BushyFromOz

Your called to a 70 year old male who was found collapsed at the end of his driveway. His wife says that he left the loungeroom 20 minutes ago to shut the gate and did not return, when she went to look for him she found him laying on the concrete in an altered conscious state. Inital obs are.. GCS 6 B/P 130/90 HR 70, BSR Temp 36.8 BSL 5.8 RR 18 what else would you like to know?

this will attract a mortar round or two... In our case we have what i believe is a legitimate reason to tube each cardiac arrest, and that is our post ROSC management for therpeutic cooling relies on the pt being intubated. We have a proven increase in ROSC and survival to discharge based on the cardiac arrest management we use and to give the pt the maximum chance to survive to discharge, they need to be tubed.

im sure when they translate english back to chinese or whatever it is they sit back and think "What the heck are these round eyes talking about"

Im a bit cinfused here, theres not a lot in here that would suggets asthma to me. You got any further info as beiber suggested??

This was taken form the journal of my best friend who was buried 2 weeks ago on wednesday, his parents released as part of his service so that we may better understand the thoughts of a person who is so depressed they see no other alternative. Now, while i havn't specifically seen it in this thread, but i i will make reference to it is the downright hostility people display towards suicide. I am constantly disgusted by so called "health professionals" on and offline who chose to portray these people as being "fucked in the head", "they should just get over it" or that they were "gutless and selfish". Clearly my mates last thoughts were obviously for others and not himself. You people want to be the compassionate and ever caring health providers right up until the point where you refuse to understand anything that challenges your sense of normal. My mate didn't choose to be a victim of child abuse, and he certainly didn't choose to have depression - and for that "normal" people would choose to brand my mate wasn't a nut job, a psycho and selfish. A gutless man for choosing the so called "easy way out" of his problems I say they are gutless for choosing to not understand.

I wasn't born till '83

LOL Clearly working for one hasn't improved my proof reading abilities Besides Kiwi, change of government and the brave new service, i dont work for a real service either anymore.

Or perhapos even an actual ambulance service

Brilliant!

Are you one of these hero guys? "hey, look at me, im in charge of a 20 thousand dollar medivac?" My patients get the appropriate care and transportation required without your theatrical "i make decisions that effect life and death" and they get to call me by my first name, that being the one i introduce myself as. Professional, succinct and approppriate care quite easily performed without them knowing my surname, is that too difficult for you to comprehend? Theres some great jobs being a fighter, I hear they like gloating about how awesome they are too. edited for stupid spelling errors LOL I'm batman...

Look pal, just because YOU have never had a problem with people doen't mean other people have had the same easy ride. I have had some unsrupulous asshole used my name badge to find me and where i lived, in your words "Ive been there", and the end result for me isn't the same warm fuzzy land you ended up. It boggles my mind that you cant except that some people are uncomfortable with what equates to random strangers knowing your full name, who you work for and by default, probably the area you live in. Its sounds like such a no brainer im surprised you lack the ability to understand other peoples point of view.

Wait, wait..... what do people see in this picture? I see a troll.....

Dont think there is one turnip.

Unfortunately the info is an inernal publication so i cant link it. The registry that the data comes from is run by monash university, so it may not even be ours to publish.

White stuff on the screen, Bushy. Not the awesomeness I want to be oozing with, use a tissue.

Its a colour with no sexual or racial preferences

I gave you another -1 for not paying attention to what other people are saying. Dr phils post has so much awesomeoness in it its just oozing from the screen.

No kidding they circulate the results every quarterly in a newsletter, those came out a couple of weeks back along with a bunch of other data on response times, adequate pain reief, number of substantiated complaints and stats on how many clinical stuff ups the service has done But, theres a catch, at the moment the document is a controlled one and as such i cant relay it here. I wish they bwould publish this stuff internationally.

We were sorta wondering if the rapture sorta went from timezone to timezone? I mean, i like the fact that i see the next day before ou guys but i'd rather not beat you to the end of the world. Did someone tell his reverend charactor that april was last month?

I love the way some people are up this MEdic West and AMR crowd for meeting their contractual obligations? I mean, wheres the sense in that? Perhaps you should be turning your outrage against the city for having what you may find to be substandard targets? Or better yet, get the bucket fairies out of ambulance and use thatmoney to pay for more services and a superior contract? You cant have it both ways.

ROSC rates in melbourne, Victoria, Australia are over 50%, survivial to discharge is over 30% In country victoria, ROSC rates are over 30%, survival to discharge is a tad over 20% So yeah, cardiac arrest survival rates have not only changed in the last 20 years here, we have tripled the survival to discharge rates in the city and quadrupled those in the country. Your physicians might think you cant intubate worth a damn, our IC paramedics not only intubate, but they have empirical evidene that not only are they good at it, RSI improved our patients outcomes. We master our scopes of practice, and they keep improving it on evidence gained through retrospective analysis of our electronic pcrs and various trials and studies run by our service and health system which lead to our latest inclusion into air wings clinical practice. Which is our IC flight paramedics now carry whole blood on the choppers. Toodle-Loo...

Well. Kiwi, once again you have told it how it is and set the record straight. Good work bro!

That was my intial take, but i cant see anything that says he was "unpackaged", though penthrox specifically states that the cannula etc was removed. PATSLIDE (patient slide), usually we just call em "Pat" Its just a big plastic slippery board that you slide patients from one bed to another while they are supine, means you dont have to lift anything. WHen it was introduced into hospitals, there was a dramatic reduction in neck and back injuries

Little irish guy, hell of a drinker, bastard introduced me to the evil that is guinness!

Good thought Dust, i hadn't considered that, but i thought im sure the OP the pt was on a scoop?? And another thing... whats wrong with pat sliding a patient on a spine board or scoop stretcher? its one less lift you have to do, and should not only be used more but highly encouraged!