Immediate care at the community level

jrparameddscot's avatarDOWNSTAIRS CARE OUT THERE BLOG

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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EMS Management of Patients with Potential Spinal Injury

Continue reading “EMS Management of Patients with Potential Spinal Injury”

A Bit of New Evidence on Drowning

careflightcollective's avatarThe 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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The Bind About Pelvic Binders – Part 4

careflightcollective's avatarThe Collective

Is this the last bit for now? Dr Alan Garner following up on pelvic binders after all the stimulating comments. If you haven’t already, check out part 1, part 2 and part 3.

During the writing of part three of this series on pelvic fractures and particularly after reading Julian Cooper’s comments (thank you Julian) I realised that the observational data around pelvic binders does not entirely fit with the theories. Let’s start with the theory and I might directly borrow Julian’s comments from Part 2 as he says it better than I could:

“In any type of pelvic injury. the bleeding will be either:

  1. Venous or bone ends: in which case keeping things still with a binder is likely to allow clot formation (low pressure bleeding, low or high flow).
  2. “Slow” arterial (the sort of thing seen as a blush on contrast CT) which will probably trickle on…

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