jmac

we used to run battlefield triage and treatment on the move exercises for the reserve when i was in, plus sweeping for battlefield debris and setting up clearing stations, beats shoving in IV's and asking questions...why not put the questions with the cas and try to figure it out and triage a number of cas's off the battlefield...just an idea to try and practice priorities, keep safe.

ridrider, not trying to be smart but look up the word syndrome, if you want to be specific, the infants were resussed, they showed more then one of the S&S of SIDS and that is why they are under constant monitor and telemetry, and i am not putting the label on them myself, this came from a consultancy team that is running the study, there is nothing that i can put up here as no results have been published, sorry about that. my reason for bringing up "signs of life" is that under AHA BLS protocols, if there are not any signs of life you begin CPR as opposed to "signs incompatible with life", and we all know what they are, i am in a different country and our clinical guidelines state that if there are no incompatible signs you attempt resus and transport as it is always difficult to determine time the infant is down. it is well and good having this poll and discussion if you are willing to accept other points of view, there are SIDS guidelines, they may differ from place to place, but my thoughts are always on the PT's, infant or parents and every case is different, there were even comments on sparing the parents the cost of transport, we are a statutory body so that does not come into it where i come from. to finish, i do know the difference between signs of life and signs incompatible and would treat the situation as is fit, but if there is a slim chance that the infant may survive, even for a short time so the parents can say their goodbyes i will transport, maybe its different countries or cultures but hey, i am sure we all do the job to the best of our abilities and as was said at the start this is a poll and discussion to get peoples views and discuss.......not a way to say my way is better then yours, keep safe. PS: our clinical guidelines state that we need two 30 sec strips showing asystole to cease resus.

thanks for that ace, read a lot of reports like that and ressussed nad not ressussed a good few babys, also know of two babys locally that are being studied by the national childrens hospital here because they survived SIDS and were resussed, any chance, and i mean any chance i will go with the resus, and i am not a young newbie, thats the way i look at it.

sorry to see that so many people here would not resus a baby, when you say signs of life, are you talking in a BLS scenario where there is no signs of life and begin CPR ??, or are you talking about signs incompatible with life IE lividity, rigur mortis ect. as for calling on scene, there is a chain of evidence to be observed for death outside a DR's care and where better to do this then in an ED plus the fact there has to be an investigation, better to transport and commence things rather then the baby being taken from the parents in the home to be taken to the coroner. having resussed my neighbours child of 8wks a fortnight ago till the arrival of transport and driving them to the ED where the parents had their chance to say goodbye, the police could document unobtrusivly and the baby could carry on down the chain of investigation and be released for burial ASAP, what i witnessed was was parents surrounded by caring professionals and councilling members from the ED, the death may never be accepted and i am notsaying it was any easier to bear but at least the traumas and guilt were eased by witnessing that everything that could be done....was done. as for the charge for transport, in my service we do not charge so i cant argue ageinst that, if there were signs incompatible i would not resus but if not i would go the whole hog, if not for the child...for the parents, just my take on it.

wackie, don't know if you know it or not but the medic that says that a call does not effect him is not really telling the truth, or he has no adrenal glands, the call seems to have affected you, but just remember you did not cause the incident and you did what could be done in the circumstances, while it is good to critique a call don't over hash it by yourself with "what-ifs" and "if things were different". you are going through the course at the moment and any person in EMS will tell you that school and real life are two completely different animals, you got through the incident, talk to someone with experience that was there or with one of your mentors, they will or should not let you ponder on something like this, and remember everyday in an ambulance is different, just some are more shagged up then others hence SNAFU in my opinion not having a real sense of urgency may not be a bad thing, could be that you are focused and don't even know it, now if you stopped for coffee and a cigarette on the way to the hospital....that would be a different matter. end of line is if it still bothers you seek council, keep safe.

ok, correct me if i am wrong but i learned that the trandelenburg is feet up head down, after reading the question in the first post, it has nothing to do with the trendelenbusrg ??? feet up for shock is to bring the volume from the legs into the torso, now i have raised god only knows how many legs to increase BP...and it works...fact..and i have seen it with my own eyes and on my cuff, the whole route of elevating BP in compressions is now at the moment going over to automated compressers, a machine that builds up BP by compressions..i am still sceptical about this..but raising the legs may be a good idea but i deffinitly dont want to do resus on a pt in the trendelenburg, keep safe.

ah, you are talking about roman straps..thus called because they tie through the handholes across the PT like roman sandle tie's, sorry i did not pick up on that, i found them a bit of trouble if you have someone going down and you need access to them, be safe.

think i know wat you are talking about but i am not sure, when i trained we used the speed straps which was an adjustable strap with a loop on the end coming with a male female buckle, we used 5 of these, the top one at coller height, male one side female the other, the second at mid ax the same on opposite sides, belts across the chest engaging the buckles with the hands under if u want to immoilise but easy to free for BP or IV. third at hips fourth at knees and last at ankles, iits just a case of strap throuh carryhole in board and buckle through loop, very fast and very little movement if upper straps are done properly and kjeep the torso immobile. is this what you are talking about ??? resq55, this is the way we were taught, keep safe.

try google PHTLS or BTLS, its all in there, keep safe.

ok, my take on this, juice, i think you did everything right, your boss did not take into account the issues with SPO2, arthritis, peripheral shutdown in more advanced cases, and enviornment as in if it was in a factiory there may be machinery running giving off excess carbon manoxide, which as all of you know will not show true SPO2 reading. as for COPD, the way i was trained is that asthma is not COPD..chronic obstructive pulminery disease but COAD, chronic obstructive airway disease, no prob with difusion but with getting air in and out due to mucus in the bronchus/bronchiolei and it is made worse by the pt getting worked up so juice in my humble opinion you did everything right, as much as possible to relax the pt, then titrate down to hold. if you had done wrong, i am sure the ALS crew would have let you know in not too subtle a manner :twisted: :twisted: :twisted: well done. my two cents worth....be safe.