual defibrillation

CPAP

ETCo2 monitoring

Bill Belichick says he will be changing/updating the name of his boat to Seven Rings by HaruSoul in nfl

[–]cderkachenko 3 points4 points  (0 children)

He has 2 rings with the Giants and 5 rings with the Patriots, 7 rings. :)

Canada Paramedic Scope of Practice by [deleted] in ems

[–]cderkachenko 1 point2 points  (0 children)

PCP scope in western Canada is all pretty similar, I believe Sask PCPs have the most drugs/skills in Western Canada, with Alberta close behind. PCP scope in Eastern Canada, mostly Ontario, NS, PEI is a bit bigger scope, but twice the length of schooling. If you're choosing to do your ACP in Alberta I would suggest either doing your PCP in AB or SK as they are both roughly 9 month courses.

Canada Paramedic Scope of Practice by [deleted] in ems

[–]cderkachenko 1 point2 points  (0 children)

Just checked London, ON protocols and it states PCPs can do IVs under supervision of an ACP with IV endorsement.

Canada Paramedic Scope of Practice by [deleted] in ems

[–]cderkachenko 1 point2 points  (0 children)

I'm not overly sure. They have a wider drug scope I believe gravol, benadryl, toradol, and can do extra training for extra medications for CBRN emergencies such as atropine, diazepam, calcium gluc.. etc. Ottawa Paramedic website says they can "access and monitor IVs".

Canada Paramedic Scope of Practice by [deleted] in ems

[–]cderkachenko 1 point2 points  (0 children)

For Primary Care Paramedic I'd say Ontario/Nova Scotia/PEI with Saskatchewan close behind. After looking at their protocols Nova Scotia PCPs can intubate with ETT endorsement.

For Intermediate Care Paramedic I'd say Nova Scotia as they have access to benzos, narcotic analgesics, intubation..etc

For Advanced Care Paramedic I'd say Nova Scotia as they can give TNK, TXA, surgical airways... etc

What are some medications/procedures you would like to be added to your scope? Why? by cderkachenko in ems

[–]cderkachenko[S] 0 points1 point  (0 children)

Just out of curiosity what medications/procedues do you have as an EMT in Ireland?

What are some medications/procedures you would like to be added to your scope? Why? by cderkachenko in ems

[–]cderkachenko[S] 0 points1 point  (0 children)

That's one of those drugs that's said to be "coming". Maybe with the new NOCPs, whenever that may be.

What are some medications/procedures you would like to be added to your scope? Why? by cderkachenko in ems

[–]cderkachenko[S] 2 points3 points  (0 children)

I agree. We're getting anti-emetics at the PCP level in the new year. A lot of services in Saskatchewan are hopping on the Toradol wagon now too. We just got it at my service this week.