craig

just asking for some information i have been asked to write a report about the advantages of the combitube over a LMA in the BLS prehospital situation. if anyone has any sites that have the percentages and comparisons of these could you please let me know. or you could email it to me at parsons@hwy.com.au the more information i have the more thorough the report thanks stay safe

Steve i see no problem with you writing a new text book, i say go ahead enjoy it. there is always room for new texts on any subject and to have another for the prehospital field can only aid others in that field during their studies. what i don't agree with is that you treat ems as a "hobby" this is a career, whether you are paid or a vol. to treat it like a hobby s akin to making model planes. ems is for people that are dedicated (of that i think you are) and not those that want to 'play' at saving lives. if you know more than the 95% of others here, please at least back up your claims by not belittling ems by treating it as a 'HOBBY' stay safe

as i stated before our service handle about 6 million or more residents has over 450 ambulances on the road each 24hr period there are approx half that in the greater metro area alone stay safe

with out getting too philosophical about it if we are stepping in to save a life and 'taking gods place' why do we do anything at all. if we are badly cut and bleeding o death surly by stopping the bleeding we may be stopping the person from dying and 'taking gods place' opens up a big can of worms reminds me of the show 'Tru Calling" stay safe

forgive me for asking buy when did getting a medical degree entitle a person to takes gods place? i agree that the prognosis may not have been good for this patient, and they may have passed away after extubation, but surly they have to be given that chance? i seem to remember that doctors in Australia agree to the Hippocratic oath, don't they do this any more in the US? if there was no will or DNR requests from the patient or family, what right has the doctor at a regional hosp[ital have to discontinue treatment with out doing ALL diagnostic tests (the CT scan)? even if it is a a further hospital. if that happened here in Australia, there would be a commission inquiry and the doctor would be asked to explain his actions and the consequences could be dire for the doctor that made the decision. just don't seem right to me, and as the attending ambo i would be pissed off as well stay safe

No such thing as volo officers here in NSW there is a St John here but they can not transport or respond in emergency, they can attend sporting events, carnivals fairs and shows. the EMS service is govt run and are the only one under legislation to attend emergency calls, we also do transports and inter-hospital retrieval / transports. the service is slightly large, the second largest in the world. we have over 750 ambulances not including the special response units, administration vehicles, motor bikes, snow area vehicles (hagglunds, skidoos etc) and the air wing (9 helicopters and 6 fixed wing) of this there are around 450 ambulances on road each day, and this doesn't include the specialist vehicles etc. the service has 3000 ambulance officers all employed, however we also have first responders that are in small rural communities, where the service sup[plies the vehicle, training and gear and uniforms to members of the community to respond in until the ambulance arrives, these first responders do not transport in anyway. stay safe

in our service you have no choice to join you must have a valid medium truck licence to be even considered (and that is before you do any of your training) if you don't have this licence ....no position and all officers have to drive ( we normally take it day about) i drive today you drive tomorrow type of thing. stay safe

NO!!!!! you didnt need to say it or write it now we are all dammed thanks here's the call it's started!!!!!!

sorry to miss led you we can give it in increments to a max dose of 5ml nebulized or im/sc in doses relating to the pt weight to a max dose of 3.6 mls thats the trouble with trying to post while at work time is of the essence stay safe

basic or the qualified officer in my service can use both atrovent and adrenaline the trainee on their first day here cab use atrovent (and has to with regards to protocol) the dose pf the atrovent is 500mcg via neb and can be repeated once this is in co junction with salbutamol the adrenaline is a IM injection of 1:1000 up to 5 mls stay safe

stand back and let her carry out the diagnosis and the treatment on some cases, if you stand back and tell her to do it she will gain the confidence to keep doing these things, remember that you are there to assist if she has any trouble or is unsure. don't forget that we were all once new to this job, and we were small wide eyed and scared on our first calls help her out, show that she has an input to the treatment your patients receive stay safe

sorry to mislead you the health insurance does get charged for the transport, not the patient bear in mind that our service has 750 ambulances and have about 450 of them on road each day. this does not include patient transport units, rapid responders or helos stay safe

and the 2500 dollars is never reached anyway this includes helicopter transport as well so you could be transported 1000km and not be charged anywhere near the max charge stay safe

our service charges about 160 dollars 'flag fall for the first 16km and then so much per km after to a max of about 2500 dollars there is no charge for a non transport, pensioner o those covered by health insurance also there is no charge for the different types of jobs we do and no charge for the equipment or drugs used stay safe

we still have them here in NSW Australia the service has amended the protocols so that they are not used for shocked patients but are still used for lower limb and pelvic fractures. down here we wondered why they did this as they were a BLS device for shock in trauma patients. you have to understand that we have flying times of 45 minutes to an hour just for the hello to get to the scene (and longer in some cases) and it could be greater than an hour or two to get the patient to a trauma center rather than a local small country hospital stay safe all :shock: