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AFAIK most services' in Australasia have moved laryngoscopy for airway obstruction down to base level; honestly it's not hard to do, and the disposable laryngascopes are pretty cheap. It's literally just literally having to look in the larynx for e.g. a big piece of sandwich and hook it out...

Acute admissions generally go through the emergency department; the GP (or whomever) will ring the relevant Registrar and discuss the patient and notify them they are being sent to the hospital. The Registrar will generally send their House Surgeon or SHO down to investigate and work them up...

Unless the finger is visibly dirty then nothing; just do a BGL and put a plaster on it.

It has been talked of Nurse Practitioners having a role on the specialist low-acuity response cars (Sierra/UCC) but this hasn't happened yet in the approximately five years it has been running and is unlikely to happen in the near future. There are only a tiny number of NPs around (the...

It depends on what you are talking about. Some things you absolutely have to follow in a particular order; for example setting the defibrillator to cardiovert somebody, or using a checklist; such as the asthma non-transport checklist, or seizure non-transport checklist. Then there are things...

I haven't heard that term before, I like it! Unless big food/the McMafia can find a way to ching, ching, cash in on plant-based diets; diabetes and obesity are here to stay. Kale Pounder anybody?

Apart from inevitable changes in technology, for example, I hear the Lifepak 18 is not too terribly far away, the basic principle of diagnosing a patient and working out how to most effectively and efficiently meet their healthcare needs will not change. Technology will just allow that to...

My criteria for gaining IV access: Requires IV fluid for hypovolaemia, OR Requires IV access for parenteral medicines, OR The pt requires both referral to a medical facility, AND The only suitable method of transport there is by ambulance, AND They are likely to so significantly clinically...

Bring back entonox; generally much easier than MOF! Apart from that ... I honestly can't think of anything. The CPGs have expanded so greatly in the past two to three revisions it really is amazing. The comprehensive edition is here if you want to have a read and see if you would like to...

I don't reckon it makes a bit of difference; giving somebody a general anaesthetic and intubating them pre-hospital isn't going to change what is going on in their noggin so that same noggin is going to end up going through the CT scanner whether they're awake or not. There could be some...

Attention wayward police constable ... newsflash mate ... your authority is only devolved from a set of statutory instruments, if you are not compliant with the provisions of same, well, you have no authority, so go take a flying leap would have been my answer.

Then in this case, I suspect said constable would need to convince a judge (even if at the end of a phone) to issue a warrant. Good luck mate, because that's not going to happen. WTF was he thinking?

A police constable who has enough evidence to suspect somebody has committed an offence under the Transport Act (driving while impaired) may instruct a blood sample be taken from that person provided they are in the hospital AND the doctor agrees there is enough medical evidence to reasonably...

America seems like such an ... interesting ... place. A police constable has powers under the Transport Act to order a blood sample from a patient who is at the hospital on suspicion of a vehicle accident but their doctor must agree there is enough medical evidence to support this. This is...

Each controlled drug safe has a tracking sheet which is filled in to count restocking, drawing, and use. I'm fairly sure they are randomly audited but I wouldn't have a clue honestly. Use, and wasting, of controlled drugs by individual officers is now much more easily audited using ePRF; in...

In Australia, most jurisdictions offer very generous allowances and assistance when posted to rural areas; meal allowance, rent assistance, provided accommodation, pay your internet etc .... On-call Officers are paid an allowance for on-call time and recall is paid at 1.5 or 2x plus any...

I'd put on a CAT and ring the Clinical Support Desk to have a word with the Vascular Reg to see about taking her directly to wherever he may be. If she's only lost a quart of blood then I don't see utility in IV fluid administration. Pain relief - in this case, I'd also see if we could do a...

There's no good answer, I think partly due to cost (expensive to rent and refill approximately 600 cylinders) plus to remove complexity for staff in decision making around entonox v MOF. Australia has only used MOF for ages now.

G'day mate .... In New Zealand we have: paracetamol, ibuprofen, tramadol, morphine, fentanyl, ketamine, methoxyflurane, ring blocks and something else I can't remember ... and just withdrew entonox on June of this year; smh, seriously ... loved entonox. Rather than repeating everything; just...

Morphine and fentanyl aren't really that complex; ketamine is a wee bit more, but not that hard. The differences between morphine and fentanyl aren't really that significant and probably don't mean much in the real world. Fentanyl is a bit more lipophillic so has a faster onset and shorter...