PAC eNews
Mar. 13, 2014

NOCP Steering Committee Update
PAC
PAC embarked upon an ambitious initiative to redevelop the NOCP for Emergency Medical Responders, Primary Care Paramedics, Advanced Care Paramedics and Critical Care Paramedics in the summer of 2013. The Steering Committee's third meeting, attended by almost all members, occurred on March 2 and 3, 2014 in Kelowna, B.C. Reflecting the pan-Canadian nature of the initiative, the first meeting was in Edmonton, AB, the second in Winnipeg, MB, and the fourth will be in Montréal, QC. Steering Committee members continued to demonstrate a very high degree of engagement and commitment to our profession, beginning with significant assignments before the third meeting. Among the outcomes of the third meeting were...More

STARS resumes service in Manitoba
Government of Manitoba
On the advice of medical professionals, the Shock Trauma Air Rescue Society (STARS) air ambulance will resume responding to calls for emergency service, Health Minister Erin Selby announced recently. "The decision to temporarily suspend STARS was a difficult one, but I rely on the advice of medical experts," Minister Selby said. More

First responders struggle with PTSD
CBC News
While suicides of soldiers battling post-traumatic stress disorder have captured news headlines recently, there are calls to help paramedics and other first responders who also struggle with PTSD. In the last two years, three paramedics in the Fredericton area have killed themselves. Ambulance New Brunswick refused to comment on the suicides or even say whether it tracks the numbers.More

Shockable rhythms, defibrillation during in-hospital pediatric cardiac arrest
Resuscitation Journal
A prospective multi-centre, international, observational study on pediatric IH-CA in 12 European and Latin American countries took place over 24 months. Data from 502 children between one month and 18 years were collected using the Utstein template. Patients with a shockable rhythm that was treated by electric shock(s) were included. The primary end-point was survival at hospital discharge. Univariate logistic regression analysis was performed to find outcome factors.More

Public access defibrillation remains out of reach for most victims of out-of-hospital sudden cardiac arrest
British Medicine Journal
Public access defibrillation (PAD) prior to ambulance arrival is a key determinant of survival from out-of-hospital (OOH) cardiac arrest. Implementation of PAD has been underway in the U.K. for the past 12 years, and its importance in strengthening the chain of survival has been recognized in the government's recent Cardiovascular Disease Outcomes Strategy. The extent of use of PAD in OOH cardiac arrests in the UK is unknown.More

Defibrillators save 2 people in Saskatoon in less than 24 hours
Metro News
Two people in Saskatoon are alive because of quick thinking bystanders and their use of automated external defibrillators in separate incidents within 24 hours. Bystanders used a defibrillator to revive an 83-year-old woman who had gone into cardiac arrest at TCU Place recently. The next day, a 79-year-old man was similarly assisted after his heart stopped while playing hockey at Schroh Arena.More

City taps Code Red over absent ambulances
Cold Lake Sun
Where have all the Cold Lake ambulances gone? The city's ambulance call volumes skyrocketed in 2013 with over 2,200 calls, yet Cold Lake has been caught without an emergency vehicle inside city limits over a dozen times the past few months, said Cold Lake Ambulance Society (CLAS) officials. The term is called "Code Red" and it has happened 13 times since Oct. 2013, ranging from 15 minutes without an ambulance, up to two and a half hours. More

History of Toronto Emergency Medical Services
Toronto Emergency Medical Services
The first records of individuals being specifically assigned to deal with transportation of the sick and injured dates back to ancient Rome, when older Centurions disabled in battle were assigned to the task of removing the wounded from the battlefield and providing care. During the Crusades, the Knights Hospitaller of the Order of St. John of Jerusalem filled this same role. This organization evolved into what we now know as the St. John Ambulance Brigade. More

Ambulance patients stir 'angst'
Winnipeg Free Press
A city policy of fining hospitals for keeping ambulances waiting to off-load patients is creating "angst" for emergency room nurses who feel pressured to give them priority over needier patients waiting inside the ER. More

Man's death prompts calls for defibrillators in restaurants
CBC News
The family of an elderly man who died of an apparent heart attack after collapsing at a Winnipeg McDonald's restaurant, as well as the people who tried to save him, say they want defibrillators in restaurants. Dave Pineau says he was with his family when they saw 90-year-old Charles Bryant Hodge collapse inside the restaurant.More

Paramedic services lacking in remote First Nations communities
CBC News
A doctor who teaches at the Northern Ontario School of Medicine is calling for training to help remote communities respond to medical emergencies. Dr. Aaron Orkin, the lead author of a report on emergency response issues in the far north, said the report highlights the lack of paramedics, or 911 service. Orkin said it's possible to teach some of the most important skills paramedics would use to people in the community.More

Paramedics 'should leave more patients at home'
The Telegraph
Paramedics should be trained to leave more patients at home, despite their fears that lives could be put at risk, a major NHS report says. A report by the NHS Confederation, which represents senior managers, says emergency services need a radical overhaul in order to cope with unsustainable pressures. More

Protecting the role of paramedics
Government of South Australia — Health
Paramedics are health practitioners that provide rapid response and emergency medical assessment, treatment or care in a pre-hospital or community environment. In recent years, paramedic practice has changed in its focus from a model of "treat and transport" to a more contemporary healthcare model of "assess, treat and appropriately refer." This change in practice places greater responsibility on the practitioner and poses an increased risk of harm to the public.More