BushyFromOz

Remember we are in a BLS thread, although I agree with you. SAM splints rock. There is not much I cant splint with SAM splints blankets and tape. As for the cost, The pt's insurance or medicare pays for it.

i hear ya, but in timmys case, the equipment is supplied by his volunteer first aid organisation, and the cost comes out of their donations, so cost is a factor - its is possible to use more gear than you make in donations somtimes and at 16 bucks a pop, SAM's can send you broke fast

I think there is a OH&S policy that precludes it, so you get your practice in your student years on the road. In class is done on mannikins, but im working on diggin up some experience with a mobile blood collection sinking pins

For some perspective Dust..

Disposable BVM - $35

Reusable BVM - $240

Stiffneck - $35

Stiffneck Select - $44

Sam splint between $14 and $20

Its crimimal, and of course laerdal and ferno are to blame :? main reason is there is very little market for this kind of equipment outside of government contratcs as there are very few first responder or people with whacker kits, the public market is infinantly less than the US

With the SAM splint Timmy, just make sure your guys arn't throwing an expensive sam at everything when a bit of cardboard will do

Are you an aussie echo?

SAM splints are great - but they are exepnsive down here it kind of precludes them

Air splint i fin are but are pain in the ass reliability wise, and there is a whole cross comtamination issue there as they are meant to be re-usable, so they do cost

Cant say I've used a vacume, but i would think the contamination issue is still there and cost

Ferno cardboard are great, i keep 3 short ones in my whacker kit and just cut/tape together and can

do a whole leg - cheap disposable and and effective, i like it - besides, I experience with cardboard. I had a party one night and after everyone had left fell over and dislocated my knee in the backyard. Being drunk and in pain i figured i must have broke my leg so i splinted it with a pizza box, my belt and strips of cloth from someones shirt that was laying on the ground - got some funny looks from the ambos

=; =; =; =; =; =;

:? :? :? :? :? :?

:pukeright: :pukeright: :pukeright: :pukeright: :pukeright:

:sad3: :sad3: :sad3: :sad3: :sad3: :sad3:

I didn't watch the video(s) because I am not interested, so I really have no idea what I am ranting about.

:lol:/

Thats quality.....

You still have a jordan frame.......

Head injury does not equal c-spine injury

I was thinking in terms of MOI and correlations between between the two. Any MOI enough to cause a loss of conciousness is enough to cause a c-spine injury.

I asked this because i had a patient who had a loss of conciousness, regained it for about 30 minutes when he collapsed from a sub arrachnoid and was later found to have a c-spine. As i disclaimer, i was not summoned until he collapsed the second time 8)

their neck is going to get imaged anyway.

I guess the answer i was after is in here :wink:

Not nearly as often as i should and always at the last minute..i seriously have to change my ways..

But then again...what do you define as "study"??

"Its not an issue Sir, im actually a lesbian trapped in a mans body, you will only ever see me have affairs with women"

#3 this means when you examine the pt, it DOES NOT matter if they had LOC at the scene, as long as they are fully alert now, you can clear them (obviously this is where the field may be different from the hospital).

How does this work if they are in the lucid period between the first loss of conciousness and a raising ICP, which can take hours do develope? The MOI would generally [insert varying factors here] would indicate immobilisation, but the NEXUS may clear them?

Also - if EMS'ers immobilise due to LOC at scene, how does hospital justify dismissing this exact same piece of information?

This is interesting

I see what you are trying to say Michael

But i think it is more likeThis

:thumbright: :thumbleft:

My Vollie Fire Brigade used to interview potential volunteers when we still had the right to refuse membership.

"So why do you want to be a volunteer"

"So i can serve my community"

"You can serve your community by making sandwiches with the country womens association when they do their knitting classes, why else do you want to volunteer here?"

"............................"

"Think about it and get back to us"

A lot of them never came back

Michael.

i find the way you drop subtle hints and links and so forth uber cool!

This is interesting, though they have been talking about ICE since before the london tube bombings.

I see some merit in the idea, though there are many variables, the big one being the phone is actually on the pt themselves - which probably makes it fairly useless for mass cas, it also assumes that the phone survives the accident to begin with, and it also assumes those people listed under ICE actually have a detailed history of the patient, and is not just a best friend who know sarah well but still has no idea about pertinent medical history

My point is, it should be promoted as an extra measure, but people should not solely rely on this alone, and should make every effort to find further information from other belonging the pt may have, as well as their presentation

If you numb (blunt) the conduction of an already ischemic myocardium, you will do more harm then good! I rarely google on this site, of course we ALL do, even you, MR perfect!!

okay, noob time!

I thought one of the properties of lignocaine was its poor affinity for depolarised ctissues - so wouldn't that preclude its action on otherwise dead or ischamic myocardial cells?

FF523 yopu need to chill out man, just be cool and work with the information, not with the attitude and everything will be sweet

think positive waves

sorry, may bad......

For someone who keeps saying hes over it you sure go on about it a lot

I stand by my comments

Bushy, i understand your pain, but you may have read to far into Scorpys post that might simply be a 5 second rant borne out of frustration

lol, thats more than possible

Though i dont understand what he then felt he had to defend himself over, i opened my mouth he answered back, it was all done. My secoind post about the paramedicine starting and stopping with 000 services was a general comment

the case law i know of specifically indicated that if you are in close proximity and aware of it you are obligated as a health care professional to assist, though how they would find out you are a health care professiopnal should you not assist is beyond me

Well said Timmy.....

I dont know where this perception of pre-hospital Care starts and stops with the 000 services in this country. You dont have to be on an ambulance with red and blues to be a paramedic. The pre-hospital care indistry is not usually given a thought of, even though they a screaming for educated staff

outstanding!