Timmy

A bit more Aussie first aid advice…

Saw this on TV the other night. It does have a bit of mild language.

I don't feel the need to watch it...

Dust- I’ve only ever had 2 # base of skull pts, maybe our training is different but in the services I am involved with wear taught to remove the helmet, don’t ask me why it’s just what were taught and I’ve been taught this by four completely different training providers. How did I know you ask? Well we remove the helmet but placing one hand under the pts head and the other supports there chin. On these 2 particular pts, I slid my hand under there head and felt that the base of the skull was I suppose you could say mushy or soft so that’s how I knew not to take off the helmet. One quick question, take for instance a MX rider with a ?spinal- you guys would just keep the helmet on, collar, board and tape there helmet to the board? Dwayne- Coaches over here have nothing to do with injury’s. Sports Trainers look after all injury’s and player welfare. 35 Hour course. General out line of the course I’ve done: -Negligence and Duty of Care -Wound Management -Concussion Management -Dental Injuries -Sports Psychology -Advanced Sports Nutrition -Principles of Rehabilitation -Advanced Taping Techniques -Risk Management -Sports Massage Techniques -Emergency Asthma Management -warm up/stretching/cool-down -medical conditions -principles of rehabilitation -drugs in sport -analysis of biomechanics -exercise physiology -muscle imbalances -infection control transport of the injured athlete That’s all I could think of for the moment; it’s a 35 hour course, this course is done after you have completed you first aid. It’s very rushed and really easy to pass, most sports trainers only have sports first aid.

Meh, over here if you’re a Sports Medicine Australia Trainer then you pretty ‘basically’ qualified. You must have First Aid and most football trainers I work with only have level 1 trainer, this involves basic strapping, basic massage, going over you first aid again. Then we have level 2 which is advanced strapping, nutrition, exercise & stretching, warming up & cooling down, spinal and splinting ect…. It is rather hard to appropriately train all sports trainers; I’m talking about just you local every Saturday comp not at an elite level. In my state there’s about 500 football clubs, each club have 2 or more trainers. Then there’s soccer which would have some stupid number of clubs around the state. I’m not sure what’s it’s like over in the U.S but no one apart from a doctor can really tell if someone has a fracture or not, even if a pt has a compound # I still have to say I suspect they have a #. We can only to a certain degree diagnosing injuries. I tend not to tell the play what I think they have got e.g., If I think a play has a torn tendon or sprained ankle then I will refer them to a doctor just to cover my self. As for removing a player’s helmet, Aussie rules footy players don’t wear helmets. Only sport I can think of that would wear a helmet would be MX riders, Go Karts, Equestrian riders ect… I always remove there helmet. Only time I haven’t is when the pt has a # base of skull or the vertebra is clearly visibly pocking out the side of there neck. It has to come off at some stage and I find it’s way easier to properly immobilize there head if there helmet is off. But that’s my personal choices.

Yeah the “walking it off” part sounds right lol “Your only dying son, walk it off, suck it in, you’ll be right, better luck next week” We had an opposition player cleaned up by one of our guys, he was fully knocked out, had blood and CSF coming from both ears. No matter how much I yelled at him to leave the poor guy there till EMS arrived, he insisted that everyone “just grab and arm and a leg and we will carefully place him onto the stretcher” The things you see out on the field lol! LMAO! To the C8 comment! Now I’ve heard it all. Maybe that kid should be on that show ‘Medical Incredible’! Yes, sports trainer’s courses don’t really cover what is needed to treat more serious patients on field. I’ve worked with some tosser trainers over the years!

I will tell you about the rural system were I live. In Australia the ambulance is government funded, so there are 8 different ambulance services one for each state. Were I live Rural Ambulance Victoria is responsible for all calls. All paramedics are ASL or Intensive care. In my town we have 2 ASL trucks running 24/7 with an on call station wagon. East of me is Yarrawonga which runs 1 ASL truck 24/7. To the South we have another 1 ASL truck again 24/7. About 45mins from my town is a rural city which operates 15 ASL trucks and 4 Intensive care trucks. Our chopper is a 45min flight away. There all the same ‘company’ so they back each other up. This is a map of my states rural services: Just a little guide to the key: Area Office: Were the comms and command are run also fleet ect. These also function as normal ambulance service. Branch Pro: Station is staffed with ASL and or Intensive Care Paramedics. Branch Community: Service is run by community ambulance officers or volunteers. Sort of like an EMT. These areas are remote and have an extremely low work load. These services do not transport, they rapid respond to a call in a Ford Territory and wait till the ASL guy’s rock and transport. Branch Seasonal: Are manned by ASL or Intensive Care, these areas are mainly snow fields or holidays towns so they only get paramedics when the holiday season is on.

They sure are carrying it the wrong way! I’m not even sure if there anything to do with EMS, maybe players or stretcher bearers?? If they are, well, how embarrassing! When I work at football and soccer we use a spine board to remove players off the field. I tend not to strap them on unless it’s a spinal or I’m holding a splint in place. Most of the time the player is horribly embarrassed to be stretched off in front off all their mates, spectators and it’s a major fight even to get them onto the stretcher in the first place. Why run, it’s just a short walk across the field to the medical room anyway? And if there that injured that they need urgent medical care (hens the running) then why wouldn’t you leave them there until EMS drove the ambulance onto the field?

I agree with alpha, who cares? This video was made in January 04 so if action was taken I’m sure it’s all over and done with by now…. No matter how much you go on about it, it doesn’t make any difference to the fact that they did it anyway… This was written by the poster on youtube: “During the blizzard of Jan. '04 we got creative at work, strapped 4 backboards together and towed them behind the ambulance. We hit a max speed of 35 mph traveling up a 4 lane road in a city in western MA.”

We can only do our best, if that means it takes 30mins to be on scene then it takes 30mins, what more can we do?

Kids, this is why we don’t run when we got a patient! And that stretcher looks really big and heavy to be taking out onto a field, wouldn't you think a backboard or canvas stretcher would have done the job??

Wouldn’t you laugh if those paramedics were on this site!

You rock up to the station to measure how tall the ambulance is to see if it fits in your garage. Without fail an off duty member rocks up at the end of every shift to see how many patients you treated as they have nothing else better to do with there life. You just want to get home but they persist to ask about every little detail about what happened during the day for the next 2 hours.

It's not over till the fat lady sings!!! 10 Bucks says the poems will go home empty handed! Aussie, Aussie, Aussie Oi, Oi ,Oi!!!!!!!!!

I have yet another question. Hypothetically if you had a patient who was on a pit crew at a car race event. These particular cars use fuel (I forget the name) that if it ignites you can’t see the flame. If this crew member has been unlucky enough to ignite and has possibly swallowed this fuel/flame, how would you deal with it? You would make sure the scene is safe. Would you make him drink water just in case his throat is on fire? What would be the next step?

lol it was a sarcastic comment. Not intended to be offensive… I’ve never seen a kit like that… It’s huge! But well layed out

Bushy- What the hell is that lol. You know you’re not the only paramedic in Australia lol! Well I think I want one… Doc- You’re defiantly a chick with expensive taste! P.S NEANN ROCKS!

1. Yourself: Scared 2. Your boyfriend/girlfriend?: Yer 3. Your hair: Brown 4. Your mother? Amazing 5. Your Father? Funny 6. Your Favorite Item: iPod 7. Your dream last night: Falling 8. Your favorite drink: coke 9. Your dream car: Porsh 10. The room you are in: Boring 11. Your Ex: Stupid 12. Your Fears: Everything 13. What do you want to be in 10 years: Anything 14. Who you hung out with tonight? Mates 15. What You're Not? Something 16. Muffins: Caramel 17: One of Your Wish List Items: Money 18. Time: 1056 19. Last thing you did? Eat 20. What You Are Wearing? Nothing 21. Your Favorite Weather: Warm 22. Your Favorite Book: None 23. The last thing you ate: Pizza 24. Your Life: Stupid 25. Your Mood: Neutral 26. Your friends: Awesome 27. What are you thinking about right now? This 28. Your car: None 29. What are you doing at the moment?: This 30. Your summer: Hot 31. Your relationship status: Hot! 32. What is on your tv? Dunno 33. When is the last time you laughed? Now 34. last time you cried? Before 35. School? Joke

‘Truck 174, responding signal 1 (L&S) call for assistance, 1 male patient, conscious, breath, C/O rapid onset headache, I think this patient is timed critical!”

Who needs lights n sirens when you have a horn and a 21 year old medic out the window making cow and pig noises at passing motorists… But seriously does L&S make any difference to the way we treat a patient? Some people seem to think it’s physically impossible to treat a patient if you don’t have the beacons on and you haven’t made a complete moron of yourself and gone out of your way to make a massive, loud and abrupt scene to get to a patient. ‘hey everyone look at me, I have sirens, doesn’t that make me big!!’…. BTW, I’m not bagging out sirens, they have there place.

When I was on ski patrol the staff of the resort had a race down the hill at the snow park. The staff used toboggans and the patrol staff used spine boards… It was rather (extremely) fun, might have not looked professional but the public had a good laugh! We also had snow mobile races…. Just recently at a bushfire we had saline fights (wasted so many I.V packs) The fire guys decided to join in but it was a lill unfair because they used there hose! We always muck around but were serious and professional when it’s needed. If we were serious all the time then we’d go crazy!

Why not just have your beacons on and then when someone gets in your way just give them the ‘whoooop’ That normally works...

Well I take it, it’s not the time to enlighten you on what we do…

Do you guys have something like this? http://www.emergalert.com.au

http://www.neann.com/prk-7.jpg http://www.neann.com/prk-9.jpg BTW that isnt me in the pic, just the guy off the website