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With 2013 coming to a close, PAC would like to wish its members, partners and other industry professionals a very safe and happy holiday season.
As we reflect on the past year, we would like to provide PAC eNews subscribers with a look at the most-read news stories. That means, over the next two weeks, we'll count down the Top 20 articles for the year!
Your regular news publication will resume on Thursday January 9, 2014.
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10. A report on matters related to emergency 911 services
CRTC
Oct. 17, 2013: In December 2012, the Commission issued Telecom Notice of Consultation 2012-686, announcing my appointment as Inquiry Officer to conduct a review of matters related to emergency 911 services. As described in the Notice of Consultation, the purpose of the review was to focus on three broad areas: The performance and adequacy of the technology currently employed by 911 services, the issues related to the provision of 911 services on next-generation networks, and policy considerations on 911 matters.
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9. A cohort study: The association between pre-hospital care and in-hospital treatment decisions in acute stroke
James P. Sheppard, Ruth M. Mellor, Sheila Greenfield, et al.
Oct. 10, 2013: Stroke causes an estimated 5.7 million deaths worldwide and the loss of approximately 50 million disability-adjusted life years every year. The burden of stroke can be reduced with thrombolytic treatment using alteplase, but the time window for safe and effective treatment is short: thrombolysis is effective at improving functional outcome if administered up to six hours following symptom onset. Access to thrombolysis requires timely arrival at hospital, followed by urgent assessment, including brain imaging, to exclude intracranial haemorrhage.
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8. Comparative audit of oxygen use in the pre-hospital setting, in acute COPD exacerbation, over 5 years
British Medical Journal
Nov. 21, 2013: In 2009, the Wellington Free Ambulance implemented an education program to reduce high concentration oxygen delivery to patients with an acute exacerbation of chronic obstructive pulmonary disease (AECOPD). The aim of this audit was to compare pre-hospital oxygen delivery to patients with AECOPD before and after the program.
7. Pilot project cuts ambulance rides to frequent users in Winnipeg
680 CJOB
Sept. 12, 2013: A six month pilot program appears to have successfully cut down the use of ambulances by some of the most frequent users. Since the beginning of April, the Winnipeg Health Region and the city of Winnipeg have reached out to 40 of the top callers to 911, inviting them to join the program. The group was responsible for over 12,000 calls for an ambulance in a six month period, often with concerns that did require help, but not that of an ambulance. The top caller was responsible for roughly 80 calls in that same time period.
6. Paramedics offer solution to firefighters' OT problem
CBC News
Sept. 26, 2013: With a controversial plan to curb Winnipeg firefighters' overtime costs sent back to the drawing board, some city paramedics and others have ideas on how to bring costs down. The Winnipeg Fire Paramedic Service and the union representing firefighters will meet next week to discuss possible solutions to the ballooning overtime costs. The department is projected to spend $5.6 million on overtime for firefighters this year, an 86 per cent increase over last year, according to officials.
5. Interlake paramedics fear staff shortage puts patients at risk
CBC News
Oct. 10, 2013: Paramedics in Manitoba's Interlake region say they fear patient safety is being put at risk because health officials have failed to keep up with hiring. Nine paramedics met with CBC News in Selkirk, MB recently to talk about a slowdown in hiring in recent months. The paramedics say they are maxed out as more than 20 paramedic positions have been unfilled, and they say ambulances are being taken out of service way too often.
4. Airway management: 'The times they are a-changin'
CJEM
Sept. 19, 2013: Airway management has and will always be a priority in resuscitation efforts. The "ABCs" of resuscitation are in part an acronym of convenience meant to remind us to focus our management priorities. Traditionally, these priorities have included early endotracheal intubation and success was measured in part by completion of this procedure. Improved airway management patient outcomes depend on successful maintenance of physiologic parameters, not on placement of a polyvinyl endotracheal tube alone.
3. Is it too difficult to be a paramedic in British Columbia?
CBC News
Sept. 5, 2013: Cameron Eby is on the provincial executive for the Ambulance Paramedics of B.C. union. He says part of the problem is that in order to become a paramedic, you must take nine months of school at a cost of thousands of dollars. This school is usually in larger cities, so people from remote locations must give up other work in order to complete the training. Then when they return to their communities, they don't get full pay unless they are responding to an emergency.
2. A message from Chris Hood, President, PAC
PAC
Sept. 12, 2013: During the past week I have been going through some of the news articles that I receive from a number of different sources and people across this country. While reading and reviewing the relevant articles, I came across two particular articles that have made me reflect, in a negative way, about emergency services and I thought I would bring them to your attention.
1. Gap analysis for EMS
PAC
Sept. 5, 2013: The Paramedic Association of Canada and the Paramedic Chiefs of Canada have recognized a need to enable a research culture within their emergency service discipline. As new partners of the CPRC, a strategic gaps analysis is essential to drive coordinated research and development, and science and technology investment. This gap analysis will provide a model for collaborative participation and prioritization in evolving research initiatives for all Tri-Service agencies.
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Frank Humada, Multiview, Director of Publishing, 289.695.5422
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