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We are currently running a pilot study to get this going from ems point of contact. Basically we take any young, healthy arrests with a presumed primary cardiac cause, run a basic code then auto-CPR-machine them to hospital where ECMO is started and off to cath lab. No idea how it is going.

I'll play devil's advocate. You have a patient with a falling conscious state and a :censored::censored::censored::censored:ty pH. Might that suggest a fair degree of fatigue? There is a limit to how long respiratory muscles can continue working at the rate at which they are in this...

Some interesting reading here about heparin. There is also stuff about other treatment for ACS. And I can't get on board with NSTEACS I'm afraid. It's NSTEMI to me.

I disagree. I regularly make decisions regarding the appropriateness of the interventions I can carry out, as opposed to what I should carry out. What I choose to do in the field will have a run on effect in the hospital, setting in play a course of action that may or may not be a sensible...

You could try a :censored::censored::censored::censored::censored::censored::censored: sword, also known as a hand and a half sword. Nothing compares to 6 feet of Scottish steel, but a hand and a half might be a little more user friendly. Still has plenty of range and a good weight, just a...

In my pocket. Is this a trick question?

Amen n7 and Vene! If all you want is glossy pictures of new ambuli and whatever crap manufacturers are spruiking then jems is great. If you don't want to trigger neuronal apoptosis, stay well away.

It's good that you are looking towards advancing your system. However, I would like to share a few thoughts about therapeutic hypothermia (TH) coming from a service that uses it and has done a fair amount of research on it - some ongoing. These are just my thoughts, my opinions based on what I...

There is ample evidence the high FiO2 is harmful. Oxygen is toxic. It leads to or exacerbates ARDS and VILI. It causes absorption atelectasis, hyaline membrane formation, pulmonary oedema and pulmonary fibrosis. It alters immune response, causes inflammation and encourages the growth of...

If you want to see some weapons grade stupid, check out NaturalNews or AoA. I can feel neurons dying just typing those names. For those of you interested in reality, Orac at Respectful Insolence spends an amazing amount of time de-constructing the spittle flecked lunacy of the anti-vax crowd.

Never trust monitors. It's clearly benign early repolarization.

Wow. I don't know why your med director even bothers. Etomidate is typically 0.3mg/kg as mentioned, midazolam is typically at least 0.1mg/kg, along with some fentanyl and that is when using muscle relaxants as well. As usalsfyre says, it's just wrong to try to sedate and not paralyse then...

As some of you probably know, treat and release has been a standard part of ambulance practice in Australia for... well, forever. Decades. This is in cities where the service would see literally hundreds of heroin overdoses every day (no, I'm not exaggerating, during the 80s and 90s heroin was...

True, it's only how much time passes before 'completely safe' becomes 'mostly safe' that varies. That's why I go with homeopathy. Nothing is safer than taking nothing!

*cough cough* Now, I'm no farmacol, farmycaljist, pharmekaloj, pha.... Drug person, but are there any drugs out there the FDA don't put a black box warning on? Usually for QT prolongation at that?

Protocol? What protocol? I don't see no protocol here... I wonder how many seriously bad days that protocol leads to, for patient and paramedic alike?!

Good move working your way up. If you want to be MICA (and you do, they are considered the top of the heap in australia) eventually, you need to go to Victoria. There are two tacks you could try. One would be to apply directly to Ambulance Victoria for a position. The job market is pretty...

And while I was double posting Kelly covered why the CRUSADE registry is a bit of a crock. Thanks!