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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 > > =========================================================================== > ## #### #### ## ## ### ### > ## ## ## ## ## ## ## ## ## > ## ## ## ## ## ## ## ## ## > ## ## ## ## ## ## ## ## ## > #### #### #### ###### ## ## ## 123.COM > > The world's first fully automated locum messaging service. > > http://www.locum123.com > =========================================================================== >