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Emergency Medical Technician Methoxyflurane, oral pracetamol, oral ibuprofen, oral tramadol, adrenaline (IM, IN, neb, topical), glucagon, aspirin, GTN spray, salbutamol, ipratropium, oral loratadine, ondansetron (oral), oral prednisone, PEEP, urinary catheter troubleshooting, mizadolam (IM -...

Digital nerve blocks with SQ lignocaine have been in for a couple of years now for Paramedics and ICPs. Fascia illicia blocks are a logical extension, as would be wrist and arm blocks and perhaps costal blocks.

I'd stay away from propofol for induction of general anaesthesia in the patients tending to need it pre-hospital. You cannot extrapolate what is used in elective anaesthesia to the patients seen pre-hospital; or at least the majority who need to sent to sleep. Somebody who needs a munted femur...

I'd say because it's a pragmatic way to get some quasi-abdominal thrusts in. However, rather than bugger around with muppetry, it would be much more effective to just use a disposable laryngoscope and forceps to remove the obstruction. There have been several cases where this has been used...

Ambulance Officer Shift Supervisor or Shift Manager (area dependent) Territory Manager District Operations Manager Assistant Director of Operations (1 x Field Ops and 1 x Control) Director of Operations

LMAs are easy to use, easy to teach, cheap, and do a pretty good job in most patients who need more than an oral or nasal airway. Most ambulance personnel only put in a couple a year and all but one or two of those are probably in cardiac arrest. Some ambulance personnel are volunteers who...

The ambulance sector in New Zealand provides the Diploma in Ambulance Practice to become an EMT at no cost. If you want to become a Paramedic or Intensive Care Paramedic you need a university qualification; the degree is about 20-30k and the PGDip ontop for ICP is another ~5k The old days...

It sounds like you've gone through ASNSW? I've looked into going to Canada; it's either Primary or Advanced Paramedic. When I looked Primary was like advanced first responder (they didn't even start IVs) and Advanced was pretty much ICP. It might have changed, tho. I do know each province is...

$60,000 USD a year? Wow that's like $83,000. And, winter is coming. If only you guys do work visas ....

Since the 1970s the fire brigade roster of 2 x 12 hr days then 2 x 12 hr nights has been used; this is fine for the fireys who can get two days training, watching telly and reading the paper, then two nights watching telly, eating and sleeping in. Ambulance is not so fortunate. 12 hour...

Agreed, these are very good, although the Baby G is the female variant; it is robust, easy to clean, and not prohibitively expensive. I also don't find a second hand useful either.

Hands down the best watch ever; I love it. Easy to see, easy to clean, not tooo terribly expensive, and looks awesome :)

I'd just not give them the naloxone. It's much easier to put in an LMA and ventilate somebody who might have a stuffed blue noggin and let the hospital slowly wake them up where they have lots of light and personnel and resources than in the back of an ambulance, or worse, on their lounge floor.

The cops have had vests for almost 10 years now I think? They looked at the "load-bearing" vest but they have a ton of stuff; taser, spray, ASP, handcuffs, radio all goes on their belt at the moment; ambulance personnel do not have the same level of personal equipment.

This is the one situation I have to hand it to methoxyflurane, it's much more portable than an entonox cylinder. Pain relief is often difficult and there is very good evidence it's best done by more than one method; both medicines and other things such as distraction. This is why having...

I am sure some states in Australasia would look at 457 sponsorship for a senior manager either ops or clinical.

Sure. London is such a great place. Yes, it's busy, but being in London far-and-away makes up for it. I've been three or four times and I am already planning to go back.

London, Sydney or Wellington.

Sierra has been in place since 2012. In Auckland SER1 and 2 operate during the day and SER1 only at night. Each is staffed either by a Paramedic or an ICP and they target calls identified by Control as "low acuity" (all GREY calls and some GREEN automatically, and other GREENs only upon...

I can think of one or two cases where personnel have not properly assessed the patient or taken heed of the overall clinical picture and made inappropriate decisions about referral to the patient's detriment including death.