Questions related to Paramedicine
In germany, relief and aid organisations (such as St.Johns cross, german red cross, etc.) offer emergency medical care "on the field" for events such as concerts, public or private festivities etc.
Normally, these services are contracted on a private basis between event organizers and organisation, often based on requirements of security imposed by the fire department. The personell are mainly volunteers, with a wide range of qualifications spanning from emergency physicians, paramedics to first aid courses.
The german term for these kind of services "Sanitätsdienst" or "Sanitätswachdienst"
(Literal translation: "Sanitary service"(Internet translation) or "ambulance service")
Q: What is the correct english term for this kind of service?
Are you familiar with this model of service?
Thank you in advance for your input!
edit: stressed that the term of interest refers to the "service model" - not to personell or its qualifications.
For example, when there is a first degree burn, which reference should I check? And in another scenario, when someone overdosed a certain medication, which reference should I check for first aid?
Currently tasked with a literature review on this topic as part of the Diploma of Higher Education in Paramedic Practice. Any paramedic views on this topic, or suggestions of research papers to review will be most gratefully accepted!
A colleague of mine has requested assistance in attaining international evidence demonstrating how up-skilling paramedics improves quality/patient care and the economic value of doing so, to continue to strengthen the case for change at a strategic level.
I am "putting it out there" to call on the international pool of knowledge and information, that may not have been published, but undoubtedly exists. Even small individual case studies are as important as large scale projects to bring about and support change.
Thanks so much for your consideration and look forward to hearing all you have to offer.
Currently there seems to be a standard rule of waiting for 20 mins of asystole prior to actually terminating resuscitative efforts in the pre-hospital environment (including a load-and-go to hospital approach). This seems reasonable for the non-trauma patient especially if an automatic chest compression device (LUCAS) is available.
For the critically injured trauma patient, these automatic devices are generally contra-indicated and furthermore, doing CPR in the back of a fast-moving ambulance is both ineffective and dangerous. A lot of these patients present with a PEA rhythym for long periods as well as with injuries that appear to be incompatible with life.
So, what does the paramedic do in these situations? Continue a futile resuscitation or terminate? Any thoughts or experience with this situation will be appreciated.
I'm in the middle of writing a case study, and I need to find some information pertaining to why we use various pre-hospital assessment tools. Why do we do DRABCDE, or when pupils are 8 and fixed, why do we do a neuro exam? Sorry they seem like trivial questions but I'm having difficulty finding references, any help would be appreciated.
For example, we're interested in treating asthma patients at the scene rather than transporting them to a tertiary medical center to contain costs and provide education to patients.