Advanced Paramedic who prefers to practice medicine at altitude or indoors| @AMS_HQ Paramedic | @SJA_BCYT Staff Officer | MSc Student | Views are my own
My team finally got ahold of @paswinton bags. The cognitive load reduction for pre-hospital emergency anaesthesia is remarkable! Combined with the airway bag it feels like decision to ready to go in under 10 minutes. #remoteparamedic#remotenurse#PHEA
Finally headed home after finishing clinical placement with @theCoROM and @BlackfireLTD in Africa! Special thanks to the local partners at Kibosho Hospital; & Dr. Mganga for supporting our education & my never ending need for 70 series Toyota Landcruisers. #criticalcareparamedic
Our teams weekly education this week was a trauma review and a great opportunity to pass on the improvised pelvic binder! @AebhricOK would be disappointed in how low it is but we only had one pair of pants… #remotemedicine#remoteparamedic#remotenurse
In order to optimize our ability to create an adhoc remote #ICU, my team adopted the principles from @theCoROM of prolonged field care and austere emergency care in a one stop shopping cart #remoteclinic#prolongedfieldcare#canada#arctic
This is a new concept that I created to address the heat loss problem and to provide something comfortable under the casualty.
I am still in the design phase. This weekend, I saw it used in action at the @theCoROM
Just finished a top tier week, in Malta, for Intensive Care for Austere & Remote Environments with providers from all around the world. Perspectives from Canada, UK, US, Ireland, Norway, Germany, South Africa, Poland, Belgium & Hungary! #criticalcare#intensivecare#paramedic
One of the many benefits of doing education overseas is learning how other providers approach common goals. The Hungarian Air Ambulance Method of pre/apnoeic oxygenation is one example! No more fighting the nasal cannula. #intubation#hems#paramedic@theCoROM
I’ve been in lots of remote clinics around the country and this is the first time I’ve seen this awesome @30secondsout mindset. Having been on both sides of the medevac phone nothing is guaranteed until help is in the room so plan as if it’s not coming.
An observational study of 1172 paediatric seizure pts in Israel (mean 4.6y/o) reported prehospital midazolam given intranasally had higher need for rescue therapy (48.5%) versus IV (31.9%) or IM (35.6%) #PEM#EMSjamanetwork.com/journals/jam… via @JAMANetworkOpen part of @JAMANetwork
Paramedics need to be at the patient. If they can't operate safely in a tech rescue environment, equip & train until they can. If they're not physically fit, implement standards. If they don't know rescue medicine, give them the knowledge.
Working in an aeromedical environment can be challenging at the best of times. Add extreme temperatures like -37C in northern Ontario and new challenges emerge such as frozen stethoscopes!
We’re grateful to our staff and northern partners for the work you do for your patients.
Don't let anyone tell you that #wildmed doesn't exist in HEMS.
NSW CCPs are trained as remote area operators, and are self sustaining for 24 hours in remote and austere environments.