Recent content by Ravemtech

Sorry for the delay in replying, a prefluid loading of 10 ml/kg NaCl is undertaken. Here is the link to the actual trial RSI protocol used in the study - http://www.rav.vic.gov.au/Media/docs...979e76d996.pdf And attached is the full article.

In regards to reducing secondary injury in TBI, here is a recent study on RSI with improved outcome for early RSI prehospital for TBI, which showed worse outcome when RSI was delayed to hospital. It shows a high level of training, appropriate monitoring devices including ETCO2, and a protocol...

Hi usafmedic45, You are right, what works for some people, does not work for everyone. The number of different techniques used by Paramedics for IV insertion is a prime example, and it is often a disaster if you try to change someones technique. The thing about this technique of using...

Here is a completely different approach for you. Throw away everything except the Number 4 blade. Believe it or not, you can use this from newborn to adult. The Chief Anaesthetist during my training (who was also one of the top recognised Australian Anaesthetists and one of the most...

Hi Melclin, No worries. Who did your spinal training during your course. The Straddle lift is part of Ambulance Victoria spinal teaching and was introduced in 1995 as part of the Spinal program. The manual "A photographic Guide To Prehospital Spinal Care" http://www.neann.com/psc.pdf...

Hi Melclin, When you were immobilised in class, did the person immobilising you correctly follow Ambulance Victoria's (AV) WI 5.1.11 (ie padding under the torso, head and lumbar). Most people fail to pad and this leads to pain and pressure sore development. Strapping is also often done...

Getting back to the alternatives to a log roll, here is a link to a photographic guide to the side straddle lift http://www.neann.com/lsb4a.htm - video http://www.youtube.com/watch?v=jLGhi_7D31Q ( taken from a free downloadable manual on spinal care at http://www.neann.com/psc.pdf ). This...

Hi Bonedog, For your brilliant Intensivest and others who who think that rapid transport rather than RSI is the always the way to go, here is a new study that clearly shows a well trained large organisation has better patient outcome with prehospital RSI, than load and go with basic airway...

The new 2010 guidelines have suggested that with the introduction of Therapeutic Hypothermia, we will need to revisit the effectivness of many of the arrest drugs that gave ROSC but not increased discharge. I think this basically sums it up. May be the cooling was the missing link that we...