Britton creek rest stop, parking for anyone. 🚁🚑🚙🚗🚛🛻 #hems #flightparamedic #criticalcare #paramedic BC Emergency Health Services A. Paramedics Of BC Helijet Intl Inc

Our health is fragile, we need a strong healthcare system. We need less administration + overpaid vice-presidents. I’ll be louder this year. We need nurses, doctors + all healthcare workers to be healthy, safe + respected. And happy. 8/9 #bcpoli

Today we honour the memory of #paramedics Andreas Goedicke and Wendy Thompson, along with Dr. Jeffrey Dolph and pilots Daniel Jorgensen and Geir Zinke. They died on this day in 1995 when their air #ambulance plane crashed near Masset, killing everyone aboard. #LODD

We need more outreach, or people will die - Peter Meiszner Sarah Kirby-Yung 楊瑞蘭 #vanpoli vancouver.citynews.ca/2024/01/17/dte…

Vasoconstriction in septic shock 🧫generalized dilation in #sepsis 🩸impact on regional perfusion/microcirculation 💉which vasopressor? Different physiological/non-vasopressor properties should be considered to personalize therapies ⏱️when to start/stop? 🔓rdcu.be/dyL2x

Helicopter giant contests B.C. government air ambulance contract award nsnews.com/bc-news/helico… via North Shore News

You know what makes me angry? When I admit a patient with metastatic cancer who’s unlikely to survive… and if that patient had been able to access a family doctor and simple routine screening tests they would have been most likely cured months ago. Now it’s too late. This

cbc.ca/news/canada/br…

*working in pediatric ER* kid: *pointing* what are those wipes me: these are special wipes we use in the hospital to kill bacteria and viruses and keep surfaces clean 😊 kid: viruses aren’t technically alive so you can’t kill them kids mom: honey don’t embarrass the doctor

With new Govt plan GPs are paid $130/hour and GPs cover all expenses, leaving them with about $91/hour—same as fridge technicians. Complex patient appointments, lasting 30 mins, pay $57 minus expenses = $40 per visit- same as a barber. Let's face the facts Kevin Mcleod

SCOOP: A metro Vancouver hospital turned away patients from the emergency dept BUT the health authority refuses to call it diversion This is the 1st time an urban ER has had a serious service disruption, which are usually only in rural areas CTV News Vancouver bc.ctvnews.ca/metro-vancouve…

Why does this keep happening? Several reasons but the big factors are poor long-term planning by govt, and a growing number of healthcare workers saying no to OT I can't emphasize this enough: BC's healthcare system has been propped up by overtime hours bc.ctvnews.ca/mobile/doctors…

hard cosign 👇 occasionally see shock w/ *hypertension* in PE. compensatory response w/ massive catecholamine output causing vasoconstriction & HTN. often also see: -lactate and/or AG elevated -diaphoresis/clammy -tachycardia -pt feels unwell -echo/ct/ecg scary

SHARKillers to watch out for in the physiologically challenging airway

That’s right, a goat was found wandering the streets in Vancouver’s E. Broadway area last night. Some of #VancouversFinest were able to corral & bring it to an officer’s family farm, while we track down the owner. #Why? #SeenItAll #NeverADullMoment

I for one am looking forwards to improvising volume resuscitation with a continually rotating bevy of weird fluids. what do we have today? plasmalyte? one third normal saline with phos? 5% albumin? hetastarch? gelofusine? 23% saline drizzled over D5W? LFG

in all seriousness: it’s relatively unhelpful for hospitals to ask practitioners to limit IV fluid administration to patients who need it. we do that allready. if you want to limit IV fluid use we need an oral rehydration alternative.

So at this point, a costed platform is still missing & the BC Conservatives' education plan is being rewritten on the fly With healthcare arguably the #1 issue for #bcpoli voters, we still haven't seen that plan; their website has near zero detail General voting day is Saturday

Fresh IBCC chapter: Measles in the adult hospitalized patient 🤒 tx = mostly supportive but there are important nuances 🤒 viral pneumonia has parallels to COVID 🤒 encephalitis appears to be ADEM (not neuroinvasion), treatable with steroid chapter: emcrit.org/ibcc/measles/

Crack house or BC Ambulance station? On tonight’s Global BC #NewsHour at 6: The BC Emergency Health Services station so dilapidated it’s been deemed uninhabitable, leaving a Lower Mainland municipality of 45,000+ without an ambulance station. #bcpoli Catherine Urquhart 🇨🇦🇨🇦🇨🇦