Timmy

Well I’m stumped! It’s not an allergic reaction to the spray because we’ve already ruled that out. I have seen a doctor a aspirate a lump in patients throat before, he made it very clear that it was important not to swallow any of the fluid but we’ve ruled out any toxic related problems. It not like a cyst or tumor or anything like that? Interesting to see what the blood test showed up and culture of this yellow fluid…

Damn you!!! That is so unrealistic! I wana try get this 02 stats up a bit more, maybe into the mid 90s before we load. But with nill effect with albuterol I would assume you would have nill effect with Ipratropium or any other related meds? How’s our ECG looking? I’m starting to swing towards some trauma in the throat more than a medical problem? But saying that your tonsils really aren’t located down that far to cause major airway problems… Since were far out what’s our med control saying to do? And the radio is working!

All I can think of is. Toxic episode from the aspiration or they’ve punctured something they shouldn’t have? Jess says sepsis?

*Lets lone step in and take over* lol What about a fever? Difficulty lying flat? Voice muffled? Jess seems to think it’s Epiglottitis? Oh and if this is wrong you have specific instructions to direct hate mail to me lol

Dangers? Grab a history and SAMPLE history. Eaten anything out of the ordinary? Hoping our GCS is 15? Is there anything visable around the throat like bruising, swelling or bite marks? What's our general apperance? Distressed, anxious? Are we speaking in sentences or short words? Breath Sounds, wheezing? Crackles? Cough? Can we take a deep breath or cough? Any pain when we do this? What’s our chest movement like? Skin colour/texture? Have a look in throat. Start 02 w/ nebulised salbutamol, maybe some adrenaline if were going with an upper airway obstruction. Maybe some sort of infection?

With boots if you can undo the clips, open up the boot a bit then run the shears down the fabric side your half way home except for the ankle foot bit which is always hard to remove. To be truthful I’m not a massive fan of removing boots. I find it easier just to leave them on, it offers a pretty good splint, you can do a figure of 8 round the ankles then one above n below, there legs goen no were then. I only remove it if they have altered sensation or they feel wet (bleeding) I find when the hospital runs the plaster cutters down the boot it’s a much safer and effect method. Removing the boot on the track can sometimes cause a shit load of damage and pain!

The ones I’ve come across have a quick release at the sides of the chest but you still have to wriggle it off them over the head. With some of the less built riders that neck thing that sticks out about 5cm from the back making their head position go right back when laying supine or the head doesn’t touch the ground at all. I like that log roll idea but I was in a hurry to secure an airway lol… But then you’d still have to deal with the shoulder bit that there laying on which holds up removing the whole thing. I’d like to have about 4 sets of gear and practice cutting in different places! I agree bushy, those superbike/drag bike riders wear shocking protective gear!

It’s a mix between what scaramedic posted and the pic I posted. Armor around the shoulders and chest/back area but also that black bit that sticks out at the neck. I doubt the sheers would get through the plastic. The only problem I see with quick release on neck braces is a legal issue if it happened to snap during a crash. You could go on about how they’d need to make it strong and durable ect but in reality if you’ve seen the mechanism of some of these falls the blunt force trauma is amazing and would even snap steel. I would love to do some research papers or something along those lines but I don’t have the professional back ground and I doubt anyone in Australia would really care. Motocross tends to have a very ‘hardcore’ attitude towards safety and I doubt I would get support. Hell, they still have the little old ladies from the Red Cross coming along to major race days with their bum bags and thermos of tea and scones! I guess its just part n parcel with MX riders, they sign an insurance form every race day saying they could be killed or seriously injured…

In the past recent weeks I’ve attended to a few Motocross accidents resulting in spinal precautions being taken. In Australia and I suppose over seas the latest in MX safety attire is a new neck brace device fitted to the chest armor. While it may be beneficial in stopping abrupt neck movement when crashing, it sure doesn’t make our job easy. Because of the size of the device you can’t remove it unless you lift the patients head nor can you lye them supine on the spine board with it on. At a recent mx coaching day I spent about 20minutes trying to figure out/study the best way of removing it, I also had the help from a motocross exercise physiologist and senior motocross coaches who were just as stumped as I was. No body can see a way of removing it unless you move the patient, there’s no quick release or anything. My question is has anyone experienced the same problems and how did you over come it or reduce the amount of movement? I’ve attached a pic of the device. This isn’t the same brand but is similar.

Thats funny as hell! It looks like a horse!!

The mortality rate is pretty low for snake and spider bites… :wink:

Don’t hold my age and profession against me! Besides, how do you know I’m wasn’t simply implying that Chuck Norris is happy? Mind outta the gutter doc! :twisted:

See we have proof! Or should I say poof? Chuck Norris is gay! But it’s ok Doc, I won’t hold it against you… I’m very opened minded and non judgmental

Meh, what ever floats your boat doc :wink:

PS: Chuck Norris is gay

Oh ok... I suppose ice would do that to some extent as it restricts the blood flow a lill. I assume pressure immobilization and urgent transport to hospital is the most effect treatment. I guess another instructors case of ‘back in the old day’ syndrome…

I can’t see how ice would help…

Are you serious! Please give me a break, a TV show! Now their whackers! Probably rich whackers but it still makes them whackers! When I was 16 I was doing EMS, Fire, Sports Trainer, High School, maintained a social life and sometimes rode motocross with mates… No one wanted to make a TV show about me and I really didn’t think anyone really cared what I did. Hell most weekends I barley managed to get 6 hours sleep (most teenagers sleep all day) but a TV that’s way OTT man! Geez talk about volunteering for glory!

Have you read there website? The requirements: http://www.post53.org/postielife.html The training: http://www.post53.org/training.html Or when they dual respond with paramedics: http://www.post53.org/paramedic.html Going by the pictures in the photos gallery it appears that the kids are running the show. EDIT: Insert article: http://publicsafety.com/article/article.js...p;siteSection=2

Yup, that’s right. In my state you’re on probation from 18 till 21. You can’t drive emergency vehicles or high powered vehicles or with a trailer or with alchol in your systme. Word has it that new legislations are coming in involving certain time frames and passenger restrictions.

:roll:

That you beat me to it?

I would severely doubt your “senior paramedicness” with stupid immature jokes like that. How do you know these kids aren’t on EMTcity? What if I get a picture of you and slap a loser sign across you forehead because you were immature enough to do it to that kid. My god....