aussiephil

are they substituting for something?

Hypovolaemia is a state of inadequate perfusion due to either:- Absolute Hypovolaemia - a decrease in blood volume caused by *Blood loss *Plasma loss (burns) *Fluid or electrolyte loss with vomiting etc. Relative Hypovolaemia - increase in size of the vascular bed (vasodilation) - Neurogenic shock, Drug overdose, anaphylaxis, sepsis etc hope this helps

Dust, may god be with u & protectu. Be back with us soon. Phil

our protocol for this is a mix of Ventolin & iprtroprium bromide with O2 as the dive gas @ 8 litres per minute initially. This pt will be tired & may need some assistance with expiration so consideration would be gien with this. Also this pt is heading to extremis & adrenaline would also need to be considered especially if there is no improvement with initial Rx. The pt would need to be sitting & monitored continually. This pt would then be transported urgently to difinitive hospital care. Take care.

we r not supplied but i have a Nokia 6255 with cam!!!!! Rid, there is no such thing as a poor ambo!!!! :twisted:

Interesting topic, & worthy of discussion, i was taught the same reason as Rid. However, what does yr protocol say, isnt that the determining factor in posutring yr pt. You can us information to try & change yr protocols, but unless thry change, do what they say. It aint rocket science. Much like the thread on leg elevation for a cardiac arrest or hypotension. Interesting discussion, but yr protocol will over ride any discussion in here.

most of our 24 hour stations work a 4x4 roster, 2 days (10 hrs) then 2 nights (14 hrs) gives u more days off.

[marq=down]u mean u arnt supposed to sleep with pts on board? is that where i go wrong?

Firstly, squint, i'm in. Secondly, I think as professionals we all get pissed of attending hoax calls. Yes they are a waste of resources. Yes they are a waste of our time. Yes they put our lives at risk. BUT. Should we, any one of us put these as an excuse above all else for trating any call with complete disdain, we should give ourselvs an uppercut. Do we question the pt who has called us 99 times for epigastric pain? No. Why because call 100 could be the AMI he has been waiting for. We need to encourage our dispatcher & control rooms to be taking every call seriously, Dispatch a crew. Who knows, we might even save a life. :twisted:

[marq=down]44% Dixie. Barely in Yankeedom. - & thats another Aussie

forgot to say i would like to see hammer & 8 perform theirs

LMAO - i got Im a slave for u - britany spears

doesnt everyone sleep @ work? :twisted:

I agree with u mac, however i think that u need to look at each case individually. If the pt has signs of rigor, dependant lividity etc, then all efforts would be futile. I was talking to a paediatrician one day & he said all we should look for 4 things with kids. Make sure they r wet(hydrated), warm, pink & sweet (well nourished) a child who had died from sids will not have any of these. A majority of non traumatic paeds deaths r directly related to some form of hypoxia, as such, with sids this could have occured anytime through the night. We need to look for signd of rigor or lividity. Also the childs skin temp in relation to the room temp is a good indicator.[marq=down]When i became an ems, it wasnt about money it was about people, & when we, as ems workers put he $ before patients & try to justify any company doing the same, we really need to look at ourselves & reassess why we chose this career path.

Who meeds an excuse? :twisted:

Matt I understand what you are saying, however you really didn't read what I said. Sometimes as ems we need to look past the obvious & see that there may be something else there, maybe we are lucky here because we can make that call if we feel that the parents need us. However, I think that if we maintain a callous attitude to death, then it is time to give the game away. This family will look to you to hold their hand for a short time & ensure that they are OK both physically & mentally. Yes mentally, the one area of health we all like to forget because its too hard. We all relate to death differently & to assume that one can just walk away from a death of a child & just carry on without any sort of debreif is taking you on a course for disaster & self destruction.

Im in.....& I agree with dust

Is that really relevant, what about the possibility that u as a medical person may be the one the parents focus on, not for answers, but for some initial support until family arrive, & what if they r in need of medical care as well. This seems to be an uncaring attitude Nate. I look at SIDS cases in that we have multiple patients, not just the deceased. Mum & Dad, other siblings, even some extended family need to be taken into account, as well as any cultural issues. As ems, medics or whatever we are called, we need to ensure that at every scene, no matter what we address ALL patients, whether they have what we consider to be an obvious injury or illness or not. Have you taken into account that the mother my have, or this may be the trigger for post natal depression. Your attitude concerns me Jake.

While i am not a fan of this title myself, unfortunately Mr & Mrs Joe public do not understand what it takes in the form of study to do this type of job. As far as they are concerned, when they r sick, we turn up, we ask a lot of questions & do a few things & take them to hospital. We need to keep a focus on what we are here to do, a title is that, a title & is my patients want me to be an ambulance driver, then that i will be. I do, however have strong objections to other medical professionals referring to me, or any of my colleagues in that manner. This is professional disrespect, & i will always take the opportunity to correct them & point out the study that needs to be undertaken. This is a problem that will be around for more than my lifetime & will never change. There is more in life to worry about, you know what you can do. Just do it.

I smacked a goat because i was high!!!!!!!!!!

What are the contraindications given for the drugs you want to give, what are the adverse effects? You need to know what is in your drug box, their actions, indications, contraindications & adverse effects. In reality anyone can hav an adverse reaction to any drug & you need to be prepared for that. 8)

I have to agree with dust. Its an age old problem & there seem to be many people in this industry who forget where they started. Stuff her & go to management. :twisted:

Dust u really need to learn to be politically correct. The politically correct term for a Wanker is an 'Owner Operator' Please ensure you use the correct term each time.