Ambulance personnel are obligated to do what is in the best interest of the patient, and if the patient is a child that must be in-line with the wishes of the parents. The exception to this being if a court orders treatment against the parent's wishes. This has been very rare and usually...
If you really want to think of what will be clinically significant in terms of the biggest impact of saving a life then I'd say the following:
- Arrest arterial haemorrhage (CAT or equivalent)
- Defibrillation of VF and pulseless VT, and cardioversion of VT
- Open and maintain an airway (OPA...
My diagnosis is intracerebral bleed until proven otherwise.
I see nothing to indicate seizure, ischaemic stroke, meningitis, meningococcal septicaemia, traumatic brain injury or poisoning which are on my differential list.
Treatment? Well, regardless of cause, from the pre-hospital...
Hmm ... here's a list of drugs what we call an Emergency Medical Technician can administer:
Adrenaline IM and...
Personally I would not administer it. The single most effeitve treatment for anaphylaxis is adrenaline.
H1 histamine antagonists such as loratadine or diphenhydramine are useful in providing relief from localised symptoms such as rash or itching but I know of no evidence showing they are...
I hate being single more than anything ever and desire nothing greater than to be in a stable long term relationship. I am increasingly skeptical same will be realised. Compared to singledom, whatever other problems I have pale in comparison.
At Emergency Medical Technician level in New Zealand we have entonox, methoxyflurane, paracetamol, ibuprofen and tramadol
I have never personally administered methoxyflurane. We carry it either as an alternate to entonox (if it is contraindicated) or where physically carrying entonox is not...
For Emergency Medical Technician, you are automatically issued authority to practice (ATP) upon completion of the National Diploma.
For Paramedic and Intensive Care Paramedic, there is a three-stage graduate internship once you are employed with the BHSc degree or PGDip (for ICP).
The internship program to transition somebody from being a graduate to gaining ATP at Paramedic will become available in more locations, but you will still need to have the degree, which is available only through AUT or Whitirea. The additional locations for the internship will be limited to...
We have two exterior doors - one is for access and the other is for the equipment cache where the response kit, LP15, portable oxygen, combi carrier, Mark 11 and stair chair are stored. On the drivers side there is an external door for access to the compartment where the bulk oxygen is stored.
Emergency Medical Technician is either a Diploma in Paramedic Science (AUT) or the Diploma in Ambulance Practice (St John) and Paramedic is the BHSc through either AUT or Whitirea. You might get a paid position as an EMT with DipPSc or NDAP but yeah, competition is pretty stiff (especially in...
Yes. A significant number of patients call for an ambulance for mental health issues.
Clinical Control will often code these as orange or green which means these patients can wait extended periods for an ambulance, sometimes several hours when it's really busy as a patient with a mental...
Is there something makes ambulance personnel inherently incapable of making a logical clinical decision? No? Then why "pass the buck" and "let somebody else make it" - isn't that just poor form, pointless and lazy?
If I called the Duty Shift Supervisor or my Territory Manager and asked them...
The answer here depends very much on your local legislative arrangements regarding competency and informed consent.
If what they took did not need immediate assessment or treatment in ED (for example, they have not overdoses on benzodiazepines) then I would refer this patient to the community...
Clinical Control Call Handlers use a modified triage process for Doctors, Registered Nurses, Midwives and Ambulance Officers who are call 111 provided that a complete patient assessment and clinical diagnosis has been made.
It's called the SEND Protocol.
It asks something like: what is the...
All emergency ambulances have either a Lifepak 15 or an older MRx (being replaced with 15s).
All levels including Emergency Medical Assistant can acquire 12 lead ECGs.
Three lead interpretation is taught to EMTs, 12 lead to Paramedic and ICP. In essence however, 12 lead interpretation is...