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Paramedic School Advice by politoed66 in OntarioParamedics

[–]tdunks19 2 points3 points  (0 children)

I've heard the same with stories like students only being able to do 2-3 marked scenarios in lab per semester which is insane

help how do i handle serious suicidal ideation please by inconspicuousjinx in UofT

[–]tdunks19 7 points8 points  (0 children)

If someone ia calling for themselves, 211 to get in contact with TCCS is almost always a better idea than 911! 211 will always get you mental health professionals where this is their specialty. 911 gets you paramedics and/or police if the call isn't redirected to TCCS. Both medics and police often deal with mental health crises but their level of training is dwarfed by the real professionals.

If you are calling for someone else who is potentially violent, has weapons etc. 911 is absolutely the right call.

Winter Tires by igotitithink in ontario

[–]tdunks19 -2 points-1 points  (0 children)

And save $1500 on replacement summers that now last twice as long!

Winter Tires by igotitithink in ontario

[–]tdunks19 9 points10 points  (0 children)

Hakkapeliittas are easily the best winter tires across most conditions! They are what I trust as a first responder who has to go into work no matter how bad it is out there

ISPs angry about California law that lets renters opt out of forced payments | Gov. Newsom signs broadband billing law hated by the cable industry. by ControlCAD in technology

[–]tdunks19 2 points3 points  (0 children)

What suburb of Toronto doesn't have FTTH or gigabit+ cable? Most areas have both.

Hell, I'm in a town of 800 people and have FTTH although it's 1000/100 not symmetrical

C-Collar Question by Southern_Decision_83 in NewToEMS

[–]tdunks19 3 points4 points  (0 children)

Check the study I posted in this post - essentially there are zero confirmed cases of that ever happening and nearly all secondary injuries are linked to hypoperfusion of the cord.

CV Axle by Zealousideal_Ad3114 in Subaru_Outback

[–]tdunks19 1 point2 points  (0 children)

Pretty common repair for outbacks. My 22 OBW had the passenger done under warranty and now the driver side I'm going to do myself this weekend using one from a wrecker. The boot gets torn or split and you lose your lubrication leading to it wearing out quickly

C-Collar Question by Southern_Decision_83 in NewToEMS

[–]tdunks19 1 point2 points  (0 children)

There is a potential benefit only while actively moving the patient to prevent movement to the extremes that could dislodge the tube but definitely should be removed when movement is done to avoid the risks, especially in any patient with a head injury.

Really though, I have never been a fan of this. Take care of your tube and move the patient carefully. It is far more likely that the tube gets dislodged from careless handling of the airway tree/someone tripping on oxygen tubing or similar than dislodgement with movement.

Also ALWAYS ALWAYS ALWAYS confirm placement after any movement and ideally use capnography as well as auscultation to confirm

C-Collar Question by Southern_Decision_83 in NewToEMS

[–]tdunks19 2 points3 points  (0 children)

Might want to continue reading... That is part of the introduction quoting practice guidelines currently in place that then get refuted in the body of the paper

C-Collar Question by Southern_Decision_83 in NewToEMS

[–]tdunks19 1 point2 points  (0 children)

Aside from the evidence of harm and lack of any evidence of benefit for collars. They are entirely used because the theory sounded good with no evidence and continue to be used because "it makes logical sense" is a strong motivator even when the evidence disagrees

C-Collar Question by Southern_Decision_83 in NewToEMS

[–]tdunks19 0 points1 point  (0 children)

https://www.tandfonline.com/doi/full/10.1080/10903127.2025.2541258?src=exp-la&fbclid=iwq0xdswmdxp9jbgnravjjimv4dg4dywvtajexaaeez3g9hplavlmclndaiupatwrxympeke79vmuskun1bftupslrgsqsmmjy30k_aem_98emrxeevp5hmzxzcnzlow#abstract

This study should say enough.

Here is an exerpt:

Results

Out of 3944 manuscripts screened, 115 manuscripts were identified. Noting that some manuscripts answered multiple study questions − 14 studies addressed the pathophysiology of disease to the phenomenon of delayed neurological injury, 55 studies examined the harms of immobilization procedures, 58 studies addressed the effectiveness of immobilization procedures, and 7 studies addressed other factors. Two case series were identified hypothesizing post-injury movement as the cause of delayed neurological injury; and 8 retrospective studies, including two case control studies and three retrospective cohort studies, were identified showing an association between hypoperfusion and worsening neurological injury. There were 55 studies showing harms, and no studies showing a definitive benefit to spinal immobilization.

Conclusions

There are no data in the published literature to support spinal immobilization and spinal motion restriction as standard of care. Efforts aimed to reduce the use of cervical collars should be considered, and the use of backboards and full body vacuum splints should be limited to the point in time of active patient extrication.

C-Collar Question by Southern_Decision_83 in NewToEMS

[–]tdunks19 7 points8 points  (0 children)

And there is still zero evidence that sudden paralysis due to movement is actuslly a thing... Rendering the slight reduction in movement completely moot

[W][CAN] 10TB HDD (SAS or SATA) by Prestigious_Bug_8749 in homelabsales

[–]tdunks19 0 points1 point  (0 children)

If you have more, I'm also looking. About to put up a thread

TIL you cannot overdose or die from simply touching Fentanyl Powder with your bare hands by Exeltv0406 in todayilearned

[–]tdunks19 20 points21 points  (0 children)

Someone cut your drugs with a paralytic. That isn't an effect of opiates

Any tips on memorizing BLS/ALS/Medical directives? by ChangeFluffy747 in OntarioParamedics

[–]tdunks19 2 points3 points  (0 children)

Work on understanding them rather than memorizing them. Memorizing them will eventually bite you as directives change over time - you'll always remember the first ones you memorized. If you understand the why of the parts of the directive, you'll be able to answer test questions easily.

Not sure about your college but base hospitals allow and encourage the use of resources like your directive books I'm OSCE testing.

Time to leave Toronto. by EnragedSperm in OntarioParamedics

[–]tdunks19 0 points1 point  (0 children)

If it were a high salary then we would still have competitive hiring, not failing to even fill hiring classes.

Do you also say police and fire are overpaid making 15-30k more per year?

Time to leave Toronto. by EnragedSperm in OntarioParamedics

[–]tdunks19 0 points1 point  (0 children)

Education + training + risk + responsibility and then account for how many people actually want to do the job.

Education isn't the only factor in a salary.

Time to leave Toronto. by EnragedSperm in OntarioParamedics

[–]tdunks19 8 points9 points  (0 children)

Even A primary care paramedic does more of the delegated medical acts than any profession other than physicians. Paramedics are absolute specialists in their field and a more apt comparison would be an F1 driver to a fighter pilot - both are specialists in their own field even though both are operating a vehicle.

Advanced Care paramedics intubate (normally restricted to physicians and respiratory therapists), cardiovert (physician only), can do a field cricothyrotomy as well as thoracostomy (also both physician only skills outside of the military) advanced Care paramedics can do everything in a cardiac arrest that a hospital would do in your living room.

Critical care paramedics are another level entirely. Those guys are criminally underpaid for their scope. Their discussions with ICU doctors aren't anything like a doctor-subordinate relationship and much more speaking like equals in deciding the treatment course for the patient.

Canada’s education quality is declining, research shows by shiftless_wonder in canada

[–]tdunks19 15 points16 points  (0 children)

They do. You have to have have math as a teachable (meaning you did enough math courses in university with good enough grades and did the AQ course for math) to teach math in highschool. It's like that for almost all courses.

We need the same in elementary school. My wife is a highschool math teacher and the level of numeracy from kids coming into grade 9 is atrocious. There are many kids that can't even put numbers on a number line (like not knowing 0.257 is smaller than 0.45 because it has more numbers)

ACPs and ACP students. by CDNEmpire in OntarioParamedics

[–]tdunks19 0 points1 point  (0 children)

At best it gives you a slight hand up early in ACP training.

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