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dsimms

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  1. The training requirements for emergency care practioners (the type of paramedic practioner who can perform wound closure) vary across the ambulance trusts. In some areas it’s at degree level other areas specify that you have or are working towards masters level education. Unfortunately I can't go into too much detail around what there actually taught as I’m not even a paramedic yet. Antibiotics and a range of other medications are provided by paramedic practioners using patient group directions, which are essentially protocols which allow health professionals who aren’t prescribers to supply medications for certain conditions under set circumstances. Paramedics in the UK are currently not able to access independent prescriber training due to the way the law was written when independent prescribing was introduced.
  2. Wound closure with either steristrips or dermabond is performed in the field by majority of paramedic practitioners in the UK. Along with providing prophylactic antibiotics and referal to other health providers for follow up such as GP, practise nurse or district nurse.
  3. Wow, I thought the UK had some powerful and graphic road saftey adverts, but that makes ours look like childrens TV by comparison.
  4. Yes, FFP masks are considered, single use, disposable items when used in a clinical enviroment. FFP3 masks are apparently equivenlent to N99 masks.
  5. Not sure if there are any set standards for uniform but there are set standards for personel protective equipment in the UK, these standards are the same across Europe and result in a product being given an EN number. EN number apply not only to PPE but to a whole range of products. A full list of en standards can be found here; www.standardsuk.com High visibility jackets, EN 471, in order to comply with the standard the jackets must have a certain amount of reflective tape for night time visibility and flouresent material for day time visibility. Jackets are usually dayglow yellow in colour, dayglow orange jackets tend to be used where yellow jackets would be confused with other signals such as yellow flags used on railway lines or at motor sport events. Other colours can be added to the jackets, such as the green shoulders often seen on ambulance crew jackets or blue shoulders on police officers. Jackets are divided into three classes dependant on how much visibility they offer, ambulance crew are issued with class 3 jackets, which offer the highest level of visibility. Class 3 jackets are required by UK law for anyone who may be required to work on a live road with a speed limit of 40mph or more. Protective Helmets, EN443, this is the same standard used for fire fighting helmets. Protective Footwear, EN345 and EN347, boots or shoes containing a protective toecap capable of resisting 200 joules. Many also have a protective midsole plate, the sole also provides basic protection from chemicals, oils and heat. Protective Eyeware, EN166, avaliable either as standalone glasses/goggles or as a visor/eyeshield built into protective helmets. Particulate Filter Masks, EN149, respiratory protection masks are divided into three classes often refered to as FFP1,FFP2 and FFP3 (filtering facepiece)dependent on the amount of protection offered against inhaled particles. FFP3 masks offer the highest level of protection and it is these that UK ambulances normally carry, FFP3 offers more protection than N95 masks, which are equivilant to FFP2. Hope that helps
  6. Majority of UK ambulances will carry a hydralic trolley similar to the one in the link below Web Page Name The foot pedal at the back is used to raise and lower the trolley, so the only lifting you have to do is to get the patient out of the house and on to the trolley. As most houses in the UK are much to small to take the trolley into we will either encorage them to walk if they can or use a carrying chair. Alot of the new models of chair are now being designed with features that reduce the amount of lifting that you have to do such as triwheeel systems which stop you having to lift the chair down a flight of stairs.
  7. The abbreviations Zippy listed are from the UK, over here our major incident managment structure is slightly different to that used in the US. MIO - Medical Incident Officer A doctor who has overall responsibility for all medical resources at the scene MMT - Mobile Medical Team A team of doctors and nurses who work with ambulance staff to stabilize patients at the Casualty Clearing Station (treatment area) before they are transported to the receiving hospitals MST - Mobile Surgical Team Similar to MMT but made up of more surgeons
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