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Ambulance: Intranasal Medication

Written by RSS Poster Medic ScribeMedic Scribe

One of the best innovations in EMS in recent years has been the introduction of intranasal medication through the use of an atomizer.  We currently carry three drugs that we can use intranasally.  These are Narcan, Fentanyl and Versed.

After several years of experience now with all of these drugs through the intranasal route, here are my impressions of the utility of each.

Narcan – I love intranasal Narcan.  I use it often and almost always for heroin overdoses.  It took a while for me to learn the patience required, but once I realized the patient would come around eventually (usually within 2-5 minutes, sometimes as long as 8-10), I stopped reaching for the IM Narcan and putting them into withdrawal with the IM Narcan added to the peaking IN Narcan. I have had conversation with many medics about this and each medic seems to have his preferred method.  Some like IV which gives you the ability to slowly titrate.  Some prefer IM for it fast action – the patient comes around sooner than the IV method...

This ambulance blog continues,

Police: Complete Mayhem

Written by RSS Poster McNoddy

Combining two of my least favourite things gives you this ludicrous apocalyptic vision of the future.

There's democracy for you.

Funnily enough we Scots ain't feeling the love anymore......

You may wish to check out the Twitter hashtag #WorstCrisisSinceAbdication

BTW - Trident renewal is an anachronistic and abhorrent aberration.

Feel free to spread the joy by joining the SNP today.

Saor Alba.

© McNoddy
Published by Toy Town™ 

Military: 19 PTSD Trailer

Written by RSS Poster Tony McNally

Many of you will know that Paul Hardcastle has remixed his 1985 smash hit 19 for PTSD and has has hugely kindly given up all the proceeds for Talking2minds . The launch date is May19 but we are now able to circulate the trailer.

Military: MILBABE

Written by RSS Poster Tony McNally


Written by RSS Poster Tony McNally

Military: ANZAC DAY

Written by RSS Poster Tony McNally


Military: MILBABE

Written by RSS Poster Tony McNally

Fire: Fakenham firefighters swap engines for endurance in epic charity cycle ride

Written by RSS Poster Norfolk Fire Service

Firefighters from Fakenham Fire Station will be cycling 400 miles visiting all 42 Norfolk Fire and Rescue Service stations next month in aid of the Firefighters Charity.

Starting on Friday 22 May, the group of Firefighters will be hopping on their bikes taking it in turns to complete the four-day stint around the county. In order to maintain operational cover within Fakenham and the surrounding areas, some members of the crew will not be riding the full distance on the road. They will however cover the equivalent mileage on static bikes in locations around Fakenham.

A communications system will be used between the two groups so the static group know the whereabouts of the group on the roads at any one time.

The Firefighters will finish their challenge on Bank Holiday Monday, marking the first anniversary of a significant fire which took place at the former historic Aldiss building in the town.

 Fakenham firefighters swap engines for endurance in epic charity cycle ride

Fakenham Fire Station Crew Manager Darren Leach is one of the organisers of...

This fire blog continues,

Military: Tu eris Non occides,

Written by RSS Poster Tony McNally

Thou shalt not Kill
They told me at school
To love they Neighbour
Seemed to be the rule
Then I became a soldier
Rules seemed to change
They gave me a rifle
I practiced on the range
We killed wooden images
Of Russian soldiers
The recoil of the rifle
Bruising the shoulders
Then one day it was War
Padre blessed us on the ship
We sang “Onward Christian Soldiers “
Prayed we wouldn’t get hit
So we were the good guys?
They were the bad?
We were given the green light
To kill was not so bad?
We won our War and went home
Handed back our weapons
Went home and hugged our families
Trying to ignore our nightmare demons
Back to, Thou shalt not kill
I suppose will be the rule
Until you’re Country says
Pick up that gun you fool.
© Tony McNally

Military: RED FRIDAY

Written by RSS Poster Tony McNally

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