craig

50 minutes into the arrest......well not my problem, as there would be no way I would be on scene by then...either he was dead or he is at hospital and its the doctors problem now........ some senarios can be made too difficult....

so old mate is going to run the full senario gammet? this is worse than a recert school.................

bloody page, cant get the thing to load up the algorithm...... just a one page pic........ Protocol C2 Album: parso Uploaded 11 May 2012 - 21:28

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run your asystole protocol......no response in greater than 20 minutes call it by then you should be at the hospital.....let the ER doc do it........

Back to the Patient arrive on scene.......safety? etc Quick look......Pt's LOC..... ABC's yes or no we now know there is no pulse and he is unconscious........... CPR guys for 2 minutes. OPA with bagmask...............attempt to get some other information.......bystanders/ medialert bracelettes etc. attach the paddles....confirm the ECG....Pulseless VT (if greater than 160 shockable rhythm) Check pulse (if no pulse) Lifepack 15 DC Shock 200j CPR 2 minutes also Advanced airway procedure (ETT or LMA), bag and CO2 detector Check pulse (if no pulse) Lifepack 15 DC Shock 200j CPR for another two minutes whilst you or your partner attempts to cannulate (largest bore your comfortable with) Adrenaline 1:10,000 IV bolus Check pulse (if no pulse), assess rhythm, if still VT....Lifepack 15 DC shock 200j CPR for another two minutes Check pulse (if no pulse), Lifepack 15 DC Shock 200j Adrenaline 1:10,000 IV bolus CPR for another two minutes Check pulse (if no pulse), Lifepack 15 DC Shock 200j DEPART FOR ER ----URGENT TRANSPORT (complete the following enroute id possible) Amiodarone 300mg IV CPR for another two minutes Check pulse (if no pulse), Lifepack 15 DC Shock 200j Adrenaline 1:10,000 IV bolus CPR for another two minutes Check pulse (if no pulse), Lifepack 15 DC Shock 200j Adrenaline 1:10,000 IV bolus CPR for another two minutes Check pulse (if no pulse), Lifepack 15 DC Shock 200j Amiodarone 150mg CPR for another two minutes Check pulse (if no pulse), Lifepack 15 DC Shock 200j Adrenaline 1:10,000 IV bolus CPR for another two minutes Check pulse (if no pulse), Lifepack 15 DC Shock 200j Lignocaine 100mg IV bolus CPR for another two minutes Check pulse (if no pulse), Lifepack 15 DC Shock 200j Adrenaline 1:10,000 IV bolus CPR for another two minutes Check pulse (if no pulse), Lifepack 15 DC Shock 200j Lignocaine 100mg IV bolus CPR for another two minutes Check pulse (if no pulse), Lifepack 15 DC Shock 200j Hopefully after all that amount of shocks, he would have gone in to asystole...easier to treat, or not for that matter

Whilst I fully understand that 'our' basics are trained to a much higher lever than those in the US...to me it is backwards to allow a basic a skill and drug regime that lets them administer drugs (sulbutamol, asa, and glucose paste) with out giving them a tool to allow to get the base line for the drug they are giving. They have a stethoscope to hear an expiratory wheeze............salbutamol waranted They have chest pain and suspected AMI (ECG maybe)........aspirin waranted They are ? diabetic (no BSL taken so are they Hypo/ Hyperglyceamic)......give them the glucose.....makes NO sense to me I see that you say NOT YET.......hope that it changes soon for you guys

IF IN PROTOCOLS AND IN SKILL LEVEL??? WTF!!!! this is basic stuff people.........our bloody trainees can do this procedure. what backwood service would not allow their staff to carry out this minor skill....

cheap NZers...................

Ahhh thanks for showing compassion to my grandfather guys........................ see what cough medicine and beer will do to you after a long day riding the bus around for amusement during retirement?

mikey...sydney is a city that is roughly the same size as chicago, and the has the same traffic problems that go with it. look at it this way..do you guys have to deal with semi trailer trucks that have 4...yes 4 trailers in tow? (about 45 foot long each) on dirt and dusty roads?...all things are relevant aren't they?

but depending on what they want to use it for kiwi different actions on different receptor sites, so at time can be usefull

Runswith......... would it be better for you if i gave you two planks of wood and a few nails? that way you could build your own cross to be crucified on....... Gee at 20 years of age, you must have seen and done it all.............much better than some one that has been doing it for the length of your life time. Tired or not and immature spray like that is probably the REAL reson you haven't been picked up by a 911 operation. For the record, here in NSW you have to be 21 to fit the drivers licence guidlines to drive and ambulance, and secondly you cannot do more than an 12hr shift to fit OH&S guidlines for fatigue. keeps the public and the paramedic safe

did you cry bushy?

no it means that you can give me twice as much for my dollar compared to yours, or for my aussie 5 dollar, i could go up market and get something way better.......... now thats "effering villue"........lol

all i have listed in a previous post, there is a vast arrange of drugs and skill a paramedic in nsw has to carry and complete. This is a far cry more detailed than what an emt-b can and will do in the states. If your lucky you can still join the service here as a mature age person (with some trade qualifications etc) and start as a trainee and work your way up to a paramedic over the next 2.5 to 3 years. But the service is heading towards (and has already implemented) the idea that they employ only people that have completed a 3 year BA at Uni for the position as a paramedic. then they have to still the to training 'in house' but it will take only about 12 - 18 months to get to the paramedic level. to attain the ICP level they will stall ave to be employed as at least a 3rd year paramedic and then apply for the skill upgrade and training (in house) to gain this position. Uni degree will give some credit toward the training, but not negate it. For the record to explain the school system here in Aus (NSW anyway)... My son completed Bio, Chem etc at school in his HSC...studying at Uni to get his BA the first year Bio and Chem was not as hard as the same subjects in hi uni course, just the essays were a little different to do. Second year seems to be a little more in depth, so he says

then that would only be about $4:75 US then...........ot $3:80 Aus....either way AK it means kiwi is cheap...(probably nasty as well)

dont worry dwayne,,,,a kiwi burger will be shit anyway so you wont taste the difference.............bring back piggy.......and the rainbow warrior...viva la france.....lol

you will have to research them, most of them take people that have finished their uni degree and are not empolyed by a state service or are already paramedics that have been working for state services. Not sure if they will take people that have not finished their degree yet. go thru google to find out more.

awww c'mon kiwi.....you're like the bastard little cousin that we all love and hate......... Dwayne might remember the ANZUS treaty that you guys didnt honour.......lol

when you comming over the dutch kiwi....we could get on the puss at bondi......

Nit rully, E woz tikung tha puss

Depends on what you want to do Christina If you want to join a emergency service or gain a position in a company that just does mine site, sporting events etc an EMT basic (US) doesn't really cut the mustard in my neck of the woods when it comes to basic level of training to carry out the job (see previous posts) you may need to do some research on what you would like to do when you get to Oz. Cheers