Search results

Whilst I appreciate that every service, every protocol is different, I'm saying that that is my personal bias, yes. Notwithstanding Mikes comments above, even the most switched on, time conscious paramedic cannot help but give their patient varying levels of sedation and analgesia if they are...

No references sorry, but the rationale behind a "defasciculating" dose on a non-depolariser is to avoid the post-operative myalgia that often comes with sux. It doesn't appear to work for that either, and that is the least of ones worries if you are pulling out the scary drugs. I have to...

17 years to put into practice what most of us have been doing for... well, 17 years? What's the rush? I think the AHA should just calm down a little and stop rushing headlong into changes... :ph34r: I hope the onus being put on EMS is not too great a change for most places. The biggest...

I am also now in love (A platonic, masculine and tough kind of love though). That looks like my folders on my computer, only organised, logical and coherent. I have 800 files in one folder alone, only I have no idea where to find most of my stuff.

I think Tony is absolutely fantastic, but I vehemently disagree with his thinking on CPAP. Even if there is no mortality benefit (which I would dispute), one should consider the improvement in the work of breathing, subjective breathlessness and anxiety in much the same way as we think of pain...

I seem to recall some reports that there were more than a few followers of that nutjob radio pastor who sold up all their stuff and gave it away because he had decided the rapture was happening on a certain date. Funny, he seems to have gone a little quiet lately... It's my birthday on the...

I don't think you are overreacting. By wearing the same uniform you are creating a false expectation for people around you, which is clearly an issue. Whilst many places have pilots that don't leave the bird, that is obviously not an option for you. I suspect that working in SA the scenes and...

Mostly I was sorry he was driving a Jeep. But yeah, paying for it is just adding insult to injury!

I need to get an oxygen wrench, I haven't wrenched any oxygen for so long... I'll reprise my answer from a much earlier time: On calls I carry my keys, my wallet and the chip on my shoulder.

I'm sorry to hear that.

We have basically 2 tiers of triage between the event and the helicopter. I sit in the dispatch centre, screening jobs (not just flight jobs) after they have gone through ProQA and liasing with the medical, pediatric and neonatal retrieval teams and hospitals, as well as providing medical...

Nothing to see here.... move along, move along..... I don't know about other places, but in Victoria, Australia which runs 5 rotary and several fixed wing 24 hours a day, there has never been a fatality. I'm fairly sure that there has never been a bird down at all. I suspect that it...

As Triemal says, around 15% of true MI has pain that is reproducible. Not a good number to take a punt on I reckon.

HEMS in the states seems to be very, very broken for some reason.

This is an interesting question that comes up frequently where I work as we have a set range of GCS below which we can RSI (your guy would get a tube), above which we cannot. Unfortunately it is usually the people above the line that are the most combative and hardest to manage. Many people...

Standard 14g long cannula or something different? Lots of evidence that a 14g will not even reach the pleural cavity in at least a third of patients. Flutter valves? Cumbersome, annoying and not very useful and they take up time that can be better used elsewhere. Make a hole, move on. I...

I know I shouldn't jump on the new person, but I just can't help it. Notwithstanding the issues with the case as posted by the OP: No, you didn't. You may have worked hard, you may have drawn on your training (although if you did I would ask for your money back), but there was no science...

It was believed to be a (rare) case of folie a deux.

It's been a while, and you should probably try to contact whatever authority in NZ is responsible for that sort of thing, but at a guess, no. Any of the higher levels in Australasia (MICA or equivalent) require a post-grad qualification, typically a diploma, maybe a masters level in the...

Because I'm not smart enough to do medicine.