Inter Hospital Transfer
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!
You can find the Podcast here https://itunes.apple.com/au/podcast/downstairs-care-outthere-podcast/id876296199?mt=2
While your on itunes, please rate and leave a review.
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 behavioural disturbance? Peter Day http://www.otago.ac.nz/christchurch/otago014012.pdf
Psychiatric Services 1999 50:12, 1553-1554 http://ps.psychiatryonline.org/action/showCitFormats?doi=10.1176%2Fps.50.12.1553 Jennifer Rossi, Megan C. Swan, Eric D. Isaacs, The Violent or Agitated Patient, Emergency Medicine Clinics of North America, Volume 28, Issue 1, February 2010, Pages 235-256, ISSN 0733-8627, http://dx.doi.org/10.1016/j.emc.2009.10.006. (http://www.sciencedirect.com/science/article/pii/S0733862709001242) Keywords: Violent; Agitated; Sedation; Restraints; Psychiatric; Substance abuse
Crowd Sourcing CPR
Welcome to the new year!
First up the I-Tunes link! This will work with RSS feeds and I-tunes for all the podcast goodness
https://itunes.apple.com/au/podcast/downstairs-care-outthere-podcast/id876296199
Kicking off the newyear with a Podcast between my self and David Still from the ACT @Davidstill
David is a 4th year Paramedics/ Nursing Student (he was in 3rd when we recorded) who recently submitted a conference poster on the use of smartphone activation of public response for apparent public cardiac arrest.
He also participated in the FERNOSIM as a member of one of ACU’s Teams and we have a little reflection on how they could have trained better.
The link to my I-Tunes feed for the podcast are right here, please, if you enjoy it subscribe leave a review and come and interact on the blog or twitter.
If you haven’t already share the podcast with your friends, get it going around. Try and use the new year to get someone into #FOAMED
For all of Australasian Journal Of Paramedics:
http://ajp.paramedics.org/index.php/ajp
Abstracts for SPA 2014
http://ajp.paramedics.org/index.php/ajp/article/view/132
Abstracts for PAIC 2014
http://ajp.paramedics.org/index.php/ajp/article/view/138
The papers David and I talked about relating to his poster, complete with links to find them, a few are behind paywalls.
American Heart Association. Improving Survival From Sudden Cardiac Arrest:
The “Chain of Survival” Concept. Circulation. 1991 May; 83(5): p. 1832-1847.
http://circ.ahajournals.org/content/83/5/1832.short
Brooks S. Abstract 191: Community Uptake of a Smartphone Application to
Recruit Bystander Basic Life Support for Victims of Out-of-Hospital Cardiac
Arrest. Circulation. 2012;(126): p. A191.
Brooks S, Worthington H, Gonedalles T, Bobrow B, Morrison L. Implementation
of the PulsePoint smartphone application for crowd-sourcing bystander
resuscitation. Critical Care. 2014; 18(Suppl 1): p. S176.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4069540/
Scholten A, van Manen J, van der Worp W, Ijzerman M, Doggen C. Early
cardiopulmonary resuscitation and use of Automated External Defibrillators by
laypersons in out-of-hospital cardiac arrest using an SMS alert service.
Resuscitation. 2011;(82): p. 1273-1278.
http://www.ncbi.nlm.nih.gov/pubmed/21652136
Yonekawa C, Suzukawa M, Yamashita K, Kubota K, Yasuda Y, Kobayashi A, et
al. Development of a first-responder dispatch system using a smartphone.
Journal of Telemedicine and Telecare. 2014; 20(2): p. 75-81.
http://www.ncbi.nlm.nih.gov/pubmed/?term=evelopment+of+a+first-responder+dispatch+system+using+a+smartphone.
Ringh M, Fredman D, Nordberg P, Stark T, Hollenberg. Mobile phone technology
identifies and recruits trained citizens to perform CPR on out-of-hospital cardiac
arrest victims prior to ambulance arrival. Resuscitation. 2011; 82(12).
http://www.ncbi.nlm.nih.gov/pubmed/21854731
Grasu A. SMS alerts for volunteer rescuers in the emergency system: Decreasing
the delay in starting cardiopulmonary resuscitation [abstract]. Resuscitation.
2013; 81 (Suppl 1).
http://www.resuscitationjournal.com/article/S0300-9572%2813%2900491-7/abstract
Zijlstra J, Stieglis R, Riedijk F, Smeekes M, van der Worp W, Koster R. Local lay
rescuers with AEDs, alerted by text messages, contribute to early defibrillation
in a Dutch out-of-hospital cardiac arrest dispatch system. Resuscitation. 2014.
http://www.ncbi.nlm.nih.gov/pubmed/25132473
American Heart Association. Primary Outcomes for Resuscitation Science Studies:
A Consensus Statement From the American Heart Association. Circulation.
2011 (124): p. 2158-2177.
http://www.ncbi.nlm.nih.gov/pubmed/21969010
Merchant, R., Asch, D., Hershey, J., Griffis, H., Hill, S., et al. A Crowdsourcing
Innovation Challenge to Locate and Map Automated External Defibrillators.
Circulation: Cardiovascular Quality and Outcomes. 2013 March, 6(2): p. 229-
236. DOI: 10.1161/CIRCOUTCOMES.113.000140
http://circoutcomes.ahajournals.org/content/6/2/229.extract
11. Sakai T, Iwami T, Kitamura T, Nishiyama C, Kawamura T, Kajino K, et al.
Effectiveness of the new ‘Mobile AED Map’ to find and retrieve an AED: A
randomised controlled trial. Resuscitation. 2011; 82(1): p. 69-73
http://www.ncbi.nlm.nih.gov/pubmed/21051130
If you would like to read further into what is being done with mobile phones;
http://www.resuscitationjournal.com/article/S0300-9572(11)00124-9/abstract?cc=y
http://www.resuscitationjournal.com/article/S0300-9572(07)00594-1/abstract
Featured photo is me and a classmate practicing CPR as first years at CSU 2009.
Facilities were basic, but the staff were motivated and challenging.
DOWNSTAIRS CARE OUT THERE BLOG 
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