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Baldrick

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  1. That was less in referance to the above situation but a genral comment on kids with trauma and a consideration not a specfic cause of action. I was not suggesting evry distred child gets drugs etc.
  2. Imobalizing kids is difficult and sometimes causes more harm the good particuly in the compative child. As others have said with a biger kid then a KED can be used. One option for a child of the age you describe is a Vac splint, lift the child stright on to it the wrap it up and suck the air out it will conform to the body and allow for the larger head found with kiddies. It oftern needs to be combined with a healthy amount of tape. I am not sure what you are able to do but with the combative child there is obviously a case for geting someone out to sedate them or RSI them if required.
  3. I have to disagree with that. They are ill, they still need help. I once went to a slightly irritated 90 year old on a transfer who was a psyche patient and convinced we were the police it took 45 min to get him into the ambulance with the aid of a nurse escort. Yes he was a bit argumentative but he was also hyperkalemic and in danger of suffering arythmia etc. Is an upset 14 year old crying on the floor who has also popped a load of paracetamol not also a medical issue. Aside from the fact that many of these people have or may have an underlying medical problem that needs to be assessed and treated they are suffering from an illness so it is right they are seen by health care providers. However I would agree in so much as if there is any possibility of violence or it is reported as violent you get the police there and in the room first and work in partnership. Or am I just be idealistic again?
  4. Sorry for the delay but here is the information regarding application to UK medical schools. I could not find the link on the net I wanted but now I am back home for the holidays I was able to get the information from a book. All taken from Learning Medicine: 16th edition Stockill and Richards 2003. I belive there is a more recent edition but the basics will not have changed dramatically. Each year about 12,000 home and Eu students apply to 6000 (soon to be 7000) places to read medicine. Some of the additional places will be shorter courses for graduates, mostly, but not entirely, science graduates. About 1500 overseas students compete for 330 reserved places women comprise just over half of applicants and entrants. Academic achievement is the strongest determinant in selection, but broader interests and achievements also count.
  5. I would use a box splint on the leg. An upside down KED to immobilise the fractured pelis and the scoop the patient and immobilise them to the scoop. Followed by rapid transport to A+E. Obviously they would be on high concentration oxygen.
  6. While we are on the subject of comparisons it probably worthy of note to mention that most undergrad degrees in the UK are 3 years (4 in scotland) so someone would walk away from university after 3 years with for example a BSc in biomedical science.
  7. As far as I know it would still be a case of doing the full degree. Although they may get on a graduate cource if they were a graduate or had some other form of HE qualifcation as a couple of the universitys offering 4 year cources tend to be bias to existing health care prodessinals.
  8. Very is the short answer. I say MMBS although at one or two universitys the letter after your name vary. Although regardless of which course you do, graduate or non graduate you still receive the same degree. The graduate medicine is even more competitive. For some reason lots of people want to be doctors. I did see a document which gave an indication of the number of applicants vs spaces to UK medical schools I will do some hunting around for it.
  9. Interesting though that in the Uk (and I am sure some other countrys) Medicine is an undergrad course, ie people attend straight from school or college (High School in US terms 16-18 education) and compleat a 5 year course to obtain there MBBS. A lot of universitys also offer the chance to make it a 6 year course and complete a BSc alongside your MBBS. There are however some graduate courses which are 4 years as opposed to 5 which is what I am currently applying for. So I would suggest it's certainly possible for people to attend medical school without a BSc depending on the course design. However the Uk post 16 education encourages more specilism with students typically picking 4 subjects rather than what I belive to be the wider spectrum of study undertaken across the pond. Something which is currently under debate within the Uk.
  10. What were they going to do that you didn't? The treatment for trauma is ultimately a surgon. So go don't hand around at the side of the road with a bag of salty water.
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