In article <[log in to unmask]>, [log in to unmask] writes
>Can anyone help with this please?
>
>During the summer we ran a number of 'advanced First Aid courses for outdoor
>leaders, hill walkers etc. and considerable time was spent explaining use of
>prescribed epi~pens in anaphalaxis. Two or three days after one such course an
>outdoor activity centre leader experienced one of his group in severe
>anaphalactic shock after a sting. This being the first such event for the
>patient, she did not have any remedial medication. The patient subsequently
>went into respiratory arrest. Because of the terrain and remoteness of the
>situation, rescue took over an hour. Subsequent investigation has shown that
>this is not an isolated incident, and we now have about 12 centres in wales
>asking for training in dealing with such emergencies and asking if they can be
>trained and issued with epi~pens.
just an idea: have you considered implementation using mobile phone
access to a medical centre ?
ie: train people to do the task, but make administration of the drug
dependant on medical authorization via phone.
>
>Our issuing pharmacy would have no problem issuing adrenaline as long as the
>protocols taught were watertight and approved by a doctor, but our own medical
>advisor has a Health Service position and feels that her bosses would frown on
>her underwriting training outside the normal First Aid / Ambulance field.
for those not working in the field avoiding the sins of commission is
easier than taking responsibility for the sins of ommission.
> We
>have the Occupational Health departments of two Health Authorities looking in
>to how such teaching could be arranged, but after several months we have had
>no formal answer.
par for the course
--
chris taylor,frcs cd a&e queen marys sidcup, kent, UK
"I am dying with the help of too many physicians." Alexander the Great
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|