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It'd be ace to see blood for culture being taken prior to administration of antibiotics however currently low patient numbers and lack of a practical solution for exchange of bottles before they expire is prohibitive, hence why the restriction on not administering them (except in meningococcal...

Nah mate, don't know who told you that but it's pretty much non-existant nowadays in Australasia. The big exception is for Regs on the helos. Seven to ten years ago yes, but not anymore, enough domestic grads to keep things moving along.

You raise a very valid point. Nobody should technically be "in charge", that is dangerous thinking and there is very good evidence patient harm comes from this kind of mantra; both in and out of the ambulance context. One person should be tasked with "overall oversight" ideally in a hands-off...

In the past, yes, I've heard of people going to cardiac arrests without a working defibrillator etc. At the beginning of every single crew change the vehicle is checked against a checklist, both Officers have to acknowledge on the checklist that it was done and done as required. They are filed...

Do you blokes not do a check at the beginning of every shift? As for getting your e.g. airway gear set up, do you not have a checklist for that? Full vehicle check at every shift change and if for example the night crew comes onto station while the day crew are out and Control calls to respond...

Something like this "it is my diagnosis you have <insert healthcare need unable to be met by ambulance personnel> AND in my opinion it is unsafe for you to wait to see <insert whom you are best referred to and assessed immediately here> BECAUSE you need <insert further tests/exam/treatment I...

I've never found it a problem; I don't know these people and am completely emotionally divorced from the situation. Honestly. I can only tell you the name of ONE of the patients I have had who has died, the rest, hell, I can't even remember who they are or why they died they just sort of all...

Here's the guts my mate ... airway doesn't mean intubation, it means using whatever works; if that's just a good old jaw thrust and scoot down the road to hospital then that's it, or getting some bystanders to sit on somebody whos a bit fighty cos of their hypoxic brain injury until an RSI...

Most of what we're doing is pretty much what everybody else is doing anyway, for example, clinical advice and pathways are nothing new, registration is "new" but certainly the norm elsewhere. When I said we might get a Postgraduate level specialist qualification for the more primary care stuff...

Yeah all right mate.... I didn't ask if everything should be identical, I asked if you guys did anything you thought we could learn off of? Where do you see "the future" being in 5 or 10 years perhaps?

Interesting. I'm surprised it hasn't become the topic of some health agenda by a political party; particularly one on the more conservative end of things. They usually bash on about maximising gains of money spent and such, and it's not exactly a new idea; it's done already in Australia and...

Oh, that's quite interesting that you speak of a regulatory body (state office) which might be run by nurses for example, why on earth would nurses want anything to do with regulating ambulance personnel? That'd be like a bunch of physiotherapists running the regulatory authority for dentists...

So here is the part I am confused about. We are told, in the Australasian move towards registration and "formal' self-regulation recognised in legislation, that Paramedics in the US are already a registered and self-regulated profession? You have a body you are accountable to for performance...

London, and South and Western Australia recruit internationals. If I was in the right position I'd definitely do it for a few years. You might never leave!

What do you mean by this? I imagine most places are fairly similar no? or do you mean more like a single consensus set of clinical guidelines published by an authoritative professional body which everybody agrees is the minimum?

Broadly, and briefly, the future will be expanding clinical telephone advice, non-response, referral options and non-transport. Essentially, call the ambulance service and something will be done for you; whether it's telephone advice, referral or a physical response to assess you and point you...

You blokes can decide whatever qualification you want to go with a particular level, for example if you want EMT to be the American equivalent of a Diploma or whatever or you know, if you want to create a new level called Awesome Care Paramedic who needs a Masters degree. That is a distinctly...

Yes I am sure, and I can authoritatively tell you "BLS Medic" is not a title used by any of the state ambulance services and neither is the Cert IV. The minimum requirement to be employed on an emergency ambulance in Australia is a Bachelors Degree for Paramedic and a PGDip for Intensive Care...

The public barely understands the difference between say, EMT or Paramedic or Intensive Care Paramedic or whatever Healthcare personnel barely understand the difference (unless they work very closely with ambulance personnel) The differences are not significantly important Everybody becomes a...

" Interesting. I had a quick Google and it looks like everything is done on a state basis in US (that must be annoying, you blokes need to do like the UK and Australia and just have a single national scheme) ... so for example, I looked up California and they have an "EMS agency" which...