Here’s a link to an interesting article on the pathophysiology, and more importantly, the significance of febrile illnesses.

Science-Based Medicine – Fever Phobia

Many people are terrified of fever, especially in children, with no real justification.  The key takeaways are that you should only worry about elevated temperatures if your patient

  • Has a neurological malformation of the hypothalamaus; or
  • Has suffered environmental hypothermia; or
  • Is taking certain uncommon medications which can inhibit temperature regulation

For everyone else, relax!  Fever is a normal part of the healing process. There is no need to interfere in this natural process unless the patient is unreasonably pained or uncomfortable.


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Christmas Greetings

I hate Christmas

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Robbie Rants: Professionalism

Sorry for the technical difficulties, this time everything should work….




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Own the OG

I am not by nature a boastful person.  In fact, I have issues with self confidence.  Many might find this hard to believe, but that is only because I work hard to present a calm, confident exterior, as I think it benefits everyone at a job if I keep my inner turmoil to myself.

However, one thing I reckon I do ok at is the technical side of being a paramedic.  The old cry of “they can never get a drip in me” is merely a challenge, and I have never met an airway I can’t secure somehow.

But we all have a nemesis, and mine is the gastric tube.  I can happily jab the wriggliest of veins through the adiposist of tissues (pretty sure that’s a word), slot an ETT in the grade 4ist of airways, and then come horribly unstuck trying to pass an OG tube.  Nope.  Cannot do it.  Not happening.  Fuck it, you do it while I cry in the corner.

I keep my OG tubes in the fridge to keep them stiff and help me get  them in, but even the stiffest of tubes still will not go where I want it (oo ‘er!)  Now, however, I have a new trick that I can’t wait to try, thanks to some of the smartest and nicest blokes in #FOAMed, the ScanCrit crew.  Check out Daniel’s post “Own the O.G.” over at ScanCrit.  I don’t want someone to need an OG, but by  god I want to be there when they do so I can try this!


Update: it works! I felt like I was some kind of wizard today: intubated a cardiac arrest pt during CPR, got ROSC, loaded up, on the vent, then… Bam! OG goes in like a boss! No sweating, no swearing, no giving up and sulking.

This has transformed my life!

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A great day for Australian Paramedics…

Today is a great day in the history of paramedicine in Australia.  At long last the heads of government in Australia have all finally supported paramedic registration (thanks NSW…)

This is a momentous occasion and a fantastic step forward for the profession of prehospital care.  We all will benefit from this, but none more so than our patients.

To all who have worked towards this and given your time selflessly, my thanks and congratulations.  You are all a credit to our profession and to your selves.  Thank you.

Paramedics Australasia Facebook

Hon. Jill Hennesy twitter

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Robbie Rants: HEMS Requests

A short podcast, thanks to the PAIC2015 FOAMed attendees.  I hope you’re happy with what you’ve started!

Click to play

Click to download

HEMS Request


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Can I get HEMS?

I’m back up in Ballarat at the moment, working in the control room, and one of the most common question I get is “can we have HEMS?”.  The answer is often, but not always “yes”, however there are a number of things that need to be considered before a helicopter is launched.  We will take a brief look at air operations in the post, however please bear in mind that this is from the point of view of me, a clinician.  I am not a HEMS medic, I am not a Flight Coordinator, so everything I write here must be treated as suspect.  Much like all my other posts…

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PAIC #FOAMed Workshop Introduction.

Hi everyone.

Unfortunately I am unable to make it to the Paramedics Australasia conference in Adelaide this year.  I was looking forward to taking part in the FOAMed workshops, however other events require my attendance, so I won’t be there.

But fear not!  You don’t have to miss out on me making noises with my face at you; thanks to the wonders of modern technology, I am able to transcend time and space and talk to you all in person!  Sort of.

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Another SMACC Perspective

This week (somewhat late) we have another perspective on SMACC from Ben Lawson (@Paramedidad).  Ben is a Paramedic from Queensland and a first time SMACC attendee.  Please note the lateness of this post is entirely my fault: Ben emailed me before even getting home from SMACC.  Sorry Ben!

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Posted in Education, SMACC, Social Media | 2 Comments

SMACCed Over

SMACC has come and gone again for another year.  It’s always a bit of a comedown, returning to normality after the conference, and this year it is with greater sadness that we return to our ordinary lives.

Enough has been written, tweeted, and blogged about the death of Dr John Hinds just after the SMACC conference.  Nothing I can say will add to that, or make anyone feel any better, so rather than dwell on the loss and sadness, I will instead look back at the fun times I had at SMACC this year.

Please be warned, this is essentially the online version of my holiday photo slideshow.  It is image intensive, and catastrophically boring for everyone but me.  I shall therefore take delight in inflicting it on all of you…

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