Jump to content

mattias

Members
  • Posts

    2
  • Joined

  • Last visited

Previous Fields

  • Occupation
    teacher, volunteer ambulance technician

mattias's Achievements

Newbie

Newbie (1/14)

0

Reputation

  1. Hi Scott, got them today, question 1+3 stay the same (Hypertensive Emergency not even mentioned). Can you help me out? Are you driving emergency ambulances? What would your paramedic do? Thx
  2. Hello UK-paramedics, the discussion kind of caught my interest. As you all probably know we've got quite a different system in Germany (based on an emregency physician on scene in any (potentially) life threatening emergency) and as a secondary school English teacher I've recently become more and more interested in the UK system. Having studied the UK Ambulance Service Clinical Practice Guidelines I was wondering a bit as I thought the UK paramedics to have slightly more possibilities, the already mentioned cardioversion only one of them. Hertzvanrental has already made his point clear on this one, even though I do think an untreated tachycardia causing angina-symptons does possibly cause damage to the heart muscle and thus may have a negative effect on the patients outcome. But furthermore I would like to know how the UK paramedic deals with the following. 1. Hypertensive emergency (There was no drug in the guidelines except from GTN in case of angina symtpoms) 2. Nausea and vomiting (prevention) for children (as the use of Metoclopramid is not advised for these patients) 3. Sedation of anxious patients/in severe cases of acute mental disorder/of intubated patients after a successful resuscitation. I think everything else is covered quite well by the guidelines but I believe the mentioned cases might cause a slight discomfort, on the patient’s as well as on the paramedic’s side. Are they covered by regional guidelines? In Germany (only speaking of the region I’m living in) the usual treatments (by the emergency physician) would be 1. Urapidil 2. Dimenhydrinate (also used for adults because of much lesser side effects than MCP) 3. Diazepam/Midazolam (in case of intubated patients combined with Fentanyl and muscle relaxants but again, adminstered by an emergency physician) Hope for a reply, and please don’t take anything of it as criticism, I’m no militant anglo-american vs. German-franco fighter. J
×
×
  • Create New...