Guest guest Posted December 6, 2010 Report Share Posted December 6, 2010 Hi All Ian I agree completely, but the question then becomes which professional boy and in which country and under which set of standards and curriculum do we use and which English language is used English English, Australian English or American English? I agree that procedurally we are for the most part on our own and have to cope with the clinical presentation as best as we can, however the concepts and fundamentals of physiology, patho-physiology with regards what is actually happening in our patient does not change these are key basic core concepts of advanced care and practice, so my patient has a head injury and has signs of RICP and Cushing's triad or my patient has blunt chest trauma and has signs of Becks triad or my patient who has suffered an Ant-Lat MI is now showing signs of CCF and fluid overload. What I am saying is that the core concepts of critical and emergency care are for the most part the same with the exceptions of environmental exposure and other industry related issues, prolonged holding times, prolonged retrieval times, but a hypoperfused, hypotensive or hypertensive, hypoxic, hypercarbic patient is exactly that ect. ect. So my question is what is it we are talking about when we say training, do we mean procedures, skills sets, core concepts and knowledge and are we talking pre-hospital care versus prolonged patient care in a clinic? I agree with everyone so far as they are parts of a massive puzzle, my question is, as we are the providers and clinicians who work in the unique and challenging environment how do we address this and then work together to fix it? How do we develop a course that works and I mean really works and is accredited and recognized across the vast waters of the world???? What does the list think? Hi All, Just my two pennies worth here, let's face it we all know that virtually none of the training establishments currently providing offshore medics tickets have got it right!! What we are all looking for is an internationally recognized accredited course specifically designed for our working environment, the likes of Capita have the ALSS course but as previously discussed not recognized by some? Would it be recognized in court for example!! So at least they have tried to make the effort. The Nottingham course very good but again is teaching to the standard hospital run emergency with lots of specialist on call to help you out!! Someone out there in the training world must recognize that these are not FFP and write a course that understands the meaning of the lone remote medic in the emergency situation who at best in most cases has someone who can just about recognize the piece of kit he is asking for when he is hands on. Something accredited by the Royal Collage would be a great start!!! and a course that has been vetted by a long standing reputable offshore medic who can add in the realities of the offshore environment, equipment and medication limitations. Then all we have to do is get the agencies to front up and allow us to attend the course and change their protocols to fit!!! Probably never in my offshore career!!! Ian. > > > > > > > > > > > > > > > > > > > > > > > > > > > Hello Everyone, > > > > > > > > I'm an Off Shore medic. > > > > > > > > Where oh where can I do an ALS course in the UK as the places I've > > > tried > > > > require that I have to be a Doctor,nurse or Paramedic/EMT to attend? > > > > > > > > Regards, > > > > > > > > Witty. > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 6, 2010 Report Share Posted December 6, 2010 Sorry a few typo's in that one fat fingers today but you get the rift ops mean drift Hi All Ian I agree completely, but the question then becomes which professional boy and in which country and under which set of standards and curriculum do we use and which English language is used English English, Australian English or American English? I agree that procedurally we are for the most part on our own and have to cope with the clinical presentation as best as we can, however the concepts and fundamentals of physiology, patho-physiology with regards what is actually happening in our patient does not change these are key basic core concepts of advanced care and practice, so my patient has a head injury and has signs of RICP and Cushing's triad or my patient has blunt chest trauma and has signs of Becks triad or my patient who has suffered an Ant-Lat MI is now showing signs of CCF and fluid overload. What I am saying is that the core concepts of critical and emergency care are for the most part the same with the exceptions of environmental exposure and other industry related issues, prolonged holding times, prolonged retrieval times, but a hypoperfused, hypotensive or hypertensive, hypoxic, hypercarbic patient is exactly that ect. ect. So my question is what is it we are talking about when we say training, do we mean procedures, skills sets, core concepts and knowledge and are we talking pre-hospital care versus prolonged patient care in a clinic? I agree with everyone so far as they are parts of a massive puzzle, my question is, as we are the providers and clinicians who work in the unique and challenging environment how do we address this and then work together to fix it? How do we develop a course that works and I mean really works and is accredited and recognized across the vast waters of the world???? What does the list think? Hi All, Just my two pennies worth here, let's face it we all know that virtually none of the training establishments currently providing offshore medics tickets have got it right!! What we are all looking for is an internationally recognized accredited course specifically designed for our working environment, the likes of Capita have the ALSS course but as previously discussed not recognized by some? Would it be recognized in court for example!! So at least they have tried to make the effort. The Nottingham course very good but again is teaching to the standard hospital run emergency with lots of specialist on call to help you out!! Someone out there in the training world must recognize that these are not FFP and write a course that understands the meaning of the lone remote medic in the emergency situation who at best in most cases has someone who can just about recognize the piece of kit he is asking for when he is hands on. Something accredited by the Royal Collage would be a great start!!! and a course that has been vetted by a long standing reputable offshore medic who can add in the realities of the offshore environment, equipment and medication limitations. Then all we have to do is get the agencies to front up and allow us to attend the course and change their protocols to fit!!! Probably never in my offshore career!!! Ian. > > > > > > > > > > > > > > > > > > > > > > > > > > > Hello Everyone, > > > > > > > > I'm an Off Shore medic. > > > > > > > > Where oh where can I do an ALS course in the UK as the places I've > > > tried > > > > require that I have to be a Doctor,nurse or Paramedic/EMT to attend? > > > > > > > > Regards, > > > > > > > > Witty. > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 6, 2010 Report Share Posted December 6, 2010 I personally would like to see a course that is tailored to the environment most medics currently work in i.e. Remote, without good / timely access to higher medical facility, and wide variations in types of equipment available for use. The course should assume that little or no qualified help will be available to the student at location and should train accordingly. I favor a course more tilted to pre-hospital care, being an offshore medic myself. Cheers, Kishore. From: Colin <cjmartin11@...> Subject: RE: ALS course? Date: Monday, 6 December, 2010, 1:50 PM Â Sorry a few typo's in that one fat fingers today but you get the rift ops mean drift Hi All Ian I agree completely, but the question then becomes which professional boy and in which country and under which set of standards and curriculum do we use and which English language is used English English, Australian English or American English? I agree that procedurally we are for the most part on our own and have to cope with the clinical presentation as best as we can, however the concepts and fundamentals of physiology, patho-physiology with regards what is actually happening in our patient does not change these are key basic core concepts of advanced care and practice, so my patient has a head injury and has signs of RICP and Cushing's triad or my patient has blunt chest trauma and has signs of Becks triad or my patient who has suffered an Ant-Lat MI is now showing signs of CCF and fluid overload. What I am saying is that the core concepts of critical and emergency care are for the most part the same with the exceptions of environmental exposure and other industry related issues, prolonged holding times, prolonged retrieval times, but a hypoperfused, hypotensive or hypertensive, hypoxic, hypercarbic patient is exactly that ect. ect. So my question is what is it we are talking about when we say training, do we mean procedures, skills sets, core concepts and knowledge and are we talking pre-hospital care versus prolonged patient care in a clinic? I agree with everyone so far as they are parts of a massive puzzle, my question is, as we are the providers and clinicians who work in the unique and challenging environment how do we address this and then work together to fix it? How do we develop a course that works and I mean really works and is accredited and recognized across the vast waters of the world???? What does the list think? Hi All, Just my two pennies worth here, let's face it we all know that virtually none of the training establishments currently providing offshore medics tickets have got it right!! What we are all looking for is an internationally recognized accredited course specifically designed for our working environment, the likes of Capita have the ALSS course but as previously discussed not recognized by some? Would it be recognized in court for example!! So at least they have tried to make the effort. The Nottingham course very good but again is teaching to the standard hospital run emergency with lots of specialist on call to help you out!! Someone out there in the training world must recognize that these are not FFP and write a course that understands the meaning of the lone remote medic in the emergency situation who at best in most cases has someone who can just about recognize the piece of kit he is asking for when he is hands on. Something accredited by the Royal Collage would be a great start!!! and a course that has been vetted by a long standing reputable offshore medic who can add in the realities of the offshore environment, equipment and medication limitations. Then all we have to do is get the agencies to front up and allow us to attend the course and change their protocols to fit!!! Probably never in my offshore career!!! Ian. > > > > > > > > > > > > > > > > > > > > > > > > > > > Hello Everyone, > > > > > > > > I'm an Off Shore medic. > > > > > > > > Where oh where can I do an ALS course in the UK as the places I've > > > tried > > > > require that I have to be a Doctor,nurse or Paramedic/EMT to attend? > > > > > > > > Regards, > > > > > > > > Witty. > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 6, 2010 Report Share Posted December 6, 2010 Hi Kishore, Completely agree but unfortunately we can winge and moan as much as we like until we are blue in the face but until the accredited training providers wake up and do something about it we are left with the sub standard non FFP courses that are currently available to us!!! Just a sub point here maybe the agencies might also like to get someone who has actually worked offshore to write or edit protocols to because the one's usually written by some Occupational Health Doctor are usually crap!!! and they usually haven't even bothered to read the list of meds carried offshore!!! Rant over!!! Ian. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Hello Everyone, > > > > > > > > > > > > > > > > I'm an Off Shore medic. > > > > > > > > > > > > > > > > Where oh where can I do an ALS course in the UK as the places I've > > > > > > > tried > > > > > > > > require that I have to be a Doctor,nurse or Paramedic/EMT to attend? > > > > > > > > > > > > > > > > Regards, > > > > > > > > > > > > > > > > Witty. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 6, 2010 Report Share Posted December 6, 2010 Kish, I am not sure whether you’ve taken a look at the DipROM? It’s a course that was developed by the guys on this board. You can get more information on the following site: http://www.diprom.rcsed.ac.uk/ Rgds J From: [mailto: ] On Behalf Of Kishore H Sent: 06 December 2010 10:52 AM Subject: RE: ALS course? I personally would like to see a course that is tailored to the environment most medics currently work in i.e. Remote, without good / timely access to higher medical facility, and wide variations in types of equipment available for use. The course should assume that little or no qualified help will be available to the student at location and should train accordingly. I favor a course more tilted to pre-hospital care, being an offshore medic myself. Cheers, Kishore. From: Colin <cjmartin11@... <mailto:cjmartin11%40hotmail.com> > Subject: RE: ALS course? <mailto:%40> Date: Monday, 6 December, 2010, 1:50 PM Sorry a few typo's in that one fat fingers today but you get the rift ops mean drift Hi All Ian I agree completely, but the question then becomes which professional boy and in which country and under which set of standards and curriculum do we use and which English language is used English English, Australian English or American English? I agree that procedurally we are for the most part on our own and have to cope with the clinical presentation as best as we can, however the concepts and fundamentals of physiology, patho-physiology with regards what is actually happening in our patient does not change these are key basic core concepts of advanced care and practice, so my patient has a head injury and has signs of RICP and Cushing's triad or my patient has blunt chest trauma and has signs of Becks triad or my patient who has suffered an Ant-Lat MI is now showing signs of CCF and fluid overload. What I am saying is that the core concepts of critical and emergency care are for the most part the same with the exceptions of environmental exposure and other industry related issues, prolonged holding times, prolonged retrieval times, but a hypoperfused, hypotensive or hypertensive, hypoxic, hypercarbic patient is exactly that ect. ect. So my question is what is it we are talking about when we say training, do we mean procedures, skills sets, core concepts and knowledge and are we talking pre-hospital care versus prolonged patient care in a clinic? I agree with everyone so far as they are parts of a massive puzzle, my question is, as we are the providers and clinicians who work in the unique and challenging environment how do we address this and then work together to fix it? How do we develop a course that works and I mean really works and is accredited and recognized across the vast waters of the world???? What does the list think? Hi All, Just my two pennies worth here, let's face it we all know that virtually none of the training establishments currently providing offshore medics tickets have got it right!! What we are all looking for is an internationally recognized accredited course specifically designed for our working environment, the likes of Capita have the ALSS course but as previously discussed not recognized by some? Would it be recognized in court for example!! So at least they have tried to make the effort. The Nottingham course very good but again is teaching to the standard hospital run emergency with lots of specialist on call to help you out!! Someone out there in the training world must recognize that these are not FFP and write a course that understands the meaning of the lone remote medic in the emergency situation who at best in most cases has someone who can just about recognize the piece of kit he is asking for when he is hands on. Something accredited by the Royal Collage would be a great start!!! and a course that has been vetted by a long standing reputable offshore medic who can add in the realities of the offshore environment, equipment and medication limitations. Then all we have to do is get the agencies to front up and allow us to attend the course and change their protocols to fit!!! Probably never in my offshore career!!! Ian. > > > > > > > > > > > > > > > > > > > > > > > > > > > Hello Everyone, > > > > > > > > I'm an Off Shore medic. > > > > > > > > Where oh where can I do an ALS course in the UK as the places I've > > > tried > > > > require that I have to be a Doctor,nurse or Paramedic/EMT to attend? > > > > > > > > Regards, > > > > > > > > Witty. > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 6, 2010 Report Share Posted December 6, 2010 A course that sounds like what you want is the IMCA dive-medic course. It is a 2 week course, consisting of BLS, including intubation technique, cannulation, suturing, giving meds via all routes, fracture immobilization, recognizing and treating heart attacks and strokes, haemo/pneumo thorax, abdominal complaints, burns and shocks etc. After the written exams the guys are taken to a provincial hospital for practical. These are literary " guys of the street " (international commercial divers) who work pretty much on their own out on sites and rigs, with a doctor at the end of the phone-line. Cheers Barbara ________________________________ From: Kishore H <kishorep1914@...> Sent: Mon, December 6, 2010 12:52:27 PM Subject: RE: ALS course?  I personally would like to see a course that is tailored to the environment most medics currently work in i.e. Remote, without good / timely access to higher medical facility, and wide variations in types of equipment available for use. The course should assume that little or no qualified help will be available to the student at location and should train accordingly. I favor a course more tilted to pre-hospital care, being an offshore medic myself. Cheers, Kishore. From: Colin <cjmartin11@...> Subject: RE: ALS course? Date: Monday, 6 December, 2010, 1:50 PM  Sorry a few typo's in that one fat fingers today but you get the rift ops mean drift Hi All Ian I agree completely, but the question then becomes which professional boy and in which country and under which set of standards and curriculum do we use and which English language is used English English, Australian English or American English? I agree that procedurally we are for the most part on our own and have to cope with the clinical presentation as best as we can, however the concepts and fundamentals of physiology, patho-physiology with regards what is actually happening in our patient does not change these are key basic core concepts of advanced care and practice, so my patient has a head injury and has signs of RICP and Cushing's triad or my patient has blunt chest trauma and has signs of Becks triad or my patient who has suffered an Ant-Lat MI is now showing signs of CCF and fluid overload. What I am saying is that the core concepts of critical and emergency care are for the most part the same with the exceptions of environmental exposure and other industry related issues, prolonged holding times, prolonged retrieval times, but a hypoperfused, hypotensive or hypertensive, hypoxic, hypercarbic patient is exactly that ect. ect. So my question is what is it we are talking about when we say training, do we mean procedures, skills sets, core concepts and knowledge and are we talking pre-hospital care versus prolonged patient care in a clinic? I agree with everyone so far as they are parts of a massive puzzle, my question is, as we are the providers and clinicians who work in the unique and challenging environment how do we address this and then work together to fix it? How do we develop a course that works and I mean really works and is accredited and recognized across the vast waters of the world???? What does the list think? Hi All, Just my two pennies worth here, let's face it we all know that virtually none of the training establishments currently providing offshore medics tickets have got it right!! What we are all looking for is an internationally recognized accredited course specifically designed for our working environment, the likes of Capita have the ALSS course but as previously discussed not recognized by some? Would it be recognized in court for example!! So at least they have tried to make the effort. The Nottingham course very good but again is teaching to the standard hospital run emergency with lots of specialist on call to help you out!! Someone out there in the training world must recognize that these are not FFP and write a course that understands the meaning of the lone remote medic in the emergency situation who at best in most cases has someone who can just about recognize the piece of kit he is asking for when he is hands on. Something accredited by the Royal Collage would be a great start!!! and a course that has been vetted by a long standing reputable offshore medic who can add in the realities of the offshore environment, equipment and medication limitations. Then all we have to do is get the agencies to front up and allow us to attend the course and change their protocols to fit!!! Probably never in my offshore career!!! Ian. > > > > > > > > > > > > > > > > > > > > > > > > > > > Hello Everyone, > > > > > > > > I'm an Off Shore medic. > > > > > > > > Where oh where can I do an ALS course in the UK as the places I've > > > tried > > > > require that I have to be a Doctor,nurse or Paramedic/EMT to attend? > > > > > > > > Regards, > > > > > > > > Witty. > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 6, 2010 Report Share Posted December 6, 2010 Thanks , I have heard about this DipROM course, I will check out the website for details. Regards, Kishore. From: Colin <cjmartin11@... <mailto:cjmartin11%40hotmail.com> > Subject: RE: ALS course? <mailto:%40> Date: Monday, 6 December, 2010, 1:50 PM Sorry a few typo's in that one fat fingers today but you get the rift ops mean drift Hi All Ian I agree completely, but the question then becomes which professional boy and in which country and under which set of standards and curriculum do we use and which English language is used English English, Australian English or American English? I agree that procedurally we are for the most part on our own and have to cope with the clinical presentation as best as we can, however the concepts and fundamentals of physiology, patho-physiology with regards what is actually happening in our patient does not change these are key basic core concepts of advanced care and practice, so my patient has a head injury and has signs of RICP and Cushing's triad or my patient has blunt chest trauma and has signs of Becks triad or my patient who has suffered an Ant-Lat MI is now showing signs of CCF and fluid overload. What I am saying is that the core concepts of critical and emergency care are for the most part the same with the exceptions of environmental exposure and other industry related issues, prolonged holding times, prolonged retrieval times, but a hypoperfused, hypotensive or hypertensive, hypoxic, hypercarbic patient is exactly that ect. ect. So my question is what is it we are talking about when we say training, do we mean procedures, skills sets, core concepts and knowledge and are we talking pre-hospital care versus prolonged patient care in a clinic? I agree with everyone so far as they are parts of a massive puzzle, my question is, as we are the providers and clinicians who work in the unique and challenging environment how do we address this and then work together to fix it? How do we develop a course that works and I mean really works and is accredited and recognized across the vast waters of the world???? What does the list think? Hi All, Just my two pennies worth here, let's face it we all know that virtually none of the training establishments currently providing offshore medics tickets have got it right!! What we are all looking for is an internationally recognized accredited course specifically designed for our working environment, the likes of Capita have the ALSS course but as previously discussed not recognized by some? Would it be recognized in court for example!! So at least they have tried to make the effort. The Nottingham course very good but again is teaching to the standard hospital run emergency with lots of specialist on call to help you out!! Someone out there in the training world must recognize that these are not FFP and write a course that understands the meaning of the lone remote medic in the emergency situation who at best in most cases has someone who can just about recognize the piece of kit he is asking for when he is hands on. Something accredited by the Royal Collage would be a great start!!! and a course that has been vetted by a long standing reputable offshore medic who can add in the realities of the offshore environment, equipment and medication limitations. Then all we have to do is get the agencies to front up and allow us to attend the course and change their protocols to fit!!! Probably never in my offshore career!!! Ian. > > > > > > > > > > > > > > > > > > > > > > > > > > > Hello Everyone, > > > > > > > > I'm an Off Shore medic. > > > > > > > > Where oh where can I do an ALS course in the UK as the places I've > > > tried > > > > require that I have to be a Doctor,nurse or Paramedic/EMT to attend? > > > > > > > > Regards, > > > > > > > > Witty. > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 6, 2010 Report Share Posted December 6, 2010 Many thanks Barbara for the suggestion. Will definitely check it out. Cheers, Kishore. From: Colin <cjmartin11@...> Subject: RE: ALS course? Date: Monday, 6 December, 2010, 1:50 PM Â Sorry a few typo's in that one fat fingers today but you get the rift ops mean drift Hi All Ian I agree completely, but the question then becomes which professional boy and in which country and under which set of standards and curriculum do we use and which English language is used English English, Australian English or American English? I agree that procedurally we are for the most part on our own and have to cope with the clinical presentation as best as we can, however the concepts and fundamentals of physiology, patho-physiology with regards what is actually happening in our patient does not change these are key basic core concepts of advanced care and practice, so my patient has a head injury and has signs of RICP and Cushing's triad or my patient has blunt chest trauma and has signs of Becks triad or my patient who has suffered an Ant-Lat MI is now showing signs of CCF and fluid overload. What I am saying is that the core concepts of critical and emergency care are for the most part the same with the exceptions of environmental exposure and other industry related issues, prolonged holding times, prolonged retrieval times, but a hypoperfused, hypotensive or hypertensive, hypoxic, hypercarbic patient is exactly that ect. ect. So my question is what is it we are talking about when we say training, do we mean procedures, skills sets, core concepts and knowledge and are we talking pre-hospital care versus prolonged patient care in a clinic? I agree with everyone so far as they are parts of a massive puzzle, my question is, as we are the providers and clinicians who work in the unique and challenging environment how do we address this and then work together to fix it? How do we develop a course that works and I mean really works and is accredited and recognized across the vast waters of the world???? What does the list think? Hi All, Just my two pennies worth here, let's face it we all know that virtually none of the training establishments currently providing offshore medics tickets have got it right!! What we are all looking for is an internationally recognized accredited course specifically designed for our working environment, the likes of Capita have the ALSS course but as previously discussed not recognized by some? Would it be recognized in court for example!! So at least they have tried to make the effort. The Nottingham course very good but again is teaching to the standard hospital run emergency with lots of specialist on call to help you out!! Someone out there in the training world must recognize that these are not FFP and write a course that understands the meaning of the lone remote medic in the emergency situation who at best in most cases has someone who can just about recognize the piece of kit he is asking for when he is hands on. Something accredited by the Royal Collage would be a great start!!! and a course that has been vetted by a long standing reputable offshore medic who can add in the realities of the offshore environment, equipment and medication limitations. Then all we have to do is get the agencies to front up and allow us to attend the course and change their protocols to fit!!! Probably never in my offshore career!!! Ian. > > > > > > > > > > > > > > > > > > > > > > > > > > > Hello Everyone, > > > > > > > > I'm an Off Shore medic. > > > > > > > > Where oh where can I do an ALS course in the UK as the places I've > > > tried > > > > require that I have to be a Doctor,nurse or Paramedic/EMT to attend? > > > > > > > > Regards, > > > > > > > > Witty. > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 6, 2010 Report Share Posted December 6, 2010 ________________________________ From: Kishore H <kishorep1914@...> Sent: Sun, December 5, 2010 10:54:45 PM Subject: RE: ALS course? Lots of interesting things being said in this discussion. I agree that the remote site medic does play the role of the team leader, but it's my humble opinion that we don't really get much of a team to work with in most places. Yeah we do train the galley hands in basic first aid, being part of stretcher party and all that, but in an emergent situation, it's usually the medic all by himself trying to juggle ten things at a time. Maybe it's just been my experience and others have had better. ********************* I am teaching an ACLS this week I am tempted to give them Just that scenario ;-) Guarantee he will Fit it UP This said Most of us have a CPR manekin We HAVE to train our F-A in CPR anyway But Really what we need to do Is run scenarios with them on a true ACLS code The Medic should not have to : Do CPR Connect AED Connect oxygen PUsh AED D-fib button Ventilate a intubated (LTD) Pt Heck you can teach them to draw and prepare drugs The Medic should have to : Determine cardiac arrest Lead FA team Place a laryngeal tube (We have no time to intubate (E.T.) Fix the laryngeal tube Start an IV PUsh drugs Call top side Clinical case : Young fat cardiac arrest in stairwell of rig (2 AM) Medic TRANSPORTED with bystanders Pt to infirmary BEFORE using the AED AED = 2 Kg Pt = 100 Kg Easy to make thaty mistake if you have not thought about it too much Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 6, 2010 Report Share Posted December 6, 2010 I have come across a commercial outfit that teaches nurses Tio be extended role remote nurse in the north http://www.solutionsnursing.ca/ Not PARAMEDIC oriented But cover all the other stuff, us paramedic are not too good at Otherwise In french http://www.usherbrooke.ca/cfc/activites-de-formation/cours-de-reanimation/ Ateliers pratiques de techniques utilisées en médecine d'urgence Is cadaver lab which is a good idea for US low volume medics Or You do like must of us You work on large land base remote clinics With some good docs (or not) And learn and study as you go ________________________________ From: ramc606 <ianjamesdenton@...> Sent: Mon, December 6, 2010 4:18:11 AM Subject: Re: ALS course? Hi Kishore, Completely agree but unfortunately we can winge and moan as much as we like until we are blue in the face but until the accredited training providers wake up and do something about it we are left with the sub standard non FFP courses that are currently available to us!!! Just a sub point here maybe the agencies might also like to get someone who has actually worked offshore to write or edit protocols to because the one's usually written by some Occupational Health Doctor are usually crap!!! and they usually haven't even bothered to read the list of meds carried offshore!!! Rant over!!! Ian. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Hello Everyone, > > > > > > > > > > > > > > > > I'm an Off Shore medic. > > > > > > > > > > > > > > > > Where oh where can I do an ALS course in the UK as the places I've > > > > > > > tried > > > > > > > > require that I have to be a Doctor,nurse or Paramedic/EMT to attend? > > > > > > > > > > > > > > > > Regards, > > > > > > > > > > > > > > > > Witty. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 6, 2010 Report Share Posted December 6, 2010 These courses As far as I am concerned Are frauds Commercial frauds Medico-legal frauds Just plain bad all over Cheap, useless plasters Really teaching enough to get people in trouble And avoiding to hire somebody That does not need to be tought IVs, Intubation, ACLS, etc. Again Endotracheal INTUBATION in most of the TCN staffed clinics is a medico-legal crime Laryngeal tubes should be the main advanced airway device http://www.larynx-tubus.de/larynx-tubus/content/blogcategory/14/45/lang,en/ Teaching and expecting ET intubation in these groups Just show how criminaly delusional or deceptive these people are CCEMT-P have no problem having the laryngeal tube as my primary advanced airway control ________________________________ From: Barbara Amor <brbramor@...> Sent: Mon, December 6, 2010 5:41:50 AM Subject: Re: ALS course? A course that sounds like what you want is the IMCA dive-medic course. It is a 2 week course, consisting of BLS, including intubation technique, cannulation, suturing, giving meds via all routes, fracture immobilization, recognizing and treating heart attacks and strokes, haemo/pneumo thorax, abdominal complaints, burns and shocks etc. After the written exams the guys are taken to a provincial hospital for practical. These are literary " guys of the street " (international commercial divers) who work pretty much on their own out on sites and rigs, with a doctor at the end of the phone-line. Cheers Barbara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 6, 2010 Report Share Posted December 6, 2010 Agree with you , ET tube in inexperienced hands is bordering on criminal, and guess how many times in one's offshore career, is one going to get an intubation situation. From: Brault <c_brault@...> Subject: Re: ALS course? Date: Monday, 6 December, 2010, 10:58 PM  These courses As far as I am concerned Are frauds Commercial frauds Medico-legal frauds Just plain bad all over Cheap, useless plasters Really teaching enough to get people in trouble And avoiding to hire somebody That does not need to be tought IVs, Intubation, ACLS, etc. Again Endotracheal INTUBATION in most of the TCN staffed clinics is a medico-legal crime Laryngeal tubes should be the main advanced airway device http://www.larynx-tubus.de/larynx-tubus/content/blogcategory/14/45/lang,en/ Teaching and expecting ET intubation in these groups Just show how criminaly delusional or deceptive these people are CCEMT-P have no problem having the laryngeal tube as my primary advanced airway control ________________________________ From: Barbara Amor <brbramor@...> Sent: Mon, December 6, 2010 5:41:50 AM Subject: Re: ALS course? A course that sounds like what you want is the IMCA dive-medic course. It is a 2 week course, consisting of BLS, including intubation technique, cannulation, suturing, giving meds via all routes, fracture immobilization, recognizing and treating heart attacks and strokes, haemo/pneumo thorax, abdominal complaints, burns and shocks etc. After the written exams the guys are taken to a provincial hospital for practical. These are literary " guys of the street " (international commercial divers) who work pretty much on their own out on sites and rigs, with a doctor at the end of the phone-line. Cheers Barbara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 6, 2010 Report Share Posted December 6, 2010 Ah yes the dive medic course the course for the Clayton's Medic the medic you have when you really don't have a medic. on the airway management side I completely agree that the use of any advanced airway is less than optimal when being taught to a novice or moreover lay provider, but it is a very, very bold statement that intubation has no place in remote site health care, when being carried out by an experienced qualified high end provider, and for my part I have tubed a number of patients outside of my normal in country work while working remote. Please do not get me wrong the LMA especially the Pro-seal LMA are a fantastic bit of kit and have a major role to play in pre-hospital care and in the cardiac arrest, but unless the airway has definitive control as in a properly placed, checked and secured ETT we risk the long term recovery of a patient if the aspirate. I have looked after patients who has aspirated and died a long painful death in ICU/HDU all for the want of a definitive airway and a decompressed stomach! Of course the reverse is also true patients do not die from a lack of intubation they die from a lack of oxygen because we spent 2 minutes trying to jam a tube in! I would certainly never ever try to AME retrieve any unco casualty until he has a tube in, stomach is decompressed, 2 x Big IV and an IDC are all insitu, checked, secured and rechecked. Again we are coming back to what is it we want in training? Is it Skills, Procedures, Core Concepts of Advanced Care ect. ect. So my question is where is the middle ground what is best practice, what is safe practice, what is in the best interest of the patient and in our professional best interest, from as many of you put the medico-legal monster? Cheers Colin These courses As far as I am concerned Are frauds Commercial frauds Medico-legal frauds Just plain bad all over Cheap, useless plasters Really teaching enough to get people in trouble And avoiding to hire somebody That does not need to be tought IVs, Intubation, ACLS, etc. Again Endotracheal INTUBATION in most of the TCN staffed clinics is a medico-legal crime Laryngeal tubes should be the main advanced airway device http://www.larynx-tubus.de/larynx-tubus/content/blogcategory/14/45/lang,en/ Teaching and expecting ET intubation in these groups Just show how criminaly delusional or deceptive these people are CCEMT-P have no problem having the laryngeal tube as my primary advanced airway control ________________________________ From: Barbara Amor <brbramor@... <mailto:brbramor%40> > <mailto:%40> Sent: Mon, December 6, 2010 5:41:50 AM Subject: Re: ALS course? A course that sounds like what you want is the IMCA dive-medic course. It is a 2 week course, consisting of BLS, including intubation technique, cannulation, suturing, giving meds via all routes, fracture immobilization, recognizing and treating heart attacks and strokes, haemo/pneumo thorax, abdominal complaints, burns and shocks etc. After the written exams the guys are taken to a provincial hospital for practical. These are literary " guys of the street " (international commercial divers) who work pretty much on their own out on sites and rigs, with a doctor at the end of the phone-line. Cheers Barbara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 7, 2010 Report Share Posted December 7, 2010 ________________________________ From: Colin <cjmartin11@...> Sent: Tue, December 7, 2010 2:12:49 AM Subject: RE: ALS course? **************** Bold I agree ! Who said that ? Not I Please do not get me wrong the LMA especially the Pro-seal LMA are a fantastic bit of kit and have a major role to play in pre-hospital care and in the cardiac arrest, but unless the airway has definitive control as in a properly placed, checked and secured ETT we risk the long term recovery of a patient if the aspirate. ***************** In our context Single provider Laryngeal Airways are probably best The ET gold standard is emotional and over-rated When compared to resus situations And to LT + Gastric tube + Suction Less time to intubate No interuption of CPR Less neck manipulation Not sure you need an ET on the short run I have looked after patients who has aspirated and died a long painful death in ICU/HDU ************* 50% death rate on the airway management side I completely agree that the use of any advanced airway is less than optimal when being taught to a novice or moreover lay provider, but it is a very, very bold statement that intubation has no place in remote site health care, when being carried out by an experienced qualified high end provider, Quote Link to comment Share on other sites More sharing options...
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