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Posted

i cant figure out whats wrong with the MICA drug list dust? whats made up?

Posted

nothings made up, the drugs just have different names in Australia than the states or canada

Posted

I kind of thought they were probably different names from different parts of the world. Some I think I figured out...i.e.- is Lignocaine Lidocaine in u.s.? Salbutamol, Albuterol? Suxemethonium, Succinylcholine? Some of the others I hadn't a clue. Cool...

Posted

what in the list dont you recognise, just outta idle curiosity?

Posted
what in the list dont you recognise, just outta idle curiosity?

Anginine

Maxalon

Penthrane

Suxemethonium

Others in the US may not recognise Salbutamol or Lignocaine, or maybe even Aramine, as it hasn't really been used much in the states for a decade.

Posted

Wow! now that's a name I haven't' heard in a long time..one of my first med.'s to give... of course they found out it does not work in the EMS arena, due to the sympathomemetics is long gone before most EMS arrive (3-4) minutes, and the receptors are no longer able to convert.

R/r 911

Posted

Im quiet surprised that you guys have never heard of Penthrane! I recon every single paramedic to first aid officer swear by it over here. So Im assuming that you guys use Entonox or something like that?

Penthrane is way better and so much more patient friendly and easy to use.

But there you go I learn something new very day lol.

Posted

Anginine = GTN = glyceryl trinitrate (ALS & MICA)

Maxolon = metoclopramide = antiemetic (ALS & MICA)

Penthrane = methoxyflurane = short acting anaesthestic (Paramedics/ALS & MICA)

suxamethonium chloride = short acting muscle relaxant, neuromuscular blocking agent (MICA only)

Hope this helps

Posted

That is helpful and interesting! Thanks. By the way, the abbreviation you use for glyceryl trinitrate (GTN) is a mirror image of the one we use for Nitroglycerin (NTG).

Posted

Do we want to start the Methoxyflurane nephrotoxicity debate again? Oh wait! that was a different forum :D

Penthrane was outlawed by the FDA because of its nephrotoxicity in high doses in the 70's (i think) it was used as an induction anaesthesia for minor surgery for up to 5 hrs, which is far removed from the 90minute recommended exposure time. As far as im aware, Aus is the only country still using it, its has TGA approval here, but the long term effects on exposure to ambo's is undocumented, and our max dose per day is 6ml, which is arounf 40 - 50 minues...........

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