Jeremy,
Have you seen the King County Medic One extended skills list on their
web site ? If not I will send you a copy I have. I was quite amazed at the
extent of their education programme, eg episiotomy, RSI, pericardiocentesis
and escharotomy.
I have it in an Excel sheet, if you want it.
Ross Boardman
[log in to unmask]
Remote Support Medics Online
http://www.remotemedics.co.uk
A site for medics administered by medics.
----- Original Message -----
From: Jeremy Mayhew <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, May 04, 2000 23:05
Subject: Pre-Hosp RSI "over there"
> After a recent course and chatting to a US paramedic trainer, it became
> apparent that many US paramedics/ EMT-P are trained to a higher level than
> UK BASICS docs.
>
> RSI is taught to senior paramedics (2 years post qualification experience)
> in a 2 day course.
>
> Drugs of choice - diazepam and sux in Oregon at least
>
> Indications - this surprised me, apart from HI they have no problem in
> zapping severe respiratory distress where patient becoming exhausted,
severe
> pulmonary oedema, and even aggressive psychiatric patients!
>
> As a result a paramedic crew would expect about one RSI per month or two.
>
> Anecdotal I know, but why the shrowds of mystery in the UK where even RSI
in
> A&E is jealously guarded?
>
> No need to repeat v.helpful debate earlier about training, but would be
> interested if we could use the american experience as a catalyst to
further
> training in UK. Thoughts?
>
> Jeremy (GP/ BASICS)
>
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