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Integration: A New Direction for Canadian Health Care
Canadian Nurses Association | Canadian Medical Association | Health Action Lobby
Health care in Canada is designed from the provider's point of view, whether that provider is a hospital, a clinic or an individual. Our schedules currently suit planners more than patients and delivery of care is generally not integrated, varying widely across provinces, territories, regions and even cities. Because health services have evolved inconsistently in different jurisdictions and organizations, we now have a wide divergence in quality and access, geographically and
socioeconomically. As a result, Canada actually has
multiple health care systems, systems that are expensive,
complex and challenging for patients and their families to
access and move through, with wasteful duplications and dangerous gaps that carry a heavy cost for both patients
and tax payers.
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Paramedicine 2014 Conference
Ontario Paramedic Association
Welcome to Paramedicine 2014, the annual conference for the Ontario Paramedic Association.
As we finalize some sessions/workshops and speakers, please visit this site often to update your schedule. We will email all registrants closer to the conference date to allow you an opportunity to adjust your schedule if required.
Thank you for your interest. See you in London in October!
Paramedics role to expand in health care
Alberni Valley Times
Changes could be coming to the delivery of health services in Port Alberni, with plans to expand the role paramedics play in preventative care.
B.C. Emergency Health Services, the province's ambulatory care provider, plans to explore the possibility of having emergency personnel take on a monitoring role in communities. The community paramedicine project would entail home check-ups, particularly with the elderly who are at the highest risk of needing critical care.
Manitoba ambulance hits cow, then bursts into flames
A paramedic was hurt after his vehicle hit a cow on the highway and then erupted in flames. It happened recently just outside of Dauphin.
There were two paramedics in the vehicle. One was driving and the other was attending to a patient in the back.
Boost coming for paramedics
It's a little hard to envision, but a Greater Sudbury paramedic, over the course of a single shift, helps move some 9.2 tons of people and equipment.
That's because the average weight of a Greater Sudbury patient in 2013 was 176 pounds. Combine the patient weight with the stretcher and additional equipment such as a defibrillator, and the total weight per lift balloons to about 385 pounds. Based on an average of eight lifts per call, that means paramedics end up lifting an average of 1.5 tons per call.
Paramedics on bicycles rolling through downtown Winnipeg
Downtown Winnipeg residents can see paramedics on bicycles patrolling their neighbourhoods this summer.
The Paramedics Active in Community Education and Response (PACER) program aims to promote safe and active living during the summer months. Around 20 paramedics participate in the program.
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Saving lives surely cause for celebration
An event at Celebration Square will prove to be a life-saver, according to Peel Region Paramedics.
Several paramedics, along with Mississauga councillors Pat Saito and Chris Fonseca, hosted a free, hands-only CPR event in which participants learned and practiced the life-saving skill of chest compressions on mannequins.
Pre-oxygenation and prevention of desaturation during emergency airway management
Annals of Emergency Medicine
Patients requiring emergency airway management are at great risk of hypoxemic hypoxia because of primary lung pathology, high metabolic demands, anemia, insufficient respiratory drive, and inability to protect their airway against aspiration. Tracheal intubation is often required before the complete information needed to assess the risk of peri-procedural hypoxia is acquired, such as an arterial blood gas level, hemoglobin value, or even a chest radiograph.
PAC Executive to attend iR2PC in Whitehorse
The Paramedic Association of Canada Executive will be attending the inaugural meeting of the International Rural and Remote Pre-hospital Collaborative in Whitehorse, YK. This four-day event will discuss the challenges and lessons learned in providing Paramedicine to rural and remote areas. Participants attending include representatives from Canada, United States and Australia.
Ambulance 'tagging' less of an issue
Cold Lake Sun
While Cold Lake ambulance crews are still being "tagged" in Edmonton, that is happening less frequently, says Cold Lake Ambulance Society (CLAS) president Debra Pelechosky.
"It certainly has decreased," said Pelechosky.
However, the society is still experiencing an increase in overall call volume, one of the findings discussed at the recent CLAS annual general meeting.
Is it cost effective to introduce paramedic practitioners for older people to the ambulance service?
National Centers for Biotechnology Information
A scheme to train paramedics to undertake a greater role in the care of older people following a call for an emergency ambulance was developed in a large city in the U.K. The objective of this study was to assess the cost effectiveness of the paramedic practitioner scheme compared with usual emergency care.
Enhancing paramedics procedural skills using a cadaveric model
Read by QxMD
Paramedic education has evolved in recent times from vocational post-employment to tertiary pre-employment supplemented by clinical placement. Simulation is advocated as a means of transferring learned skills to clinical practice. Sole reliance of simulation learning using mannequin-based models may not be sufficient to prepare students for variance in human anatomy.
Intranasal naloxone for pre-hospital opioid overdose
Emergency Medicine News
Emergency physicians know well the life-saving qualities of intravenous naloxone for a patient with opioid poisoning. It works in a few seconds, and completely reverses all the untoward effects of opioid use. The usual initial empiric dose of naloxone has changed over the years, and recommendations have actually decreased. If the patient still has a pulse and is breathing, even slowly, 0.4 mg of naloxone and even smaller doses have been recommended to reverse clinical effects and to avoid the precipitation of acute withdrawal in the opioid-dependent individual.
Missed last week's issue? See which articles your colleagues read most.
With paramedic back injuries increasing, city to buy power stretchers
Officials in Sudbury are hoping that spending money now on new equipment will save the city major dollars in the long run by preventing injuries.
Joseph Nicholls, the city's deputy chief of emergency services, told members of the community services committee that, in 2013, there were 89 injuries to staff, translating into 3,339 lost work hours. A total of 42 per cent of those injuries to paramedics were related to lifting stretchers.
Red tape ties up Israeli immigrant paramedics
The Chronicle Herald
The province talks a good game about attracting and retaining immigrants, Jon Goldberg says.
But an amended government process affecting two experienced foreign paramedics in the Halifax region has hindered their plans to transfer their professional credentials to Nova Scotia and secure jobs in the health sector, the Atlantic Jewish Council official said recently.
Laval Paramedic round-up
• Montreal, Laval paramedics vote in favour of pressure tactics
• Spokesperson: Paramedics haven't made a formal request for a meeting with Barrette
• Laval mayor satisfied with city's ambulance service
Frank Humada, Multiview, Director of Publishing, 289.695.5422
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Katherine Radin, Multiview, Content Editor, 289.695.5388
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