Critical Care Paramedic Jess Shows you around our Critical Care Car

[@lawrencemosely3306]

fantastic volvo! 💝

[@rahmatiabidang2898]

KSIH SINI HSJDHIAHSKE HSJG

[@damianbridge9514]

Whats the red stick in the blue bag?

[@mhtheclimatologiat3010]

The red stick is a pouch designed for bougies . These long tubes help guide the endotracheal tube in rapid sequence induction/intubation. Hope this helps

[@joshjaegle5828]

Do you not have a thoracotomy or REBOA pack?

[@adrianr650]

How are you contacted in an emergency? Are you linked to the usual emergency services?

[@digitalhyde1926]

They get called via a phone number by the ambulance service if they believe the air ambulance will be beneficial.

[@professorminstrels6460]

Nice

[@herrsanitater1128]

Where is the Defib?

[@Quickstep80]

It's the Philips Tempus device, shown with the blue bag. It comes with 12 lead ECG, SpO2, NiBP, etCO2, invasive channels, plus - now brace! - sonography and a video laryngoscope. It's probably the most advanced (and surely one of the most expensive) field units you can have, but it's pretty much the "one for all".

[@doncoleman4938]

@@Quickstep80 But, I ask you, BUT can you get Netflix on it? Seriously though the Philips Tempus is one impressive monitor!

[@Quickstep80]

@@doncoleman4938 No, you can't. Only Amazon Prime works, since they hold the license for "Helicopter ER". 🤣

[@michelle88960]

@@Quickstep80 LOL. Good one!

[@elizabethkuchta5097]

❤ 2 hands. 1 team . Hert.

[@alekferna6760]

Critical care paramedic is more than paramedic??? Is the highest level to be???

[@doncoleman4938]

Typically a critical care paramedic has more training and carries more drugs than a paramedic. Where I am in Australia paramedics may apply for the critical care paramedic program once they've been a paramedic for a few years. Typically 12 months of training before sitting exams and skills tests to become a CC paramedic. Then they can apply to become a flight paramedic or a high acuity paramedic. The primary reason why not all paramedics are trained up to this level is because there aren't enough instances where the skills would be utilised.

[@doncoleman4938]

@Oscar Wild And one huge difference between British or Australian paramedics (at any level) and most US paramedics is the ability to work or make clinical decisions autonomously with guidelines, rather than protocols.

[@doncoleman4938]

@Oscar Wild I take it by that comment that you're in the US? Yet another difference between our service here in Australia is that we're not always focused on transporting patients to hospital. Patients with minor medical issues and chronic illnesses that ordinarily wouldn't require hospitalization anyway are treated by our paramedics in the home environment. Let's take a patient with a laceration on the foot from a rusty piece of tin for example. Rather than transport to an ER, we have a staff member assess, clean, suture the wound, provide a tetanus shot if indicated and commence the patient on a course of ABs. Our Health service and ambulance service looked at best clinical practice alternatives to filling ER cubicles with minor medical, non emergency patients. I've read about US EMS providers who have a policy of transporting any and all for corporate financial gain, or for no other reason than "just in case". I'm of the opinion that transporting a patient or applying a C-collar "just in case" or "to be on the safe side" demonstrates a total lack of clinical judgement skills and questionable training in an industry where we're continually striving for a degree of professionalism for our registered paramedics on par with RNs and MDs. Sorry, I'll get off my soap box now!

[@doncoleman4938]

@Oscar Wild Our high acuity response crew training is based on HEMS. Our Medical director wpent a few months in London studying HEMS and working with them. With the assistance of other medical specialists, including surgeons a training program was developed. Now we crews who can perform REBOA, on site amputations, and a wide range of procedures. I was surprised UK helicpoters don't fly at night. I must investigate why. We have both helicopter and fixed wing rescue/aeromedical transfer aircraft. Some rural communities are beyond the helicopter's range, so we rely on Flying Doctor or aeromedical jets for the 1,000 km journey to hospital. Nice chatting with you.

[@doncoleman4938]

@Oscar Wild Well thank you very much. I will take you up on that offer. Our national professional body has been studying global ambulance services for the past 25+ years, and I've been involved for most of that time. At one stage our state and federal governments threw money at us and the ambulance services and said "develop a world class ambulance service. Spare the expense on training and equipment". Even to this day equipment, training and procedures from other countries are put under the spotlight to see what works and what doesn't. One challenge we have here that wouldn't be an issue in the UK is distance. We've got communities that are around 800-900km from a major hospital. When I did my stint in a remote town, it once took me 4 hours to get to a chest pain. In those instances you're asking a station hand to drive the ambulance up and down their driveway/runway to scare the 'roos away and allow the RFDS plane to land while you do the ECG, cup of tea, anginine, chocolate biscuit, aspirin, chat about no rain for the past year thing. A different world to living on the coast or in cities.