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Ambulance: Gifts

Written by RSS Poster Medic ScribeMedic Scribe

I just hit my 20 year mark with the company. For this, I received my choice of anniversary gift. You go to a link and they have various gifts you can get depending on which anniversary it is. 10 years ago, I got a set of Henkels knives. 5 years ago, I got a GPS which I gave to my now wife because she was always calling me asking for directions. She lost the GPS so it was a bit of a wasted gift. This time around I got another set of knives. While I got 13 the last time, this time I only got 7, but these are larger and a higher quality of knife. Included was a steel to sharpen the knives with and a pair of kitchen shears. The same set sells on Amazon for $299.95. If I make it to 25, I get an even fancier and higher quality set.

In my younger years I worked as a line cook for a year when I lived in Iowa. The Chef taught me the value of a good Chef’s knife. If there is only one knife you are going to get, it should be the Chef’s knife. You can cut, chop, slice, dice, whatever you need. It is a tool of the trade, what...

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Ambulance: Practice (Revisited)

Written by RSS Poster Medic ScribeMedic Scribe

A comment and discussion on my previous post sparked me to revisit a post I wrote 9 years ago about the issue of working a body for the practice.


Here’s what I wrote back then:

My preceptee needs a code. He probably needs a couple. He hasn’t done one as a medic yet. He’s intubated Fred the Head, but mannequins just aren’t the real McCoy. While managing a cardiac arrest is about more than just intubating, a medic needs at least one intubation to get cut loose to practice on his own.

A week ago we were called for “a fall, not breathing,” then updated that it was a dead body with no one doing CPR. When we got there, we found a four hundred plus pound woman face down on the carpet in front of her motorized lark. She was just a big blob of flesh. You couldn’t even see her face. It took a moment to make out where it was. We rolled her over, and quickly assessed her. She was in the gray area between being dead and workable by protocol and being dead and not workable by protocol. In either case, she was...

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Ambulance: AHA 2015 Guidelines: A Preview

Written by RSS Poster Medic ScribeMedic Scribe

On October 15, the new American Heart Association Guidelines for CPR and ECG will be published. Then we will get the answers to the big questions many of us have wondered about?

1. Has epinephrine in cardiac arrest seen its last days?

2. Should paramedics continue to intubate cardiac arrest patients?

3. Will traditional CPR be abandoned for cardiocerebral Resuscitation (CCR)?

Yesterday, the ILCOR Scientific Evidence Evaluation and Review System, in conjunction with the American Heart Association, published draft statements for public comment that shed light on the likely direction of at least some of these and other care questions.

The statements are available for public comment at the following link:

ILCOR Scientific Evidence Evaluation and Review System

Curiously the statements open for public comment do not seem to cover the full gamut of issues. There is only one statement on stroke care and no statement on continuous cardiac compressions (CCR).

Here are the answers to two of the above...

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Ambulance: Elephants

Written by RSS Poster Xf
It has been a long time since my last post but my family and career must come first and if anything I write threatens them, I need to temper my emotions; thus less to say of pertinence.

This week I was invited to sit on a panel during a live national television debate on the 'NHS Crisis' and so, after four busy night shifts in a row, I appeared, bleary-eyed, in front of the nation, along with other healthcare professionals and an assortment of politicians, celebrities and members of the public with a story to tell.

The programme, called 'NHS in crisis - the live debate', which you can see here, discussed the failings of our great healthcare system - the strain it is under and the possible causes. It ran for an hour and I sat, for the most part, in the audience, whilst waiting to take my seat in front of the cameras to say my piece.

I watched the audience and I listened to the panels that came before mine and it became clear that there was an awful lot of hatred for the Government and its policies. Fair enough, there is indeed a major problem with the...

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Ambulance: Iufenamun

Written by RSS Poster Trauma Queen

Ambulance: *No title*

Written by RSS Poster Trauma Queen

The difference between me and you is that I’m eating left over Mexican for lunch.
Regardless of your situation, I win.

Ambulance: *No title*

Written by RSS Poster Trauma Queen

Heli circling leith in the dark can’t be good news… :/

Ambulance: Mechanism of Injury: Question One

Written by RSS Poster Minimedic's Blog

The following scenarios describe  different vehicle accidents. Please identify which patient(s) require emergent EMS transport, and which pt should have known better that there are key words that earn you a backboard and c-collar. (Drugs are not a contributing factor, and no LOC in any of the following cases.)

#1: Post-2000 4-door sedan stopped at intersection rear-ended by similar-sized at 10 mph. Minor damage to fender, car is still drivable. Belted adult-sized occupant years of age A&Ox4 with zero health history. No airbag deployment Complaints: neck pain.

#2: Post-2000 sports car going 60-70mph on highway. Unknown vehicle malfunction causes driver to lose control of car, car makes big-ass dent in guardrail before driver manages to steer car to shoulder. No air bag deployment. Front end is buggered up, but no passenger compartment damage. Middle-aged belted occupant has history of hypertension, torn and repaired ACL surgery, and currently  complains of tenderness in chest area, but breathing not...

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Ambulance: *No title*

Written by RSS Poster Trauma Queen

I found some old photos knocking about, and realised it would be fun to upload them for various young fire-brands. So here’s a little Sean Robertson, pished after his Grandma’s birthday party. A tiny Hector Mario Thomson looking more than a little perturbed at playgroup and a dinky Magnus MacDaid very excited at being allowed to have a REALLY big sparkler. Have fun guys, and think what a total dick I’d be if we WEREN’T mates :D

Ambulance: *No title*

Written by RSS Poster Trauma Queen

I have a voucher for
It’s a £25 card that you can use as a discount off your first order. The concept is they send you a box of ingredients and recipes each week. I don’t intend to maintain a subscription (I’ll cancel once my first order arrives), but I’ve used one card to get me a fat discount off that one box. Thing is, they only allow one card per household, so I can’t do this stunt twice.

Anyone fancy it? Free to a good home.

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Street Watch: Notes of a Paramedic (158)
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Xf (90)
Minimedic's Blog (71)
A Life In The Day Of A Basics Doc (57)
Brian Kellett (dot) Net (49)
StorytellERdoc (48)
Medic ScribeMedic Scribe (37)
Jerome Mowat (26)
Emergency Egg (19)
ambcontrol999 (14)
Hampshire and Isle of Wight Air Ambulance (14)
Purpleplus (11) (10)
Random Acts Of Reality (6)


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