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- EMS Provider Status
- other medical
- How did you hear about the MedicCast Podcast?
- From a Paramedic which I routinely work with.
- About Me:
- I am currently working at the State Major Trauma Unit.
I am a Volunteer Ambulance Officer with the Ambulance Service In WA.
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Comment Wall (6 comments)
- At 5:49pm on April 16, 2009,
Medic 1 said…
- Hey VAO, many thanks for the info.........now that is a very good amtiemetic! We have been using it for post-op nausea & vomiting for many years, I remember when it first came out in the 90's.........but if Wilks has his way you will get Midaz ha ha
- At 3:43am on April 8, 2009,
Medic 1 said…
- Thanks for that VAO, last I heard Wilkes was trying to get us to trial Midazolam as the antiemetic of course, a property that not even the FDA approves the drug for?? How many other countries in the world use Midaz as an anti-emetic.....ZERO! Why try to reinvent the wheel [other than to be able to wrte a paper on it], why not use Maxalon or one of the other proven enti-emetics.......why trial a drug regime that the rest of the world has been using for a decade??
Plus, at the end of the day, with a 10-30 minute transport time to a Hospital, plus the fact you don't use Morphine..........is there a need for an anti-emetic? Why not let Paramedics use 50% D instead or introduce Long Spine Boards/ KEDS??
Welcome to EMS St John Style!!
- At 5:44am on February 16, 2009,
Medic 1 said…
- Yea, thanks for that........the reason that you do not see Paramedics using thermometers is that SJA does not issue them!!
The thing that has to change is SJA running the EMS in WA, they should stick to running the first aid services like they do everywhere else in the world!!
Medic 1
- At 7:03am on January 25, 2009,
Medic 1 said…
- Hi Buddy
Yes NT is still run by SJA but under Govt rules [they took over SJA when they found out they were running two sets of books.............].
The Anti -Emetic trial is a farce, Dr Wilkes the Medical Director [the same guy who wants to take intubation off the Paramedic skill sheet by the way] wanted to use Midazolam as an Anti-Emetic [even though the FDA dont even recognise that it has anti-emetic properties..........]. It was his little pet plan.........I now believe that the trial has stopped!
The Adrenaline [PACA] trial was also Gary's little project; Lets face it, how many other [much larger] studies have proven that pre-hospital adrenaline does not improve long term survival. Now crews are spending approx 40 mins at a resus scene, and potentially squirting salt water into them when they could be P1 into the closest clinical unit for definitive cardiac care.
SJA Paramedics dont even have thermometers to test core temp.......
SJA don't have 12 lead ECG's!!!
SJA use Methoxyflurane, when the ex-medical director [now consultant to SJA] is on the board of directors of the company that supplies Methoxyflurane.........would that be a conflict if interest???
The uniform has been about to change for the last 4 years. The uniform is dangerous and S&H once told me that the only reason we have it is so that we met the 'Corporate Image'. I was involved with the design process and evaluation of the 'unsafe uniform'. When do you ever see FESA attend an MVA without full PPE???
SJA are the laughing stock of WA, when was the last time we did training with FESA, god forbid that we have a major disaster in WA...........Oh that's right we did. A bus full of old people in an MVA with multiple casualties........who was the response?? the local Voli's! Th elocal Voli's had to deal with a major incident due to the fact that SJA had no Paramedics to send..................
Need I give more examples why SJA should not be running the EMS VAO??
SJA are a joke, and I am so happy that I don't have to put up with their shit any longer.
Medic1
- At 6:08am on January 25, 2009,
Medic 1 said…
- What is shit about SJA? Where do I start?
No Backboards
No KEDS
No Anti-Emetic
No Continuation Training
Using Paramedics for Transport Crew to cater for their private contracts and thus leaving no Paramedic Cover for Metro Area. I 20 min P1 call is not unusual.
Shutting Depots because to send Paramedics up to the Mines [and getting paid twice for the same AP's].
Shit uniform that has NO protective properties!
They allow office managers that have not been on the road for 18 years to work on the road as a Paramedic!
They are a Private Transport Service posing as the State Emergency Service......they do not provide EMS cover in Metro Area, let alone Country WA!
The only State to have a private Company running their EMS.............
........lets's face it, if the Govt offered to disband the Police force and hire Chubb Security to do the job, what would you say? If you had to pay to call Police to a breakin?? If the Country towns had to provide their own Police force, then they had to buy their own police car, uniform and equipment etc etc..................go figure, what's the difference with letting a private company provide the EMS??
How perverse that a company that makes Millions of $$$ a year [and can afford to build a huge new HQ] but still charges the public to call and Ambulance!!
Lets face it, they get the vehicles from Lotto [then sell the used one to the country depots!!], the State pays 80% of the wages..........yet they still charge the public $500+ to call a life saving service......
need I go on???
- At 3:56am on January 25, 2009,
Medic 1 said…
- Yea, I WAS working for SJA but now Senior Health Services Advisor for a Mining Company, St Johns are the shittiest EMS that I have ever worked for [and I have worked in several countries]. I still have a few friends working the streets of Perth, so best of luck on Aussie Day!!
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Welcome to Episode 197
The MedicCast is a proud member of the ProMed Podcast Network.
Right Click here to download (Macs Ctrl Click)
Subscribe with iTunes here!
A podcast for EMT’s, Paramedics, and other medical providers of all kinds.
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Listener Tom gave me permission to share this with the rest of you following the recent episode on STEMI imitators last week.
Jamie -
Thank you for bringing attention to this important issue on your recent podcast.
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Welcome to Episode 196
The MedicCast is a proud member of the ProMed Podcast Network.
Right Click here to download (Macs Ctrl Click)
Subscribe with iTunes here!
A podcast for EMT’s, Paramedics, and other medical providers of all kinds.
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Emergency Care of Pulmonary Embolism and Episode 195
Welcome to Episode 195
The MedicCast is a proud member of the ProMed Podcast Network.
Right Click here to download (Macs Ctrl Click)
Subscribe with iTunes here!
A podcast for EMT’s, Paramedics, and other medical providers of all kinds.
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Deep Vein Thrombosis (DVT) and Episode 194
Welcome to Episode 194
The MedicCast is a proud member of the ProMed Podcast Network.
Right Click here to download (Macs Ctrl Click)
Subscribe with iTunes here!
A podcast for EMT’s, Paramedics, and other medical providers of all kinds.
NBC’s Trauma showing signs of life…
Rumors are swirling around the internet that, thanks to a recent ratings boost, the love-it-or-hate-it Trauma may be resuscitated by NBC after all.
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