Talk:Paramedic

message: This article has long sections on Germany and Canada.  As discussed above, as a layperson I have a hard time determining if and how a paramedic differs from an EMT.  Doubtless this varies from country to country, but this article does not explain those differences adequately.  This needs attention from a subject-matter expert. Cleduc 2 July 2005 21:19 (UTC)
Now, there is a very profound difference between Paramedics (EMT-P) and the typical EMT.  Of course this article is somewhat lacking, and following some other things I will make an effort to revise this article to explain this difference.  As it stands, Paramedic does need its own section, because it is a lot more complicated than EMT.WASTREL 09:55, 23 March 2006 (UTC)
thread_title: Cleanup

message: Does anyone think a list of famous paramedics would be useful?  Just a quick bit of research on Wikipedia shows Ernest Hemingway, E. E. Cummings, John Dos Passos, John Howard Lawson, and Archibald MacLeish (to list only the American writers born in the 1890s) were all "ambulance drivers".  The list could be interesting. LizardWizard 21:52, July 10, 2005 (UTC)
---
There's a difference between "ambulance driver" and modern paramedic, and while this might have been a term given to figures such as Ernest Hemingway in their time, their role would more appropriately be termed "ambulance driver" or "emt", as they were not trained (even for lack of technology) in most of the applications in which EMT-P are trained.
-LoL WASTREL 09:55, 23 March 2006 (UTC)
thread_title: List?

message: This article is very US-centric, what a paramedic does in the US should not be listed in this "paramedic" area. --jbignell 16:35, 20 February 2007
This article is very US-centric, and this should be pointed out, or preferably corrected to include information about other countries. For example, I think no other country calls it's paramedics "NREMT-P"s, and in France, ambulance drivers are just that -- they have no/minimal medical training, even in urban environments. --me_and 16:35, 31 July 2005 (UTC)
thread_title:  International bias 

message: As a so called "paramedic" in the province of manitoba i have something i would like to add, the term paramedic has been used quite liberaly although it is supposed to mean the highest level of care and traning availible in pre-hospital care. if going by the standards of say texas department of state health services manitoba has no paramedics even though my skill level EMR (Emergency Medical Responder) is considerd to be a paramedic in manitoba. skill levels as low as this should not be considerd paramedics. ambulance officers or ambulance attendants, yes. paramedics no. the term paramedic should only apply to EMT3-P's or EMT-P's. the paramedic page on wikipedia should only deal with the EMT3-P or EMT-P levels. anything else should be called what it is. EMT's whether it be a EMT-1,2,3 or EMT-A,B,I or whatever you call them should have their own catagories and it should be made clear that the lower levels are NOT paramedics. since laypeople are not neccesarily familiar with the different standards it might be adivsable to simply have a paramedic wiki with links to the other skill levels making it clear there is a differance. infact, not every province in canada even calls themselves paramedics, and alberta is not the only one. ontario has AEMCA's[i am making a minor correction] Paradimn, you are partily correct, as i am partily wrong. the A-EMCA testing standatd is a reletivly new advent. older ontario EMCA's were exactly that EMCA's. the term EMT or Paramedic was not part of their title, indeed, their uniforms used to have their service patch and the title EMCA emergency medical care attendant. no paramedic or EMT patch
 TheRenaissanceMan 06:54, 18 January 2006 (UTC)
thread_title:  Paramedics in Canada and worldwide 

message: I removed this list and the following text.  The list was unneccisary and the text read like a child's book and wasn't too useful.
***
Dependent on local protocol and medical director approval, paramedics can administer most of the following medications:  	 
- 	*adenosine 	 
- 	*albuterol 	 
- 	*aminophylline 	 
- 	*amyl nitrite 	 
- 	*acetylsalicylic acid 	 
- 	*atropine 	 
- 	*calcium chloride 	 
- 	*dextrose 50% 	 
- 	*diazepam 	 
- 	*diltiazem 	 
- 	*diphenhydramine 	 
- 	*epinephrine 	 
- 	*etomidate 	 
- 	*furosemide 	 
- 	*glucagon 	 
- 	*glyceryl trinitrate 	 
- 	*isoetharine 	 
- 	*isoproterenol 	 
- 	*lidocaine 	 
- 	*magnesium sulfate 	 
- 	*metoprolol 	 
- 	*morphine 	 
- 	*naloxone 	 
- 	*norepinephrine 	 
- 	*oxytocin 	 
- 	*pancuronium 	 
- 	*phenobarbital 	 
- 	*procainamide 	 
- 	*promethazine 	 
- 	*sodium bicarbonate 	 
- 	*sodium nitrite 	 
- 	*sodium thiosulfate 	 
- 	*succinylcholine
***
Unencyclopedic section, feel free to cleanup and reinsert  	 
- 	A Paramedic isn’t just an ordinary doctor it’s much much more! 	 
			
- 	Paramedics are the first people at the scene of an accident. They are like ‘mini doctors’ that drive ambulances, boats and fly helicopters! 	 
- 		 
- 	A paramedic is also called a ‘medical technician’, which means a person who may be called to any number of settings in an emergency situation. 	 
- 		 
- 	Being a paramedic is not all exciting and good. A paramedic must be brave and strong having to put up with some pretty tough stuff. 	 
- 	For example, they see people who are very sad or people who have damaged body parts but apart from that it must be great! 	 
- 	A paramedic has a huge responsibility. People trust paramedics with their lives! 	 
- 	In other words, dealing with life and death! 	 
- 		 
- 	When a paramedic gets to the emergency scene he/she must treat the patient first. Then the paramedic will keep looking after the patient until they reach hospital. After that they must tell a doctor about the condition/s of the patient. 	 
- 	A paramedic must be prepared for any emergency situation. 	 
- 		 
- 	A paramedic always works with a partner. They take turns of driving the ambulance. Another part of a paramedic’s job is to check if they have the right medicine in the ambulance. They also keep in touch with an ambulance communication centre. An ambulance communication centre is where a more experienced paramedic gives medical advice over the phone. 	 
- 		 
- 	Paramedics have to go through lots of training to get to the level where you can drive ambulances at over 100kph when the speed limit is 80kph. Landing in helicopters in snow or in tight spaces or most importantly knowing how to help other people is a major responsibility. 	 
- 		 
- 	There are many different types of paramedics. 	 
- 	These include: 	 
- 	Emergency Preparedness Coordinator 	 
- 	(EPC’s) are paramedics that have more training than other normal paramedics, which gives them the ability to handle more dangerous situations and very bad injuries. 	 
- 	Patient Transport Services Staff (PTS’s) are people who are training to become a paramedic. PTS’s have first aid training, they also have specialist driving skills and are able to handle basic life support. 	 
- 		 
- 	The highest level of being a paramedic is being an EMT. EMT stands for Emergence Medical Treatment. 	 
- 	An EMT can get to the level where the lead missions or become an Instructor! 	 
- 	An EMT has more levels than one, there can be up to four levels called: EMT, EMT-2, EMT-3 and EMT-4! 	 
- 		 
- 	An EMT trained paramedic needs excellent eye-sight and be able to carry heavy loads, such as a patient in a stretcher. 	 
- 		 
- 	The lowest level of being a paramedic is called a ‘first responder’ they know all the basic medical stuff so all the pro’s don’t get called out to the easy emergencies where if a major injury happens, they can help. 	 
- 	All emergency services (Fire, Police and Rescue) have the first responder level. 	 
- 		 
- 		 
- 	A paramedic gets special passes to go places where you can’t go. For example, going in the mine where the trapped miners in Tasmania or standing at the side of a race track and much, much more! 	 
- 		 
- 	Paramedics go to about 5- 10 accidents a day. 	 
- 		 
- 	Paramedics have ‘shifts’ which means paramedic might work from 12:00am-12:00pm and then another paramedic might come and take over and go from 12:00pm-12:00am and then switch over in a cycle. 	 
- 		 
- 	A paramedic not only helps people but also educates the community by visiting schools and doing first aid courses. 	 
- 		 
- 	A paramedic is a very important person who never gives up! 	 
***
If you want to salvage some of that and put it back in feel free --Crucible Guardian 22:44, 9 June 2006 (UTC)
thread_title: Removed some stuff

message: "an example would be usually going to Krispy Kreme but instead going to Dunkin Donuts because they have a coupon." 
I'm removing this as it is obviously stupid. 172.191.102.217 21:03, 2 July 2006 (UTC)
thread_title:  I'm removing this 

message: Scope2776 07:37, 30 December 2006 (UTC)
thread_title: Acts Allowed

message: Although there is a great deal of variation in what paramedics are trained and permitted to do from region to region, some skills performed by paramedics include:
 
Treatment Issue     	Common Technician Skills                                                                                                                                                                                                                                                                                                    	Paramedic/Advanced Technician Skills                                                                                                                                                                                                                                                                                	Advanced Paramedic Skills                                                                                                                                                                                                                                                               	
Airway Management   	Manual and repositioning, Oro- and Nasopharyngeal airway adjuncts, manual removal of obstructions, xuctioning                                                                                                                                                                                                               	Endotracheal intubation (in some cases, naso as well), advanced airway management, ETT, LMA, ETOA, and Combitube, deep suctioning, use of Magill forceps                                                                                                                                                            	Rapid sequence induction, surgical airways (including needle cricothyrotomy and others)                                                                                                                                                                                                 	
Breathing           	Initial assessment (rate, effort, symmetry, skin color), obstructed airway maneuver, passive Oxygen administration by nasal canula, rebreathing and non-rebreathing mask, active Oxygen administration by Bag-Valve-Mask (BVM) device.                                                                                      	pulse oximetry, active Oxygen administration by endotracheal tube or other device using BVM                                                                                                                                                                                                                         	Use of mechanical transport ventilators, active Oxygen administration by surgical airway, decompression of chest cavity using needle/valve device (needle thoracotomy)                                                                                                                  	
Circulation         	Assessment of pulse (rate, rhythm, volume), blood pressure and capillary refill, patient positioning to enhance circulation, recognition and control of hemorrhage of all types using direct and indirect pressure and tourniquets                                                                                          	Ability to interpret assessment findings in terms of levels of perfusion, intravenous fluid replacement, vasoconstricting drugs                                                                                                                                                                                     	intravenous plasma volume expanders, blood transfusion, Intraosseous (IO) cannulation (placement of needle into marrow space of a large bone), central venous access (central venous catheter by way of external jugular or subclavian)                                                 	
Cardiac Arrest      	Cardiopulmonary resuscitation, airway management, manual ventilation with BVM, automatic external defibrillator                                                                                                                                                                                                             	Dynamic resuscitation including intubation, drug administration (includes anti-arrhythmics), ECG interpretation (may be limited to Lead II) Semi-automatic or manual defibrillator                                                                                                                                  	Expanded drug therapy options, ECG interpretation (12 Lead), manual defibrillator, synchronized mechanical or chemical cardioversion, external pacing of the heart                                                                                                                      	
Cardiac Monitoring  	Cardiac monitoring and interpretation of ECGs                                                                                                                                                                                                                                                                               	12-lead ECG monitoring and interpretation                                                                                                                                                                                                                                                                           	18-lead ECG monitoring and interpretation                                                                                                                                                                                                                                               	
Drug Administration 	Limited Oral, Limited Aerosol, Limited Injection                                                                                                                                                                                                                                                                            	Intramuscular, subcutaneous, intravenous injection (bolus), IV drip                                                                                                                                                                                                                                                 	per ETT, per rectal tube, per infusion pump                                                                                                                                                                                                                                             	
Drug Types Permitted	Low-risk/immediate requirements (e.g. ASA (Chest Pain), Nitroglycerin (Chest Pain), Oral Glucose (Diabetes), Glucagon (Diabetes), Epinephrine (Allergic Reaction), Ventolin (Asthma)).  Note:  Some jurisdictions also permit Naloxone (Narcotic Overdose), Nitrous Oxide (for pain); considerable variation by jurisdiction	Considerable expansion of permitted drugs, but still typically limited to about 20, including analgesics (narcotic or otherwise) (for pain), antiarrhythmics (irregularities in heartbeat), major cardiac resuscitation drugs, bronchodilators (for breathing), vasoconstrictors (to improve circulation), sedatives	Dramatically expanded (up to 60) drug list, Note: In some jurisdictions advanced levels of paramedics are permitted to administer any drug, as long as they are familiar with it.  Note: In some jurisdictions certain types of advanced paramedics have limited authority to prescribe.	
Patient Assessment  	Basic physical assessment, 'vital' signs, history of general and current condition                                                                                                                                                                                                                                          	More detailed physical assessment and history, auscultation, interpretation of assessment findings, ECG interpretation, glucometry, capnography, pulse oximetry                                                                                                                                                     	Interpretation of lab results, interpretation of chest x-rays, interpretation of cranial CT scan, limited diagnosis (e.g. rule out fracture using Ottawa Ankle Rules)                                                                                                                   	
Wound Management    	Assessment, control of bleeding, application of pressure dressings and other types of dressings                                                                                                                                                                                                                             	                                                                                                                                                                                                                                                                                                                    	Wound cleansing, wound closure with Steri-strips, suturing                                                                                                                                                                                                                              	
===Skills Common to All EMTs and Paramedics===
Spinal injury management, including immobilization and safe transport.
:
Fracture management, including assessment, splinting, traction splints where appropriate.
:
Obstetrics, assessment, assisting with uncomplicated childbirth, recognition of and procedures for obstetrical emergencies, such as breech presentation, cord presentation, placental abruption.
:
Management of Burns, including classification, estimate of surface area, recognition of more serious burns, treatment.
:
Assessment and evaluation of general incident scene safety.
:
Effective verbal and written reporting skills (Charting).
:
Routine medical equipment maintenance procedures.
:
Routine radio operating procedures.
:
Triage of patients in a mass casualty incident.
:
Emergency vehicle operation.
===Medications Administered===
Paramedics in most jurisdictions administer a variety of emergency medications; the individual medications vary widely, based on physician medical director preference, local standard of care, and law. These drugs may include Adenocard (Adenosine), which will slow the heart for a short period of time, and Atropine, which will speed a heartbeat that is too slow.  The list may include sympathomimetics like dopamine for severe hypotension (low blood pressure) and cardiogenic shock. Diabetics often benefit from the fact that paramedics are able to give D50W (Dextrose 50%) to treat hypoglycemia (low blood sugar). They can treat crisis and anxiety conditions; some may also be permitted to perform rapid sequence inductionRSI, a rapid way of obtaining an advanced airway with the use of paralytics and sedatives, using such medications as Versed, Ativan, or Etomidate, and paralytics such as succinylcholine, rocuronium, or vecuronium. Paramedics in some jurisdictions may also be permitted to sedate combative patients using antipsychotics like Haldol or Geodon. The use of medications for treating respiratory conditions such as, albuterol, atrovent, and methylprednisolone is common. Paramedics may also be permitted to administer medications such as those which relieve pain or decrease nausea and vomiting. Nitroglycerin, baby aspirin, and morphine sulfate may be administered for chest pain. Paramedics may also use other medications and antiarrhythmics like amiodarone to treat cardiac arrhythmias such as ventricular tachycardia and ventricular fibrillation not responding to defibrillation. Paramedics also treat for severe pain, i.e. burns or fractures, with narcotics like morphine sulfate, pethidine, fentanyl and in some jurisdictions, ketorolac.  This list is not representative of all jurisdictions, and EMS jurisdictions may vary greatly in what is permitted. Some jurisdictions may not permit administration of certain classes of drugs, or may use drugs other than the ones listed for the same purposes. For an accurate description of permitted drugs or procedures in a given location, it is necessary to contact that jurisdiction directly.  The material included here is, however, fairly typical and representative.  Emrgmgmtca (talk) 14:16, 27 August 2008 (UTC)
thread_title: Examples of Skills Performed by Paramedics

message: Paramedics in most jurisdictions administer a variety of emergency medications; the individual medications vary widely, based on physician medical director preference, local standard of care, and law. These drugs may include Adenocard (Adenosine), which will slow the heart for a short period of time, and Atropine, which will speed a heartbeat that is too slow.  The list may include sympathomimetics like dopamine for severe hypotension (low blood pressure) and cardiogenic shock. Diabetics often benefit from the fact that paramedics are able to give D50W (Dextrose 50%) to treat hypoglycemia (low blood sugar). They can treat crisis and anxiety conditions; some may also be permitted to perform rapid sequence inductionRSI, a rapid way of obtaining an advanced airway with the use of paralytics and sedatives, using such medications as Versed, Ativan, or Etomidate, and paralytics such as succinylcholine, rocuronium, or vecuronium. Paramedics in some jurisdictions may also be permitted to sedate combative patients using antipsychotics like Haldol or Geodon. The use of medications for treating respiratory conditions such as, albuterol, atrovent, and methylprednisolone is common. Paramedics may also be permitted to administer medications such as those which relieve pain or decrease nausea and vomiting. Nitroglycerin, baby aspirin, and morphine sulfate may be administered for chest pain. Paramedics may also use other medications and antiarrhythmics like amiodarone to treat cardiac arrhythmias such as ventricular tachycardia and ventricular fibrillation not responding to defibrillation. Paramedics also treat for severe pain, i.e. burns or fractures, with narcotics like morphine sulfate, pethidine, fentanyl and in some jurisdictions, ketorolac.  This list is not representative of all jurisdictions, and EMS jurisdictions may vary greatly in what is permitted. Some jurisdictions may not permit administration of certain classes of drugs, or may use drugs other than the ones listed for the same purposes. For an accurate description of permitted drugs or procedures in a given location, it is necessary to contact that jurisdiction directly.  The material included here is, however, fairly typical and representative.  Emrgmgmtca (talk) 14:16, 27 August 2008 (UTC)
thread_title: Medications Administered

message: Scope2776 08:44, 9 January 2007 (UTC)
replies: text: Since this is the parent, worldwide article, I think the sentence lumping EMTs together with Ambulance Drivers and Ambulance Attendents and "other lesser trained personel" should cover it, since we only use call them EMTs here in North America. I think that the Paramedics in the United States of America article does have a good explanation of the difference. --Elipongo (Talk|contribs) 08:52, 9 January 2007 (UTC)
replies: text: Have a look at how I've dealt with this in the History of Paramedicine section, and let me know if you think this explains the discrepancies better.  I don't think that 'lesser trained' works as an explanation, and certainly not a universal one; we have people working as Primary Care Paramedics in some places in Canada, which is what you would probably describe as your EMT level in terms of skills, but who have more than twice as much training as some U.S. paramedics.  Emrgmgmtca (talk) 16:34, 22 August 2008 (UTC)
thread_title: Difference Between an EMT and Paramedic

message: "Paramedics are employed by a variety of EMS systems, which may be fire-based (a part of the fire department), private, or municipal third-service (city or county). "
How about regional too... and municipal could be changed to public sector to reflect other country's ways of service provision.
Don't forget 'Third Watch' from the media section:
http://www.imdb.com/title/tt0197182/?fr=c2l0ZT1kZnx0dD0xfGZiPXV8cG49MHxrdz0xfHE9dGhpcmQgd2F0Y2h8ZnQ9MXxteD0yMHxsbT01MDB8Y289MXxodG1sPTF8bm09MQ__;fc=1;ft=21
Or Trauma
http://www.imdb.com/title/tt0405602/?fr=c2l0ZT1kZnx0dD0xfGZiPXV8cG49MHxrdz0xfHE9dHJhdW1hfGZ0PTF8bXg9MjB8bG09NTAwfGNvPTF8aHRtbD0xfG5tPTE_;fc=13;ft=45;fm=1
http://www.bartsandthelondon.org.uk/news/story.asp?id=132§ion_id
:I think the problem is that this article doesn't make it clear that it is for the international meaning of Paramedic and not for just the USA or elsewhere. That should be clearly stated somehow in the opening of the article. Also, instead of simple links under *See also* I think each country should get a short paragraph headed by the *Main* template linked to the main article on that country. That should clear up confusion and keep this article in a proper worldview. I'll put it on my list of project to do, if no one else gets to it first! --Elipongo (Talk|contribs) 16:34, 5 January 2007 (UTC)
thread_title: More U.S. centrisism

message: In Denmark paramedics have started to use a special version of the classic Star of Life, where the Rod of Asclepius has been added a golden color. But is this only a national phenomenon or has it been seen other places?
See :commons:Image:Roskilde I2 right.jpg and :commons:Image:Star of life gold.svg. --|EPO| da: 20:21, 11 July 2007 (UTC)
replies: text: It's not unprecedented. The NREMT has a golden Rod of Asclepius on some of the pins they sell to registrants . Cheers! —Elipongo (Talk contribs) 22:02, 20 July 2007 (UTC)
replies: text: Cool to know. The "paramedic" concept is still relative new in Denmark and is starting to grow during these years. But would like know if you have seen it on e.g. vehicles, clothes or papers rather than pins, which strictly spoken are merely ornaments. --|EPO| da: 08:56, 21 July 2007 (UTC)
replies: text: I spotted a golden snake on the Rod of Asclepius of a local ambulance and I took a snapshot of it... :Image:South Windsor Connecticut ambulance.JPG. So I guess it's not just a phenomenon of Denmark. Cheers! —Elipongo (Talk contribs) 20:23, 10 August 2007 (UTC)
replies: text: Cool to know it is actually being used "out there" - thanks for the image. --|EPO| da: 10:32, 11 August 2007 (UTC)
thread_title:  Golden Rod of Asclepius 

message: I recommend some sort of historical section. Remember not to limit it to United States...unless that is where it truly started.  —Preceding unsigned comment added by AnthonyM83 (talk • contribs) 04:38, 6 December 2007 (UTC)
replies: text: I'm pretty sure SAIT in Calgary had an paramedic (ACP) program as early as '79, and NAIT in Edmonton in '81. Systemet (talk) 11:00, 13 February 2012 (UTC)
thread_title:  History of Paramedicine 

message: 1. If your going to reference a journal such as New England Journal of Medicine, please provide a full citation.
2. I would be willing to place money that there are American paramedic services that are allowed to reroute to a cardiac center without going to online medical control. Hospital notification [e.g. "We're 10 minutes out from your facility with a STEMI"] doesn't count. JPINFV (talk) 05:15, 27 March 2008 (UTC)
replies: text: I'm pretty sure the paramedics in the UK have been doing this for longer than since 2005.  City of Edmonton was thrombolysing patients with physician telemetry oversight in 2001.  The original MITI prehospital trials in Seattle (King County?)happened in the mid 90's.  I don't think this is particularly unique to Ottawa. Other places have been doing similar things for longer. Systemet (talk) 11:08, 13 February 2012 (UTC)

text: Reply to deleted comment: I am not deleting them, only changing them to reference tags.  It is the preferred style over inline links as they had been put in. If you look at the bottom under the References heading they are still there Jons63 (talk) 14:27, 27 March 2008 (UTC)
replies: text: I have no problem if Ottawa was the first, but the current edition states that they are the only service in the world. Actually, New York City's EMS region allows paramedics to reroute to the nearest cath lab (http://www.nycremsco.org/images/articlesserver/General%20Operating%20Procedures%20January%202008%20v010108b.pdf) page 11. Again, it's one thing to say "first" and a complete other thing to say "only." Either way, it doesn't belong on Wikipedia without a reference. Furthermore, plenty of American paramedics operate under standing orders. The sentence "...unlike American Paramedics [sic]" is patently false. Also, paramedic is not capitalized when used in this sense. JPINFV (talk) 17:28, 27 March 2008 (UTC)

text: Not according to the protocol I posted. Admittedly I don't work in New York. This still does not solve the problem with there being no reference for Ottawa being the first service to do prehospital 12-leads with medic interpretation. JPINFV (talk) 18:27, 27 March 2008 (UTC)

text: Yes. Implying that ALL US paramedics need to call for orders is patently false. Even LA County is no longer working under the same situation shown in "Emergency!" JPINFV (talk) 18:28, 27 March 2008 (UTC)

text: It doesn't matter what you stand by, it matters what you can verify. You can hold any beliefs that you want, but that doesn't mean it gets included onto Wikipedia. The simple fact is that there are services in the US that use 12 leads based on the medic's judgment (avoid the fire based EMS systems) and there are plenty of services that either use either complete standing orders or a combination of standing/online orders. JPINFV (talk) 19:17, 27 March 2008 (UTC)

text: My point was that the original phrasing used the "only" and the section about "US Paramedics call for orders" (without any qualifications such as "some") was false. As far as fire-based, I'll contact you via talk page since it's starting to get a bit off topic. JPINFV (talk) 20:02, 27 March 2008 (UTC)
thread_title:  Canada section citation tags 

message: The section about Quebec is wrong in the article. It says "In many parts of Europe and in the Canadian province of Quebec (which follows the French system), a different paradigm is used for prehospital care in which doctors, nurses and occasionally medical students function as prehospital providers, either in conjunction with or instead of paramedics." The Quebec system only provides level 1 paramedics on the field. As stated here http://www.spll.ca/ambufonctions.htm here http://www.paramedicduquebec.org/node/33 and here http://www.urgences-sante.qc.ca/indexx.asp?page=58 . The actual Quebec system is not based on the french system in no way. That would be a misunderstanding. The presence of doctor in prehospital set is only a byproduct of the level 2 paramedic project in Montreal. It is an exeption and it is not permenant but it is a educationnal purpose until the student achives automnomy. I think the paragraph speaking about Quebec should be simply taken out since it is unaccurate.
--Arkar1984 (talk) 04:25, 15 April 2008 (UTC)
replies: text: Cool. I suggest you be bold and edit it. Just include any references you have. -JPINFV (talk) 04:57, 15 April 2008 (UTC)
thread_title:  Quebec prehosipital setup 

message: Ok, an anonymous/IP address editor keeps adding the following to the lead. "Furthermore, they often express frustration at being prejudiced by their phyisican colleagues who, due to higher degree of training and clinical expertese, are less inclined to take into significant consideration the medical advice provided by the paramedic." In doing so, he keeps removing a citation needed tag. I have numerous problems with it. 
1. The lead is the wrong place to add the information. things like this need to be in it's own category, not integrated into the lead. See wp:lead.
2. The wording is highly POV. I highly doubt that doctors are highly "prejudiced" (a word that carries a very negative connotation) against paramedics. Are some? Sure. As a whole? No. It's like saying a teacher is prejudiced against her pupils because the teacher has more training and education. 
3. It is something that is sweeping and needs to be sourced, per WP:verify.
4. The removal of a citation needed without addressing the need for a citation (stand alone issue). 
Comments? 
JPINFV (talk) 23:24, 18 May 2008 (UTC)
thread_title:  Lead 

message: *I have expanded the CCEMPT section, this is a very well known and extensive course developed at UMBC, added external link. I also suggest that we create a wiki page for the CCEMPT Medicellis (talk) 02:01, 23 June 2008 (UTC)
thread_title: CCEMTP

message: A beignet ([bεn.je] pronounced ben–YAY, from the Middle French word for "bump"), in American English, refers to a French doughnut being a pastry made from deep-fried dough and sprinkled with confectioner's sugar.
*I'm pretty sure that someone was calling paramedics donut eaters Medicellis (talk) 11:12, 26 July 2008 (UTC)
thread_title: "Beignet" removal of "beignets tremper"

message: I was a little surprised when I checked the page today and discovered that someone had added a 'shorten' tag to it.  In my opinion, there is nothing on this page which should not be there or is not necessary.  The attempt has been to provide a fairly comprehensive overview of a fairly large topic.  Admittedly, the history section is long, but why shouldn't paramedics be as entitled to post a comprehensive history of their profession as anyone else at Wikipedia?  The fact is that in a great many cases, the history and evolution of the profession directly explains how some of our current situations occurred in the first place.  Should the training and skills sections be shortened? The fact remains that, once again, there is a tremendous degree of regional variation in how paramedics are trained and become paramedics, the skills that they are permitted to perform, how they operate, and how medical oversight is conducted. One need look no further than this discussion page to see the broad degree of variation which needs to be covered, if the article is to be comprehensive. There are other articles about both paramedics and EMS in other countries, including the United States, but before this article was expanded and the international content added, it was specifically criticized as being 'too US-centric', was rated as 'Start' and of low importance.  Following the work that was done, the article was independently evaluated and ranked by both Wikiproject Medicine and the Emergency Medicine and EMS Task Force.  It was reevaluated to be of Mid to Top importance, and given a 'B' rating.  I understand what you're attempting here, but I am at a loss to see what might be removed without making the article less than what it is.Emrgmgmtca (talk) 11:23, 12 November 2008 (UTC)
thread_title: Shorten Tag

message: I refocused the first paragraph to be more inline with the expansion of the education and roles of the paramedic as described in the EMS Agenda for the Future. See ems.gov for the documents. -Ian   —Preceding unsigned comment added by Slider1 (talk • contribs) 09:30, 2 June 2010 (UTC)
thread_title: First paragraph

message: I know the question has been asked before on this page, but we didn't seem to get an answer, so I'm asking it again. What is the difference between an EMT and paramedic? Why do we have two separate articles for each? To avoid duplicating the discussion, rather than answer here, please take the discussion to Talk:Emergency_medical_technician#EMT_vs_paramedic. Thanks. SJK (talk) 11:19, 16 January 2013 (UTC)
replies: text:  In many countries an EMT is a person who had been trained in emergency medicine, A Paramedic is specific type of EMT (commenly the highest training level). EMT can be anyone from an Ambulance team member to a first responder to a Critical care transport paramedic (Emergency_medical_technician#Levels5.144.59.224 (talk) 11:36, 22 April 2018 (UTC)
thread_title:  EMT vs paramedic 

message: The first sentence of this Paramedic article contradicts with the Paraprofessional article, which says that paraprofessionals are trained in a certain field, but only work alongside a professional, not being professionals themselves. Therefore the Paramedic article would be better off starting with "The paramedic is a healthcare paraprofessional who works in emergency medical situations".
If professional here is not used in the sense of a person doing something for pay, of course.
93.74.15.183 (talk) 19:02, 29 April 2013 (UTC)
replies: text: I have edited the introductory paragraph based on this discussion. A paramedic is most often (eg commonly) under orders by a hospitalist, ambulatory care director, or hospital director. These are positions that require a medical license, a medical degree. They provide the orders, direction and policy for paramedics to follow. Additionally, patients are formally treated by a licensed professional at the medical facility. There is a sharp seperation between scope of practice and disctinction between roles. This is precisely the reason why paramedics (in English) are called para-medics (ie one who is a paraprofessional that practices under the supervision of a licensed professional whether in the field or not). There is some POV in this article that has an asipirational tone that is not necessarily fact. 70.39.231.100 (talk) 21:43, 12 February 2015 (UTC)
thread_title:  Paramedic not being a professional 

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thread_title:  External links modified 

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thread_title:  External links modified 

message: — Assignment last updated by Clark3ei (talk) 22:14, 22 February 2024 (UTC)
thread_title: Wiki Education assignment: Epidemiology of Occupations

message: Hello, first time editor here. A user named "Sachindu Nawanjana" added a fairly obviously AI generated image captioned "Mental Health and Burnout" to this article and I don't know how to report it or have it taken down. Sorry if I'm doing this wrong. 129.2.192.207 (talk) 02:24, 16 April 2024 (UTC)
thread_title:  AI generated images?