zippyRN

guedal everytime - most places in the Uk only use guedal for OP - bermans don't look as easy to suction through or even 'flick clear' ( extract, sharp shake to clear and re insert - somewhat dodgy from a flinging body fluids about POV)

i'm with aaron and rocket on this

zippy RN, ALS Provider , TNCC provider and first aid / Ambulance assessor

The problem is that we don't carry vacum splints and MAST. We just got the basics, rigid splints, traction splint, ect. I was thinking to myself if we ever go a tib/fib fracture that is angulated to much to get it into the normal splint how would I do it? So I was looking for opinions on how to do it.

frac straps above, below , figure 8 round the ankles pad with pillows and blankets?

A Gastroenterologist (spelling?) who did a procedure on me last week left a mark on me, a nasty looking infiltration from his third attempt to start my IV, which I still have. Hope your Ortho guy did better by you.

i guess the reference shot over your head , in UK medical folklore at least the prime requisites for Ortho surgeons used to be a positive gorilla ratio ( arm span wider than height ) and built like a rugby player if not one!

Alright alright, can we all agree that the average orangutan can start an IV? I trust we can all agree on this atleast

well orthopaedic surgeons manage on a reasonably regular basis

what about those of us who don't fit the above ?

me - I'm an ED RN but I'm also an Emergency Ambulance attendant with SJA ( bit more than a EMT- B when it stands alone), but fortunately the UK situation is such that applicable RN skills can be used pre -hospitally without paramedic registration.

I personally like the paddles. You cant really get you 25 pounds of paddle pressure that ACLS recommend with the pads. However I have seen a cardiologist on multiple occasions fold a towel and press down on the pads. It was kinda ridiculous to me but then again he is the man. The Zoll is what we use. Charles

you don't need '25 lb pressure' with pads

paddles are a flat unyielding surface the pressure requirement is to get a good 'seal' as such - decent contact area and keep the jelly pads nicely pressed on

stick on pads if the skin is prepped appropriately work just fine as long as there aren't huge air bubbles under them