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Posts posted by Matthew99

  1. Wow. Interesting to read the split replies!

    Remember acute asthma is an inflammatory codition of the small airways, characterised by bronchospasm, mucouse pluging and oedema, none of which 02 is going to change.

    What if it's not acute? Can O2 alone do the job? (I'd imagine anyway a first aider should call an ambulance since he/she doesn't have the knowledge or equipment to know whether it's acute or not).

    If I am working first aid and I have no ability to give meds I'll give medical control a call and ask them to allow me to use the inhaler. Giving them all the particualars as well as how far the ambulance is away. More than likely the doc will give the order to use the inhaler.

    Not sure have such a thing in Israel that I can call and it'd give me permission.

    Seriously your best bet is to use common sense, but can't EMT-B give Ventolin / Salbutamol in a known Asthmatic ? I have literally in my career used a 55 gallon barrel of this med and negligible (if any) side effects ever documented.

    In Israel, the regular ambulances don't even carry it. Only the advanced ambulances.

    Yes its not medication and no it won't completely fix the situation but it will buy you time and releave the patient discomfort to a degree.

    How can it make it worse?

    And one more thing, oxygen is a drug according to most that I know. Who gives the order to administer the oxygen? If you are a simple first aider with no licensure other than a first aid card and you are carrying oxygen, isn't that breaking the rules as well? Ambulance crews can't even give oxygen if it's not in the protocols or doctor's orders can they? So to extrapolate, if you are working a first aid station and there are no protocols or directions but you are given a bottle of oxygen to use, aren't you breaking the RX rule??

    Well, oxygen is allowed. After you go through the course and they teach you how to use it, it's ok.

  2. Say you're a first aider and you're called for an asthma attack case. You give the girl oxygen for now. But you have no inhalers in your bag and the patient forgot hers, but you have people offering to give her theirs.

    Would you give her somebody else's inhaler to use? Or would you just wait for improvement and if condition doesn't improve-- call an ambulance? Seems like the latter makes more sense, but I guess using somebody else's inhaler isn't so detrimental-- particularly if the patient recognizes her medications. Right?

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  3. Only seen in catalogs, and an article I cannot reference, indicating the device was created when some guy attempted using a bathroom plunger on his Dad to do CPR, and was definitely almost 25 years ago, if memory serves. Believe it or not, he allegedly got ROSC!

    The guy actually wanted to legislate a plunger becoming manditory equipment on ambulances, too!

    ROFL! Best story ever.

  4. Say someone got a relatively deep cut that probably need stitches, and let's say there isn't much bleeding. Do you bandage it hard and strong or do you just bandage it to cover it?

    I would imagine that the hospital would want the skin to stay separated if they're anyway gonna stitch it, no? So if it's not bleeding, there's no real need to apply a bandage that creates pressure on the cut?

  5. I'm surprised a search for "resqpump" didn't yield any result.

    I'm talking about this thing:



    In Israel it's it wide use because our national rescue company did a massive purchase of it, but my instructor said "using your good old hands and this device has the same effect, really." I even saw hands used despite having this device in one CPR in one of my volunteering.

    Question is, is this device used around the globe where you live? What do you think of it? Do you prefer to use your hands?

  6. I'm asking this question because it happened to my friend a few days ago and I wasn't sure how to properly sling his arm. So this is the question:

    If someone has a dislocated shoulder, and you dress him with a sling, but he tells you it really really hurts when his arm with the dislocated shoulder is close to his body (touching the abdomen) like this:


    But it really DOESN'T 't hurt when the arm isn't close to his body:(when the shoulder is flexed and the arm is raised a bit) - kinda like this


    Would you put the sling differently to make him comfortable or the same usual way as in the top pic despite his incredible pain in this position?

    I wanted him to feel comfortable because he is my friend, so that's what I did an we just rushed him to the hospital like that. I wasn't sure if what I did was the right medical thing to do.

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