craig

blinkers on again dust? 'emergency vehicles' come to a country where all officers on the vehicle can carry out emergency procedures seems that not having the one service to carry out the work causes ELITISM between the ranks.... ahh dust you have disappointed me. stay safe

dont forget the rest phil actually it covers more than that.......... stay safe

Dust lets see...... 50 % over minimum, with those calculations that means minimum wage id around 6 dollars an hour so it is 2 dlooars an hour over that. thats about about a gallon and a half of gas isnt it? big difference....... and for your information we dont have 65% taxes here.. the most anyone can pay in taxes is 46% (46 cents in the dollar) and that would mean you would be earning over 100K per year (take it from me I know). stay safe

squint for your information a RN here is at least 3 yrs uni degree when they join the service they get to start on 3rd year pay so it is only the first 3 years that they get higher pay. all officers max out at 10 yrs. however allowances do add to that and if you go into the 'management' rank your pay goes up as well not too many nurses or rn get anywhere near what i earned last year....over 95K my station officer (equivilent to a Lt.) got 105K last year ambos coes from the term Ambulance Officer...as per aussie way of doing thing by shortening... to AMBOS the media dont really call us drivers very often,...... everyone seems to be called Paramedic in our papers, by they paramedics,EMT- B, EMT- I or what ever..... stay safe

From the way I read the posts here, a RN seems to have more creedence than a paramedic. It seems to be a RN puts you 'higher up the food chain" come to Australia (Sydney or NSW), you still might get called a driver occasionally, but you are treated as an equal with the RN and Nurses and at times with the doctors. to quote a director of the ER at one of our trauma centres, he told a resident doctor "listen to the ambos they know what they are talking about and you might learn something" so being called a driver, yes at times gets to me, but I KNOW what I am and what I can do and how good I am (FIGJAM) so I dont let it get to me...people still appriecate it when I help whether I am a driver or not........... stay safe

From the way I read the posts here, a RN seems to have more creedence than a paramedic. It seems to be a RN puts you 'higher up the food chain" come to Australia (Sydney or NSW), you still might get called a driver occasionally, but you are treated as an equal with the RN and Nurses and at times with the doctors. to quote a director of the ER at one of our trauma centres, he told a resident doctor "listen to the ambos they know what they are talking about and you might learn something" so being called a driver, yes at times gets to me, but I KNOW what I am and what I can do and how good I am (FIGJAM) so I dont let it get to me...people still appriecate it when I help whether I am a driver or not........... stay safe

WOW GLAD I DONT WORK FOR YOUR COMPANY 8 dollars an hour is just over minimum wage anyway even with the exchange rate that is about 10 hr here im on 25 a hour and am by no means on the 'top' money that some guys can get. stay safe

true they sprinter is made by mercedes they have a 5 cyclinder turbo charged motor yes they do make a duel wheel version for the longer wheel base model we use them each day and they have a 100 000 km waranty on them with road side assistance if anything does go wrong our service dose over a million cases each year ina area bigger than texas (literally) on roads that would be considered less than what you guys considered ideal stay safe

nothing wrong with sprinters here in nsw australia, they are our first line response vehicle our roads are normally rougher than those overseas, our response area is normally greater than most o/s areas all level of training can use them in australia where fuel costs are now high (135 cents per litre for diesel) makes good sense to have a reliable and economic ambulance. theu are cheaper to purchase than that of an american built truck with a purpose built back check one of ours out at www.asnsw.health.nsw.gov.au stay safe

over here we follow these pharmocologies ADRENALINE TYPE: A sympathomimetic ACTION: Stimulates the ALPHA and BETA subdivisions of the sympathetic nervous system to produce the “fight†or “flight†reaction. · ALPHA stimulation causes peripheral vasoconstriction. It raises the perfusion pressure of vital organs during cardiac arrest. In anaphylaxis it decreases capillary permeability · BETA 1 stimulation causes increased myocardial excitability with tachycardia and increased myocardial contractility · BETA 2 stimulation causes bronchodilation USES: · Cardiac arrest: o To improve perfusion during external cardiac massage o To stimulate myocardial excitability and contractility · Bradycardia if pulse rate <50/min, poorly perfused and unresponsive to two doses of atropine · Cardiogenic shock if pulse rate <150/min and poorly perfused with B.P. < 80 mmHg systolic · Asthma if “in extremis†with decreased LOC or minimal air movement · Anaphylaxis with upper or lower airway obstruction or shock · Severe croup in children with stridor at rest and any one of: o altered LOC o retractions o cyanosis ADVERSE EFFECTS: · tachycardia · dysrhythmias, including ventricular fibrillation · hypertension · pupillary dilatation · anxiety · nausea and vomiting PREPARATIONS: 1:10,000 adrenaline (Min-I-Jet preparation) – 1mg per 10ml Min-I-Jet for IV/ET/Intraosseous use 1:1,000 adrenaline (ampoule) 1mg per 1ml ampoule for subcutaneous, IM and nebulised use only Because two concentrations are available, check the preparation you are using carefully to ensure the correct concentration and dose are used. DOSE: ADULT · CARDIAC ARREST: Routes of administration: IV, ET 10 ml of 1:10,000 (1 mg) ADRENALINE IV as a bolus according to Protocol 15 and Protocol 16. Repeat every 3 minutes while in arrest - there is no maximum dose. Endotracheal dose: Give twice the IV dose (2mg) down the endotracheal tube if a vein is not available. Can be repeated 4 times. · BRADYCARDIA: Route of administration: IV Bolus of 1 ml of 1:10,000 (100 mcg) ADRENALINE IV EVERY 30 SECONDS until pulse rate >50 or perfusion adequate or ADRENALINE INFUSION is running. Commence a continuous ADRENALINE INFUSION: o 10 ml of 1:10,000 (1 mg) ADRENALINE diluted in 90mls Hartmann’s in a burette o Administer via a paediatric microdrip o Commence at 30 drops a minute (5 mcg/min) o Titrate to maintain a pulse rate of >50/min or perfusion adequate · CARDIOGENIC SHOCK: Routes of administration: IV infusion ADRENALINE INFUSION: o 10 ml of 1:10,000 (1 mg) ADRENALINE diluted in 90mls Hartmann’s in a burette o Administer via a paediatric microdrip o Commence at 30 drops a minute (5 mcg/min) o Titrate to maintain a B.P. of >80 mmHg systolic · ASTHMA OR ANAPHYLAXIS: Routes of administration: IV, IM, SC IM or subcutaneous administration: 0.5 ml of 1:1,000 (500 mcg) ADRENALINE SC or IM (into the deltoid muscle) Can be repeated every 5 minutes if no response IV administration: If in extremis (signs of severe shock or impending arrest) 1 ml of 1:10,000 (100 mcg) ADRENALINE IV every 30 seconds or until patient is no longer in extremis. PAEDIATRIC · CARDIAC ARREST: Routes of administration: IV, IO or ET IV, Intraosseous dose: o Initial: 0.1 ml/kg of 1:10,000 (10 mcg/kg) ADRENALINE IV as a bolus according to Protocol 15 and Protocol 16 o Subsequent: 1 ml/kg of 1:10,000 (100mcg/kg) ADRENALINE to a maximum of 10mls. This can be repeated every 3 minutes while in arrest. There is no maximum dose Endotracheal dose: 0.4ml/kg OF 1:10,000 (40mcg/kg) ADRENALINE This can be repeated 4 times · BRADYCARDIA: Routes of administration: IV, IO 0.1ml/kg of 1:10,000 (10mcg/kg) ADRENALINE To be administered over 3 minutes, repeat as required whilst bradycardia persists, to a maximum of 4 doses · ASTHMA OR ANAPHYLAXIS: Routes of administration: IV, IM, SC IM or subcutaneous administration: 0.01 ml/kg of 1:1,000 (10 mcg/kg) ADRENALINE SC or IM (in the deltoid muscle) Can be repeated every 10 minutes if no response IV administration: If in extremis (signs of severe shock or impending arrest) 0.1 ml/kg of 1:10,000 (10 mcg/kg) ADRENALINE IV over 3 minutes or until patient is no longer in extremis. Can be repeated every 5 minutes if the patient is still in extremis. · CROUP: Route of administration: nebulised 0.5 ml/kg of 1:1,000 (500 mcg/kg) ADRENALINE NEBULISED to a maximum of 5ml (5mg) Can be repeated after 30 minutes if symptoms recur Paediatric dose should not exceed adult dose. Adrenaline and Sodium Bicarbonate precipitate when mixed together. Flush line between these drugs. IPARTROPIUM BROMIDE (atrovent) TYPE: Anticholinergic bronchodilator ACTION: · Causes bronchodilation. · Blocks vagal reflexes which mediate bronchoconstriction · Synergistic when used in combination with salbutamol Inhalation: Onset: 3 – 5 minutes Duration: 2 – 4 hours USE: Relieving air flow limitation as an adjunct to salbutamol ADVERSE EFFECTS: Mild anticholinergic effects eg urine retention CONTRAINDICATION: · previous adverse reaction · glaucoma PREPARATIONS: · 500mcg in 1ml ADULT- nebule · 250mcg in 1ml PAEDIATRIC - nebule DOSE: ADULT 500mcg (1ml) – mixed with first and third dose of salbutamol. Give via nebuliser with oxygen flow at 8 l/m attached to either a therapy mask or the “T piece†connected to the demand resuscitator or resuscitation bag PAEDIATRIC 250mcg (1ml) - mixed with first and third dose of salbutamol. Give via nebuliser with oxygen flow at 8 l/m attached to either a therapy mask or the “T piece†connected to the demand resuscitator or resuscitation bag TYPE: Beta 2 agonist ACTION: Causes bronchodilation SALBUTAMOL USE: To relieve bronchospasm ADVERSE EFFECTS: · Dysrhythmias in large doses · Shakes and tremors PREPARATIONS: Salbutamol – 5mg in 2.5ml ADULT nebule Salbutamol – 2.5mg in 2.5ml PAEDIATRIC nebule DOSE: ADULT 2.5ml (5mg) SALBUTAMOL ADULT NEBULE Via nebuliser with oxygen flow at 8 litres/min attached to either a therapy mask or the “T piece†connected to the demand resuscitator or resuscitation bag May be repeated when the nebuliser is empty, approximately 10 minutes DO NOT wait at the scene to see if Salbutamol is going to be effective PAEDIATRIC 2.5ml (2.5mg) SALBUTAMOL PAEDIATRIC NEBULE Via nebuliser with oxygen flow at 8 litres/min attached to either a therapy mask or the “T piece†connected to the demand resuscitator or resuscitation bag May be repeated when the nebuliser is empty, approximately 10 minutes DO NOT wait at the scene to see if Salbutamol is going to be effective Adult dose may be used in children over 5 years of age. Stay safe

goes to prove what im saying how can it bee a "world series" if the different nationalities are playing for teams in america and canada? now if those players ended up playing for the contry that they originate from, and plat as a japanese, mexican, cuban team etc then it WOULD be world series..... stay safe

SA your guys did well in the trinations tonite (worst luck) ah well the boks have to come to sydney dont they.... stay safe

who really cares? bit weird to call it a world series when only two countries are in it america and canada (thats were the teams are from aren't they?) not like the; 1: Soccer world cup 2: Rugby Union World cup 3: Rugby league world cup 4: cricket world cup just to name a few stay safe

suction through? if we did that here in nsw we would be in such trouble... we take them out and flick them clean and then reinsert. if we cant get the blockage out we put in a new one. stay safe

bloody spell check albuterol and but stay safe

Guys are you saying that salbutamol (albatross) id an ALS only drug? here in australia it is BLS. heck even the trainee can give it. it is a pretty safe drug to give. so it may cause tachycardia in cases where it is OD btu relative safe drug for all to give stay safe

FITH Syndrome - F*&JED IN THE HEAD FPO - Pissed and fell over (as in very drunk) WAFTS - waste of F*%ken time and money more to come stay safe

Here we use Hartmanns solution (ringers lactate) for all cases we used to have D5W but phased that out, we also had NS but realised that why have it f we were using RL we did have haemaccel (a colloid) for major hypovolaemia but due to the 1/2 life and chances of reactions and also the rationale of infusion this was phased out last year in favour of RL only. we do use NS just for 10ml flush and NS for flushing eyes (set up in 500ml bag and pump set ) at bush fires etc. stay safe

Not all Australia in nsw the (perm full time) ambulance service and the police and the fire brigade do it in the metro areas (tech rescue) the police and ambulance do vertical rescue in rural areas there are some full time ambulance police and fire but in most cases it is vol squad that do tech rescue and vertical. All ems is done by the full time paid ambulance service stay safe

that would be hard to see happening here as we are a state run service and the fed law wouldn't over ride the state law... still as long as i get paid stay safe

no the cost of living is better in most cases than the states except for gas so it can cost more to fuel your car yeas this year i will get over 100K just for being a ALS officer (similar to you EMT-I) and i don't hold rank stay safe

and if i get to do o'nite at another station i get an also 79 dollars living away allowance each nite

we don't do fire calls all we do is ems i am on about 25 dollars an hour. penalty rates of 12 1/2% on OT 6 weeks a year paid leave 3 months paid leave after ten years service and bout three weeks year after that 15 paid sick days a year (and 10 carry over each year if not used) allowance for being ALS allowance for being tech rescue allowance for being on call and about 200 dollars for each call after shift end don't know what the fire dept wage is like stay safe

if the patient was conscious and needed ventilation due to oedema there is nothing wrong with sitting them upright on the bed and ventilating them from behind. you don't need to be supine to bag some one stay safe

thanks guys our service is going to LMA's for LBS use the AL'S still have the option of ETT I was on the working party that researched the combitube and the lardeal tracklight and we suggested the combitube. but i think due to doctors feeling that medics are 'encroaching' on their skills, vetoed the combitube at the medical director level. (our medical director sits on the state advisory panel for ALL medical applications....doctors nurses,medics etc) thanks all stay safe