Hello EMT life!
I'm sure we have members from London Ambulance on here, and I would like to meet you! For those who don't know, I'm actually English, former RAMC medic, and I work as a Paramedic in California. I'll be back in blighty from the 16th to the 31st, and I'd love to get down to an...
I understand that, I was merely point out that a ground ambulances safety isn't inherently linked to the ability of its engine to stop it crashing. I don't really think that a redundant engine and the extra power it affords you is quite as necessary in a road vehicle... but I might be wrong
My main reason for posting was the A-star, which seems like the most common aircraft out there. I work two places, and one is a police helicopter with a secondary medical mission. I trust to pilots, and they know the response area intimately, but it looks like cost has led to single engine IFR...
I found an interesting article about single engine HEMS operations and human factors. Worth a read.
http://helicopterems.blogspot.co.uk/2015/12/hoisted-on-my-own-petard.html?m=1
My problem was the lack of awareness that things were going south, and then a lack of insight or even open mindedness when a problem was highlighted. It's incredibly frustrating for me to see other professionals not following best practice.
To an extent, but I've seen it work very well, and also much quicker than a NRB alone.
It's not really the NC that I have a problem with, just the general intubation. They allowed the PT to desat, and then blew air into her stomach with a BVM while not doing much to increase her SPO2 and...
The NRB alone doesn't really deliver 100% fiO2, so adding the NC bumps it up significantly. This also means your NC is in place for apneic oxygenation when the time comes. I would use a NC with the ETCO2 bits on it too, which is my practice for respiratory emergencies.
Good evening all!
I work in California, where we have no RSI, but that is not the debate. Frequently I will have a Pt who you can predict is going to be getting an RSI upon arrival to the ER. To best prepare these patients, and to generally protect them the best I can, I will usually begin...
This was my concern too. I know that I'm in Cali, which is bad already, but I'm having a really hard time finding any systems that I would consider great.
You might get OK protocols and OK equipment, but the pay will be bad, with no room for promotion. Or you can get paid well to do glorified...