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Strange, but righto, not unmanageable. If there is obvious haemorrhage - firm, direct pressure. Airway - suction, position on side, if no bleeding or haematemesis then whatever adjunct works. Call for RSI Officer if quicker than hospital. IV access and one litre of 0.9% NaCl as a bolus...

We have one national set of Clinical Procedures and Guidelines. This contains both "procedures" which must be followed in a certain order; for example, cardioversion or pacing, as well as guidelines which should be followed but clinical judgement is required. For example if there is a good...

We can self-refer or refer somebody else to a Clinical Support Officer. This is not "management" in that we are "telling on them for doing something wrong" and they do not get in trouble for it. It is getting somebody in to help with whatever issue or whatever. Like if I see somebody...

I don't understand why you need a "certification" to use AED? If the lay public can use them with no medical training (which is, after all, what they were designed for!) then where is the logic?

Oh, haha. I wouldn't know. There wasn't any. I am not interested in those sort of people.

So, in my first month or so of trying this dating thing I have managed to get jerked around by people who display interest but never talk, only want sex, or are just total doucheface. I am kinda disappointed. Grrr.

To and from work only but must, must cover the shirt with a jacket or top. A quick stop off at the supermarket or whatever is fine, but if you are doing something that will take longer than a few minutes you have to take the shirt off. For example a quick run in to the shop is OK but going...

Hi mate, over the ditch in NZ we use very liberal cooling and glad wrap. I have heard that those fancy dressings are being looked at because they are supposedly very soothing, but very expensive so I do not think anything will be introduced soon! Glad wrap is in the AU and UK burn treatment...

You will be right mate, talk to your Preceptor or Clinical Support Officer if you need extra help, that is what they are there for.

Surely you are joking? That is absolutely abhorrent and disgusting. I cannot accept that you are not somehow joking honestly. If you are not joking, then I am at a loss to understand how this was not identified by clinical support or auditing processes, or better yet, by voluminous patient...

Oh, I thought you were a specialist physician - in the Commonwealth saying you are an "anaesthetist" is saying "I am a doctor who specialises in anaesthesia".

Remi, if you are interested, Auckland HEMS uses a Doctor and is looking for HEMS Fellows. More information here http://aucklandhems.com/2015/02/12/auckland-hems-air-ambulance-fellows-wanted/ To get registered with the Medical Council you can use either the (a) Locum pathway if you want to...

Coming from an anaesthetist I am quite surprised by this given it's the medical speciality who deal most with pain (both acute and chronic). I am sure not all of your patients get fentanyl and nothing else in the hospital for their acute pain so why should it be any different prehospital...

We carry paracetamol, ibuprofen and tramadol tablets. I do not know the exact number but probably 100 of each. We also have paracetamol liquid in a container you fit the syringe into the top and draw it up so there is no mess, its awesome. Entonox is a single cylinder that is the same size...

It sounds like what you are referring to is the patient transport service? PTS is essentially a van that has no lights or siren. It has a standard first response pack and an AED. The personnel who staff it are First Responders. It is just like one of those shared ride shuttles you take to...

Pain is bad and should be relieved. That's about it really. Obviously you have to be sensible about it, I mean if somebody had low blood pressure then you just have to be more careful and give smaller doses or some fluid in addition to morphine or whatever, or better yet, use fentanyl! We...

So what do you use for analgesia if you are not able to give parenteral pain relief, or pts who only have minor or moderate pain if you don't have entonox?

I don't understand how you can say you had "no clue"? As unlikely as an 18-year-old is to have a primary cardiac cause did you do a 12 lead ECG to look for myocardial ischaemia? Did you auscultate to see if you could hear the murmur yourself? Most murmurs such as MR or AR are completely...

Out of curiosity, I had a look at Boston EMS and it looks somewhat the same but quite different! Everybody sounds like a member of Kennedy family! Ambulances are much bigger but inside the patient compartment seems quite cramped Uniforms make them look like police not ambulance personnel and...

You always want to give a burn at least some cooling. Cool the burn, not the patient so if the patient becomes clinically significantly hypothermic then stop. Running saline over a burn is pointless unless there is absolutely no other source of water available. For small burns you can use a...