PAC eNews
Aug. 21, 2014

Ambulance New Brunswick Air Ambulance Crashes — LODD (UPDATED)
It is with profound sadness that we report a Ambulance New Brunswick chartered Air Ambulance that has crashed recently on Grand Manan Island. Tragically, Paramedic William Mallock, a 20-year veteran with Ambulance New Brunswick, lost his life along with one of the Pilots. Injured in the crash was a Flight Nurse and the second Pilot.More

The PAC white paper on stress-related mental health issues
Improved operational approaches to the prevention and detection of stress and mitigation of new or exacerbated stress-induced mental health disorders in Paramedics are needed. There is no governmental lead agency or standards organization that provides guidelines on current or proposed Service methods for psychological intervention programs. In the past decade, there has been an increase in war veterans joining the paramedic service sector, and thus, services may see higher incidences of stress-related issues.More

PAC 2014 Annual General Meeting
The Paramedic Association of Canada Annual General Meeting will be held on November 23, 2014 in Winnipeg, MB.

Agenda items include:

• Liability Insurance for Paramedics
• NOCP Renewal Project Update
• National Continuing Education Seminar
• Introduction of New Chapters

Plan now to attend the AGM in Winnipeg!More

Emergency department over-crowding and access block
Emergency department over-crowding (EDOC) is defined as a situation where the demand for emergency services exceeds the ability of an emergency department (ED) to provide quality care within appropriate time frames. ED over-crowding has been a key issue in Emergency Medicine in Canada for more than 20 years. Despite increased political, administrative, and public awareness, EDOC situations continue to rise in frequency and severity.More

L'engorgement des départements d'urgence et le blocage d'acces
L'engorgement des départements d'urgence se de ́finit comme une situation dans laquelle la demande de services d'urgence excède la capacité d'un département à offrir des soins de qualité dans des délais acceptables. L'engorgement des départements d'urgence est un enjeu clé de la médecine d'urgence au Canada depuis plus de 20 ans.More

Air ambulance that crashed was vital to Grand Manan, N.B. community
The Globe and Mail
A pilot and paramedic who were killed in an air ambulance crash recently were part of an emergency safety net so vital for the island of Grand Manan, N.B., that it helped shape the community. Pilot Klaus Sonnenberg and paramedic William Mallock were killed Saturday when the Piper PA-31 Navajo aircraft they were travelling in crashed near the runway of the island's airport. More

Friendly paramedic offers help — and hope
Hamilton Spectator
Paramedic Pat O'Neill cruises the downtown in his emergency vehicle when he abruptly pulls over, gets out, and rushes to the front of Jackson Square. He's not responding to a medical emergency. He is responding to an opportunity. He has spotted a teenager he's been looking for and this is a chance to reconnect and try — again — to get him off drugs. O'Neill is not only a paramedic, but also Hamilton's Social Navigator.More

Band councillor dies after 1-hour B.C. ambulance delay
CBC News
A northern B.C. band councillor, in the remote community of Haida Gwaii, is dead after a heart attack recently and his doctor is criticizing the hour it took for his ambulance to arrive. In a two-page letter, Dr. Tracy Morton details the call he overheard being dispatched to the home of Skidegate, B.C. band councillor, Godfrey Williams Jr. More

Operational stress injury in paramedic services: A briefing to the Paramedic Chiefs of Canada
Paramedic Chiefs of Canada
Across Canada, paramedic services are working to understand how operational stress is affecting our paramedics and dispatchers in order to inform effective strategies that target psychological health in the workplace.More

Grand Manan plane crash kills pilot, paramedic
CBC News
A pilot and a paramedic were killed recently when their small chartered plane crashed on Grand Manan Island, N.B. Ambulance New Brunswick (ANB) said the Atlantic Charters flight carrying four people crashed in a wooded area near the airport shortly after 5 a.m. A second pilot and a registered nurse survived the crash. ANB confirmed the paramedic who died was William Mallock. He had almost 20 years of service.More

Tech project costing millions
Burnaby Now
What is it with the B.C. government and expensive, poorly managed computer projects? The Canadian Taxpayers Federation has learned via whistle-blowers that B.C. Emergency Health Services (BCEHS), which runs the B.C. Ambulance Service (BCAS), has dumped its highly touted, $2.8 million Electronic Patient Care Record (ePCR) system — before it even went into use. More

Pre-hospital use in emergency patients of a laryngeal mask airway by ambulance paramedics is a safe, effective alternative for endotracheal intubation
British Medical Journal
In Dutch ambulance practice, failure or inability to intubate patients with altered oxygenation and/or ventilation leaves bag-valve mask ventilation as the only alternative, which is undesirable for patient outcome. A novel Laryngeal Mask Airway Supreme (LMA-S) device may be a suitable alternative. The aim of this research was to evaluate the effectiveness and suitability of the LMA-S for emergency medical services in daily out-of-hospital emergency practice.More

Pre-hospital continuous positive aireway pressure (CPAP) for acute respiratory failure: An economic analysis
Read by QxMD
Researchers aimed to determine the cost-effectiveness of pre-hospital CPAP compared with standard care for adults presenting to the emergency services with acute respiratory failure. An economic model was developed to explore the costs and health outcomes when pre-hospital CPAP provided by paramedics and standard care (in-hospital non-invasive ventilation (NIV)) were applied to a hypothetical cohort with acute respiratory failure. More

Emergency medical services management of ST-segment elevation myocardial infarction in the United States
The American Journal of Emergency Medicine
ST-segment elevation myocardial infarction (STEMI) is a major cause of morbidity and mortality in the United States. Emergency medical services (EMS) agencies play a critical role in its initial identification and treatment. Researchers conducted this study to assess EMS management of STEMI care in the United States. A structured questionnaire was administered to leaders of EMS agencies to define the elements of STEMI care related to four core measures.More

Chief: Waterloo ambulance response times 'all trending in the right direction'
CTV News
Ambulance response times in Waterloo Region were noticeably lower last year, but one regional councillor says further improvements could be made without adding more ambulances to the region's fleet. "There's one quick way of improving our response times significantly... and that is to have central dispatch," Coun. Tom Galloway said recently. Regional politicians have previously lobbied the province to have ambulance dispatchers, who are currently provincial employees, brought into one facility with police and fire dispatchers, who are employed by the region. More

Urgences-Santé response times in Laval a cause for alarm
Montreal Gazette
Twice in one day this month, ambulances took longer than 15 minutes to respond to assumed heart attack patients in Laval. Those are among several calls reported to Emmanuel Stavrakakis, a Laval resident hoping to set up volunteer-based first responders in Laval to alleviate chronically slow response times in the province's third-largest city. He envisions medically trained volunteers responding to stabilize the most critical cases before an ambulance arrives.More

Laval urged to fill Urgences Santé gap with EMS
Laval News
Emmanuel "Manny" Stavrakakis of Chomedey, a public safety professional, thinks Laval could improve First Response service by starting its own EMS department As Mayor Marc Demers ponders the city's paramedic and ambulance needs amidst growing complaints that Urgences Santé provides far from adequate service to Laval, a Chomedey resident with a background in public safety hopes to convince the administration that community-based EMS offers a potential solution to a logistics problem.More

Huron to donate EMS uniforms
Bayshore Broadcasting News Centre
Huron County has given the thumbs up on some long distance charity. Council recently approved a request that all discarded County Emergency Medical Service uniforms be sent to first responders in Mexico. The uniforms cost about $150. Specifically, the uniforms will go to fire departments in Lake Chapala. EMS Chief Dave Lew says he was approached by a local in June who asked if the County would supply old uniforms to be sent to foreign first responders in need.More

Ontario's municipal leaders talk emergency services in London
CTV News
Members of the Association of Municipalities of Ontario (AMO) are holding their annual meeting in London. More than 1,500 of the province's municipal leaders are attending the AMO's annual meeting at the London Convention Centre. One of the key sessions recently focused on revolutionizing emergency medical services; moving the emphasis away from transporting patients, to treating them at the scene.More