Guest guest Posted June 19, 2005 Report Share Posted June 19, 2005 Hi Bill, Concur completely with 's comments. We offshore medics have a lot of autonomy, given the isolation and inherent difficulties. That being said, we also have communications with expert help onshore 24/7. If your people are three hours from the nearest specialised care, I expect this can become six hours through weather problems etc. Much will be dictated by the emergency equipment you hold also. In my experience, anything more than one hour availability of hospital care will require top notch personnel and equipment. As this is a Canadian outfit, I expect the consequences of litigation could loom large. Better if they pay for the best now or pay huge if found not providing " adequate care " to their employees. Its a situation I knew well from American vessels running in the Caspian with no Medics at all. It sounds like you have a good case for the provision of very highly qualified and experienced paramedics at this location. In the UK, such things are formally dictated by a risk appraisal of the situation - including worst case scenarios. Good luck Buck Medic Ninian Southern In , " thomas greaber " <tom5255@h...> wrote: > Hi bill > Most if not all of us whom work offhsore and on remote sites function at a > level above " paramedic " as it what a paramedic does ona ambulance we all > tend to have very liberal protocals and routinely provide primary care to > our patient load. such as antibodics, dental care, basicly the same stuff > that your aver GP sees in his office. We also dela with other issues a > paramedic never deals with...health and hygenie. occ heath issues and a pile > of other crap. Ranging form inventory to advisng the client on equipment, > training ERT teams etc; > If I remenber correctly EMT 3 is basicly trauma related or should I say > orientated. So the issues of cardiac and the like are out of thier scope. > Would submit that any remote site needs staff at the very least staff by > paramedics ( or as in the case of some of our fellow providers on the list) > staff with ED, ICU nursing background) this is a profession where paramedic > is where your start. > > Regards > > Tom g > Sakhalin island > > >From: Bill Witmer <billemtp2000@y...> > >Reply- > > > >Subject: question for group > >Date: Fri, 17 Jun 2005 10:55:36 -0700 (PDT) > > > > > > > >-I have a question I know this is not an American > >group per SE but what is the level of care most of the > >places you work at? Like I work at a remote Gold Mine > >here in Alaska and it is currently a Paramedic level > >care but they feel that EMT3 level care is good enough > >so I am trying to put together a argument that > >standard of care is Paramedic care or higher is > >standard. But I need proof, this is a Canadian based > >company that I work for and so maybe I am wrong. Is > >Canada rated at Paramedic or do they have a different > >system.. > > > > > >thanks > > > >Bill Witmer > >NREMTP, RT > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2005 Report Share Posted June 19, 2005 Hi Bill I agree with all the below comments, but how about asking your company to send you on a remote medics course - the one we in the UK do for offshore would be a benefit for you providing that you find the correct course provider ... just a thought! best wishes question for group > >Date: Fri, 17 Jun 2005 10:55:36 -0700 (PDT) > > > > > > > >-I have a question I know this is not an American > >group per SE but what is the level of care most of the places you > >work at? Like I work at a remote Gold Mine here in Alaska and it is > >currently a Paramedic level care but they feel that EMT3 level care > >is good enough so I am trying to put together a argument that > >standard of care is Paramedic care or higher is > >standard. But I need proof, this is a Canadian based > >company that I work for and so maybe I am wrong. Is > >Canada rated at Paramedic or do they have a different > >system.. > > > > > >thanks > > > >Bill Witmer > >NREMTP, RT > > > > > > > > > > > Member Information: List owner: Ian Sharpe Owner@... Editor: Ross Boardman Editor@... ALL list admin messages (subscriptions & unsubscriptions) should be sent to the list owner. Post message: egroups Please visit our website http://www.remotemedics.co.uk Regards The Remote Medics Team Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2005 Report Share Posted June 19, 2005 Hello Buck , Are you still squishing about the higland roads on that motorbike? You are quite correct in your comments below but I have often felt that many big companies would rather take the gamble on their hard working medics saving the day and not costing much against something bad happening, which could have been prevented, and then calling in their lawyers and HSE to fight it and/or find a scapegoat. This was seen recently in Texas with BP who, following a fatal incident, held an investigation and found the fault lay entirely with the employees and supervisors on the spot. Fortunately in this case the US unions jumped in and told BP that they would not accept this finding at all. In the largest Saudi oil company it was not uncommon for medics to be intimidated by supervisors or managers to change medical reports on incidents that may have required investigations and a poor score on their department safety points for the month. An American drilling company in the Caspian which had medics did not have a company medical department and was not willing to pay for a Topcover contract, so despite having very good medics working for them it was not uncommon for medical decisions to be overruled by the zone manager, the rig manager, the OIM or the senior tool pusher, to save a dollar and avoid paying for treatment. Investing in quality staff and equipment does pay off at the end of the day. P. <bxtaylor2@...> wrote: Hi Bill, Concur completely with 's comments. We offshore medics have a lot of autonomy, given the isolation and inherent difficulties. That being said, we also have communications with expert help onshore 24/7. If your people are three hours from the nearest specialised care, I expect this can become six hours through weather problems etc. Much will be dictated by the emergency equipment you hold also. In my experience, anything more than one hour availability of hospital care will require top notch personnel and equipment. As this is a Canadian outfit, I expect the consequences of litigation could loom large. Better if they pay for the best now or pay huge if found not providing " adequate care " to their employees. Its a situation I knew well from American vessels running in the Caspian with no Medics at all. It sounds like you have a good case for the provision of very highly qualified and experienced paramedics at this location. In the UK, such things are formally dictated by a risk appraisal of the situation - including worst case scenarios. Good luck Buck Medic Ninian Southern In , " thomas greaber " <tom5255@h...> wrote: > Hi bill > Most if not all of us whom work offhsore and on remote sites function at a > level above " paramedic " as it what a paramedic does ona ambulance we all > tend to have very liberal protocals and routinely provide primary care to > our patient load. such as antibodics, dental care, basicly the same stuff > that your aver GP sees in his office. We also dela with other issues a > paramedic never deals with...health and hygenie. occ heath issues and a pile > of other crap. Ranging form inventory to advisng the client on equipment, > training ERT teams etc; > If I remenber correctly EMT 3 is basicly trauma related or should I say > orientated. So the issues of cardiac and the like are out of thier scope. > Would submit that any remote site needs staff at the very least staff by > paramedics ( or as in the case of some of our fellow providers on the list) > staff with ED, ICU nursing background) this is a profession where paramedic > is where your start. > > Regards > > Tom g > Sakhalin island > > >From: Bill Witmer <billemtp2000@y...> > >Reply- > > > >Subject: question for group > >Date: Fri, 17 Jun 2005 10:55:36 -0700 (PDT) > > > > > > > >-I have a question I know this is not an American > >group per SE but what is the level of care most of the > >places you work at? Like I work at a remote Gold Mine > >here in Alaska and it is currently a Paramedic level > >care but they feel that EMT3 level care is good enough > >so I am trying to put together a argument that > >standard of care is Paramedic care or higher is > >standard. But I need proof, this is a Canadian based > >company that I work for and so maybe I am wrong. Is > >Canada rated at Paramedic or do they have a different > >system.. > > > > > >thanks > > > >Bill Witmer > >NREMTP, RT > > > > > > > > > > > Member Information: List owner: Ian Sharpe Owner@... Editor: Ross Boardman Editor@... ALL list admin messages (subscriptions & unsubscriptions) should be sent to the list owner. Post message: egroups Please visit our website http://www.remotemedics.co.uk Regards The Remote Medics Team --------------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2005 Report Share Posted June 19, 2005 --- Parkinson <gary.parkinson@...> wrote: > Hi Bill > I agree with all the below comments, but how about asking > your company to send you on a remote medics course - the > one we in the UK do for offshore would be a benefit for > you providing that you find the correct course > provider ... I think The whole point od his message Is that his company... paid already too much to have a Medic A first-aid kit and maybe a bottle of oxygen. They are satisfier that they have a warm body with an EMT certification. They do see the point of anymore expenditure or of the usefulness of the Medic (since he his outside of the revenue generating equation) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2005 Report Share Posted June 19, 2005 Do you know if the remotemedic course is accepted in the US. the Doctor out there has used my miltary exsperience to cover for the procedures I do Outside of the normal medic stuff. Bill --- Parkinson <gary.parkinson@...> wrote: > Hi Bill > I agree with all the below comments, but how about > asking your company > to send you on a remote medics course - the one we > in the UK do for > offshore would be a benefit for you providing that > you find the correct > course provider ... > just a thought! > best wishes > > > question for group > > >Date: Fri, 17 Jun 2005 10:55:36 -0700 (PDT) > > > > > > > > > > > >-I have a question I know this is not an American > > >group per SE but what is the level of care most > of the places you > > >work at? Like I work at a remote Gold Mine here > in Alaska and it is > > >currently a Paramedic level care but they feel > that EMT3 level care > > >is good enough so I am trying to put together a > argument that > > >standard of care is Paramedic care or higher is > > >standard. But I need proof, this is a Canadian > based > > >company that I work for and so maybe I am wrong. > Is > > >Canada rated at Paramedic or do they have a > different > > >system.. > > > > > > > > >thanks > > > > > >Bill Witmer > > >NREMTP, RT > > > > > > > > > > > > > > > > > > > > > Member Information: > > List owner: Ian Sharpe Owner@... > Editor: Ross Boardman Editor@... > > ALL list admin messages (subscriptions & > unsubscriptions) should be sent > to the list owner. > > Post message: egroups > > Please visit our website > http://www.remotemedics.co.uk > > Regards > > The Remote Medics Team > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2005 Report Share Posted June 19, 2005 Hi Bill, I'm not sure but I bet that someone on the list will know - a while ago I remember we had quite a few US medics going on the UK offshore medics course as it has been seen as the 'gold standard' for the industry - it was discussed on the group but I'm not sure when (maybe about 6 months ago...?) hope that helps Best wishes question for group > > >Date: Fri, 17 Jun 2005 10:55:36 -0700 (PDT) > > > > > > > > > > > >-I have a question I know this is not an American > > >group per SE but what is the level of care most > of the places you > > >work at? Like I work at a remote Gold Mine here > in Alaska and it is > > >currently a Paramedic level care but they feel > that EMT3 level care > > >is good enough so I am trying to put together a > argument that > > >standard of care is Paramedic care or higher is > > >standard. But I need proof, this is a Canadian > based > > >company that I work for and so maybe I am wrong. > Is > > >Canada rated at Paramedic or do they have a > different > > >system.. > > > > > > > > >thanks > > > > > >Bill Witmer > > >NREMTP, RT > > > > > > > > > > > > > > > > > > > > > Member Information: > > List owner: Ian Sharpe Owner@... > Editor: Ross Boardman Editor@... > > ALL list admin messages (subscriptions & > unsubscriptions) should be sent > to the list owner. > > Post message: egroups > > Please visit our website > http://www.remotemedics.co.uk > > Regards > > The Remote Medics Team > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2005 Report Share Posted June 19, 2005 Hi Bill, I practiced in remote Western Alaska with many a fine paramedic...I am worried that standards of practice in Non US locations could get you in trouble in Alaska. Be sure you don't run afoul of the Alaskan/USlaws and " Standard of Care " by performing care beyond your licensed " scope of care " . Alot of what you are describing to us is what is licensed to the Nurse Practioner or Physician Assistant level in US.It is a common problem in the US( and of course elsewhere)that competent and experiensed paramedics with former military backgrounds are not used effectively.Many an IDC( independent duty corpsman) has returned to the US and been unable to practice at his competency level also , rather they were relegated to the regulatory level which currently has a gap.. Being land based has differant laws. A Forgein physician WILL NOT cover you under these circumstances I assure you.They cannot delegate to a licensed medical provider tasks beyonf the scope of practice.If you were unlicensed they could !!! And then they are on the hook for the standard of performance. Better check with the regional EMS and State Medical board before you go further and wind up in hot water. Sorry to be the yellow flag on your race. Gerry Keenan PA-C, MMS formerly at YKHC in Bethel,AK now at an ER in Maine and Principal Consultant, Partners in Practice,Physician Extender Consulting Services --- Parkinson <gary.parkinson@...> wrote: > Hi Bill, > I'm not sure but I bet that someone on the list will > know - a while ago > I remember we had quite a few US medics going on the > UK offshore medics > course as it has been seen as the 'gold standard' > for the industry - it > was discussed on the group but I'm not sure when > (maybe about 6 months > ago...?) > hope that helps > Best wishes > > > question for > group > > > >Date: Fri, 17 Jun 2005 10:55:36 -0700 (PDT) > > > > > > > > > > > > > > > >-I have a question I know this is not an > American > > > >group per SE but what is the level of care most > > of the places you > > > >work at? Like I work at a remote Gold Mine here > > in Alaska and it is > > > >currently a Paramedic level care but they feel > > that EMT3 level care > > > >is good enough so I am trying to put together a > > argument that > > > >standard of care is Paramedic care or higher is > > > >standard. But I need proof, this is a Canadian > > based > > > >company that I work for and so maybe I am > wrong. > > Is > > > >Canada rated at Paramedic or do they have a > > different > > > >system.. > > > > > > > > > > > >thanks > > > > > > > >Bill Witmer > > > >NREMTP, RT > > > > > > > > > > > > > > === message truncated === Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2005 Report Share Posted June 19, 2005 Bill; Regardless of the head office is situated, the question remains what current soil are you physically sitting on, different countries / states / provinces / commonwealths / republics have differing standards and regulations, it becomes a mater of Jurisdiction. hits the head of the nail! It is a bit personally disappointing to me that the individuals that you have employed you are not heeding your expert advice... it will be just a matter of time before precedent is set, unfortunately it usually it takes a few lives ( and huge out of court settlements) before changes are implemented. Education may be the route to go http://www3.gov.ab.ca/hre/whs/law/ohs.asp there is a power point presentation on that site it may be of value, and the new increased in fines in place as well.........? Speaking from personal experience if issues are pushed too hard, you are replaceable. How far is the WALKING distance to that closest community? I find it rather humerous that " that lazy band-aid " , is the usually the lowest on the feeding chain, but if there's a wreck " Suddenly your Status Changes! " Where I live it gets tricky, here's why, OH+S/HSE dictates an RN or Paramedic ALS level, if > 40 mins travel by ground and over 250 men plus additional first aiders or EMT for additional men on site, on top of that is Risk assessment. BUT the regulations for equipment quote First Aid level supplies, very specific numbers of Band-Aids, pins, and the like. Is a Paramedic a Paramedic without the Meds and Electronic Kit, Medical Director, and Comms? Some operations run by Lay people in the head offices don't understand, Ops run by Paramedics at the helm usually have all the bells and whistles, they understand the legal risk. Canada generally speaking has quite high standards, I think the British Offshore Training programs are way ahead, and if I could type faster I would have said " The Gold Standard " but beat me to the punch! By the way, I am accepting donations for Send Wilf to the U.K. fund, and I prefer just a drop of Cream in my Tetley's. Possibly a new thread here........ bit of a Catch -22. The current trend is combining the HSE/Medic role to be more efficient. Legally where the heck do you stand if you identify a Safety issue.....no action is taken..... you have a wreck........ and the because you don't have enough meds / fluids to resus............ a fatality results....... its not a dream, its my nightmare. Delusional or Paranoia, I certainly hoping Rod is sleeping! Wilf question for group >> >Date: Fri, 17 Jun 2005 10:55:36 -0700 (PDT) >> > >> > >> > >> >-I have a question I know this is not an American >> >group per SE but what is the level of care most of the >> >places you work at? Like I work at a remote Gold Mine >> >here in Alaska and it is currently a Paramedic level >> >care but they feel that EMT3 level care is good enough >> >so I am trying to put together a argument that >> >standard of care is Paramedic care or higher is >> >standard. But I need proof, this is a Canadian based >> >company that I work for and so maybe I am wrong. Is >> >Canada rated at Paramedic or do they have a different >> >system.. >> > >> > >> >thanks >> > >> >Bill Witmer >> >NREMTP, RT >> > > >> > >> > >> > >> > > > > > > Member Information: > > List owner: Ian Sharpe Owner@... > Editor: Ross Boardman Editor@... > > ALL list admin messages (subscriptions & unsubscriptions) should be sent > to the list owner. > > Post message: egroups > > Please visit our website http://www.remotemedics.co.uk > > Regards > > The Remote Medics Team > > > > --------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2005 Report Share Posted June 19, 2005 Tetleys is a beverage made of hops, water etc...............which cause people to do silly stuff! As for offshore medic course accepted in the U.S. its a sad state of affiars to admit this since I am a yank but am willing to bet most offshore medic providing companies in the states would not even know what it is never mind accept it. the current standard is NREMT-P at the very least. The better outfits then run you thru a offshore advance scope course intenaly Cheers Tom >From: Bill Witmer <billemtp2000@...> >Reply- > >Subject: RE: Re: question for group >Date: Sun, 19 Jun 2005 09:03:33 -0700 (PDT) > > > >Do you know if the remotemedic course is accepted in >the US. the Doctor out there has used my miltary >exsperience to cover for the procedures I do Outside >of the normal medic stuff. > >Bill > > > > > >--- Parkinson ><gary.parkinson@...> wrote: > > > Hi Bill > > I agree with all the below comments, but how about > > asking your company > > to send you on a remote medics course - the one we > > in the UK do for > > offshore would be a benefit for you providing that > > you find the correct > > course provider ... > > just a thought! > > best wishes > > > > > > question for group > > > >Date: Fri, 17 Jun 2005 10:55:36 -0700 (PDT) > > > > > > > > > > > > > > > >-I have a question I know this is not an American > > > >group per SE but what is the level of care most > > of the places you > > > >work at? Like I work at a remote Gold Mine here > > in Alaska and it is > > > >currently a Paramedic level care but they feel > > that EMT3 level care > > > >is good enough so I am trying to put together a > > argument that > > > >standard of care is Paramedic care or higher is > > > >standard. But I need proof, this is a Canadian > > based > > > >company that I work for and so maybe I am wrong. > > Is > > > >Canada rated at Paramedic or do they have a > > different > > > >system.. > > > > > > > > > > > >thanks > > > > > > > >Bill Witmer > > > >NREMTP, RT > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Member Information: > > > > List owner: Ian Sharpe Owner@... > > Editor: Ross Boardman Editor@... > > > > ALL list admin messages (subscriptions & > > unsubscriptions) should be sent > > to the list owner. > > > > Post message: egroups > > > > Please visit our website > > http://www.remotemedics.co.uk > > > > Regards > > > > The Remote Medics Team > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2005 Report Share Posted June 19, 2005 Gerry I m actually working in Alaska as a medic, its a American MD looking over what we do. but the owner or Company is Foreign by the way YKHC out at Bethel been there a bunch when I was flying medivac Bill --- gerry keenan <gkeenanpa@...> wrote: > Hi Bill, > I practiced in remote Western Alaska with many a > fine > paramedic...I am worried that standards of practice > in > Non US locations could get you in trouble in Alaska. > > Be sure you don't run afoul of the Alaskan/USlaws > and > " Standard of Care " by performing care beyond your > licensed " scope of care " . Alot of what you are > describing to us is what is licensed to the Nurse > Practioner or Physician Assistant level in US.It is > a > common problem in the US( and of course > elsewhere)that > competent and experiensed paramedics with former > military backgrounds are not used effectively.Many > an > IDC( independent duty corpsman) has returned to the > US > and been unable to practice at his competency level > also , rather they were relegated to the regulatory > level which currently has a gap.. > Being land based has differant laws. A Forgein > physician WILL NOT cover you under these > circumstances > I assure you.They cannot delegate to a licensed > medical provider tasks beyonf the scope of > practice.If > you were unlicensed they could !!! And then they are > on the hook for the standard of performance. > Better check with the regional EMS and State Medical > board before you go further and wind up in hot > water. > Sorry to be the yellow flag on your race. > > Gerry Keenan PA-C, MMS > formerly at YKHC in Bethel,AK > now at an ER in Maine and > Principal Consultant, Partners in Practice,Physician > Extender Consulting Services > --- Parkinson > <gary.parkinson@...> wrote: > > > Hi Bill, > > I'm not sure but I bet that someone on the list > will > > know - a while ago > > I remember we had quite a few US medics going on > the > > UK offshore medics > > course as it has been seen as the 'gold standard' > > for the industry - it > > was discussed on the group but I'm not sure when > > (maybe about 6 months > > ago...?) > > hope that helps > > Best wishes > > > > > > Re: question for > > group > > > > > > > > > Hi Bill, > > > > > > Concur completely with 's comments. We > > > offshore medics have a > > > lot of autonomy, given the isolation and > inherent > > > difficulties. That > > > being said, we also have communications with > > expert > > > help onshore > > > 24/7. > > > > > > If your people are three hours from the nearest > > > specialised care, I > > > expect this can become six hours through weather > > > problems etc. Much > > > will be dictated by the emergency equipment you > > hold > > > also. In my > > > experience, anything more than one hour > > availability > > > of hospital > > > care will require top notch personnel and > > equipment. > > > As this is a > > > Canadian outfit, I expect the consequences of > > > litigation could loom > > > large. Better if they pay for the best now or > pay > > > huge if found not > > > providing " adequate care " to their employees. > Its > > a > > > situation I knew > > > well from American vessels running in the > Caspian > > > with no Medics at > > > all. > > > > > > It sounds like you have a good case for the > > > provision of very highly > > > qualified and experienced paramedics at this > > > location. In the UK, > > > such things are formally dictated by a risk > > > appraisal of the > > > situation - including worst case scenarios. > > > > > > Good luck > > > > > > Buck > > > Medic > > > Ninian Southern > > > > > > > > > In , " thomas > > > greaber " > > > <tom5255@h...> wrote: > > > > Hi bill > > > > Most if not all of us whom work offhsore and > on > > > remote sites > > > function at a > > > > level above " paramedic " as it what a paramedic > > > does ona ambulance > > > we all > > > > tend to have very liberal protocals and > > routinely > > > provide primary > > > care to > > > > our patient load. such as antibodics, dental > > care, > > > basicly the > > > same stuff > > > > that your aver GP sees in his office. We also > > dela > > > with other > > > issues a > > > > paramedic never deals with...health and > hygenie. > > > occ heath issues > > > and a pile > > > > of other crap. Ranging form inventory to > advisng > > > the client on > > > equipment, > > > > training ERT teams etc; > > > > If I remenber correctly EMT 3 is basicly > trauma > === message truncated === Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2005 Report Share Posted June 19, 2005 Hey Bill, Sorry if I got your situation confused- I thought it was a Canadian Company with a remote Canadian Med/doc supervising a landbased US EMT3 and wanting higher levels of coverage. i was last there in '99. We may have met- I'm the baldheaded , bearded fella with the North Irish accent. BTW- Gene Vitlla(sp) the chair at YKHC had a gold mine is Jim Keates still around? Gerry --- Bill Witmer <billemtp2000@...> wrote: > > Gerry > > > I m actually working in Alaska as a medic, its a > American MD looking over what we do. but the owner > or > Company is Foreign > > by the way YKHC out at Bethel > been there a bunch when I was flying medivac > > Bill > > > --- gerry keenan <gkeenanpa@...> wrote: > > > Hi Bill, > > I practiced in remote Western Alaska with many a > > fine > > paramedic...I am worried that standards of > practice > > in > > Non US locations could get you in trouble in > Alaska. > > > > Be sure you don't run afoul of the Alaskan/USlaws > > and > > " Standard of Care " by performing care beyond your > > licensed " scope of care " . Alot of what you are > > describing to us is what is licensed to the Nurse > > Practioner or Physician Assistant level in US.It > is > > a > > common problem in the US( and of course > > elsewhere)that > > competent and experiensed paramedics with former > > military backgrounds are not used effectively.Many > > an > > IDC( independent duty corpsman) has returned to > the > > US > > and been unable to practice at his competency > level > > also , rather they were relegated to the > regulatory > > level which currently has a gap.. > > Being land based has differant laws. A Forgein > > physician WILL NOT cover you under these > > circumstances > > I assure you.They cannot delegate to a licensed > > medical provider tasks beyonf the scope of > > practice.If > > you were unlicensed they could !!! And then they > are > > on the hook for the standard of performance. > > Better check with the regional EMS and State > Medical > > board before you go further and wind up in hot > > water. > > Sorry to be the yellow flag on your race. > > > > Gerry Keenan PA-C, MMS > > formerly at YKHC in Bethel,AK > > now at an ER in Maine and > > Principal Consultant, Partners in > Practice,Physician > > Extender Consulting Services > > --- Parkinson > > <gary.parkinson@...> wrote: > > > > > Hi Bill, > > > I'm not sure but I bet that someone on the list > > will > > > know - a while ago > > > I remember we had quite a few US medics going on > > the > > > UK offshore medics > > > course as it has been seen as the 'gold > standard' > > > for the industry - it > > > was discussed on the group but I'm not sure when > > > > (maybe about 6 months > > > ago...?) > > > hope that helps > > > Best wishes > > > > > > > > > Re: question for > > > group > > > > > > > > > > > > Hi Bill, > > > > > > > > Concur completely with 's comments. We > > > > offshore medics have a > > > > lot of autonomy, given the isolation and > > inherent > > > > difficulties. That > > > > being said, we also have communications with > > > expert > > > > help onshore > > > > 24/7. > > > > > > > > If your people are three hours from the > nearest > > > > specialised care, I > > > > expect this can become six hours through > weather > > > > problems etc. Much > > > > will be dictated by the emergency equipment > you > > > hold > > > > also. In my > > > > experience, anything more than one hour > > > availability > > > > of hospital > > > > care will require top notch personnel and > > > equipment. > > > > As this is a > > > > Canadian outfit, I expect the consequences of > > > > litigation could loom > > > > large. Better if they pay for the best now or > > pay > > > > huge if found not > > > > providing " adequate care " to their employees. > > Its > > > a > > > > situation I knew > > > > well from American vessels running in the > > Caspian > > > > with no Medics at > > > > all. > > > > > > > > It sounds like you have a good case for the > > > > provision of very highly > > > > qualified and experienced paramedics at this > > > > location. In the UK, > > > > such things are formally dictated by a risk > > > > appraisal of the > > > > situation - including worst case scenarios. > > > > > > > > Good luck > > > > > > > > Buck > > > > Medic > > > > Ninian Southern > === message truncated === Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2005 Report Share Posted June 19, 2005 Gerry Oh yes Jim Keates is still around I see him down at southern region EMS symposium Bill --- gerry keenan <gkeenanpa@...> wrote: > Hey Bill, > Sorry if I got your situation confused- I thought it > was a Canadian Company with a remote Canadian > Med/doc > supervising a landbased US EMT3 and wanting higher > levels of coverage. > i was last there in '99. We may have met- I'm the > baldheaded , bearded fella with the North Irish > accent. > BTW- Gene Vitlla(sp) the chair at YKHC had a gold > mine > is Jim Keates still around? > Gerry > > --- Bill Witmer <billemtp2000@...> wrote: > > > > > Gerry > > > > > > I m actually working in Alaska as a medic, its a > > American MD looking over what we do. but the owner > > or > > Company is Foreign > > > > by the way YKHC out at Bethel > > been there a bunch when I was flying medivac > > > > Bill > > > > > > --- gerry keenan <gkeenanpa@...> wrote: > > > > > Hi Bill, > > > I practiced in remote Western Alaska with many a > > > fine > > > paramedic...I am worried that standards of > > practice > > > in > > > Non US locations could get you in trouble in > > Alaska. > > > > > > Be sure you don't run afoul of the > Alaskan/USlaws > > > and > > > " Standard of Care " by performing care beyond > your > > > licensed " scope of care " . Alot of what you are > > > describing to us is what is licensed to the > Nurse > > > Practioner or Physician Assistant level in US.It > > is > > > a > > > common problem in the US( and of course > > > elsewhere)that > > > competent and experiensed paramedics with former > > > military backgrounds are not used > effectively.Many > > > an > > > IDC( independent duty corpsman) has returned to > > the > > > US > > > and been unable to practice at his competency > > level > > > also , rather they were relegated to the > > regulatory > > > level which currently has a gap.. > > > Being land based has differant laws. A Forgein > > > physician WILL NOT cover you under these > > > circumstances > > > I assure you.They cannot delegate to a licensed > > > medical provider tasks beyonf the scope of > > > practice.If > > > you were unlicensed they could !!! And then they > > are > > > on the hook for the standard of performance. > > > Better check with the regional EMS and State > > Medical > > > board before you go further and wind up in hot > > > water. > > > Sorry to be the yellow flag on your race. > > > > > > Gerry Keenan PA-C, MMS > > > formerly at YKHC in Bethel,AK > > > now at an ER in Maine and > > > Principal Consultant, Partners in > > Practice,Physician > > > Extender Consulting Services > > > --- Parkinson > > > <gary.parkinson@...> wrote: > > > > > > > Hi Bill, > > > > I'm not sure but I bet that someone on the > list > > > will > > > > know - a while ago > > > > I remember we had quite a few US medics going > on > > > the > > > > UK offshore medics > > > > course as it has been seen as the 'gold > > standard' > > > > for the industry - it > > > > was discussed on the group but I'm not sure > when > > > > > > (maybe about 6 months > > > > ago...?) > > > > hope that helps > > > > Best wishes > > > > > > > > > > > > Re: question > for > > > > group > > > > > > > > > > > > > > > Hi Bill, > > > > > > > > > > Concur completely with 's comments. We > > > > > offshore medics have a > > > > > lot of autonomy, given the isolation and > > > inherent > > > > > difficulties. That > > > > > being said, we also have communications with > > > > expert > > > > > help onshore > > > > > 24/7. > > > > > > > > > > If your people are three hours from the > > nearest > > > > > specialised care, I > > > > > expect this can become six hours through > > weather > > > > > problems etc. Much > > > > > will be dictated by the emergency equipment > > you > > > > hold > > > > > also. In my > > > > > experience, anything more than one hour > > > > availability > > > > > of hospital > > > > > care will require top notch personnel and > > > > equipment. > > > > > As this is a > === message truncated === Bill Witmer NREMTP,CCEMTP,FP-C Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2005 Report Share Posted June 19, 2005 Bill, I was asked to rewrite the Maniiliq Flight Program and Kotzebue EMS protocols about 2 years ago. One of the most amazing things I discovered was the felxability of the medical practices act in AK. Essentially, as long as the program medical director (who had no EMS experince) signed off on what I wrote and got it approved by OEMS, anything I wrote was good. I trained the nurses and medics to place and monitor chest tubes, perform surgical airways, and place central lines. Unfortunately, the (non-EMS) medical director decided she wasn't comfortable beng responsible for the flight program and 85 hours worth of work was put on the shelf (although I kept 'em for myself). So your medical director may just need to work out protocols with you and get them approved. Maybe others with more experience in AK can comment. I'd also be happy to talk with your medical director if you want. JMB --- Bill Witmer <billemtp2000@...> wrote: > > Gerry > > > I m actually working in Alaska as a medic, its a > American MD looking over what we do. but the owner > or > Company is Foreign > > by the way YKHC out at Bethel > been there a bunch when I was flying medivac > > Bill > > > --- gerry keenan <gkeenanpa@...> wrote: > > > Hi Bill, > > I practiced in remote Western Alaska with many a > > fine > > paramedic...I am worried that standards of > practice > > in > > Non US locations could get you in trouble in > Alaska. > > > > Be sure you don't run afoul of the Alaskan/USlaws > > and > > " Standard of Care " by performing care beyond your > > licensed " scope of care " . Alot of what you are > > describing to us is what is licensed to the Nurse > > Practioner or Physician Assistant level in US.It > is > > a > > common problem in the US( and of course > > elsewhere)that > > competent and experiensed paramedics with former > > military backgrounds are not used effectively.Many > > an > > IDC( independent duty corpsman) has returned to > the > > US > > and been unable to practice at his competency > level > > also , rather they were relegated to the > regulatory > > level which currently has a gap.. > > Being land based has differant laws. A Forgein > > physician WILL NOT cover you under these > > circumstances > > I assure you.They cannot delegate to a licensed > > medical provider tasks beyonf the scope of > > practice.If > > you were unlicensed they could !!! And then they > are > > on the hook for the standard of performance. > > Better check with the regional EMS and State > Medical > > board before you go further and wind up in hot > > water. > > Sorry to be the yellow flag on your race. > > > > Gerry Keenan PA-C, MMS > > formerly at YKHC in Bethel,AK > > now at an ER in Maine and > > Principal Consultant, Partners in > Practice,Physician > > Extender Consulting Services > > --- Parkinson > > <gary.parkinson@...> wrote: > > > > > Hi Bill, > > > I'm not sure but I bet that someone on the list > > will > > > know - a while ago > > > I remember we had quite a few US medics going on > > the > > > UK offshore medics > > > course as it has been seen as the 'gold > standard' > > > for the industry - it > > > was discussed on the group but I'm not sure when > > > > (maybe about 6 months > > > ago...?) > > > hope that helps > > > Best wishes > > > > > > > > > Re: question for > > > group > > > > > > > > > > > > Hi Bill, > > > > > > > > Concur completely with 's comments. We > > > > offshore medics have a > > > > lot of autonomy, given the isolation and > > inherent > > > > difficulties. That > > > > being said, we also have communications with > > > expert > > > > help onshore > > > > 24/7. > > > > > > > > If your people are three hours from the > nearest > > > > specialised care, I > > > > expect this can become six hours through > weather > > > > problems etc. Much > > > > will be dictated by the emergency equipment > you > > > hold > > > > also. In my > > > > experience, anything more than one hour > > > availability > > > > of hospital > > > > care will require top notch personnel and > > > equipment. > > > > As this is a > > > > Canadian outfit, I expect the consequences of > > > > litigation could loom > > > > large. Better if they pay for the best now or > > pay > > > > huge if found not > > > > providing " adequate care " to their employees. > > Its > > > a > > > > situation I knew > > > > well from American vessels running in the > > Caspian > > > > with no Medics at > > > > all. > > > > > > > > It sounds like you have a good case for the > > > > provision of very highly > > > > qualified and experienced paramedics at this > > > > location. In the UK, > > > > such things are formally dictated by a risk > > > > appraisal of the > > > > situation - including worst case scenarios. > > > > > > > > Good luck > > > > > > > > Buck > > > > Medic > > > > Ninian Southern > === message truncated === ____________________________________________________ Sports Rekindle the Rivalries. Sign up for Fantasy Football http://football.fantasysports. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2005 Report Share Posted June 19, 2005 I'm still looking for people interested in commenting on the independant duty medic curriculum for the class put together for CDS outdoor school. Anyone who is currently in the business, particularly those fo you who have taken other offshore courses, your input would be valid. e-mail me off the list-serv (jbuskomd@...) and I'll send you a copy of the syllabus as it stands. Jonnathan --- thomas greaber <tom5255@...> wrote: > Tetleys is a beverage made of hops, water > etc...............which cause > people to do silly stuff! > As for offshore medic course accepted in the U.S. > its a sad state of affiars > to admit this since I am a yank but am willing to > bet most offshore medic > providing companies in the states would not even > know what it is never mind > accept it. the current standard is NREMT-P at the > very least. The better > outfits then run you thru a offshore advance scope > course intenaly > > > Cheers > > Tom > > >From: Bill Witmer <billemtp2000@...> > >Reply- > > > >Subject: RE: Re: question for > group > >Date: Sun, 19 Jun 2005 09:03:33 -0700 (PDT) > > > > > > > >Do you know if the remotemedic course is accepted > in > >the US. the Doctor out there has used my miltary > >exsperience to cover for the procedures I do > Outside > >of the normal medic stuff. > > > >Bill > > > > > > > > > > > >--- Parkinson > ><gary.parkinson@...> wrote: > > > > > Hi Bill > > > I agree with all the below comments, but how > about > > > asking your company > > > to send you on a remote medics course - the one > we > > > in the UK do for > > > offshore would be a benefit for you providing > that > > > you find the correct > > > course provider ... > > > just a thought! > > > best wishes > > > > > > > > > question for > group > > > > >Date: Fri, 17 Jun 2005 10:55:36 -0700 (PDT) > > > > > > > > > > > > > > > > > > > >-I have a question I know this is not an > American > > > > >group per SE but what is the level of care > most > > > of the places you > > > > >work at? Like I work at a remote Gold Mine > here > > > in Alaska and it is > > > > >currently a Paramedic level care but they > feel > > > that EMT3 level care > > > > >is good enough so I am trying to put together > a > === message truncated === __________________________________ Stay connected, organized, and protected. Take the tour: http://tour.mail./mailtour.html Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2005 Report Share Posted June 19, 2005 Hell, last I knew (and this is a bit dated) the US wouldn't even accept UK nursing licenses without additional training. LT thomas greaber wrote: > Tetleys is a beverage made of hops, water etc...............which cause > people to do silly stuff! > As for offshore medic course accepted in the U.S. its a sad state of affiars > to admit this since I am a yank but am willing to bet most offshore medic > providing companies in the states would not even know what it is never mind > accept it. the current standard is NREMT-P at the very least. The better > outfits then run you thru a offshore advance scope course intenaly > > > Cheers > > Tom > > >>From: Bill Witmer <billemtp2000@...> >>Reply- >> >>Subject: RE: Re: question for group >>Date: Sun, 19 Jun 2005 09:03:33 -0700 (PDT) >> >> >> >>Do you know if the remotemedic course is accepted in >>the US. the Doctor out there has used my miltary >>exsperience to cover for the procedures I do Outside >>of the normal medic stuff. >> >>Bill >> >> >> >> >> >>--- Parkinson >><gary.parkinson@...> wrote: >> >> >>>Hi Bill >>>I agree with all the below comments, but how about >>>asking your company >>>to send you on a remote medics course - the one we >>>in the UK do for >>>offshore would be a benefit for you providing that >>>you find the correct >>>course provider ... >>>just a thought! >>>best wishes >>> >>> >>> question for group >>>>>Date: Fri, 17 Jun 2005 10:55:36 -0700 (PDT) >>>>> >>>>> >>>>> >>>>>-I have a question I know this is not an American >>>>>group per SE but what is the level of care most >>> >>>of the places you >>> >>>>>work at? Like I work at a remote Gold Mine here >>> >>>in Alaska and it is >>> >>>>>currently a Paramedic level care but they feel >>> >>>that EMT3 level care >>> >>>>>is good enough so I am trying to put together a >>> >>>argument that >>> >>>>>standard of care is Paramedic care or higher is >>>>>standard. But I need proof, this is a Canadian >>> >>>based >>> >>>>>company that I work for and so maybe I am wrong. >>> >>>Is >>> >>>>>Canada rated at Paramedic or do they have a >>> >>>different >>> >>>>>system.. >>>>> >>>>> >>>>>thanks >>>>> >>>>>Bill Witmer >>>>>NREMTP, RT >>>>> >>>>> >>>>> >>>>> >>> >>> >>> >>>Member Information: >>> >>>List owner: Ian Sharpe Owner@... >>>Editor: Ross Boardman Editor@... >>> >>>ALL list admin messages (subscriptions & >>>unsubscriptions) should be sent >>>to the list owner. >>> >>>Post message: egroups >>> >>>Please visit our website >>>http://www.remotemedics.co.uk >>> >>>Regards >>> >>>The Remote Medics Team >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2005 Report Share Posted June 19, 2005 Your right as far as I know that is still the case don't know why but then I was told I was not qualidied to take the offshore medic course by companies whom shall remain nameless except one. Its a plot by the man to keep the brothers down! Cheers Tom G >From: Larry Torrey <ltorrey@...> >Reply- > >Subject: Re: Re: question for group >Date: Sun, 19 Jun 2005 19:32:14 -0400 > >Hell, last I knew (and this is a bit dated) the US wouldn't even >accept UK nursing licenses without additional training. > >LT > >thomas greaber wrote: > > > Tetleys is a beverage made of hops, water etc...............which cause > > people to do silly stuff! > > As for offshore medic course accepted in the U.S. its a sad state of >affiars > > to admit this since I am a yank but am willing to bet most offshore >medic > > providing companies in the states would not even know what it is never >mind > > accept it. the current standard is NREMT-P at the very least. The better > > outfits then run you thru a offshore advance scope course intenaly > > > > > > Cheers > > > > Tom > > > > > >>From: Bill Witmer <billemtp2000@...> > >>Reply- > >> > >>Subject: RE: Re: question for group > >>Date: Sun, 19 Jun 2005 09:03:33 -0700 (PDT) > >> > >> > >> > >>Do you know if the remotemedic course is accepted in > >>the US. the Doctor out there has used my miltary > >>exsperience to cover for the procedures I do Outside > >>of the normal medic stuff. > >> > >>Bill > >> > >> > >> > >> > >> > >>--- Parkinson > >><gary.parkinson@...> wrote: > >> > >> > >>>Hi Bill > >>>I agree with all the below comments, but how about > >>>asking your company > >>>to send you on a remote medics course - the one we > >>>in the UK do for > >>>offshore would be a benefit for you providing that > >>>you find the correct > >>>course provider ... > >>>just a thought! > >>>best wishes > >>> > >>> > >>> question for group > >>>>>Date: Fri, 17 Jun 2005 10:55:36 -0700 (PDT) > >>>>> > >>>>> > >>>>> > >>>>>-I have a question I know this is not an American > >>>>>group per SE but what is the level of care most > >>> > >>>of the places you > >>> > >>>>>work at? Like I work at a remote Gold Mine here > >>> > >>>in Alaska and it is > >>> > >>>>>currently a Paramedic level care but they feel > >>> > >>>that EMT3 level care > >>> > >>>>>is good enough so I am trying to put together a > >>> > >>>argument that > >>> > >>>>>standard of care is Paramedic care or higher is > >>>>>standard. But I need proof, this is a Canadian > >>> > >>>based > >>> > >>>>>company that I work for and so maybe I am wrong. > >>> > >>>Is > >>> > >>>>>Canada rated at Paramedic or do they have a > >>> > >>>different > >>> > >>>>>system.. > >>>>> > >>>>> > >>>>>thanks > >>>>> > >>>>>Bill Witmer > >>>>>NREMTP, RT > >>>>> > >>>>> > >>>>> > >>>>> > >>> > >>> > >>> > >>>Member Information: > >>> > >>>List owner: Ian Sharpe Owner@... > >>>Editor: Ross Boardman Editor@... > >>> > >>>ALL list admin messages (subscriptions & > >>>unsubscriptions) should be sent > >>>to the list owner. > >>> > >>>Post message: egroups > >>> > >>>Please visit our website > >>>http://www.remotemedics.co.uk > >>> > >>>Regards > >>> > >>>The Remote Medics Team > >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 20, 2005 Report Share Posted June 20, 2005 Hi Pete, Great to hear from you! How's Christiana? I'm afraid the Harley went to the scrapyard in the sky! You may remember the situation we had in Baku, where the Yank ships (with yank crews) were happily sailing off around the Caspian - with no medical support whatsoever. We always tried to tell them they were taking a big litigation risk, but to no avail. I guess you are right, they are happy to take the risk. Its strange how companies, including UK ones, can so quickly " turn native " when they leave the control of the UK HSE. We might not like the HSE but I can say with some experience, if we didn't have them, there would be lots of dead people and more Piper Alphas. In the end its all about producing the product. That's not scepticism, just pure fact. As for Bill's situation, this may end up being the Blackspot Syndrome. Wait till something dreadful happens once or twice before money finally gets spent. Work safe all! Buck T Pete - I'm on Bxtaylor2@... > > Hi bill > > Most if not all of us whom work offhsore and on remote sites > function at a > > level above " paramedic " as it what a paramedic does ona ambulance > we all > > tend to have very liberal protocals and routinely provide primary > care to > > our patient load. such as antibodics, dental care, basicly the > same stuff > > that your aver GP sees in his office. We also dela with other > issues a > > paramedic never deals with...health and hygenie. occ heath issues > and a pile > > of other crap. Ranging form inventory to advisng the client on > equipment, > > training ERT teams etc; > > If I remenber correctly EMT 3 is basicly trauma related or should > I say > > orientated. So the issues of cardiac and the like are out of thier > scope. > > Would submit that any remote site needs staff at the very least > staff by > > paramedics ( or as in the case of some of our fellow providers on > the list) > > staff with ED, ICU nursing background) this is a profession where > paramedic > > is where your start. > > > > Regards > > > > Tom g > > Sakhalin island > > > > >From: Bill Witmer <billemtp2000@y...> > > >Reply- > > > > > >Subject: question for group > > >Date: Fri, 17 Jun 2005 10:55:36 -0700 (PDT) > > > > > > > > > > > >-I have a question I know this is not an American > > >group per SE but what is the level of care most of the > > >places you work at? Like I work at a remote Gold Mine > > >here in Alaska and it is currently a Paramedic level > > >care but they feel that EMT3 level care is good enough > > >so I am trying to put together a argument that > > >standard of care is Paramedic care or higher is > > >standard. But I need proof, this is a Canadian based > > >company that I work for and so maybe I am wrong. Is > > >Canada rated at Paramedic or do they have a different > > >system.. > > > > > > > > >thanks > > > > > >Bill Witmer > > >NREMTP, RT > > > > > > > > > > > > > > > > > > > > > Member Information: > > List owner: Ian Sharpe Owner@R... > Editor: Ross Boardman Editor@R... > > ALL list admin messages (subscriptions & unsubscriptions) should be sent to the list owner. > > Post message: egroups > > Please visit our website http://www.remotemedics.co.uk > > Regards > > The Remote Medics Team > > > > --------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 20, 2005 Report Share Posted June 20, 2005 Hi Bill, I'm sure won't mind me sticking my nose in! The UK Offshore Medics course would be really good for you, if you pick the right one!. The standard does vary considerably.My advice is ask about on the forum and pick the most challenging to get the greatest benefit. Given your background I suspect you would have no problem with the pre-selection criteria. I think you'll find the course is not recognised outside UK waters per se but may well credit to other international qualifications. Cheers Buck T > > > Hi bill > > > Most if not all of us whom work offhsore and on > > remote sites > > function at a > > > level above " paramedic " as it what a paramedic > > does ona ambulance > > we all > > > tend to have very liberal protocals and routinely > > provide primary > > care to > > > our patient load. such as antibodics, dental care, > > basicly the > > same stuff > > > that your aver GP sees in his office. We also dela > > with other > > issues a > > > paramedic never deals with...health and hygenie. > > occ heath issues > > and a pile > > > of other crap. Ranging form inventory to advisng > > the client on > > equipment, > > > training ERT teams etc; > > > If I remenber correctly EMT 3 is basicly trauma > > related or should > > I say > > > orientated. So the issues of cardiac and the like > > are out of thier > > scope. > > > Would submit that any remote site needs staff at > > the very least > > staff by > > > paramedics ( or as in the case of some of our > > fellow providers on > > the list) > > > staff with ED, ICU nursing background) this is a > > profession where > > paramedic > > > is where your start. > > > > > > Regards > > > > > > Tom g > > > Sakhalin island > > > > > > >From: Bill Witmer <billemtp2000@y...> > > > >Reply- > > > > > > > >Subject: question for group > > > >Date: Fri, 17 Jun 2005 10:55:36 -0700 (PDT) > > > > > > > > > > > > > > > >-I have a question I know this is not an American > > > >group per SE but what is the level of care most > > of the places you > > > >work at? Like I work at a remote Gold Mine here > > in Alaska and it is > > > >currently a Paramedic level care but they feel > > that EMT3 level care > > > >is good enough so I am trying to put together a > > argument that > > > >standard of care is Paramedic care or higher is > > > >standard. But I need proof, this is a Canadian > > based > > > >company that I work for and so maybe I am wrong. > > Is > > > >Canada rated at Paramedic or do they have a > > different > > > >system.. > > > > > > > > > > > >thanks > > > > > > > >Bill Witmer > > > >NREMTP, RT > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Member Information: > > > > List owner: Ian Sharpe Owner@R... > > Editor: Ross Boardman Editor@R... > > > > ALL list admin messages (subscriptions & > > unsubscriptions) should be sent > > to the list owner. > > > > Post message: egroups > > > > Please visit our website > > http://www.remotemedics.co.uk > > > > Regards > > > > The Remote Medics Team > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 20, 2005 Report Share Posted June 20, 2005 Hi Bill Canada has a system that has 3 levels of Paramedics. Primary Care Paramedic, Advanced Care Paramedic and Critical Care Paramedic. To become a Primary Care Paramedic takes 2 years, another year or so for advanced care and around 6 months for critical care. There is no paramedic in the world that is trained as high as Canadian Critical Care Paramedic. A National Registered Paramedic out of the US would be considered equivelent to an Advanced Care Paramedic. I'm a Critical Care Paramedic and perform advanced skills such as pericardiocentesis, chest tubes, insert central lines, do arterial blood gases, etc. And our knowledge level is very indept. The critical care level is also higher then the CCEMT.P level out of the US. These levels have been implemented by the Canadian Medical Association (CMA) and Paramedic Association of Canada (PAC) and are used in pretty much most of our provinces and territories. I hope that answers your question. I added some extra info as well, so you are more aware of the Canadian EMS system. Best regards, R2D2, CCP <bxtaylor2@...> wrote: Hi Bill, I'm sure won't mind me sticking my nose in! The UK Offshore Medics course would be really good for you, if you pick the right one!. The standard does vary considerably.My advice is ask about on the forum and pick the most challenging to get the greatest benefit. Given your background I suspect you would have no problem with the pre-selection criteria. I think you'll find the course is not recognised outside UK waters per se but may well credit to other international qualifications. Cheers Buck T > > > Hi bill > > > Most if not all of us whom work offhsore and on > > remote sites > > function at a > > > level above " paramedic " as it what a paramedic > > does ona ambulance > > we all > > > tend to have very liberal protocals and routinely > > provide primary > > care to > > > our patient load. such as antibodics, dental care, > > basicly the > > same stuff > > > that your aver GP sees in his office. We also dela > > with other > > issues a > > > paramedic never deals with...health and hygenie. > > occ heath issues > > and a pile > > > of other crap. Ranging form inventory to advisng > > the client on > > equipment, > > > training ERT teams etc; > > > If I remenber correctly EMT 3 is basicly trauma > > related or should > > I say > > > orientated. So the issues of cardiac and the like > > are out of thier > > scope. > > > Would submit that any remote site needs staff at > > the very least > > staff by > > > paramedics ( or as in the case of some of our > > fellow providers on > > the list) > > > staff with ED, ICU nursing background) this is a > > profession where > > paramedic > > > is where your start. > > > > > > Regards > > > > > > Tom g > > > Sakhalin island > > > > > > >From: Bill Witmer <billemtp2000@y...> > > > >Reply- > > > > > > > >Subject: question for group > > > >Date: Fri, 17 Jun 2005 10:55:36 -0700 (PDT) > > > > > > > > > > > > > > > >-I have a question I know this is not an American > > > >group per SE but what is the level of care most > > of the places you > > > >work at? Like I work at a remote Gold Mine here > > in Alaska and it is > > > >currently a Paramedic level care but they feel > > that EMT3 level care > > > >is good enough so I am trying to put together a > > argument that > > > >standard of care is Paramedic care or higher is > > > >standard. But I need proof, this is a Canadian > > based > > > >company that I work for and so maybe I am wrong. > > Is > > > >Canada rated at Paramedic or do they have a > > different > > > >system.. > > > > > > > > > > > >thanks > > > > > > > >Bill Witmer > > > >NREMTP, RT > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Member Information: > > > > List owner: Ian Sharpe Owner@R... > > Editor: Ross Boardman Editor@R... > > > > ALL list admin messages (subscriptions & > > unsubscriptions) should be sent > > to the list owner. > > > > Post message: egroups > > > > Please visit our website > > http://www.remotemedics.co.uk > > > > Regards > > > > The Remote Medics Team > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 21, 2005 Report Share Posted June 21, 2005 Hi Bill, Sounds like you could do with a couple of these guys! Pericardiacentesis! Blimey, I can't even say it! Buck > > > > Hi bill > > > > Most if not all of us whom work offhsore and on > > > remote sites > > > function at a > > > > level above " paramedic " as it what a paramedic > > > does ona ambulance > > > we all > > > > tend to have very liberal protocals and routinely > > > provide primary > > > care to > > > > our patient load. such as antibodics, dental care, > > > basicly the > > > same stuff > > > > that your aver GP sees in his office. We also dela > > > with other > > > issues a > > > > paramedic never deals with...health and hygenie. > > > occ heath issues > > > and a pile > > > > of other crap. Ranging form inventory to advisng > > > the client on > > > equipment, > > > > training ERT teams etc; > > > > If I remenber correctly EMT 3 is basicly trauma > > > related or should > > > I say > > > > orientated. So the issues of cardiac and the like > > > are out of thier > > > scope. > > > > Would submit that any remote site needs staff at > > > the very least > > > staff by > > > > paramedics ( or as in the case of some of our > > > fellow providers on > > > the list) > > > > staff with ED, ICU nursing background) this is a > > > profession where > > > paramedic > > > > is where your start. > > > > > > > > Regards > > > > > > > > Tom g > > > > Sakhalin island > > > > > > > > >From: Bill Witmer <billemtp2000@y...> > > > > >Reply- > > > > > > > > > >Subject: question for group > > > > >Date: Fri, 17 Jun 2005 10:55:36 -0700 (PDT) > > > > > > > > > > > > > > > > > > > >-I have a question I know this is not an American > > > > >group per SE but what is the level of care most > > > of the places you > > > > >work at? Like I work at a remote Gold Mine here > > > in Alaska and it is > > > > >currently a Paramedic level care but they feel > > > that EMT3 level care > > > > >is good enough so I am trying to put together a > > > argument that > > > > >standard of care is Paramedic care or higher is > > > > >standard. But I need proof, this is a Canadian > > > based > > > > >company that I work for and so maybe I am wrong. > > > Is > > > > >Canada rated at Paramedic or do they have a > > > different > > > > >system.. > > > > > > > > > > > > > > >thanks > > > > > > > > > >Bill Witmer > > > > >NREMTP, RT > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Member Information: > > > > > > List owner: Ian Sharpe Owner@R... > > > Editor: Ross Boardman Editor@R... > > > > > > ALL list admin messages (subscriptions & > > > unsubscriptions) should be sent > > > to the list owner. > > > > > > Post message: egroups > > > > > > Please visit our website > > > http://www.remotemedics.co.uk > > > > > > Regards > > > > > > The Remote Medics Team > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 21, 2005 Report Share Posted June 21, 2005 Hi /all, As any of the UK offshore medics will testify, there are training organisations around that would have you on an offshore medics course if you knew the colour of a band aid! That's what has ruined the integrity of the qualification in international eyes. Buck > > >>> > > >>>>Hi bill > > >>>>Most if not all of us whom work offhsore and on > > >>> > > >>>remote sites > > >>>function at a > > >>> > > >>>>level above " paramedic " as it what a paramedic > > >>> > > >>>does ona ambulance > > >>>we all > > >>> > > >>>>tend to have very liberal protocals and routinely > > >>> > > >>>provide primary > > >>>care to > > >>> > > >>>>our patient load. such as antibodics, dental care, > > >>> > > >>>basicly the > > >>>same stuff > > >>> > > >>>>that your aver GP sees in his office. We also dela > > >>> > > >>>with other > > >>>issues a > > >>> > > >>>>paramedic never deals with...health and hygenie. > > >>> > > >>>occ heath issues > > >>>and a pile > > >>> > > >>>>of other crap. Ranging form inventory to advisng > > >>> > > >>>the client on > > >>>equipment, > > >>> > > >>>>training ERT teams etc; > > >>>>If I remenber correctly EMT 3 is basicly trauma > > >>> > > >>>related or should > > >>>I say > > >>> > > >>>>orientated. So the issues of cardiac and the like > > >>> > > >>>are out of thier > > >>>scope. > > >>> > > >>>>Would submit that any remote site needs staff at > > >>> > > >>>the very least > > >>>staff by > > >>> > > >>>>paramedics ( or as in the case of some of our > > >>> > > >>>fellow providers on > > >>>the list) > > >>> > > >>>>staff with ED, ICU nursing background) this is a > > >>> > > >>>profession where > > >>>paramedic > > >>> > > >>>>is where your start. > > >>>> > > >>>>Regards > > >>>> > > >>>>Tom g > > >>>>Sakhalin island > > >>>> > > >>>> > > >>>>>From: Bill Witmer <billemtp2000@y...> > > >>>>>Reply- > > >>>>> > > >>>>>Subject: question for group > > >>>>>Date: Fri, 17 Jun 2005 10:55:36 -0700 (PDT) > > >>>>> > > >>>>> > > >>>>> > > >>>>>-I have a question I know this is not an American > > >>>>>group per SE but what is the level of care most > > >>> > > >>>of the places you > > >>> > > >>>>>work at? Like I work at a remote Gold Mine here > > >>> > > >>>in Alaska and it is > > >>> > > >>>>>currently a Paramedic level care but they feel > > >>> > > >>>that EMT3 level care > > >>> > > >>>>>is good enough so I am trying to put together a > > >>> > > >>>argument that > > >>> > > >>>>>standard of care is Paramedic care or higher is > > >>>>>standard. But I need proof, this is a Canadian > > >>> > > >>>based > > >>> > > >>>>>company that I work for and so maybe I am wrong. > > >>> > > >>>Is > > >>> > > >>>>>Canada rated at Paramedic or do they have a > > >>> > > >>>different > > >>> > > >>>>>system.. > > >>>>> > > >>>>> > > >>>>>thanks > > >>>>> > > >>>>>Bill Witmer > > >>>>>NREMTP, RT > > >>>>> > > >>>>> > > >>>>> > > >>>>> > > >>> > > >>> > > >>> > > >>>Member Information: > > >>> > > >>>List owner: Ian Sharpe Owner@R... > > >>>Editor: Ross Boardman Editor@R... > > >>> > > >>>ALL list admin messages (subscriptions & > > >>>unsubscriptions) should be sent > > >>>to the list owner. > > >>> > > >>>Post message: egroups > > >>> > > >>>Please visit our website > > >>>http://www.remotemedics.co.uk > > >>> > > >>>Regards > > >>> > > >>>The Remote Medics Team > > >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 23, 2006 Report Share Posted January 23, 2006 God, don't start those until you have to, start them the day after the shot. After all, the interferon reduces the numbers of the virus, and the Riba is supposed to kill off the reduced numbers. So go in order. . .and welcome to the IN crowd (in misery, that is, hah!) Michele > > I'm set to start the pizin on Wednesday night. Do I > start the pills in the > morning? Or the day after? Or that night? Ack!!! __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 7, 2008 Report Share Posted July 7, 2008 Dear Deb, I had a stroke in 1997. The Ischemic k ind. I went to my Dr. everyday for 3 months with symptoms and he still didn't believe me. Then one day I woke up and as soon as I raised my head off of the pillow, it felt like someone hit me in the back of my head with a ball bat. I went back to my Dr. and FINALLY he said he was going to hook me up with the best Neurologist in the area. I had an ultrasound first, and when the tech went back to the left side of my neck, and said "hhmm" I knew something was there. Then I had a cat scan, an MRI then as final proof, I had an Angiogram, where they shot the dye into your groin area, that's what it took to see for sure, without a doubt that I have a blood clot in my left Carotid artery in my neck. They won't put a stent in there or do anything because it could break loose, and go to my brain, or my lung, or my heart. So at first they put me on an aspirin, Plavix and Coumadin every day, then they finally just put me on the Coumadin and have to have monthly or more bloodwork done. I was working full time and going to school full time. But the point is........DEMAND THAT YOU SEE A NEUROLOGIST......if these symptoms continue. Mine went on for months, the dizzyness, blurry vision, headaches. I couldn't take notes in school and got a recorder for notes and at work, I worked in a call center and my typing suffered drastically. That is when I also found out I have Lupus and a rare blood-clotting disorder.....Leiden Factor V mutation.....which unfortunately I gave to my daughter and when she was pregnant last year, her husband had to inject Heparin (Blood thinner) into her thighs twice a day. I have a question for you.....Have you started taking any new meds that would make you dizzy and cause blurring vision? Some meds I take do, that's why I am asking. But You need to see a Neurologist, PRONTO. I hope it isn't a stroke. I was 42 and my Dr. just did not want to believe I could have a stroke at such a young age. I still have problems with typing, and other things, but I am lucky that all I have to take is my Coumadin everyday and the dosage changes on a regular basis. That is why I have to go and have a PT/INR test done on a regular basis. I used to cry just walking in the room. Now I just take a deep breath and ask for the smallest butterfly, and the only vein I have left is on my right hand. But the gals are good and really work with my anxiety, that's what Valium is for. I have rattled on long enough. If you have to go to the ER, which is what I would do, ask to talk to a Neurologist, ok........But get help now. and I don't mean to scare you, but it could be serious dear. How old are you? I need to go now and take my pills. Good luck and may God bless you, let us know what you have done about your symptoms.............. from Tennessee!!!!**************Gas prices getting you down? Search AOL Autos for fuel-efficient used cars. (http://autos.aol.com/used?ncid=aolaut00050000000007) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 7, 2008 Report Share Posted July 7, 2008 Sorry to be a downer, but you are describing stroke symptoms. Did the doctor in Urgent Care test you for stroke? Helen Debbie Halvorson <djh_50fab@...> wrote: I had an eqisode at work where I suddenly became very dizzy and my speech became slightly slurred. I also had very blurry vision in one eye. I hadn't had a lot of sleep in the past week. I went to Urgent Care and he told me to take Meclizine and gave me sleeping pills as I was out of them and told me to see regular doc, that he would probably want to run tests on me. I hadn't taken Ambien for about a week when this happened. Six days later I had another episode at 10:00 p.m. just before I went to bed. This morning I was feeling fine. Has anyone else had a similar experience? Deb Halvorson Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 7, 2008 Report Share Posted July 7, 2008 I thought of that, but Urgent Care doc never mentioned it. Called my doc's office today and he's out of the office. Recept told me nurse would call me really soon--that was this morning and haven't heard from her. I just hate the thought that because I have Fibro they probably just think I'm an alarmist. I have diabetes too and high blood pressure and they did check both of those and they were fine. Kind of wondering if it is related to my taking Ambien. I hadn't taken any for about 5 days. Do you get withdrawals when you stop taking Ambien? Deb Halvorson Re: Question for group Sorry to be a downer, but you are describing stroke symptoms. Did the doctor in Urgent Care test you for stroke? Helen Debbie Halvorson <djh_50fab (DOT) com> wrote: I had an eqisode at work where I suddenly became very dizzy and my speech became slightly slurred. I also had very blurry vision in one eye. I hadn't had a lot of sleep in the past week. I went to Urgent Care and he told me to take Meclizine and gave me sleeping pills as I was out of them and told me to see regular doc, that he would probably want to run tests on me. I hadn't taken Ambien for about a week when this happened. Six days later I had another episode at 10:00 p.m. just before I went to bed. This morning I was feeling fine. Has anyone else had a similar experience? Deb Halvorson Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.