Skip to content

Posts from the ‘Prehospital medicine’ Category

Seriously, just Kalm Down

Following on from my previous post on managing the agitated patient…

via Seriously, just Kalm Down! — AmboFOAM

Paediatric Retrieval

When I’m not working in the emergency department, playing with my children or doing DFTB ‘stuff’ I work for the state retrieval service. As the name Adult Retrieval Victoria implies I spend my time moving and coordinating the movement of critically ill or injured adults around the state. There is a dearth of retrieval textbooks…

via PETS knowledge — Don’t Forget the Bubbles

Macgyver Medicine

So you’re out there somewhere and you really want to do a thing you think might help but you don’t have your standard kit. Can you adopt the lessons of Richard Dean Anderson and improvise? Mel Brown has you covered. Okay, so I am guessing from the title of this post you have a good idea […]

via MacGyver Medicine — The Collective

Victorian prehospital chemical restraint 2017 update

It’s time for another post on everyone’s favourite drug: ketamine! Hooray! Ok, so this is not entirely about ketamine, but ketamine does come into it. AV paramedics have recently received training to administer IM ketamine to agitated patients as part of a greater focus on paramedic safety when managing these situations(MICA paramedics have had ketamine for […]

via Just Kalm Down! — AmboFOAM

Editors note : I find it surprising given the Australian research published on acute behavioural disturbance and updated guidelines in Queensland and NSW recently, that droperidol is not included in these latest Victorian Ambulance protocols. Why it has not replaced midazolam given its superior safety profile in the research, is baffling. And when its written that mild – moderate agitation can be managed with “a little midazolam”, I would suggest an oral agent is likely just as effective in this situation than a needle.


MICA Flight Paramedic tells the incredible story of how they saved a 10yo boy

New avalanche trauma guidelines!

The coolest job in the world!

Midazolam is not an ACLS drug

The success of pre-hospital tracheal intubation by different pre-hospital providers (2017 update)

Tactical Trauma Conference 2017!

Australia’s First Stroke Ambulance!

Happy New Year, and welcome back to the sporadic blog known as AmboFOAM. I thought I would start the year on a positive note, and what better way than by looking at one of the new initiatives happening here in Melbourne: an Australian first Stroke Ambulance!

via Wheels rolling for exciting advance in stroke therapy? — AmboFOAM

Medical kits here

Continuing a theme started with a practical post on direct and indirect pressure for haemorrhage control, Greg Brown (Education Manager amongst other things) discusses the things he’s learned about how to figure out what you need in a kit. I remember the first time as a young Nursing Officer in the Australian Army I went on exercise […]

via I Wish I Knew Then What I Know Now (Edition 2 – Packs) — The Collective

Prehospital Ketamine for chemical restraint : A review


The End of the Road — Adventure Medic

Dr Anne Brants / Emergency Physician, Netherlands Dr Isla Madeleine Wormald / ACCS Trainee, UK This article is a brilliant reminder of why expeditions are such a challenging and interesting setting in which to practice medicine. Anna and Isla have done a great job of summarising the lessons to be learned, many of which will ring true to first-time and…

via The End of the Road — Adventure Medic

Interview with the Author: AfJEM: Michael McCaul on South African pre-hospital guidelines — #badEM

Series: “Interview with the Author…” The badEM crew interviewed Michael McCaul regarding his newly released article in AfJEM Volume 6 Issue 3 entitled: “South African Pre-hospital practice guidelines: Report on progress & way forward” by Michael McCaul, Ben de Waal, Peter Hodkinson & Karen Grimmer Link to open access article: Click here Corresponding author email: Author’s twitter handle: @MikeMcCaul3…

via Interview with the Author: AfJEM: Michael McCaul on South African pre-hospital guidelines — #badEM