Novisen
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Everything posted by Novisen
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About 30 intubations, just 4 in ambulance. And about 100 LMA:s. I have spend most of my time in the OR this year.
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Watch this guy gets painrelief with Ketamine! The sounds he makes is common after having Ketamine. He also gets 10mg Diazepam and 2 mg Midazolam http://www.youtube.com/watch?v=ugp6898rT5Y
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Sounds midevil. No pain medication for abdominal pain? Patients with collum fractures we give pain mediciations (Ketobemidon or Morfin and 2g Paracetamol), start an Glucos dripp, give oxygen. When we arrive to the hospital we take blood tests, change clothes and take the patient to x-ray. After that we leave the patient in the ortopedic section. Only if we get a new job the ER takes over the patient.
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The system in Sweden, Australia and Holland are very similar to each other when it comes to training and protocols I think. You have to be a nurse (3 years)+ 1 year of prehospital training before you can work prehospital. I work as an anhestestic nurse and in ambulance and it´s common that ambulance personel work like this. Halftime in the ER, IC or the OR
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We have: Diazepam Midasolam Propofol Ketobemidon Morphine Paracetamol Ketamine Entonox Diklofenac We dont have to call for order. When I have an ICU patient we also have Alfentayl an Fentanyl. I work in Sweden.
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We have the WhisperFlow Fixed and have used it for 15 years now. Saved a lot of life in that period.
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http://circ.ahajournals.org/cgi/reprint/CI...NAHA.107.189380 http://www.erc.edu/index.php/docLibrary/en/viewDoc/775/3/
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http://www.ccjm.org/PDFFILES/Ewysuppl1_07.pdf
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http://www.jolife.com/doc/LUCAS-White-paper.pdf
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If you have the LUCAS device and the Boussignac tube you can focus on medications...... http://www.jolife.com/doc/Gillis%20The%20u...008%20p-ERC.pdf http://www.jolife.se/images/movies/view.ph...&height=288 http://www.buffalohospital.org/ahs/news.ns...wspage/LUCAS_08
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http://www.ncbi.nlm.nih.gov/sites/entrez?D...Pubmed_RVDocSum http://www.jolife.com/doc/Maule%20L%20assi...%20and%20Fr.pdf
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I still belive that Mercedes E-class is the best ambulance to work in. This Chevrolet is build in Sweden and I like that you can access the patient from three ways. http://www.ambulansproduktion.se/filer/Pro...09_07-09-10.pdf
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Some interesting links! http://www.emedicine.com/ped/topic2598.htm Also take a look at the Air/Oxygen Blender and the NeoPuff that we use in the OR http://www.junnimed.com/products4.htm http://www.fphcare.com/neonatal/resuscitation_products1.asp http://www.sciencedirect.com/science?_ob=A...2c61330f349a474
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http://www.ncbi.nlm.nih.gov/pubmed/1627164...ogdbfrom=pubmed
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Our new guidelines says FI02 40% when resuscitation children with neonatal asphyxia.
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We had Heparin before we start administer Fundaperinux. And Metalyse is the same as Tenekteplas. The studies I have read says that Lovenox should be used before Tenekteplas and Fondaperinux if Reteplas is used. Sometimes we also administer ReoPro http://www.reopro.com/index.jsp under transport to the PCI lab.
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We have Lopressor. Had it for like 10 years now. We can give up to 15mg without calling the doctor. AMI and atrial fibrillation/flutter are the most common diagnosis when it´s used.
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In Sweden we have Plavix in the ambulance. 300mg before thrombolysis and 600mg before PCI. We also administer ARIXTRA (Fondaperinux) 2,5mg i.v. The thrombolysis agent we use are Reteplas or Metalyse. http://www.ncbi.nlm.nih.gov/pubmed/1842239...Pubmed_RVDocSum
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http://www.escardio.org/admin/GuidelinesRe...ines-AHF-FT.pdf
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http://www.resus.org.uk/pages/periarst.pdf
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http://www.masimo.com/pdf/whitepaper/CO-ED&EMS.PDF http://www.masimo.com/rad-57/index.htm
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We have 6 ALS units. 4 Mercedes-Benz E-klass Binz 2 Mercedes-Benz Vito 1 Mercedes-Benz Sprinter http://www.eurolans.se/view_hirez.asp?imag...inz-a2003-6.gif http://www.eurolans.se/view_hirez.asp?imag...ambulance-1.gif http://www.eurolans.se/view_hirez.asp?imag...nter-318-01.gif
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Anyone that have any experience with the Airtraq? We think about buying! The coast here is about 50dollars each. http://www.airtraq.com/airtraq/portal.portal.action
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We have used LUCAS for 3 1/2 year now and we are very satisfied with the results we have. Easy to use, effective compressions and half the price comperded with Autopulse! http://www.jolife.com/site.php?sid=c&r...t=45&lan=en http://www.jolife.com/images/movies/view.p...&height=288