small-T-medic

If I understand correctly, then Medicgirl84 is BLS qualified. If I'm wrong about this then please forgive me. And before I continue, Medicgirl84, please don't take offence to the following. It's purely a statement and a rule I live by, especially coming from a training environment. I try never to listen to the comments that are given by an individual of a lower qualification about an individual of a higher qualification. In South Africa, this would be construed as "spreading unfounded illusions about the probity of an individual registered with the HPCSA (eventhough no information leading to the possible knowledge of the medic in question may have been provided)" in which case, that individual would then also be investigated. What Medicgirl84 did here, did not start off as wrong, but, in my humble opinion, has been taken to the level of "wrongness". I agree with coming to the forum to post the topic, and thereby getting the opinion of other individuals of equal qualifications, but from what I can tell, this is continuing on to bad mouthing of said individual. I understand your frustrations regarding your partner, Medicgirl84, but in my opinion again, if you felt that this medic is not performing up to a standard that has been predetermined, then it is your obligation to express your concerns to a higher authority (which, as far as I can tell has been done), and provide eyewitness accounts to any further questions that may be directed to you. Not "bad mouth" your partners 3 attempts at the IV (we all have our bad calls), etc.

In South Africa, basics can only administer O2, apply traction splints, provide nitrous oxide for self administration by the patient, nebulize with normal saline, and a number of other very basic things. They instances of having to BLS on an ambo have increased dramatically, and with a total number of not too much more than 1000 ALS in the whole of South Africa, of which not too much more than 500 are practicing within the borders (the rest are earning a liveable salary working on contracts all over the world) it would make sense to have some sort of airway protection for them to be able to perform. But studies have shown that BLS techniques, performed adequately, actually have better outcomes. And if you consider the side effects and complications of intubation, can BLS cope with that? can BLS new in the field cope with being alone with another bls partner on a scene, perform the airway management, experiencing a complication, stress out completely to the point that they can't even perform proper BLS, or worse, get so accustomed to their new technique that they become completely inefficient in the use of standard, accredited, proven, current BLS skills and have to live with the concequences of the patient not surviving due to their inexperience? It's a very difficult scenario! Good luck with it! And keep us posted!

In South Africa, basics can only administer O2, apply traction splints, provide nitrous oxide for self administration by the patient, nebulize with normal saline, and a number of other very basic things. They instances of having to BLS on an ambo have increased dramatically, and with a total number of not too much more than 1000 ALS in the whole of South Africa, of which not too much more than 500 are practicing within the borders (the rest are earning a liveable salary working on contracts all over the world) it would make sense to have some sort of airway protection for them to be able to perform. But studies have shown that BLS techniques, performed adequately, actually have better outcomes. And if you consider the side effects and complications of intubation, can BLS cope with that? can BLS new in the field cope with being alone with another bls partner on a scene, perform the airway management, experiencing a complication, stress out completely to the point that they can't even perform proper BLS, or worse, get so accustomed to their new technique that they become completely inefficient in the use of standard, accredited, proven, current BLS skills and have to live with the concequences of the patient not surviving due to their inexperience? It's a very difficult scenario! Good luck with it! And keep us posted!

Does remote medic work count? It takes 5 hours to get to the hospital that is not falling apart, in Maputo.

Stomach aches, stubbed toes, maybe a bite from one of the local cobras, or frustration of being so far from home. It's in the middle of nowhere, 2 hours to the closest hospital in Chokwe... But you don't wanna go to that one. The one u wanna go to is in Maputo... 5 hours away. Can anyone guess where I work?