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I used to do this. Is this thread for questions or general discussion?

Nothing pre-hospital is interesting. Thinking of starting an RCT in Melbourne in the future?

Our service in Victoria, Australia uses it for paralysis maintenance in RSI to good effect.

Normally yes but that ampoule is for intranasal administration only. Doses are 200mcg loading and 50mcg repeats at 5/60 for patients >60kgs and <60yo and 100mcg loading and 50mcg repeats at 5/60 for patients <60kgs and >60yo. For paeds the dose is 2mcg/kg loading and 1mcg/kg repeats at 5/60...

Thought I'd give a contribution on how we secure our medications over here in Australia (Specifically Victoria). A standard ALS paramedic branch carries Morphine 10mg in 1ml, Fentanyl 100mcg in 2ml and 600mcg in 2ml, Methoxyflurane 3ml and Midazolam 5mg in 1ml. -The drug bag carried in the...

Same thing down south as well. We can consult for it's use in severe sepsis but more often than not you'll be shut down.

Correct, also called an Internal Decapitation. Very poor prognosis that only few have survived.

It's a major difference between you guys and us here across the Pacific Pond. At our uni there is a blanket ban on practicing any sort of invasive procedures on each other (IVs, IMs etc) in the prac room with the threat of expulsion to any student caught doing it to another student, due to...

Not a bad idea, i'd say a non-depol would be a better idea due to the competitive antagonism preventing AcH binding leading to the flaccidity.

Rock climbing. My forearms suffer after a couple of hours of that.

Looking at the causes of PSVT we've got a few possible causes -Overexertion (Ask if an abnormal exercise, usual exercise tolerances) -Stimulants (Alcohol, Tobacco, Coffee, Amphetamines, Cocaine. So ask if any recent ingestion of any of these substances) -Hyperventilation (Which we would...

I can see why many operators prefer the Trap squeeze to the Sternal Rub then. I should have been more specific, our service's Clinical Work Instruction on taking GCS requires the patient to localise to the sternal pressure with both hands, descerning the different to Flexion in which the...

Patient does not obey commands but is able to push away your arm with centralised sternal pressure is applied. aka: Localises to Pain

Fair enough, my guess was a wild stab, there is a reason why my training sidebar has "Student" in it. You do mention a "majority" of patients, would it be possible that the guideline is trying to cater to the minority that may have a altered conscious/respiratory depression reaction from a...

Believe it is due to Morphine's action on the CNS causing Respiratory depression therefore a loss of airway control in the patient with respiratory burns. The loss of airway control being one of the reasons why it makes a good sedative agent for maintenance of inbutation.

Variety of different kidney or liver diseases would be your most common causes.

Pretty much, fortunately we had a doctor nearby who was paged, on his arrival the pt was intubated, two 18g IVs were placed, naso gastric tube was placed and urinary catheter was placed. Not sure about any of the other details as I had to leave the scene to not clutter the procedure room (very...

I had a similar situation on the weekend. As the saying goes "What happens on the island, stays on the island :)" As far as protocol goes transport with pain relief, depending on transport time methoxy should do the trick however it might be worth getting access for pain relief or going up...

Anjel 1030: I'd say the choking on the vomit had occured with this one, apologies for the Australianisms, not sure on what the American versions are. exodus: Not confident on a CVA with this one, however amphetamine use would be highly likely considering the environment. gw812 and NVRob...

Hi All, Before beginning I will say that we are in this situation extremely limited with that diagnostic and clinical tools we have available. Wishing to share my first "big" job that I did on New Years Day. I was working at a large music festival in my home state (Australians may be familar...