BushyFromOz

After reading Ridryders post in the cushing's reflex thread, i realised that although i knew what some abnormal respiratory patterns "looked" like (hey, lack of experience here). I turned to a trusty book and found a diagram with 3 or 4 squiggly lines that are supposed to be a graphical representation of a respiratory pattern such as cheyne stokes (below) Would other people like to add some diagrams such as this along with a brief description of what they look like and where they originate from. It would be interesting to see if any patterns have more than one name, we could build a good resource for those of us who lack considerable first hand experience. P.S. would you call the lines on these diagrams "pleth" waves? Cheers

:shock: I know here, somewhere, it is written that the stretcher mounts, equipment stowage points and harnesses must be able to withstand a 20G forward movement and a 10G sideway / rearwards movement. Ambulances also have to have some form of rollover protection system built into them. Actually finding this is proveing to be difficult. I suspoct it is an australian standard for manufacturing ambulances as opposed to a legislative requirement I was shocked to see the stretcher break away from the floor in one of the videos that was supposedly a 50km/hr imact

just out of curiosity, are there regs on G-force limits of stretcher licks, equipment mounts, chassis mounts and roll bars in the US?

i dont like soy based food thanks 8)

Ahh cheers chbare. Thats tied it up nicely for me.

Yeah, what he said Is there a differentiation between cushings reflex and cushings triad? Cushing triad is listed (at least in my text book) as consisting of hypertension, widening pulse pressure, bradycardia and irregular respiratory pattern (which i am assuming is some kind of medullary breathing pattern?) How they get 4 signs and call it a "triad" i dont know :? Is the "reflex" specifically the raising of MAP and the "triad" a sum of the signs of the "reflex"? wow, that was so incoherent :shock:

You think thats bad..... After a night on the turps and some very deep conversations with a couple of mates, the enormity of the role i am about to get into hit home at about 2am. Already questioning weather i will have what it takes, i then went and found this website - i might not even climb into the box to begin with :shock: No, on second thoughts, i will... nothing ventured nothing learned

Found this website today. I highly recommend that people spend some time cruising around this website. It looks and OH&S safety for ambulance personnel. Included is a collection of crash test videos of inside and outside of a typical ambulance http://www.paramedicsafety.org/ Really is worth a look Bushy

:shock: Hardcore.... You have me thinking, i will have to go and do some reading. I would think that the ICP causing the herniation would be sufficient for a vagal stimulus, even without the herniation actually happening. Mind you i have a hang over from the work christmas party last night, i will sober up and do some reading.

you have metal on metal seals?? never heard of them, and given how fragile machined items with such exact tolerances would be to wear and tear, i would think that using them in a rough environemnt is not the best method in the first instance

was that a statement or a question?? For the most part if i have a leaking bodok seal its nearly always some kind of crap on the cylinder head, a clean with an alcohol wipe is usually all it needs. If you overtighten the yolk i have seen the plastic handle break away from the thread meaning you cant get the darn thing off again without using some kind of vice grip that damages the regulator.

Acute pancreatitis

:shock: Your still on about this?? :?

Ha! you know i was going to answer this thread a couple of hours ago, but stopped as i figured dusty needed to exercise his leg 8)

i have been pretty lucky with MX armor as i have been able to cut it all on elastic straps between the shoulder and chest plates, so front come off, sholder pads lay on the ground next to his ears and i have it taken away when we roll em' to get em' on a board. Tell you the truth, the biggest issues i have had with MX gear has been boots

I have dealth with them 3 times now. There appears to be 2 types, one like the thing scaramedic showed above, and another that is more like a HANS device The foam one is easy to maneuver around the patient. The added bonus i found with the foam one is it was just the right shape to place between the patients head and the spine board, like an egg cup for your noggin. when in doub't, carve it up. The HANS type one (i see timmy has posted a pic of what i am crapping on about) is a bit difficult to work with. the deal i found with this is if your not in a hurry to control airway is to unclip it before you log roll em', you can usually get it wriggled out from underneath them in the roll. Treat em like a set of calipers, and it works very easy when they are laying lateral, so if you have the help rip it off when you go to get them on a spine board, but before you remove the helmet. I made the mistake of taking the helmet off first one day which meant i had someone in an awkward position holding the guys head up and inline as the neck guard was keeping his head elevated, where as leaving the helmet on gave the right spacing. Either way you cant get the collar on until both are off, its just smoother this way with less movement. It much easier to steady the helmet than holding the patients head up. Of course this is all relevent, some patients can wait another minute for 02, some cant, you just gotta take it as it comesl I dont so much mind dealing with these as apposed to dealing with the kevlar plate armour that is sewn into leathers, that stuff is a pain in the arse! :shock: im considering a set of "big shears" :? not my best entry but im buggered.... another rum then bed methinks

Sweet! I was at a motor cycle race one day when we got scrambled to a crash on the track, jumped behind the wheel and the bloody key would not turn, so i jiggled the barrel and nothing happened. In an act of desperation, i jumpoed back out, grabbed the resus bag from the side door and used the lignocaine kelly from the intubation kit to lube the key up and jammed it back in the slot, a couple of jiggles and she unlocked and away we went. 8) LMAO! Take the words used in that paragraph anyway you want :twisted:

i found him phil, he was in the freezer behind the peas hanging out with stuart diver :twisted:

Oooohhhh, i'll rate that! Nice work :wink:

soccer mums all over the world just wet their panties at this rig

There are ways around this bro, pm me.

I cant say i read all the replies in their entirety, just sort of skimmed through, but im not quite sure i saw anyone mention OH&S considerations as a part of quality. The leading cause of injury for ambo's in Oz at the moment is shoulder/rotator cuff injuries from using semi rigid or hard cases that only have one handle or shoulder strap, especially from slinging heavy bags over one shoulder. This also leads to lower back injuries from walking with wieght distributed on one side of the body Im all for having ergonomically designed backpacks that spread load and are durable with easy access to the gear you actually need, instead of adding "extras" that just take up space and increase weight. my .5 AUD (we dont have .2 cent coinsa anymore)

Always wanted to do this...... -5 for not thinking outside the box, everyone is a student in some way shape or form

True! I am currently using one of these... A bit pricey but it picks up just about everything 8)

IM red/green colorblind, and i was breathing for 22 years before they finally picked it up, i cant think of any time that i could not differentiate red/green in a practical sense so i have no problems with color coding or anything of the sort, just the ishihara test got me, which, i am led to believe, are very specific shades of red and green that i cannot differentiate.