changing gloves again, again, and again…..
and then you suddenly need the next size up because your hands are getting sweaty….
but you’re not in the back of the truck yet….
Penetrating eye injury
#Paramedics shaken by threat to colleague -
Paramedic faces fine, jail under Ambulance Act [of Ontario] if convicted of failing to provide proper care to patient
Quoted article by Joanna Frketich of the Hamilton Spectator. email@example.com, 905-526-3349 and on twitter: @Jfrketich
"A Hamilton paramedic is the first in Ontario to face up to a year in jail and a fine of up to $25,000 after being accused by the Ministry of Health of failing to provide proper care to a patient.
"This is the first time the ministry has proceeded with charges against a paramedic under the Ambulance Act," said ministry spokesperson David Jensen. "This matter is before the courts and we cannot comment further."
The article continues with the following statement: “Ontario’s paramedics weren’t even aware they could be charged under the act, jailed or fined until now.” — I have to disagree with this statement — Ontario’s Paramedics are college educated and must be aware of several different pieces of legislation (Highway Traffic Act, Ambulance Act, etc) - therefore, should have been aware of this possibility. Or perhaps my college was weird… since we were made aware of this possibility and discussed it in class. This topic frequently comes up with discussions about self-regulation and the push to form the Ontario College of Paramedics.
"I think they’ll be shocked and deeply upset," said Rob Theriault president of the Ontario Paramedic Association. "This is deeply disturbing." —Indeed, this is truly disturbing.
It’s in stark contrast to most other health professions that are self-regulated. The harshest penalty doctors and nurses face for failing to provide proper care is losing their licence to practice.
"It sends a chill across the paramedic profession across the province," said Mario Posteraro, president of Ontario Public Service Employees Union Local 256, which represents the paramedic charged. "It’s not something we thought would happen."
The Ministry [of Health and Long Term Care] is providing no information on what led to Paul J. Zenchuk being charged with failing to ensure that patient care was provided in accordance with standards and procedures after an investigation by the emergency health services branch.
But a source with knowledge of the case says it stems from the death of 59-year-old Michael Farrance, who was pushed by a Hamilton police officer against the wall of his home on Balsam Avenue on Jan 29, 2011. The officer was found not criminally responsible by the Special Investigations Unit because Farrance swung his cane at him.
FSP: In addition, MarketWired.com reports the cause of death for Mr Farrance was “…attributed to anoxic ischaemic encephalopathy due to, or as a consequence of, status post-cardiac arrest.”
Joanna Frketich continues: “Police were first called to aid Farrance at about 1 a.m. when he was found drunk on the ground at Rosslyn Avenue after being kicked in the face. They took him home but picked him up again about 90 minutes later at a bar in a disturbance call. The SIU determined the officer used reasonable force to defend himself shortly after they arrived back at the home. Farrance was taken to hospital in critical condition and died of a heart attack Feb. 10.
Court documents show the paramedic is accused on the same day of:
• failing to assume the existence of serious, potentially life, limb and/or function-threatening conditions until assessment indicates otherwise;
• failing to ensure manual C-spine protection, an open airway, breathing, circulation and level of consciousness during the primary survey;
• failing to take vital signs as required and/or perform medical and trauma assessments in the secondary survey.
Toronto lawyer Tim Hannigan refused comment on behalf of Zenchuk.
The case, being prosecuted by a Ministry of Health lawyer, was adjourned Thursday in the Ontario Court of Justice until May 27.
As a working paramedic trained and AEMCA certified in Ontario, this greatly concerns me. Part of the concern is due to lack of information about this particular case - did the paramedic actually fail to obtain any vital signs? I doubt that… but, based on this article/the charges listed, it is possible. The very fact that the MOHLTC is now pursuing charges/fines and/or jail time (for the first time in history that I’m aware of) is even more disturbing. Paramedics in other provinces would face a medical review panel before charges would be considered, if at all.
We also need to factor in - out of all the professionals this deceased patient came into contact with, was the paramedic really the only one responsible for his death?
Wow, if he gets singled out and jailed that is fuck up… ..and let’s face it, even if he is found non-guilty we all know his career is over. No paramedic service in the province will want him on their roster …to much bad press …His name and reputation are ruined no matter the verdict and that just sad and unfair.
From Anatomy In MotionConnective Tissue: The Very Basics
As the name implies, connective tissue serves a “connecting” function. It supports and binds other tissues. Unlike epithelial tissue, connective tissue typically has cells scattered throughout an extracellular matrix.
Loose Connective Tissue:
In vertebrates, the most common type of connective tissue is loose connective tissue. It holds organs in place and attaches epithelial tissue to other underlying tissues.
Loose connective tissue is named based on the “weave” and type of its constituent fibers. There are three main types:
Collagenous fibers are made of collagen and consist of bundles of fibrils that are coils of collagen molecules.
Elastic fibers are made of elastin and are stretchable.
Reticular fibers join connective tissues to other tissues.
Fibrous Connective Tissue
Another type of connective tissue is fibrous connective tissue which is found in tendons and ligaments. Fibrous connective tissue is composed of large amounts of closely packed collagenous fibers.
Specialized Connective Tissues
Adipose tissue is a form of loose connective tissue that stores fat.
Cartilage is a form of fibrous connective tissue that is composed of closely packed collagenous fibers in a rubbery gelatinous substance called chondrin. The skeletons of sharks and human embryos are composed of cartilage. Cartilage also provides flexible support for certain structures in adult humans including the nose, trachea and ears.
Bone is a type of mineralized connective tissue that contains collagen and calcium phosphate, a mineral crystal. Calcium phosphate gives bone its firmness.
Interestingly enough, blood is considered to be a type of connective tissue. Even though it has a different function in comparison to other connective tissues it does have an extracellular matrix. The matrix is the plasma and erythrocytes, leukocytes and platelets are suspended in the plasma.
(Source: once-i-was-an-embryo, via nursingisinmyblood)
Skull made with 375 slices of real human brains at Philadelphia’s Mütter Museum, created by Skull-A-Day artist Noah Scalin.
Hippocampal neuron receiving excitatory contacts (63x)
Dr. Kieran Boyle
University of Glasgow, Glasgow, Scotland, United Kingdom
Source: Complete neuron cell diagram.
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