60 SEC CPD

Toxicology Syndromes!

  The fifth and final instalment of #60SecondCPD following our current Event CPD series for @StJohn Ambulance.   Today we look at Toxicology related presentations to medical facilities at Festivals and Carnivals.   We may not know what people have taken OR they may not know (Or care) what they have taken therefore our assessment, … Continue reading Toxicology Syndromes!

Alcohol (!)

  The fourth instalment of #60SecondCPD following our current Event CPD series for @StJohn Ambulance.   Today we look at Alcohol intoxication a very common presentation to medical facilities at Festivals and Carnivals and many other Mass gathering events and of course also to front line ambulance crews at weekends. This image may surprise you … Continue reading Alcohol (!)

Exercise Associated Collapse

The third instalment of #60SecondCPD following our current Event CPD series for @StJohn Ambulance.   Today we look at Exercise Associated Collapse a common risk from endurance events such as Marathons and Triathlons. This image from our presentation look at the multi-factorial reasons for collapse in these circumstances:   Its obviously clinically important to rapidly … Continue reading Exercise Associated Collapse

How do we measure Hypothermia?

    Working in event medicine AND with the current trend for mass participation extreme Sports events with repeated immersion in cold water or even winter open water swims, the risks of environmental hypothermia may be seen more commonly than in the normal responses seen in the UK Ambulance services given our normal temperate climate. … Continue reading How do we measure Hypothermia?

Risks Of Hyperthermia

  At this time of year we see our Cold/Hypothermic patients from outdoor activities and sadly commonly in rough sleeping homeless people. Temperature has also become an important part of our thinking in trauma in the Coagulopathy Triad.   BUT with the summer event season on the way and the recent trends for prolonged  heatwaves … Continue reading Risks Of Hyperthermia

Bariatric Rescue Floor Loading

  Fresh from the mind of @keatingteam1 and a very topical discussion we have been having for some months we look at the movement of Bariatric patients from the upper floor domestic properties by multiple rescuers requested to assist ambulance crews.   When is more help more risk without specialist advice???   (Disclaimer – ALWAYS … Continue reading Bariatric Rescue Floor Loading

The ESSENTIALS of ECG (Part 1)

  When looking at an ECG, think of the leads as views. Leads I, II and III are three different ‘views’ of the heart. When electrical activity is travelling towards a positive electrode, there is a positive deflection on ECG (a deflection above the baseline). If electrical activity is therefore travelling away; there is a … Continue reading The ESSENTIALS of ECG (Part 1)

Pre-Hospital PoCUS in Trauma.

  Another @60SecondCPD post to promote and develop discussion for current topics of interest and this week its Pre-Hospital PoCUS and how it can help us provide better patient focused care in trauma incidents (Rather than just be a shiny and exciting non-contributory gadget!)   See the discusson points HERE which is a slide from … Continue reading Pre-Hospital PoCUS in Trauma.

Lactate in Generalised Seizures……

  Our next post looks at the utility of Lactate in diagnosing Generalised seizures:   See HERE:   Aidan Baron

Position of Capnography Device in the Airway Circuit

  Capnography is used to monitor end-tidal carbon dioxide (PetCO2). It often provides valuable information about a patient’s alveolar ventilation, cardiovascular performance & metabolic state.   ‘End tidal’, in this context, refers to the last portion of expired air.   To monitor end-tidal CO2 the capnography device should be the last piece of equipment before … Continue reading Position of Capnography Device in the Airway Circuit

AIRWAY FILTERS!

  We commonly use filters in our airway circuits #AirwayNerds so what do we know about them?   Well the Yellow one on the LEFT is a Bacterial filter designed to protect the proximal parts of the ventilation circuit (Not needed in a BVM based circuit if all items used are disposable) or to protect … Continue reading AIRWAY FILTERS!

Are you allergic to SALAD!

    Until recently in Simulation (Where if it is done properly we safely learn skills and make mistakes before we do them to real people!) there was no realistic way to simulate the suctioning of an airway and it was just either verbalised or the suction catheter was waved around in the air like … Continue reading Are you allergic to SALAD!

Why do I need an Airway Logbook?

    The Introduction of mandatory Waveform ETCO2 use by UK Ambulance clinicians and the recognition of addressing standards of Airway management in Pre-Hospital Care was highlighted in a Coroners Ruling sadly following a tragic patient death.   I thought it would be useful to highlight these OPEN ACCESS documents so our #AirwayNerds could review … Continue reading Why do I need an Airway Logbook?

Which Bag Valve Mask (BVM)?

  Historically #AirwayNerds we have used an Adult BVM with a potential maximum ventilation volume of 1500-1600 Mls but why do we use this size device and is this still required?   The Resuscitation guidelines at the turn of the Millenium suggested that 10-15 Mls per KG should be used in the ventilation of an … Continue reading Which Bag Valve Mask (BVM)?

Mechanical Ventilation

  Something we preach on our Pre-Hospital Airway and Ventilation courses is why and how we should use mechanical ventilation over manual Bag Mask Ventilation (You all should know the reasons #AirwayNerds)   Most current ambulance fitted models are either too simple, inappropriate for the patients used on or antiquated! So if we are going … Continue reading Mechanical Ventilation

Head Rotation for Difficult BMV!

  Hope you had a good Xmas and a Happy New Year #AirwayNerds.   Thanks to one of our “The Difficult Airway Course EMS (TM)” Faculty Members for spotting some interesting thoughts on Social Media FOAMED streams recently for something we have to admit as #AirwayNerds we had not considered before! On our courses we … Continue reading Head Rotation for Difficult BMV!

Pre-Hospital Care Suction – PART TWO.

  So we are all very familiar with the Yankaeur Suction catheter but where did it come from?   “Invented circa 1907, the Yankauer suction tip remains the most commonly used piece of suction equipment in the world. Sidney Yankauer began work in the outpatient surgery department at Mount Sinai Hospital in New York in … Continue reading Pre-Hospital Care Suction – PART TWO.

Pre-Hospital Care Suction – PART ONE.

  As you know when we need to use suction in Pre-Hospital Care it is normally because things are going very badly! We carry hand powered suctions units but they generally provide poor suction,  require a very odd technique or are often damaged in the bag and fail to work at all. As long as … Continue reading Pre-Hospital Care Suction – PART ONE.

Pre-Hospital Airway Research in OOHCA – PART THREE

And finally in 2018 we saw the release of the United Kingdom’s AIRWAYS 2 trial which compared in OOHCA Paramedic led Intubation Vs Paramedic Led iGel placement (Most common EGD in UK EMS use)   Download HERE   So now you have the background to initiate some good discussion with colleagues and those who influence clinical … Continue reading Pre-Hospital Airway Research in OOHCA – PART THREE

Pre-Hospital Airway Research in OOHCA – PART TWO

OK So we follow PART ONE with the next in the 2018 timeline the Pragmatic Airway Resuscitation Trial (ROC-PART) from the USA which compared, in OOHCA the use of Paramedic led Intubation with a King Airway (VBM Laryngeal Tube In Europe) a device not often seen in the UK but widely used in USA and … Continue reading Pre-Hospital Airway Research in OOHCA – PART TWO

Pre-Hospital Airway Research in OOHCA – PART ONE

As I am sure you are aware there has been a number of key publications in the last year that are highly relevant to #AirwayNerds.   Should you wish to be having any evidence based Airway discussions you need to understand these International published studies beyond the well known headlines, our interest has often been … Continue reading Pre-Hospital Airway Research in OOHCA – PART ONE

Emergency Front of Neck Access – part 3

(Part Three of an evidence review by Jamie Todd) The recommended procedure in many other guides and systems is for a surgical approach to establishing an airway in these can’t ventilate, can’t oxygenate scenarios (Difficult Airway Society, 2018) where a surgical incision is made to the cricothyroid membrane and culminating through various intermediate taught techniques … Continue reading Emergency Front of Neck Access – part 3

Emergency Front of Neck Access – part 2

(Part Two of an evidence review by Jamie Todd) A small number of UK pre-Hospital Care Providers have trialled or used custom made devices in order to perform a large Needle, trochar or seldinger wire guided placement of a small diameter short cuffed tube through the Cricothyroid membrane. This skill was available to ALL paramedics … Continue reading Emergency Front of Neck Access – part 2

Emergency Front of Neck Access

(Part One of an evidence review by Jamie Todd) Starting with the skill in the UK national paramedic guidelines (AACE, 2016) all baseline UK HCPC paramedics as far as I am aware in the event of a can’t ventilate situation are guided to perform the skill of needle cricothyrotomy. This skill usually utilises various pieces … Continue reading Emergency Front of Neck Access

Polaris Medical Services Limited is registered in England and Wales, Company Registration Number: 09929823. Our registered office is 103 Bradley House, Radcliffe Moor Road, Bolton, United Kingdom, BL2 6RT.
Polaris Medical Services Limited is an Introducer Appointed Representative ('IAR') of Switcha Limited, Trading as Kandoo which is authorised and regulated by the Financial Conduct Authority,
Firm Registration Number: 828963 for Credit Broking and Insurance Distribution.
Switcha Limited is a Credit Broker and not a Lender. You can check this on the Financial Services Register at https://register.fca.org.uk/.

All copyrights reserved @ 2020