An interesting conversation erupted last night on Twitter (which resulted in me being awake way past my bedtime, i.e. 8pm) regarding the management of a specific issue in resuscitation from cardiac arrest: the combative dead person.
I was going to add a note on the bottom of my last post about gear to let people know what drugs and toys I carry, but I thought it deserved a post of it’s own with a brief run down on some of our education requirements as well.
Now for something a little different, but very important: another guest post by my colleague James on the benefits of strength training for paramedics.
Why paramedics should be strength training
In the dim dark days of the mid 2000s when I was training to be a paramedic I was shown a video entitled “no jobs for ambos with bad backs”. It was an in-house documentary exhorting junior paramedics to take great care when lifting patients or equipment, as a bad back injury was nearly guaranteed to end our career. It was both hokey and scary and has made absolutely no impact on the rates of injury for paramedics. Similarly, as the years have gone by numerous pieces of equipment and training have been introduced into my practice to reduce the risk of injury, which have made little or no difference as far as I know. Why? Because none of these devices addressed the core problem.As a profession, we are physically weak.
A number of people on Twitter were interested in the setup MICA use for our gear, so I have snapped a few photos to illustrate a pretty typical setup. I must apologise as many of these photos are pretty blurry; I was on to coffee number 5 by the time I took them. I didn’t realise just how bad they were until I got them on the big screen at home…
I will retake and re-upload them tomorrow, but at least in the meantime it will give you an idea of things.
It goes without saying that this post is photo heavy, so slow interweb people be warned.
I’m currently away in Japan getting some skiing in, so I’m not up to much I terms of posting.
However, whilst waiting for my wife to return from a shopping rampage in Tokyo, I did catch this post over at the brilliant ScanCrit site about HEMS use of RSI in East Anglia.
It adds to the belief that I have long held: prehospital intubation is not bad if it is done well; it’s prehospital intubation done poorly that is bad.
While you are over at ScanCrit, check out the rest of the site, these guys (and gals?) post some excellent stuff.
This is a (relatively) brief podcast regarding the use of naloxone (narcan) to treat heroin overdose. It is meant to give a background to how management of these patients differs in Australia from North America, and also to provide some insight into how to get the best results out of treating the patient with heroin overdose.
I was fortunate last night to be able to catch up with Tim Leeuwenberg of ruraldoctors.net when he flew in to Melbourne for the ETMCourse. Along with a very convivial dinner at Bistro Vue on Little Collins street, we managed to bash out a quick podcast as well. We discussed a little of life as a paramedic, treatment of Acute Pulmonary Oedema by MICA Paramedics, and of course the obligatory bit on airway management.
Anyone who follows #FOAMed on Twitter will have noticed that there has been a bit of a melt-down when it comes to Therapeutic Hypothermia (TH) for Out-of-hospital Cardiac Arrest (OOHCA) in the last day or so. So what is getting everyone hot under the collar?
For all you trauma junkies out there (and let’s face it, that’s most of us at some stage) there is a new way to get your fix of top-notch, innovative, interactive and exciting education….
From Prehospitalmed: Should paramedics perform tracheal intubation?.
I suspect no-one will be surprised by my thoughts on this…