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Archives
Tag Archives: paramedic
Interview with Cameron Edgar
In this 25 minute podcast Dr Cliff Reid talks with Cameron Edgar, a senior helicopter critical care paramedic. Cameron has been a paramedic for 23 years, qualifying as an intensive care paramedic, then a special casualty access team paramedic, and then … Continue reading
Paramedic RSI in Australia
A prospective, randomized, controlled trial compared paramedic rapid sequence intubation with hospital intubation in adults with severe traumatic brain injury in four cities in Victoria, Australia. The primary outcome was neurologic outcome at 6 months postinjury. Training Paramedics already experienced … Continue reading
Posted in General PH&RM
Tagged airway, outcome, paramedic, Prehospital, RSI, TBI, Trauma
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Ketamine for HEMS intubation in Canada
Ketamine was used by clinical staff from the The Shock Trauma Air Rescue Society (STARS) in Alberta to facilitate intubation in both the pre-hospital & in-hospital setting (with a neuromuscular blocker in only three quarters of cases). Changes in vital … Continue reading
Posted in General PH&RM
Tagged airway, critical care, HEMS, ketamine, paramedic, Prehospital, RSI
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Poor pre-hospital intubation success
A Scottish study of 628 pre-hospital intubation attempts in cardiac arrest patients records the rate of successful intubations, oesophageal intubations, and endobronchial intubations. Prehospital tracheal intubation was associated with decreased rates of survival to admission. This study has the limitations … Continue reading
Posted in General PH&RM
Tagged airway, paramedic, pre-hospital
College of Paramedics stands its ground
Articles in this month’s EMJ demonstrate an interesting conflict within UK pre-hospital care. The Joint Royal Colleges Ambulance Liaison Committee Airway Working Group, heavily represented by anaesthetists, recommend the removal of tracheal intubation from UK paramedic practice. The College of … Continue reading
Posted in General PH&RM
Tagged airway, paramedic, pre-hospital
Ketamine use by paramedics
A poster presentation at the Australasian College of Emergency Medicine’s Annual Scientific Conference in Melbourne in November 2009 reports 100 cases of pre-hospital ketamine use for analgesia by paramedics in New Zealand – reproduced below with permission of the author: … Continue reading
Posted in General PH&RM
Tagged analgesia, ketamine, paramedic, pre-hospital
HEMS paramedic intubation success
All medical out of hospital cardiac arrests attended by the Warwickshire and Northamptonshire Air Ambulance (WNAA) over a 64-month period were reviewed. There were no significant differences in self-reported intubation failure rate, morbidity or clinical outcome between doctor-led and paramedic-led … Continue reading
Posted in General PH&RM
Tagged ACLS, airway, HEMS, paramedic
