In memory of Dr John Hinds
Following a spate of aviation accidents in the 1980’s and 1990’s, Transport Canada and the aviation industry came up with the aviation ‘Dirty Dozen’ – human factors in aviation maintenance that commonly lead to errors.
Consider these in the context of your prehospital or emergency service:
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(thanks to Tim Leeuwenburg at KIdocs.org for this one!)
For all your prehospital amputation needs!
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.
EMJ published an excellent review article of the procedure in 2010, which covers indications, contraindications, and technique. Click HERE for the full pdf (secure area limited to ADHB staff, who have access to this journal via the Philson Library at the University of Auckland School of Medicine)
The Medical College of Wisconsin has produced 3 educational videos, and made available a field manual for physicians who provide assistance to fire crews and EMS in the field.
Click HERE for a brief case report…
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Many moons ago it was common practice that as soon as we had a pulse back from an arrested patient we would throw them in the ambulance and drive fast to hospital with little, if any, further management…
This has changed and now there are a number of goals we try to achieve prior too and during transport. This podcast is about the management of the post-arrest patient and why we do what we do in these situations.
I hope you enjoy it and as always feedback is appreciated.
AMBOFOAM Arrest PODCAST Pt 1. TUne in and listen up to Rob!
Welcome again to the AmboFOAM podcast. This is part one of two episodes on cardiac arrest. These podcasts are again designed for the new paramedic or paramedic student. This time we are discussing cardiac arrest, primarily why we do what we do at an arrest. Part two will deal with the post-arrest patient and why we do what we do with them.
Please feel free to drop me a line with any comments or questions you may have.
Click to play, or right click and select “Save as” to download the MP3 version to play later.
Enjoy
Thanks Ben and Anne!
Dr Andrew Tagg left the shipboard life in 2009 to settle down and lose weight. He is currently an advanced trainee in EM working in Melbourne’s western suburbs. He still has the uniform. Contact him via Twitter @andrewjtagg
(image attribution to Dr J Hinds on Twitter @DocJohnHinds)
Continue reading “SHort term heart and lung support – FOAMEd resource with videos!”
( image from Twitter, courtesy of Dr Brian Burns @HawkmoonHEMS)
Prehospital and Retrieval Medicine - THE PHARM dedicated to the memory of Dr John Hinds 
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