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
Talking HEMS, Ski Patrol and international Paramedicine with JD Graziano
DSCOT Blog would like to welcome its first international guest, @AJDGRAZIANO
JD has had basically every job in US paramedics and I was thrilled to finally chat to him (we’ve been planning for about 4 months now to talk, since before Podcast 1).
We had a few setbacks, moving house, power outages and being the polar opposite shift. But we got there, and it was great to have my first international presence on the show.
We covered many of the differences between out two educations and work environments, from how and where we trained right up to our present day work environments. There’s a lot to learn in this podcast and based on the 30 minutes we talked before the start of recording I think we should have a fairly exciting talk coming up when we record.
JD is from the US and has recently begun working in flight Paramedicine. After his beginnings in Ski Patrol, ground EMS and Mountain guiding.
JD has also had a few appearances on the PHARM podcast (by Dr. Minh Le Cong) and been on the live show May 2013. You can check that out here
http://prehospitalmed.com/?s=JD+Graziano
Once again the I tunes link: https://itunes.apple.com/au/podcast/downstairs-care-outthere-podcast/id876296199
If you have 2 minutes please leave some feedback, rate the podcast make us easier to find for Australian Paramedics! If you want to leave some feedback (positive or negative I want it all) , I read it all please contact me via twitter or the contact form below. That will deliver an email right to me and if I’m having a slow day you’ll hear back in and hour.
If you would like to listen without I-Tunes there’s a link right here direct to the host site. You’ll be able to access everything from the Podcast that I’ve published to date.
http://dscotpodcast.podomatic.com/swf/joe_multiplayer_v112.swf
Some information you may find useful through out the talk;
A Howitzer being fired into the side of a mountain to trigger an avalanche.
Ski Patrol Toboggan
Wilderness Medicine
The basic run down of the Curriculum in the States: http://www.nols.edu/wmi/admissions/recertification.shtml
If your interested it taking a Wilderness course in Australia:
http://www.wfac.com.au/
http://www.extrememedical.com.au/Extreme_Medical/Welcome.html
(no commercial interest, just two courses I hope to make it to one day)
Pararescue (PJ’s) for those unfamiliar are US Airforce Special forces: http://en.wikipedia.org/wiki/United_States_Air_Force_Pararescue
Boyds Loop (how to make decisions) :
http://en.wikipedia.org/wiki/OODA_loop
“Are you crazy?” “Have you been there.”
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- This is what I set off with to my new post Clothing, Shift esentials, a few weeks worth of food and some boots
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- We drive some long straight bits of tarmac
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- While at home after a spot of rain I got treated to a rainbow
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- We drive some lovely looking dirt roads
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- Sunsets over the Plant Room, my running route takes me high up on the hill to see this every night
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- Emu’s are a rare sight on the roads!
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- An overcast day as the ambulance sits infron of the station
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- The Communitcations gear Radio and Sat Phone are how we talk to the controllers
This is what people asked, when I told them I was going regional, leaving a large Metro sation with 10 cars running around daily for a one car staion in regional NSW.
I can say confidently after two months that I have made the right decision.
To those looking foward to posting cycles with angst, don’t! Some people dispair at posting to a rural or remote area, it can be one of the best experences of your life.
I dare say if your here you like to practice as a clincian rather than a technician, going rural allows you to do that, with greater distances to travel and sicker patients you get to really learn your craft as a paramedic, I’ve used procedures out here that I rarely touched in metro.
Being the first point of contact with the health system for many people in the community makes you a valued individual.
You get to see some stunning scenery, not only from your home (where I regularly view a beautiful sunrise) but in the country arround you.
I was told every horrible thing about the place that I am before I even arrived, but the bad sticks much longer than the good in peoples minds.
The good doesn’t get dragged up as much but it is out there.
So don’t dispair, Rural isn’t the end of the world, but the start of a glorious career in the best job in the world!
Happy New Year to all out there, if your on shift, stay safe, if your celebrating likewise, stay tuned in the New year for more podcasts and some learning resouces for paramedic students or Paramedics wanting to reafirm their knowlage.
DOWNSTAIRS CARE OUT THERE BLOG 
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