Prehospital and Retrieval Medicine – THE PHARM dedicated to the memory of Dr John Hinds

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…

Spinal 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…

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

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…