Recent content by Ian Philbrick

Mdr & Xdr Tb Hi all, Just to give you some sort of perspective from South Africa. The Mine Hospital that I worked at providing and EMS for the mines has two wards solely for TB patients. There is a lot of TB amongst the mostly migrant workforce usually related to HIV/AIDS. There is a...

Hi all, Do any of you use the concept of permissive hypotension in your trauma patients, especially those with internal bleeds that need surgery to control the bleeding. Regards,

Pulse check for CPR Hi all, The current AHA guidelines has done away with pulse check for lay people. The dispacher should ask if the patient is responding? If not, then is the patient breathing? If not, bystander to do CPR, and continue until patient starts breathing,wakes up or EMS...

Use of Epi Pens Hi, The AHA Heartsaver First Aid course teaches lay people to assist someone that is having a bad allergic reaction administer the Epi Pen that they are PRESCRIBED with. The FA does not carry them around as part of his/her FA kit. The scenario you present is worrying. As...

Hi all, Do any of you make routine use of Entonox as an analgesic. I know that there are numerous local protocols amongst you. Just interested in its use. If that does not work, what injectable analgesics are you allowed to use. Regards,

NREMT exam Good luck. What resources do you use for study form the exam? Books etc. Thanks

NREMT website OK, Went onto NREMT website, but no contacts information. Does anyone have an email address for them? Thanks

ALS Reciprocity Thanks for the info. Personally, I would be very worried citizen if 3 different EMS systems all ran on different protocols within in a small geographic area. Its like two kitchens in your house: you don't know where your next meal is coming from;) IAN

EMS use of tourniquets In SA, our protocols state that the use of tourniquets is for amputation only. Our first aiders and ems trainees are still being taught: 1. Direct Pressure 2. Indirect Pressure (pressure points) 3. Elevation 4. Splinting/Immobilisation The new AHA guidelines...

I am a Paramedic in South Africa. Does any reciprocity exist for registering my qualification in the US. Will I have to undergo some sort of evaluation? If so what, and can you give me some contacts etc. From what I have read it seems strange that there is no National Curriculum and...

Bike Medics Interesting concept, What do you use these bikes for? Are they only for special events or are they used for regular work as well. How about a Motorcycle Ambulance: http://www.defrance.org/artman/publish/article_1354.shtml Regards, IAN Now that I see my message at...