Kiwiology

Essentials of Par-eh-medic Care Not really, I was taking the piss

Nothing else from me *Does look-I-RSI'd-somebody-so-that-makes-me-super-awesome-ambo-cos-I-define-this-profession-by-a-skillset-dance

Yep another ANZAC day comes and goes, my great granddad was in world war one, tough old bastard only had three fingers on his shootin' hand but that didn't stop him! lived to be like 99 or something crazy like that too!

I have absolutely no idea but his cause for unconsciousness is not rapidly improving and his SpO2 is consistently low so I am thinking about anaesthetising, paralysing and intubating him.

The answer is simple squamous epithelium And if it's not simple squamous epithelium then the answer is glucose-1,6-bisphosphate Should the answer not be simple squamous epithelium or glucose-1,6-bisphosphate then it is left ventricular end systolic volume In the extremely unlikely the the answer is not simple squamous epithelium or glucose-1,6-bisphosphate or left ventricular end systolic volume then buggered if I know, you're talking the worlds most difficult test and the answer is most definitely ask the Registrar! In the case that the Registrar died last week from fatigue and has not been replaced then the answer is ask the Consultant Yes, I am taking the piss Good luck bro

We do not have a "Medical Director" per-se in the American sense Here in NZ we have a big ambulance service and a little ambulance service plus the Defence Force Medics. The big ambulance service has a Clinical Management Group which consists of four Physicians consisting of one dual Consultant Anaesthetist/Intensivest who is the "Clinical Director" and three Consultant Emergency Physicians; the little ambulance service has a "Medical Director" who is a Consultant Emergency Physician while the Defence Force has a Consultant General Practitioner who is the Director General of Defence Forth Health. Each of the three entities looks after clinical issues specific to their service. Scopes of Practice for each level (Technician, Paramedic and Intensive Care Paramedic) and the Clinical Practice Guidelines are nationally agreed to between the two services and the Defence Force and national issues such as these are addressed through the National Ambulance Sector Clinical Working Group which consists of three members of the big ambulance services' clinical management group, the clinical manager of the big ambulance service who is an Intensive Care Paramedic, the medical director and clinical manager of the small ambulance service plus the defence force GP and one or two other clinical types. The clinical director for the big ambulance service is an absolutely brilliant gentleman, he has taken the ambulance service leaps and bounds and so far from where it was ten years ago it's not even funny. He is a dual qualified Consultant Anaesthetist and Intensive Care Medicine specialist (FANZCA/FJCICM) and has forgotten more about medicine than I can ever hope to know! He's one of the most approachable and down-to-earth people ever and will go out of his way to help where he can, although he managed clinical issues with his team for over 3,000 Ambulance Officers so might tell you politely to talk to a more appropriate person but he will always respond to you personally. I have much respect for him and think he does wonderful work, because he does! Man love for Tony Smith or what right here?

LOL Rob 6.4mmol/l is ~120mg/dl (6c20) Distinguishing between ST and SVT can be a pain in the ass I have absolutely no idea but I am guessing it's heat related illness

Clearly he a weak bitch and the job is too much for him but he doesn't want to just say it so he is faking ... What does primary/secondary survey and obs look like? I am thinking thermoregulatory (heat stroke) or metabolic partic hypoglycaemia Now my cousin never was the same again after working laying linoleum because of the glue fumes but I don't think it's roofing tar ....

To get the best possible answer I have rung up on the telephone machine for the helicopter. We will soon have a Doctor in an orange suit arriving from the sky in a very loud apparatus so be of assistance. OK all set? Good, we're off Ambulance, Medevac airborne

Pardon my Kiwi-ness but I see threads like this frequently Shouldn't it be up to your employer to provide the necessary tools of work to do your job? Ambo's here are not expected to purchase anything because they are employed by the Ambulance Service so its a requirement of the Service to provide their staff with what they need to do the role they have been employed for. Now in saying that some do buy a better quality stethoscope than the hunk of junk that comes in the resus pack but it's not a requirement

Did you haz something to say?

It is also the domain of Californian "Emergency Medicine Residents" who look more like a surfer than a Doctor Note interestingly the Medical Board of California licenses one as a "Physician and Surgeon" which here are two totally different things and one cannot be the other; e.g. a GP cannot perform surgery and a surgeon cannot set up shop as a GP

Wait, so you mean I can't use the title of Mega Awesome Consultant Retrievalologist Superstar on my business card or at the bar? It never did work anyway but still ...

So far have biological and epidemiological plausibility and "consensus" of opinion n=1

Your employer should provide the necessary tools for you to do your work The only thing you'll find an ambo buys for themselves around these parts is a stethoscope if they don't like the cheap POS provided in the resus pack

There is more to me than gluconeogenesis and suxamethonium I was taking the piss mate, never mind And yes I notice ASNSW have nice portable radios

Pretty much how it works here most of the time

True, but AK does things which do not bear his namesake very well like not hiring me as his business manager so mmm

That commercial was awesome And English is fairly common in EU

yeah but then i'd end up at the doctor needing a shot in the bum ...

That is funny but now I feel bad about not putting such a large amount into the collection plate on sundays thanks a lot happiness

I didn't think of that lol how amusing

sssh if you start pubically starting these things the aliens will realize we know and switch to different methods we can't deflect

Why doesn't that surprise me Kiwi sad for lack of progress in US

bru thus shut purtubul radio dusnt wurk ....