Comments on: How Long is Too Long? http://diagnosisnfi.wordpress.com/2007/07/18/how-long-is-too-long/ The musings and occasional rants of an Emergency Care Practitioner Mon, 12 May 2008 06:48:33 +0000 http://wordpress.org/?v=MU By: Amado http://diagnosisnfi.wordpress.com/2007/07/18/how-long-is-too-long/#comment-22658 Amado Mon, 20 Aug 2007 04:06:39 +0000 http://diagnosisnfi.wordpress.com/2007/07/18/how-long-is-too-long/#comment-22658 Very interesting! Very interesting!

]]> By: Booze Brigade « Diagnosis? N.F.I. http://diagnosisnfi.wordpress.com/2007/07/18/how-long-is-too-long/#comment-22652 Booze Brigade « Diagnosis? N.F.I. Wed, 15 Aug 2007 08:48:37 +0000 http://diagnosisnfi.wordpress.com/2007/07/18/how-long-is-too-long/#comment-22652 [...] My thoughts exactly. 3.30 this morning and I was called to a house where someone had fallen down the stairs. Turned out its a 14 year old lad and he’d been drinking. When I arrived he was in a crumpled heap on a small landing half way down a flight of stairs. Claret (blood for the uninitiated) all over the walls and down his head; vomit all over his shirt and covering the stairs; and he’s totally ‘out of it’ - GCS of 7. These kinds of jobs are a nightmare for a solo: what to do? You have to consider a cervical spine injury given the circumstances; you need to maintain his airway what with all the blood and vomit; you can’t drag him down the stairs but he’s thrashing about all over the place (probably from cerebral irritation) so its a case of trying prevent him from toppling the rest of the way down. Things are not helped by Control telling me that “we don’t know where your back-up’s coming from as we haven’t got any vehicles available.” - nothing new there then (remember this one?) [...] [...] My thoughts exactly. 3.30 this morning and I was called to a house where someone had fallen down the stairs. Turned out its a 14 year old lad and he’d been drinking. When I arrived he was in a crumpled heap on a small landing half way down a flight of stairs. Claret (blood for the uninitiated) all over the walls and down his head; vomit all over his shirt and covering the stairs; and he’s totally ‘out of it’ - GCS of 7. These kinds of jobs are a nightmare for a solo: what to do? You have to consider a cervical spine injury given the circumstances; you need to maintain his airway what with all the blood and vomit; you can’t drag him down the stairs but he’s thrashing about all over the place (probably from cerebral irritation) so its a case of trying prevent him from toppling the rest of the way down. Things are not helped by Control telling me that “we don’t know where your back-up’s coming from as we haven’t got any vehicles available.” - nothing new there then (remember this one?) [...]

]]> By: milfslover.info http://diagnosisnfi.wordpress.com/2007/07/18/how-long-is-too-long/#comment-22653 milfslover.info Fri, 10 Aug 2007 05:14:36 +0000 http://diagnosisnfi.wordpress.com/2007/07/18/how-long-is-too-long/#comment-22653 <strong>milfslover.info</strong> Thanks, Interesting read. milfslover.info

Thanks, Interesting read.

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]]> By: kingmagic http://diagnosisnfi.wordpress.com/2007/07/18/how-long-is-too-long/#comment-22657 kingmagic Fri, 20 Jul 2007 05:10:20 +0000 http://diagnosisnfi.wordpress.com/2007/07/18/how-long-is-too-long/#comment-22657 What is your service doing putting trainee paras out on Solo response? If it went tits up then your service would be shafted. All our solos RRVs/RFUs have to be minimum 2 years post qualified and then they have to do the solo course and driving up-date before being allowed to hit the streets. Talking to others from around the country it seems that clinical outcomes don't matter just so long as the response time is hit! And as for AMPDS! Its about time that system was sorted out. At best its inaccurate, at worst its deceitful. Oh and by the way...welcome back. Thought you'd been kidnapped whilst abroad. What is your service doing putting trainee paras out on Solo response? If it went tits up then your service would be shafted.

All our solos RRVs/RFUs have to be minimum 2 years post qualified and then they have to do the solo course and driving up-date before being allowed to hit the streets.

Talking to others from around the country it seems that clinical outcomes don’t matter just so long as the response time is hit!

And as for AMPDS! Its about time that system was sorted out. At best its inaccurate, at worst its deceitful.

Oh and by the way…welcome back. Thought you’d been kidnapped whilst abroad.

]]> By: Gimlet http://diagnosisnfi.wordpress.com/2007/07/18/how-long-is-too-long/#comment-22655 Gimlet Thu, 19 Jul 2007 12:15:15 +0000 http://diagnosisnfi.wordpress.com/2007/07/18/how-long-is-too-long/#comment-22655 Just seen you've returned. Welcome back! Just seen you’ve returned. Welcome back!

]]> By: tjwood http://diagnosisnfi.wordpress.com/2007/07/18/how-long-is-too-long/#comment-22656 tjwood Wed, 18 Jul 2007 16:58:22 +0000 http://diagnosisnfi.wordpress.com/2007/07/18/how-long-is-too-long/#comment-22656 You really have to wonder what the economic savings are to having all your staff waiting around for hours for backup to arrive. Surely in the 80 minutes you were waiting for a truck, if you were instead teamed up with someone else and inside of an ambulance, you could have taken two patients to hospital...? You really have to wonder what the economic savings are to having all your staff waiting around for hours for backup to arrive.

Surely in the 80 minutes you were waiting for a truck, if you were instead teamed up with someone else and inside of an ambulance, you could have taken two patients to hospital…?

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