ohnonotgmail wrote: » bit of a leap from that to "appalling" and "putting patients at risk"
Caledonia wrote: » Sorry just getting to reply now (re paramedics in DFB) Not something that has been ‘put out’ for the first time. Dont take it from me. An intensive care doctor, who was a paramedic himself, describe on the record the poor clinical skills of Dublin Fire Brigade paramedics below. It makes sense. To me it’s a scandal under the radar in the health service waiting to be found out. From Irish Medical Times: I am writing to you regarding the recent reporting of threatened strike action by members of the Dublin Fire Brigade due to proposed changed to how its Emergency Ambulance resources are controlled and dispatched. As an emeritus advanced paramedic of the National Ambulance Service (NAS) and a medical practitioner working as a specialist anaesthesia trainee with a sub-specialist interest in prehospital medicine, I believe that the Dublin Fire Brigade (DFB) system of its firefighters also operating as paramedics and staffing emergency ambulances to be clinically sub-optimum. Over the past 15 years the educational standards for statutory emergency ambulance personnel has increased dramatically and since 2005 the role has required statutory registration at a minimum of the paramedic level. Paramedic training has moved from a vocational to an educational model at third-level university, and it is envisaged that entry to the profession will be by undertaking a four-year Paramedic Science BSc programme in a similar fashion to other allied health professions, with our advanced paramedics being MSc degree holders. The range of diagnostic tools and therapies that can be performed in the prehospital environment is ever expanding, and our patients are in general older and clinically more complex than they were 20 or 30 years ago. It is for this reason that in the 21st Century we need our ambulance paramedics to be competent and regularly exposed to the correct procedural skill set and have a highly developed clinical acumen and the ability to think critically. The public expectation of the service provided by emergency ambulance personnel has also increased. No longer is it acceptable that we employ individuals to purely convey the sick and injured to emergency departments or cardiac catheterisation labs as rapidly as possible, receiving only basic first aid care en route. As medical practitioners we should expect that our patients are resuscitated appropriately by skilled, educated paramedics and receive ongoing monitoring and analgesia prior to them reaching our hospital doors. The only model capable of achieving this standard of care in Dublin is for the DFB to have a core group of emergency medical service staff who work solely as paramedics or for the provision of paramedic services in the capital to be provide by the National Ambulance Service as it is for the rest of the country. Members of the DFB staff unions will go on record as stating that fire service-based emergency medical service models are the norm in some parts of the US and provide the best standard of care for patients. One such example is King County in Washington State, which has achieved relatively high levels of survival from out-of-hospital cardiac arrest and been considered the benchmark by many services for decades. In this system, the paramedics are dedicated to their prehospital clinical role and do not also work as firefighters, yet the system does utilise firefighters whom respond to life-threatening emergencies such as cardiac arrest and serious trauma to assist paramedic’s on the scene or to commence essential basic care such as CPR prior to their arrival. Similar systems exist within the Fire Department of New York Emergency Medical Service, and I have personally witnessed how City of Houston Paramedics are supported by fire-fighter responders. The Cork City Fire Brigade also operates a similar system in that they are dispatched to assist at serious medical calls, supporting the clinical work of NAS paramedics. This is what we should be striving for in Dublin and indeed across Ireland for the clinical reasons I have outlined above, and also to reduce the financial outlay on the taxpayer with regard to training approximately 800 DFB staff to act as occasional paramedics, when a far more cost-effective programme could be utilised. I would ask all my medical colleagues to consider the above facts prior to supporting the current DFB members ‘Save Dublin’s Ambulance Service’ campaign, which many local politicians have already done. Dr Alan Horan, SHO/ Specialist Anaesthesia Trainee, Cork.
OldRio wrote: » That is some accusation you are putting out.
Realt Dearg Sec wrote: » As an English PhD I have an alternative theory on that.
mikhail wrote: » Germ theory didn't really win out until the 1880s. Before that, doctors were so unreliable that they took on the title "doctor" - an academic title meaning teacher - to pretend to respectibility. This is why PhDs are also called doctor, and resent the theft by the quacks and leech-sellers of the title.
doctor (n.) c. 1300, doctour, "Church father," from Old French doctour and directly from Medieval Latin doctor "religious teacher, adviser, scholar," in classical Latin "teacher," agent noun from docere "to show, teach, cause to know," originally "make to appear right," causative of decere "be seemly, fitting," from PIE root *dek- "to take, accept." Meaning "holder of the highest degree in a university, one who has passed all the degrees of a faculty and is thereby empowered to teach the subjects included in it" is from late 14c. Hence "teacher, instructor, learned man; one skilled in a learned profession" (late 14c.). The sense of "medical professional, person duly licensed to practice medicine" (replacing native leech (n.2)) grew gradually out of this from c., 1400, though this use of the word was not common until late 16c. The transitional stage is exemplified in Chaucer's Doctor of phesike (Latin physica came to be used extensively in Medieval Latin for medicina).
doctrine (n.) late 14c., "the body of principles, dogmas, etc., in a religion or field of knowledge," from Old French doctrine (12c.) "teaching, doctrine" and directly from Latin doctrina "a teaching, body of teachings, learning," from doctor "teacher" (see doctor (n.)) + -ina, fem. of -inus, suffix forming fem. abstract nouns (see -ine (1)).
New Home wrote: » Maybe that's when people started doubting the expression "Trust me, I'm a doctor!"...
NoviGlitzko wrote: » The chances of finding the 8 tile in a standard expert game of minesweeper is roughly 1 in 10,000.
New Home wrote: » Maybe that's where people started doubting the expression "Trust me, I'm a doctor!"...
Water John wrote: » Poor effort from Johnny Depp.
NewbridgeIR wrote: » Metallica and AC/DC are the longest-running acts without a Greatest Hits / Best Of.
NewbridgeIR wrote: » IMHO, the best-sounding AC/DC is the original 1989 pressing of Volume 1 which contains six blackface Alberts mastered by Disctronics. Since then, the international and US mixes have been used on ALL AC/DC pressings worldwide. Botched tracklistings and Frankenstein edits. To put this in context - it would be like if the first half of the Beatles UK catalogue was replaced with the US albums from the 1990s onwards i.e. the original UK mixes and edits lost to older CDs and the original vinyl. That's pretty much where we are at with the original Australian AC/DC albums
Metallica's 2008 album Death Magnetic is so distorted and clipped that even mastering engineer Ted Jensen has criticized it, adding that he couldn't do anything since the preliminary mixes came in already "brick-walled". Interestingly, the version made for Guitar Hero 3 was based on a "rough mix" that features far more range, and those tracks have been subsequently ripped and distributed via peer-to-peer services. To sum up: Metallica, the anti-Napster poster boys, now have an album that can only be truly appreciated via piracy, and a video game featuring a guitar with 5 buttons on the fret-board is the best way to enjoy an album... the irony boggles the mind.
BaZmO* wrote: » That reminds me of this picture; Michael Collins, the astronaut who took this photo, is the only human, alive or dead that isn't in the frame of this picture, 1969 Collins took this picture of the Lunar Module, containing Buzz Aldrin and Neil Armstrong with Earth in the background, during the Apollo 11 mission. This makes him the only person ever to have lived who was not inside the frame of the photo. Matter cannot be created or destroyed. That means that every human that lived up to the point of this photo being taken still exists, at least in some form, and every human that has been born since then was also is in this photo, at least in some form. So even if you were born after this picture was taken, the materials you’re made from are still on the frame of this picture.
BaZmO* wrote: » The photo is from 1969 so there were no ashes sent into space at the time the picture was taken.
roroliam wrote: » Sinead O'Connor needs help
mikhail wrote: » I expect most of the people whose ashes were sent into space are in that photo. I very much doubt any of them escaped low earth orbit.
Water John wrote: » We've forgotten Hunter Thompson whose ashes were sent into space. He's out there.
Scott Tenorman wrote: » Have to admit i really understood how that game worked
BaZmO* wrote: » So even if you were born after this picture was taken, the materials you’re made from are still on the frame of this picture.
Water John wrote: » Am I right in thinking that the original devil's number was 661, but that got changed to 666 at some point? Any knowledge on that?
