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G'day chaps Brown was watching some medical tellydoco on Brown's smart telephone (because such things now exist) and some old bloke was munted crook with a buggered ticker and Brown couldn't exactly figure out some bollocks the doc was on about about CPAP or something. Brown was curious and...

Here's a clip off NZ's 20/20 which follows two Paramedic crews in Christchurch (before the earthquake). Note the defunct practice level called "Advanced Paramedic" which has been replaced with "Intensive Care Paramedic" Hope you enjoy and look forward to seeing how we differ from your side...

Its dinner time and you are called to a local buffet restaurant for a lady complaining of severe dyspena/SOB The patient is an elderly grandmother who is part of a group of vacationers who have recently flown into town. She is moderately short of breath, has minor accessory muscle use and no...

We all know airway management is a fundamental concept in emergency care, if not the most fundamental. It is however an underutilised part of our bag of tricks and even Brown learnt a few things watching them. This is the DVD portion of one of our CCE modules from earlier last year. Brown...

As you know, down under have no requirement to contact "medical control" for anything. Brown has been thinking more and more about the concept of having to ask permission and wonders how it works. A good example Brown has found is asthma and anaphylaxis protocols often state you must obtain...

Brown is quite honestly anti volunteers. While volunteers should be celebrated and rewarded for being such humane and civic minded souls for giving up thier free time to help others which is all very well and good, they are the lowest common denominator that the system will always cater for...

It's a very hot day and you are called to an elderly lady who has had a "spell" while tending to her flowers. She was removing some weeds and her husband took them down to the mulch pile on the tractor, when he came back she was collapsed on the ground. They are on a country property about an...

It's a bright, sunny day; children are running round enjoying recess and all is quiet at the ambulance station allowing for much newspaper reading, sleep catching up on and telly watching. You are sent to a local primary (elementary) school for an odd job. The teacher reports that one of her...

You are called to a local frat house for a seizing female about 20. Her frat sisters report she was feeling unwell with nausea /vomiting the last few days, uanble to pee and had been having cramps. Tonight she was partying when she began to complain of a rapidly worsening headache and started to...

Brown is burnt out and no longer cares and increasingly finds this manifesting as saying bad words as jobs get dropped onto his terminal and getting short with people including other Officers Brown is tired of crappy politics and insular thinking Brown can no longer tolerate limiting his...

It's 1am on a freezing cold morning in the middle of winter. A harsh blizzard is blowing and you're sent way out into the sticks past the old Peabody place, right at the abandoned general store where the ghost eats souls and down a winding goat track to a rambling old house. Meanwhile, the...

This is a retrospective case and it is intended to be difficult. You are not expected to "solve" it straight away and it is intended as a teaching tool more than a "look at home hard this is" type of thing. You are called to a house for an unresponsive male. Upon arrival your assessment...

Here ye, here ye, Browneth proclaimeth a worldwide search for suitably qualified candidates to undertake an exceptional opportunity .... Lifeguard and Brown are recruiting for proteges Qualifications - Paramedic (ILS) or Intensive Care (ALS) level Ambulance Officers with University...

One thing that annoys me, and also puzzles me, as of late is abnormal vital signs and the lack of appreciation we seem to have of them. We've all been there, somebody with a bit of a tachycardia and we write it off as them being a bit upset and think nothing of it. Then they ring back an...

It's 11pm and you are sent out into the middle of nowhere for an unwell. After turning left at the General Store and continuing over yonder past the Johnson farm you locate at the address. It's a rambling old country farm house where the patient lives with Nana and Pa. O/A you are met by...

Hi all This is not a "scenario" as such but more something I am wanting your two cents on. I had a patient who said they at home watching telly, stood up to stretch and woke up on the floor having some sort of posturing and/or seizure. The funny thing was they said there were able to...

You are dispatched in your awesome looking orange jumpsuit with "PARAMEDIC" written on it to intercept a ground Ambulance crew who have what is has said to be a seizure. Upon landing you find a 40 yof who is conscious and in extreme pain suffering generalised muscle spasms saying she suffers...

I happened across a blog out of the UK from a BASICS Doctor and am just loving it. BASICS, or the British Association for Immeadiate Care Schemes, is a voluntary program where physicians (mainly anaesthetists and emergency medicine consultants) assist the Ambulance Service in providing care...

Mate of mine sent me these; from a British TV show about HEMS London They use a doctor and a Paramedic (Intensive Care/ALS) who wear really awesome orange jumpsuits and can do open chest thoracotamies (with a knife rather than a needle or Turkel). I was quite suprised to see some of the drugs...

After a day of dragging people strapped to a gurney into your van with tinted windows and giving them drugs (what? ... you make it sound like something bad) you are sent to a guy passed out in his car on the side of the road. When you arrive there are two cops and seven firefighters standing...