In a general culture where the reduction in Paramedic scope of practise seems to be declining there still remain beacons of hope. The demise of Paramedic prehospital intubation in the UK seems to be growing at an ever accelerating rate. Its substitution with the SGA is on the rise. The reasons for this are manifold, varied and complex and will not be discussed here. Intubation was adopted into prehospital practise from the hospital environment decades ago under the auspices t
This article was published by EMS-1 in June 2020 in the aftermath of the tragic death of George Floyd. It addresses the differences between positional asphyxia, traumatic asphyxia and strangulation. This article is suitable for EMS students or veterans alike and addresses some of the myths around the subject such as, “If you can say ‘I can’t breathe,’ then that is proof that you can.”
As if the current epidemic was not enough the incidence of violence towards healthcare staff is on the increase. As is obvious from the photograph, this is taken very seriously in other corners of the world. Time to draw the line and protect those who protect us. Write the legislation and make sure that the courts enforce it to the full letter of the law.
This study was published in the Lancet in December 2020. Although the cohort was understandably small and the trial conducted at a single centre with a well established ECMO program it does indicate possible solutions to what has traditionally been regarded as a fatal event.
Learner Context: Stress, Failure and Cognitive Load. Experiential learning, as distinct from didactic learning depends on realistic emotional investment from learners. We design cognitive load and stress levels into the instructional design and delivery of our courses. In the simulation suites we are able to change ambient noise, smell, lighting and temperature as well as simulated location to enhance the student's clinical development. Manipulation of these variables couple
The independent report into the injuries sustained and subsequent assessment and management of Saffie-Rose was reported on BBC news by Judith Moritz. (Jan.2021) The independent report into the injuries sustained and subsequent assessment and management of Saffie-Rose was reported on BBC news (Jan.2021) The independent report highlights failures in the initial phase of care to assess life threatening haemorrhage (Leg) and as a result failure to manage the haemorrhage. Should t
"When the clinical experience is lacking, what you wind up with is students who know how to perform psychomotor skills but not why, or even more importantly, why not. " Kelly Grayson NRP, CCP For the first 6 months of my Paramedic course back in the late eighties early nineties all we studied was anatomy and physiology. We never touched on the subject of Paramedicine, just slogged through lectures and anatomy cadaver labs rubbing shoulders with nursing and medical students. A
Just when we thought that we had got a handle on TXA another study is published that outs its usage in doubt. TXA given in the prehospital setting for isolated traumatic brain injury (TBI) was associated with increased 30-day mortality.
Suicide screening in the ED had extremely poor diagnostic accuracy for predicting subsequent suicide within a month, with a sensitivity of just 18%. Why does this matter?
Wouldn’t it be great if with a few simple questions we could tell who is at risk of suicide? With very little real-world evidence, The Joint Commission (JCAHO) mandated, “screening for suicidal ideation using a validated tool starting at age 12 and above.” This is a great concept, but does it actually work
A US Tactical SWAT Medic discusses his experiences on the teams. He talks about how a previous career as a chef inadvertently prepared him in becoming a Paramedic and subsequently a Tactical Medic. He holds a frank and open discussion on whether Tactical Medics should be armed or not exploring all the controversies that subject evokes. During the interview he talks about strategies to de-escalate volatile situations and the use of both physical and chemical restraint on ment
Any intelligent fool can make things bigger, more complex, and more violent. It takes a touch of genius – and a lot of courage – to move in the opposite direction. In Part 6 of the AHA 2020 Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, Resuscitation and Education Science was discussed. Of the top 10 take- home messages the first 2 will be reviewed here not only through the lens of resuscitation training but in the wider context of prehospital