Timmy

Oh Dear!

I’ll always ask for ID and they’ll need to provide me with contact details, registration numbers and so on so I can document it on the PCR. Once everything appears legitimate then they can help. I’ve never really had many people offer help, maybe people just don’t like helping on days off or they think were doing a bang up job without them :wink:

I’d like to die very old, sleeping, in a good state mind knowing I’ve lived my life to the full. Become an Emergency RN and Intensive Care Paramedic and maybe do a health science/management degree. Work in outback Australia as either a nurse or medic with RFDS. Travel parts of the world working as a nurse. I’d like to make my mark on the world so people knew I was here (however this may be done, I’m not sure lol) EDIT: Cure cancer, find a solution to world hunger, drop the price of fuel, insure everyone has a nice place to sleep tonight ect ect ect… Basically rule the world!

Inadequate perfusion??

:shock: Get your self a good pair of overalls and good set of boots, takes 2 seconds to get dressed up.

I only did a semester of paramedics; cost was about $300 for a few books and $6000 for one year but I was spending about $150 on fuel each week. I’m now a full time student nurse employed in a hospital. They pay for every aspect of my course and associated materials. So far I haven’t paid a cent for anything; they even pay for fuel and food while working! The course itself costs around $10,000 and the first lot of books cost around $1000. The only thing is its quiet full on, we work full time in the hospital rotating around different departments but also spend time in class as well as study. It’s an excellent program to get an offer from and I love it!

I was swing that way but was afraid I’d be bashed up for overreacting! Just for clarification, beta-2-adrenergic agonists relates to bronchodilating and Salbutamol doesn’t it? But, I agree with welshmedic, the kids not getting enough 02 so something needs to be done. Although intubating a kid would be scary! Why hasn’t the doctor already done all this? Also agree with Terri re aermomedical evac preferably by a service which offers paediatric specialists.

Poor little fella! Bet his tired after all that! What’s the transport time to the peads unit? Lung sounds? I guess an expiratory wheeze would be obvious. I guess vitals are not very good at all. I guess his tachy from the epi but I’m not happy with the resps. Is there any cyanosis? and could I ask for a GCS please? Has the doctor diagnosed what stage his at with status asthmaticus? What sort of steroids have they given him? This may be a tad drastic but if his vitals drop more would RSI be an option?

I’m not really familiars with this problem but I’ll give it a stab. Is it a taxi run or is active treatment required? What was the medical officer hand over? Vitals? Meds? Phx? Hx? Ect… What meds have the hospital given? Salbutamol, Ipratropium? If so did the patient improve to bronchodilator’s? (I’m guessing not?) Have they given hydrocortisone sodium succinate or something similar like a steriod treatment? Is there some sort of medication the doctor has given you for transport?

Hmmm sounds a tad all over the shop to me...

Whats the winning prize? :wink:

:shock: :shock: WTF!!!! Are you serious? How is that possible?

Generally MedicAlerts just have the condition the patient suffers from ie diabetes or seizures. It may be handy to have your list of meds and what there for just to make life easier for the treating medical staff. It would all depend on what your ECG shows as to what medication an EMS crew would give to and unresponsive patient. Plavix could be a contraindication for GTN and aspirin. Generally speaking you’re pretty safe on an EMS level unless someone wanted to give you thrombolytics but if your unresponsive I’m not quiet sure if they’d administer anything. It’s probably more important for rapid transport to a cath lab.

I understand that America has a greater number of residences hence the greater number of EMS workers and so on. I would like to make some comparisons. The first being driver training. Over here driver training plays quiet a big part in paramedic education. You’re introduced to driver training in your uni course and once employed it forms a great part of the induction training. It covers all parts of responding under emergency conditions in all sorts of road and environmental conditions. The ambulances are fitted with airbags, crumple zone impact thingos, vehicle satiability features and so on. They’ve recently been updating the fleet and they’ve changed the whole cabin design and made the ambulances all hi viz. Most services are pretty strict on how paramedics respond to emergencies. I’ve noticed that most of you have brought up EMS accidents when entering an intersection. Do you have rules that restrict the driver to slow right down (basically stopping), having and good look, making sure the passenger is happy to proceed then proceeding or is it more just hold your breath and hope for the best? What about speed restrictions? Another point that pops to mind and I’m wanting someone to clarify this for me. Does your 911 system have a triage/clinician system that categories the urgency of calls or is it bells and whistles to everything?

Adrenaline for upper airway obstruction (not) Seriously, there’s not much we can do apart from what’s already been said. Just keep a tab on vitals and treat any deterioration.

I’ve gotta dash to work but I look forward to reading your replies when I return

I did think about the figures as I know America would be up on Australia but it still struck me as a high number of incidences.

I don’t mean to sound disrespectful, rude or ill-informed but I really can’t get my head around this, what’s the go with the high mortality rate within the American emergency services? It seems every time I log on there’s a new post informing me that an ambo crashed a truck, a helicopter crashed into another, firefighters died in a fire, first responders crashing even before they make the scene and the list grows longer… I just can’t seem to work out why this is happening? Lack of training? Not thinking straight? No sense of danger? I just can’t work it out… I mean Australia certainly has emergency services related fatality or server morbidity events but it seems nothing compared to the US, it’s certainly not a daily/weekly event and we certainly don’t have a website dedicated to recorded the death of Emergency services workers. In fact the last article I can find relating to an emergency vehicle accident was a few months ago. I keep hearing silly like story’s about firefighters going into fully involved buildings for internal attack when there’s no conformation re entrapment only to have the roof come down on them or ambos driving at incredible speed to get to a call or members responding in POV to calls yet there vehicles haven’t undertaken a road worthy to drive at high speed. It all just seems mind blowing and I really can’t figure out why it’s happening.

Hmmm… 10 guesses as to which service you’re talking about :roll: Less money on lights, more money on education and equipment.

Do you get paid extra if you buff?

You guys have an ambulance crash log? :shock:

lol! Touché! I guess were too lazy to care…

No offence but, Americans are weird… I’ve never heard of this nor do I know people who do it...

YAY!! 8)

In Australia paramedics can exercise discretion and recommend that no transport is required. Were looking into extended care paramedics who are specially trained to respond to minor calls and perform such tasks as dislocation manipulation, suturing, minor prescription type medication ect to reduce the impact on emergency departments. As far as your question is concerned the patient appears to be in physiological stress which warrants further investigation and transport. When you say that SP02 is low, there localized swelling around the eyes, were having respiratory problems and generally unwell it may indication some form of allergic reaction or infection either way it’s evident that referral is needed. Was there any reasoning behind why they didn’t transport?