hertzvanrental

Just wondering what you guys do for patients who present with possible menningococcal septacaemia. Are there any EMS services who carry anti biotics in the states. We have been using Benzylpenicillin here in the UK for the last few years. I had a few patients with this, mainly kids. We can give it I.M, I.V and I.O.

I'm sure you'll be welcome to do some ride alongs overhere. If you are going to be visiting either Kent, Surrey or Sussex then Secamb is the trust to visit. click the link for the UK national Guidelines http://www2.warwick.ac.uk/fac/med/research...006/guidelines/ Pretty standard across the UK but there are some minor variations from trust to trust. I.e there are some drugs used under a PGD that aren't listed in the guidelines, such as Ketamine, Midazolam and Ondansetron etc etc.

I used the EZ-IO last night on a critically head injured patient, she had been trapped upside down in her car fo about an hour. She's in ITU and is expected to make a reasonable recovery.

Turn off the pump if possible and give glucose 10% I.V

In the U.K where I work ( South East Coast Ambulance ) we have them on every truck and that's a lot of trucks.In fact we are the only service in the U.K to have this device.These are an excellent piece of kit especially in the seriously ill kid for example menningococcal septacaemia where me may need to give benzyl penicillin and glucose etc. It has been used many times to good effect and not just in an arrest. One of the Docs from our local E.D came out and asked one of our paramedics to come in and insert an EZ-IO as they were really struggling for a line in an O.D patient.

Tell that to the techs that have already arrived and the ones that are about to go, they already have everything sorted.

That's where you're wrong, techs from my service have been offered places with queensland. All they needed was a reference from their line manager, medicals and police checks. On arrival to Oz will be placed on uni courses. Loads of paras/techs from my service are moving over there. Anyway bushy what's wrong with other people coming over to work in your country? What it means is that there are plenty of Brits who are fed up to the back teeth with the S H I T hole of a country we live in and would prefer to live in such a nice place such as yours, kind of a complement me thinks.

Sorry try this [url=http://www.ambulance999.co.uk/forum/phpBB2/viewtopic.php?t=8502]http://www.ambulance999.co.uk/forum/phpBB2...opic.php?t=8502 [url/]

Also some of the guys on the other side of the pond have been chatting about this. http://www.ambulance999.co.uk/forum/phpBB2/viewtopic.php?t=8502[url/]

My service, Secamb, in the U.k has been using them. Excellent piece of kit. But what do you guys think of this. [url=http://www.secamb.nhs.uk/latest-news/september-2006/world-first-for-south-east-coast-ambulance-service]http://www.secamb.nhs.uk/latest-news/septe...bulance-service [url/]

Ever heard of the LUCAS device, we use it in our county in the UK, you think the autopulse looks brutal, think again! Sorry can't post a link coz i'm useless at all this computer stuff, I will learn- I promise.

Depends what you are using it for. In children bradycardia is most commonly caused by hypoxia which needs rapid ABC care , not drug therapy.In the UK we are told according to JRCALC guidelines that we should only give it in cases of bradycardia caused by vagal stimulation(i.e suctioning and intubation) or for organophosphate poisoning.

I don't know if this has been posted before, so apologies if it has. Where I work there are talks of us trialling this new type of monitor to rapidly identify CVA patients and not only that but differentiate between a clot or a bleed so that we can fast track the patient, for e.g thrombolysis. Basically you have electrodes placed on specific areas of the head and one on the wrist and on the monitor you will see a waveform and depending on this wave form you can tell wether it is a clot or a bleed. It's all to to with the pulse or something like that. Then we would transmit the info to the recieving hospital for the Dr to look at and have the available response ready.But this will be a long time coming , i think, as there will need to a lot of education put in place , not only for us but also for the hospital staff. According to the papers our stroke care in the u.k ( in hospital ) is terrible. When i've taken patients in who are having a CVA, i don't remember anyone rushing the patient down to the CT scanner. What's it like over there?

do you administer lidocaine prior to fluid infusion as this can cause pain. over here(u.k we are told to) in conscious patients that is. sorry it doesn't make much sense, i'm tired, but i'm sure you get my drift.

most u.k services are training at foundation degree level now and only a few are still using the old ihcd route. unfortunately you would have to do either one of these.

I work in the UK for a busy ambulance service on the south coast and am currently undertaking a 3 yr paramedic degree. I'm interested in moving to canada to set up home with the family and work as a paramedic. Any good info out there you could share, such as salaries , areas to live and work immigration issues etc. Cheers