BushyFromOz

Metaraminol is used here for poorly perfused SVT's refractory to reversion and hypotensive people arfter some clown mixes viagra and GTN together. Adrenaline infusion at 5mcg/min and then working up, but i dont think the metaraminol stabilises MAST cells like the adrenaline does, but im probably just making that up. IMI adrenaline is all i have here. Crazy that yours had no bronchospasm, all of my Anaphylactic patients had dynamic hyperinflation and distributive shock which seriously stuffs up their preload, but it doesn't sound like thats the case with yours. IM with Kiwi, this chick would get agressively fluid loaded from me, and with the exception of the Septic Shock patient i cant think of any other patient you would aggressively load like this. The last anaphylaxis i had took around 4.5 litres to come good - despite the adrenaline and the beta agonists for her bronchospasm she just didn't have anything left to pump..... she had nice puffy limbs though http://www.semes.org/revista/vol21_3/11_ing.pdf Pretty much sums up the topic

Sometimes i think the reason they vote for us is because the people voting have never met any of us

Garth Brooks

Oh god, i must be tired, I found that bloody funny.... seriously, i started laughing half way through it

youll need a small repeater fitted inside with an aerial on the building

Tells me that im unlucky that none of my ROSCS were in the 30% of our arrests that go home alive. Thanks bloke, hard to keep up with this joint... im busier than a one legged man in an ass kicking contest... can barely find time to sleep

Despite the awesome survival to discharge rate here i have yet to have one of mine leave hospital alive, but ive kept a few organ donors going long enough to helpe some other oor begger out

I think your vollie has the potential to go either way. The want or need for uniform, gear etc could either be his latent whackerisms, or, perhaps the dude just wants to be identified with your group, you know, be visually seen to part of the team. Basically, this should be all about policy. Sit the kid down, explain whatever your groups policy is on attendence of training/assignements, probation and then the allocation of uniforms/gear. Then inform him of the units policy on codes of conduct etc and inform the squirt that penning abusive emails to the team leader is against your organisations policy. IF you stick to the policy argument and that this kid (if he is) outside the organisations policy then he will have to like it or lump it. It may be the kid doesn't realise that he is contra to the organisations policy so this should be a semi formal and light discussion that is directed to inform, but the fact that he is informed he is breaching policy measn in the future you can perform a formal intervantion if required, because the kid has been informed he is being an ass. If you dont have written policy on these and other things then your organisation needs to develope some. Also, at 16, you probably need another person in attendence as a witness for yourself and a guardian for them And why are you letting yourself be pushed around by a 16 year old kid !

PM'd is the new Pwnd! i think you can get an ointment for that kat

http://www.ambulance.vic.gov.au/Media/docs/x01_CPG_ADULT-web-835ff459-ac3e-454e-880b-0fac0c92c212-0.pdf Page 26

have we ruled out and corrected (as much as possible) asys's list of causeses of PEA??

He's DKA and they kicked him off a bus previously for being drunk

Similar story here, bent a pumer in a carark. ONe of the downfalls of reversing cameras is when you get used to them and they stop working, you lose you sense of depth perception when reversing.

All of them third trimester, systolic and diastolic hypertensiion and/or elevated MAP with the visual disturbance and the eripheral oedama has me interested. If this were hypertension and headache i would be a bit less concerned but it wouldn't change my destination. Ill draw up some midazolam .01 mg/kg, pop in a line, sit hr legs dependant. 02 if needed. What's her lung auscultation? Accessory mucle use? Oedema anywhere else? How long has the oedema been present? Has she had nocturnal dyspnoea? Are her urinary habits normal? or has she had retention? The oedema and tenderness in all quadrants is interesting, i wonder if her liver +/- kidneys are crapping out and she is overloaded (ascites etc). Whoever said the foetal death, peritonitis has given me some real food for thought

Ill expose him, do a better secondary and see if theres any tyre marks from the las bus that run him over

wouldn't be more like kiwi and erdoc ina brokeback mountaiqn kind of thing??? Tha bromance around here is pretty thick at times Thats very crotchitymedic of you kat

Theres an aweful lot of the original aliens in that promo

If thast the root cause then you dont need a course on resonse driving, you need a course on everyday driving. The theory that somehow to teach people to drive in "response mode" or something similar is mind boggling to me. Teach them to drive well under normal conditions and the same skills can be carried over to "Resonse driving" lets face it, there is no significant difference beteen the two except one is noisier and flashier. If the jerk behind the wheel puts the foot down and drives like a fool when the whirlybirds go on then he needs re-education of a different sort

I guess its a matter if opinion. My answer though, is that if ambulane officers are over represented in crash statistics comared to the general population in any individual service ot state or whatever, then either your guys have inadequate training and so dont drive to the conditions or have a cultural problem where they ignore training and dont drive to he conditions.

A flight medic was killed in NSW in a winching accident around christmas, i dont think they had a death in nearly 30 years before that. We have lost 3 to vehicle accidents in the last 20 odd years, 2 from the same accident about a decade ago.

bubble wrap is way better, as they bounce higher when dropped.

bubble wrap, seriously, its awesome for keeping them warm, skull cap, bubble wrap and then a blanket

ditto

I dont think formal driver training should form any part of formal Paramedic Education, it should be training that is mandatory, but outside of the academic process of gaining your qualification or however your country/jursidiction operates. I think too that services need to identify the types of accidents occurring and revolve the driver training accordingly, in our case its not the lights and sirens jobs that are over represented, it is low speed while reversing. In fact, there was some discussion here not long ago about the danger of lights and sirens responses. We travel in excess of 10 million kilometers a year in my service and the fact is that despite the "danger" of emergency responses, there is actually no data that supports this as being higher risk of crashes as the rate of serious accidents for ambulance is less than the public.

Statistics show that the overwhelming majorities of MCA's involving ambulances in our service where in reverse and in carparks. Driver training consisting of 2 or 3 days of learning how to drive the vehicles under road conditions, identifing blind spots and maneuvering in tight saces is perfromed as well as some theory work on legislation in regards to driving emergency vehicles in our state. They guys are given a book with all the relevent documentation, but is is not designed for emergency responses. Our staff then hit the road, with the caveat that they are not to drive L&S, come back for further training in legal side of things, concepts of foreward scanning, driving to conditions and service policy regarding emergency responses. They are then allowed to drive signal 1's after having done 3 in the presence of our driving standards facilitators. The real advantage here is twofold. Carpark fender benders and bent rear bumper bars are minimised and after 6 months of working on the road the novelty and excitement of sirens is wearing off before they actually sart using them.