BushyFromOz

Wonder how well this would stack up on "chain of custody" issues

you post is fine mate, i hope i didn't offend you, deffinately not my entention. It just popped in my head as a side note. Im sure there are a few here who honestly think its ok to traction out a midshaft femur to provide pain releif without seeing if those who can provide it chemically are available.

A hundred million sperm and THATS the one that got thorugh????? :roll:

Yeah, maybe i should have read back thorugh the posts. Is this such a big deal for ambo's to worry about? We certainly arn't to fussed with COPD'ers so why would this be different?

Damn...... by "agency" you mean more than one station though??

hi, my name isjosh and im a whackr.... When i as at university, my friends gave me a lego fire truck as a birthday present one year. I remembered just how much i Loved lego as a kid, and pretty soon i had all the lego fire trucks, and the lego ambulance and rescue chopper to finish it off. They hide in a box in the closet in the spare room. Every now and then i get them out and have some "free play time" The missus doesn't know........ I aso have a "big" first aid kit in the boot of my car. I didn't buy it for the car, it leftover from my volly first aid days. Ca someone help me?? I have these compulsions to take photos of diferent marking schemes on different ambulaces ad i once thought about collecting patches!!!

Sorry crotch, i dont follow, could you elaborate on why we should be careful with the 02, im assuming its hypoxic drive?

Your not from EMTLIFE are you?? Another monkey........

ALS here is somewhat like an EMT-I, MICA have all the bells and whistles, epecifically the anti-arrhythmic drugs/therapy and airway management.

I'd skip your hospital, call for a MICA intercept and go to the "other" hospital down south :wink: Timmy knows what i mean

So close to hospital i would be inclined do CPR and have my offsider pass a message to comms to notify the hospital. Id do CPR and assisted vents as we park the truck, shock if its shockable and then wheel the 14 odd meters into the resus bay. Anything more than 3/4 or more minutes i think id be inclined to pull over and work on the side of the road waiting for a back up car. this is assuming its your bog standard VF arrest, tension pneuma decompression or getting fluid/adrenaline in for a PEA would necessitate pulling over for a minute.

While not something in my toolbox, our IC guys use a 16G cannula. I believe that anything smaller the surface area to volume ration of air moving through the cannula creates enough friction to almost stop any airflow leaing the cannula, a bit like not having blood flow out of an uncapped 24G

Whats the other option, NOT give them glucagon and the pt will improve :roll:

I cant say i have had an issue with stiff neck collars, do you pre-assemble them and store em in the ambulance or put them together as needed??

Thats interesting, because that exactly how i understood labelling the legislation deemed suitable for australia and australia's situation (despite the fact i dont necessarily agree with it) as "draconian", to me it comes across as "were right, your wrong" also.

its not hard to get them, its actually quite easy. Its not a difficult process by any stretch of the imagination, it just takes time that a lot of people couldn't be bothered with. Im not for banning fireamrs either, In fact, i believe that part of the problem the UK has was that by outlawing nearly all firearms it created a massive black market trade :shock: I dind't say americans were idiots, i said some of you are incapable of understanding we do it differently., and im not saying we are right and you are wrong, im saying we are different. And i dont believe carry and conceal is a solution for my country, and i didn't say i was "safer" i said i was less likely to get shot.

** sigh ** Ill just walk in the other direction, i should have learned by now that a lot of people here are totally incapable of understanding this subject from our non-US point of view. :?

No, not at all. Semi automatic rifles are banned with the exception fo certain "professional shooters" i.e sports (not hunting) and some calibres of hand guns. People are free to own firearms provided it is limited to certain types and calibres, and that you have a legitimate reason. Sport/game shooting is a reason, clubs are a reason, self defence is not considered a legitimate reason.

Yeah, no kidding.... It gets me how the health profession and governments collaborate on patients rights and empowering them in their own health care decisions, yet the most absolute, the most pinnacle act of empowerment being euthanasia, we refuse to give them.

Thanks Our "draconian" gun laws have left us with a much lower firearm death rate per head of population then yours, you wouldn't believe it but things are actually different outside of the US :?

Pro abortion (within certain reason), pro death penalty and VERY pro euthanasia.

Its funny you mention thid, when i work with well seasoned collesgues i am sometimes pulled up for being too aggressive in treatment. I frequently place IV's in patients tha i will not be giving any IV meds to based solely on having my options open should they deteriorate. I prefer not to use our analgesic gas and try straight for the morph if i can. this is considered "over the top" by some, especially those that believe that "less is best" ALWAYS applies. Ill hand out aspirin to patients who just have a history that i cant make any sense out of "just in case" it was a cardiac event (what im a going to lode, 3c worth of aspirin??) the older guys tend to say the patient didn't really need it, the clinical department say good thinking , it can make some shifts very fruustrating

i must say im really surprised just how few times entonox is mentioned. If ever an analgesic was a BLS med this would be it :shock: Heck, our volunteer first aid organisations have entonox!

Yeah turnip, i wont post much about the penthrane here as i have done this before and the reception from several people was less than enthusiastic. Its actually banned by the FDA as a result of nephrotoxicity from when it was used as an anaesthetic for surgery. Despite providing several articles that showed toxicty was dose/time of exposure related, and that the approved use parameters here mean falling well short of toxic exposure times people were not really interested in anything i had to say, Bit like LMA's really. :? Apparently on many things in here its the US way or no way at all :roll: We dont have diprova or propofol. One service here have morph/midaz infusions for pain relief. At a stretch we can make our agitated patient guideline work for us in the setting of severe pain, but it requires the patient to be agitated from pain to the point of being unmanigable and a danger to themselves (through worsening their injuries / condition) and theyll get some midazolam for their troubles. One service that i know of has ketamine in the field. We are running a randomised trial of ketamine v morphine a the moment, and have had the priveledge of seeing some amazing results when morph is proving totally ineffective, especially on multiple long bone fractures, sensational! :wink: In fact, the only time of seen propofol was when i saw a Doc RSI someone a few months back. As for splinting etc as a method of "pain relief", while i'll admit that it does reduce pain, actually performing the procedure as a method of obtaining relief without giving meds for the purpose of splinting is just barbaric. Are there any people here who feel it is exceptable to splint / apply traction without meds (if they are available) I must admit, i like hearing stories from the old hands about how awesome trilene was

yeah, thanks for answering the poll :roll: