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If you are not diabetic it is not physiologically possible to become symptomatically hypoglycaemic, unless of course, you've poisoned yourself with a medicine capable of doing this (for example insulin), you are a child under five years of age with significant infection, or you have a giant...

Only for patients with an LMA or ETT. No use of sidestream ETCO2 because of cost.

The new edition of the CPGs states vital signs must be measured in three instances 1. When ambulance personnel recommend non-transport (includes RR, HR, BP, CRT, GCS and temp), 2. When a vital sign is a pre-requisite for a medicine or treatment (e.g. GTN must have an SBP of > 100) 3...

Mate, here's what you do. Go and apply in London; they are sponsoring international applicants and will assist with everything (HCPC, Category C1 and a visa) plus Scotland is only a quick flight on easyJet away, or a lovely train ride. Once you are registered and set up then have a look at...

In all seriousness, if direct pressure doesn't work, I can't put a tourniquet on it, don't have haemostatic gauze or vascular surgical facilities close to hand, then how are we supposed to stop the bleeding? You're saying it's better to let the guy continue to bleed? And as for that whole...

We just put 1 mg of adrenaline in a 1 litre bag of NaCl and adjust the infusion rate to the patient condition. Single bolus doses of vasopressor from a syringe have been withdrawn. This approach is much easier than fart arseing around with syringe boluses and it has reduced dosing error.

Basically, about four years ago the old priorities 1, 2 and 3 were replaced with a new, unique five colour system. We do use MPDS but only the "front-end" as a triage tool, the response grid is completely independent of MPDS. I know from when I was in Control that MPDS was designed in America...

I don't see doing discharge follow-ups or blood draws as part of the role of the ambulance service. Discharge follow-ups are the responsibility of the GP or if appropriate the District Nurses. We've had a single responder for low acuity work in Auckland and Christchurch for about 4 years now...

Well then it's even less likely! The ambulance has one portable C and one bulk D oxygen. Now that I remember, I know somebody who works down country a bit and they sometimes do interhospital transfers with CPAP; the hospital has a spare oxygen cylinder in ED for them to take because they aren't...

Yes, it is the cost. Define "large"? We have approximately 500 ambulances and another 100 or so other response-capable vehicles so every one of them would need to get it not to mention the ongoing cost plus the cost of the oxygen (although I don't imagine it being a significant user of...

Thanks, mate. Your CPAP looks interesting, I agree USD50 doesn't sound like much but if we look at stocking one medium and one large to each ambulance and not even counting response cars the initial cost of is USD50,000 approximately (excluding any bulk discount) plus whatever ongoing cost to...

I seriously investigated the LAS as they are actively recruiting Australasian personnel given the level of education and clinical practice are the most similar. You can find out more information here...

Still.give the patient a general anaesthetic yes. The neuromuscular blocker is just different.

It's always been possible whether with rocuronium, or the older long-acting neuromuscular blocker which was vecuronium, but up until now it's been a bit "off the books" or, how to say, not formally written into the CPGs. There are many contraindications to suxamethonium so there may be patients...

Personally I think the distinction is reasonable. Our airway management approach has changed fundamentally over the past 20 years or so. In the olden days, people who needed more oxygenation than supplemental oxygen could provide automatically meant they needed to be intubated, and if they had...

The London Ambulance Service are actively recruiting internationals, will assist with a work visa, obtaining a UK license with category C1 and all you have to do is essentially prove equivalence to the HCPC. I'd look at London first.

One of the clamps in the pouch on my belt.