Crab
A new protocol for cardiac patients is quite clear that scoop and run is the way forward as the best treatment for the condition is only available in hospital.
Total B@ll@cks!
The main changes within the 2010 guidelines for resusitation (I've just read them, which I think is MORE than you've done!) are :- The withdrawal of Atropine treatment and, once resusitation is started, a full cycle of 20mins is required (CPR & drug therapy) before the Paramedics can recognise 'life extinct' (recognise because they can't certify death, only a Dr can). THAT'S only 1 of the reasons AA crews 'stay and play' (Oh man - that is SO 60's).
Others would include entrapment RTC's (bit difficult NOT to wait then!), difficult extrication from scene, physically getting some (large) patients out of their house etc. etc. the list is endless (well almost).
As already stated in this thread doing CPR in the back of a smaller (but much more modern and capable) helicopter is hard work! Paramedic crews agree that better to do the 20 mins on scene. If you get a result take the patient to hospital for definitive aftercare. If no result.......well!
If
your consultants are saying such things perhaps it's no surprise that that hospital has such a dubious reputation. I wouldn't send my MP there, let alone someone I actually liked!
Gingernut...
Apologies for the above rant! But getting back to your original thread.
As already stated, there are national guidlines for what a Paramedic can and cannot do. Obviously these skills are less than a Doctors, so they can pay the Paramedics peanuts (IMHO). However, there are local agreements which allow AA Paramedics
enhanced skills which fall outside the national guidelines. These skills are taught, monitored and audited by hospital doctors, usually consultants.
There is also a move towards a CCP degree (Critical Care Practictioner) for Paramedics. This would probably equate to an ICU Paramedic elsewhere, where these enhanced skills would come under their normal remit.
A point to remember is that ALL practicing Paramedics have to be registered with the HPA, as do Doctors and Nurses. If they lose their registration, or are not registered they cannot practice anywhere, and face legal action if they do.
I have the highest regard for Air Ambulance crews wherever they are for their skill, dedication and commitment, and whoever said "self loading freight".........
Great CRM point! MUST bring that one up at my next annual.
So in a nutshell.....If you're in a bad way, get an Air Ambulance to get you to the
right hospital within the
right timeframe.
If you want a lift to hospital, don't care where or when, phone ARCC Kinloss and ask for CrabAir!
