C & C June 18 – Case discussions

Hi all Thanks Aaron, Hannah G, Colin K for showing up and engaging in good discussions. Case 1 – Amiodarone for cardiac arrest secondary to TCA poisoning Aaron will follow it up for us but the first question he asked was about the use of (or contraindication of) amiodarone for cardiac arrest secondary to TCA…

Handovers

By Dr Suzi Hamilton Consultant Emergency Physician “Handover of care is one of the most perilous procedures in medicine, and when carried out improperly can be a major contributory factor to subsequent error and harm to patients.” So said Sir John Lilleyman, medical director of the NHS Patient Safety Agency, at the beginning of his…

Basic Airway Skills – Update

Hi all, Thanks for the good turn out and your contribution to the C & C. Adding to the revision of our previous sessions, CSO Blair Andrews sent a strong message for the use of the lateral positioning for the unconscious patients or Pts with lowered GCS unless intubated. It is often called LTP (Lateral…

C & C Apr/18 – Accidental Hypothermia

Hi guys, First, huge thanks to Dr Malin Zachau for her time and effort in sharing her knowledge. May be a cliché comment, but I found Malin’s passion for the research and her energy to do the right thing was very infectious and inspirational. The session started out with Malin asking us questions around AH,…

ED Observer Shift for Paramedics

This is a blog message to the paramedics who is on the payroll in Christchurch metro, Rangiora, Rolleston, and Kaiapoi. Hi all, Thank you for accommodating the ED staff observing ambulance shifts. The feedbacks have been 100% positive and more ED staff are keen and booked to come and have a look at what we…

What goes on in the ED…

Part of the mystique of the medical art is the use of language that is uninterpretable by the average lay person. Modern medical training includes huge efforts in communication in an attempt to break down this barrier, yet there remains a bewildering array of TLAs (three letter abbreviations!) and ridiculous words. For those coming to…

C & C March 2018

Hi Team, Another successful Coffee & Cases. It was fantastic to see some new faces mixed with some regular attendees of our Coffee & Cases, it is so impressive to see people giving up there day off to improve patient outcomes. Curt Ward offered some significant insight into where St John is currently and what…

C & C Apr 2018 – Accidental Hypothermia

Winter (OK make it autumn) is fast approaching and we have something exciting and timely for you at our next C & C on the 13th/Apr. Dr Malin Zachau is a passionate researcher/educator and kindly offered her latest poster presentation which she is also presenting at NZ Resuscitation Council conference. Malin will talk about the analysis…

Pelvic Immobilization: the new C-Collar?!

Hi Team, first blog for me on here so go easy. Apologies for the late publishing of this entry, I’ve had a few things on my plate. I wanted to write about something topical and about an area that I wanted to know more about. So I picked pelvic fractures; the assessment, physiology and treatments….

High Performance / Pit Crew CPR update

Hi all, We have our first SIM practice for 2018 coming up shortly on the 7th/March. We will re-visit and update the “Red Shift Pit Crew CPR” and try upping our game with some new staff on Red shift. It is the practical application that counts the most and we need to practice, hence we…

C & C 2018

Hey guys! Thanks for those turned up at our first C & C in 2018! Big thanks to ED staff for joining us. Your effort in trying to understand what we do and engaging in open and honest clinical discussions is greatly appreciated. We hope we can have a lot more occasions to freely discuss…

All about the drivers…

Preferred collective term ‘ambulance officer’, not all those who drive the ambulance operate to the same practice level. For clarity and education, please find more information in this post.