Acosell

1. Introduce self to patient and bystanders.

2. Assess responsiveness of the child.

3. Ensure an adequate airway.

4. Assess WOB/adequacy of breathing.

5. Ensure the patient has a pulse.

6. Question the caretaker of the child for a history as your partner takes a full set of vital signs, search for medic-alert tags.

7. Take a CBG reading.

8. Move the patient to the stretcher, ask if anybody will be accompanying the patient and if their parents have/will be notified – inform the person responsible of the intended destination.

9. Vitals q5. Consider ALS intercept

10. When the patients respiratory effort drops, reassess ABCs, begin ventilating with the BVM. Call for ALS intercept

11. Recheck CBG after 20 minutes, reassess LOC.

12. Transfer care to the hospital – report findings, including evidence leading you to believe the patient had a seizure.

13. Complete paperwork.

14. Drive back to base while deciding if your new partner is an idiot or not.

I don't like gay blue uniforms or reflective stripes.

:shock:

Are you kidding? Reflective stripes are awesome!

Yea... and unfortunately with all the Ornge changes going on... definately a cut back in services to the entire air ambulance system. Kind of reminds me of the late 80's and 90's era when we relied on only a few dedicated bases and nurses to do our jobs on all other flights.

The "cut backs" are apparantly temporary, or so it would seem. There are some more fairly large changes coming down the tubes that should shake up the industry in other ways. Stay tuned, it will be an interesting year for the Ontario Air Ambulance system.

Can I ask a follow-up question?

Say I'm on scene treating a severe SOB with wheezing via ventolin. I see that the ventolin has little to no effect but realise the patient is on ventolin. Woudl I looked at as if I was crazy if I were to patch to the doc and ask for direction (possible epi?) on this case? I'm asking more in an Ontario perspective.

I recall a case presentation at a conference last year (Due North actually... I think the presenter was your BHP, but I forget now)

Anyhow, there was an asthmatic patient with SOB. They treated with salbutamol with no change in the patient. It became evident that the patient had a history of beta blocker use. The medics patched and got an order to give glucagon before trying another dose of ventolin.

I am probably forgetting part of that presentation, but that was the jist of it. Anyway, like Lithium said, the worst the doc can do is say no... That or decertify you, but that's why you just use your partners name/OASIS

kidding of course

I'm going to have to agree with Rid here... disciplinary action ought to be taken. It was only words until one of the firefighters grabbed the guy, and the kicking, I don't think he can justify that, the guy wasn't going anywhere at that point. Not to mention the fact that the kicker pushes the bystander who yells at him when he kicks the guy. EEsh.

that's some good kickin'

I might allow him to do BCLS, but beyond that I'm not sure I'd feel comfortable having them work on a relative of theirs.

Ahh yes, the code 8 curse. I had the same problem when we were on night shifts. 2 trucks for the whole city, and we were in the slow end. Here's my cheesy advice: As soon as the batphone rings, run out to the truck and turn on the radio so you can hear the other trucks call details, and then while you're doing the code 8 run the call in your head a couple times. Sure it's not as good as actually doing the call, but it can help, and it also helps with boredom a little too.

What's a single function paramedic?

Or code 8s that get cancelled before you pull the truck out... No patient, no mess!

I always liked when you got notified and cancelled in the same page. Partner called in for a run number and the next morning told me we struck gold.

I like when you're at a red light and the person in front of you isn't going so you hit the horn completely forgetting your siren is turned to horn mode, resulting in the siren turning on and the person infront of you panicking and swerving instead of a gentle horn toot causing them to proceed calmly through the intersection.

not that that's ever happened before or anything....

Sure it's flashy, but just ask them if they've had any problems with it.

Either way, I'm referring more to working space/layout.

Demers are wonderful, and when you put the two beside each other, Demers stands head and shoulders above the Crestlines.

She should have said yes just to see if he'd send somebody.

I was under the impression that the services can no longer MAKE anyone get the flu shot.

I believe you're right actually... The wording on my contract is a little jumbled, but after speaking to my boss it would appear that you are correct.

I am required to have a yearly flu shot as a condition of my employment.

I have the same holster as akroeze (which as a side note would appear to be the most popular holster in the provence) but I only keep a pair of shears and a regular maglite in there. And I only wear it during flightsuit season.

Other then that I always carry:

Wallet

Personal Cell Phone

Keys to Med Room

Notepad

Two pens

Two oxygen tubing connectors - we use lots of them

Ornge protocols and yes, the book is ornge.

Sunglasses

Gloves

Company ID, Provincial ID

I don't really see the signifigance either... Espescially considering the sign on the building has the same logo as the ones on the sides of those ambulance...

Sorry, just to clarify you're researching something similar to an unmanned aerial vehicle to be used in an air medevac type situation?

Usually the topic name has at least somthing to do with the content of the post....

Interesting video though.

I think you still may be able to buy monophasic Lifepak 12s, but don't quote me on that.

Tomar Heliobe.

Zolls are Far better then those lifepacks!!!!!

Blasphemy!

No.