Posts tagged ‘prehospital’
(picture attribution HERE)
Auckland HEMS is currently exploring the use of blood products in our prehospital environment.
Two interesting papers regarding prehospital blood product use were recently published by the Queensland Ambulance Service. The Queensland Ambulance Service maintains a 24/7 doctor/paramedic trauma response team that is dispatched to significant trauma cases in the greater Brisbane area.
Despite the fact that the prehospital service in these studies is road-based, the patient cohort (predominantly blunt trauma), prehospital staffing (often initially ambulance crew followed by doctor/paramedic team), and prehospital times are highly applicable to our service.
Auckland HEMS has recently added a Gigli saw to the medical pack in case a patient requires prehospital amputation. Fortunately the team has not yet been required to perform this procedure. Anecdotally, prehospital amputations that have been performed by paramedic staffed EMS in the Auckland area in recent years have involved near-total amputation due to injury itself, with limbs attached with minimal skin or soft tissue.
Dr Ed Valentine is a dual-trained EM & ICU doc in the Old Dart, currently spending a year as a retrieval Fellow with London HEMS and responding as a BASICS volunteer in his home county of Wiltshire, UK
We talk about the role of BASICS in the UK to "value add" to the scene despite existing paramedic services and the relative proximity of tertiary hospitals in the UK compared with Australia.