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SMACC IT by Jonathan Downham & Oli Flower

Listen to this podcast on the Origins of SMACC

Listen to this podcast on the Origins of SMACC

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Inter Hospital Transfer



Not much research has been done in this area relating to interhospital transport, but a lot of good practice from the hospital can apply to us. You obviously have fews sedating medications available but the principle remains the same.

Take your safety into account and if your concerned raise it with your partner, the sending and receiving hospitals.

It takes a few minutes to sort out any issues and can prevent a major mishap further down the road.

All view and opinions are my own, always observe local protocols and procedures.

Work Hard and be good to your patients!

What to read;

ABC’s Transfer and Retrieval Medicine; Chapter 42, Acute Behavioural Disturbance M. Le Cong

ABC’s Prehospital Emergency Medicine; Chapter 4, Scene Safety V. Calland & P. Williams

What evidence exists about the safety of physical restraint when used by law enforcement and medical staff to control individuals with acute…

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The world’s craziest work commutes

2015-02-20 07.25.41
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Let’s be clear! Not all trauma patients must be treated with spinal immobilization during prehospital resuscitation and transport.

Originally posted on MEDEST:

ems-backboardsSpinal immobilization is performed in all trauma patients from the rescuers in EMS systems all over the world, regardless the mechanism of injury and the clinical signs.
This kind of approach is nowadays been rebutted from the recents evidences and the actual guidelines.
ACEP, in Jan 2015, released a policy statement entitled :”EMS Management of Patients with Potential Spinal Injury” clarifying the right indications, and contraindications, for spinal immobilization in prehospital setting.
The lack of evidence of beneficial use of devices such as spinal backboards, cervical collars etc… is in contrast with the demonstrated detrimental effects of such instruments: airway compromise, respiratory impairment, aspiration, tissue ischemia,increased intracranial pressure, and pain, consequent to spinal immobilization tools, can result in increased use of diagnostic imaging and mortality.

Already in 2009 a Cochrane review demonstrated the lack of evidences on use of spinal restriction strategies in trauma.

Recently the out of hospital validation…

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Immediate care at the community level


I want to talk about getting your community involved in CPR Programs and CPR education. Often I hear people, friend, family, acquaintances, bystanders talking about CPR, often I hear “I couldn’t do CPR I haven’t done a course”

Ambulance Computer aided dispatch has been providing CPR instruction over the phone for years, once a Cardiac or respiratory arrest is identified by information given by the caller a prompt is delivered to the call taker scripting providing  CPR instruction to the caller, after establishing the ability of the person to perform CPR instruction is given for 100 beats per minute with no “rescue breaths”

CPR is an easy skill to provide a passing understanding of to the general public.

I can do the shopping centre version in under two minutes with a short practice.

1; Make a W start at the top and bottom of the sternum

2: Press at the…

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Caring for the ‘invisible wounds': – A former Paramedic’s mission to help build Resilience in the lives of Emergency workers.

EMS Management of Patients with Potential Spinal Injury

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Ketamine’s role in safe surgery must be protected

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Hands Off The Ketamine!

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A Bit of New Evidence on Drowning

Originally posted on The Collective:

An opportunity for a quick post to point to a new publication with something useful on drowning. From Dr Alan Garner.

Unfortunately we attend a number of paediatric drownings in the Sydney area every year. Many recover well. Some do not. Some do unexpectedly well. We have had a patient who was GCS 3 at our arrival and asystolic on the monitor make a full recovery. Most children in this situation however either die or are severely impaired.

This brings us to a vital question – when is it reasonable to stop resuscitation? Well, here’s some evidence to help inform the chat.

The Dutch Study

Over at the BMJ a new paper has just hit the screen:

Outcome after resuscitation beyond 30 minutes in drowned children with cardiac arrest and hypothermia: Dutch nationwide retrospective cohort study. 

This study is a nationwide observational study in the Netherlands of children with cardiac arrest…

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General Anesthesia for the Patient with Severe Lung Disease


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Video Laryngoscopy by John Vassiliadis & Geoff Healy

Well what are you waiting for? Come say hi at SMACC Chicago!


Come and say Hi at SMACC Chicago!

Rethinking “remote and rural” education

Linda Downs station & the mighty Georgina River in flood

Linda Downs station & the mighty Georgina River in flood

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Safety & Laryngoscopy Debate by Dr George Kovacs

EM Basic

Your Boot Camp Guide to Emergency Medicine

Ash Witt

Prehospital and retrieval medicine blog


Ramblings from a gasdoc with interests in #anaesthesia, #intensivecare, #echo, #PHEM and #FOAM

PulmCrit: Pulmonary Intensivist's Blog

Prehospital and retrieval medicine blog

Miss Chardy

Laughter in the Outback

The Collective

A Hive Mind for Prehospital and Retrieval Med

Bits & Bumps

Obstetrics and Gynaecology FOAM


Why FOAM it alone?

Prehospital and retrieval medicine blog


Or "How I'm Learning to Stop Worrying and Love Emergency Medicine"


A great site

Genevieve's anthology

Writings to amuse, teach, inspire and entertain.

JR Paramedic

Prehospital and retrieval medicine blog

Monash Anaesthesia

Prehospital and retrieval medicine blog


A topnotch site


Bringing the boring to emergency medicine


Navigating resuscitation

Doctor's bag

by Dr Edwin Kruys

EM nerd

Prehospital and retrieval medicine blog

The Chart Review

Prehospital and retrieval medicine blog

ETM Course

Emergency Trauma Management Course

The Doctor's Dilemma

Modern Medical Musings from Dr Marlene Pearce

Sim and Choppers

A blog combining medical education, simulation and helicopter retrieval medicine


Reflections of a Rural GP

Auckland HEMS

Unofficial site for prehospital care providers of the Auckland HEMS service

Rural Doctors Net

useful resources for rural clinicians


Searching for the big picture in intensive care

Nomadic GP

Adventures of a Rural Locum


Free Open Access Medical Education for Paramedics

the short coat

Prehospital and retrieval medicine blog


Bringing the Boring to EM

When your shift turns to shit? Keep moving, keep caring!

KI Doc

Kangaroo Island doctor blogging about Rural Medicine in Australia


pulling apart cases from the ED...

Little Medic

Learning everything I can from everywhere I can. This is my little blog to keep track of new things medical, paramedical and pre-hospital from a student's perspective.


Prehospital Emergency Medicine


Just another site

Prehospital and retrieval medicine blog

Intensive Care Network

Prehospital and retrieval medicine blog

Broome Docs

Rural Generalist Doctors Education

Resus M.E!

Prehospital and retrieval medicine blog


Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation

St Emlyns

Meducation in Virchester #FOAMed

Emergency medicine and critical care medical education blog

RFDS Australia - Queensland Section The STAR Program

Specialised Training in Aeromedical Retrieval


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