Working with Standards that are Forgetful – Australian NSQHS Standards and Retrieval Medicine

Originally posted on The Collective:
In times where external standards are increasingly applied to health services, where does retrieval medicine fit in? Dr Alan Garner shares his insights after wrestling with the Australian National Safety and Quality Health Service Standards process.  In Australia, national reform processes for health services began in the years following the 2007…

HEMS vs GEMS. By ground or by air: which is the best way to take care of traumatized patients

Originally posted on MEDEST:
22 years old male hit from a car on the roadside of an urban area. The ground EMS ambulance (physician, nurse staffed), dispatched on scene, find the patient alert, oriented and spontaneously breathing. His vitals are: GCS 15 , RR 20, SaO2 95, HR 85, SBP 110 No mention of head…

Risky Business – Weighing Things Up

Originally posted on The Collective:
The excellent Dr Paul Bailey returns to provide more practical insights from the bit of his work that involves coordination of international medical retrieval. This is the second in (we hope) a recurring series which started here.  Greetings everyone, it’s a pleasure to be back for the long awaited second…

VL tecnique in suspect intracranial bleeding

Originally posted on MEDEST:
62 yrs old male found unconscious GCS 6 (E1,V1, P4). Sign of vomiting and inhalation. Profoundly hypoxic, hypertensive (BP 200 over 110). Pupils were miotic with anisocoria dx>sx. The team, after aspiration of gastric material from the airway, decided for airway control, before transport. The patient is overweight with a “taurine”…

Same, same? Actually different

Originally posted on The Collective:
More of the operational data from the Head Injury Retrieval Trial has just been published. By luck more than anything else this has occurred within 24 hours of the publication of the main trial results which you can find here. Some operational data about systems used in the trial has…