My apologies Robbie - what is 'treat and release'?
Dave Fletcher
----- Original Message -----
From: "Robbie Coull" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Saturday, March 16, 2002 9:03 PM
Subject: Re: Re Flying Squad call
> > Paramedics in the UK are not doing RSI at the moment. Personally I don't
see
> > it necessarily as a doctor only skill... but must be done by someone
skilled
> > who can also deal with the consequences of a failed intubation. This is
when
> > it can get very stressful even for someone with grey hair like me! I had
a
> > few more grey hairs after this case.
>
> I was doing a locum in Canada for four months at the end of last year, and
> flew about one medivac a week from our small hospital to the larger centre
> across the lake in Alberta.
>
> While there is great variability in North America, the paramedics in
Alberta
> perform RSIs on anyone with significantly reduced ventilation or GCS even
> with short transport times. They were performing in excess of one a day
> each in Fort MacMurray. They could also perform chest tube insertion,
> surgical airways, treat and release and other skills that most UK
paramedics
> do not possess. They have access to far more drugs as well (eg: adenosine
> and thrombolytics).
>
> These differences are linked to the fact that UK paramedics are given a 3
> month course while those in the US and Canada have a 3 year course.
>
>
>
> Robbie Coull
>
> email: [log in to unmask] website: http://www.coull.net
>
>
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