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Oh I see, but I thought Jon's question was merely about standard prehospital alerts, rather than about major incidents. Anyway, am still not very impressed with the dreaded mnemonics and even more so now that I see one mnemonic is battling it out with another one! The degree of mnemonic "contrivement", and hence the degree of difficulty remembering the mnemonic, can best be gauged by how much of the mnemonic is in true acronymic form, i.e. how many of the mnemonic's letters derive from the first letter of the original phrase. In CHALETS you score 5 out of 7 (roughly) while in ETHANE you only score 2 out of 6 (but safety has been dropped, strangely, unless you tell me that M(ETHANE) stands for "my safety" which wouldn't surprise me) which to my mind makes ETHANE less memorable (albeit better ordered). Or rather, you would use so much brain power in trying to remember the intricacies of the 12 words that go up to make the 6-letter acronym, that you'd be better off just remembe! ring the basic issues from scratch. Are people who go on MIMMS courses expected to remember these conundrums or are they allowed to simply learn, comprehend and recall the underlying principles? Seriously... AF Maurice <[log in to unmask]> wrote: Adrian ETHANE is being rolled out to replace CHALET(S) and should be used in the declaration of a major incident Casualties Hazards Access Location Emergency services Type of incident Safety Exact location Type of Incident Hazards Access Number of Casualties Emergency Services The advantage in the change is that by explaining where you are and whats involved (which would you prefer, i tell you i have 200 hundred injured and eventually get to where i am and whats happened, or i tell you where i am, what has happened and i have 200 injured)? I know in the few seconds it takes to pass this information there does not appear to much of a difference, but we would not be making the change if this system did not have advantages. :-) --------------------------------- From: Accident and Emergency Academic List [mailto:[log in to unmask]] On Behalf Of Adrian Fogarty Sent: 17 January 2005 15:28 To: [log in to unmask] Subject: Re: Trauma Teams ETHANE? Let me guess, another mnemonic? Like CASMEET? A Vic <[log in to unmask]> wrote: 1/ What criteria do your ambulance service use to instigate a pre-hospital alert? (e.g. CRAMS score, mechanism of injury, gut instinct etc.) A : Ambulance Control will notify Med-ALERT Practitioner members by a group pager system between the hours of 07:00 and 23:00 hours. After 23:00 hours individual Practitioner members will be contacted by telephone. Control will request assistance on behalf of the Paramedic or Fire Officer on scene or on the basis of the initial 999 call when: A patient is suspected of a fall greater than 10 meters Multiple casualties have been reported Persons reported in non-respirable environment and are yet to be recovered Person(s) thrown by/from a vehicle. Nearest responder to life in danger Entrapment with Patient known to be injured. Loss of life of a person in the same vehicle Cas! ualties with severe burns Any other circumstance where the Controller believes the attendance of a Med-ALERT Practitioner member necessary. 2/ What communication do you generally have with them? (e.g. paramedic to nurse / doctor, ambulance control to A&E etc, radio vs phone) A: Callout The fundamental objective is to provide the Statutory Emergency Services with an Immediate Care trained Practitioner member upon request. In areas where it is not possible to provide a rota of doctors to maintain 24 hour cover the availability of the scheme member will be constrained by their other personal and professional commitments. The scheme member will however ensure that the Ambulance control is aware of their state of availability at any time. The member is responsible for ensuring that he/she carries a functioning radiopager as agreed. Med-ALERT provides a text pager that can be used for private messages as well as I! mmediate Care calls. 3/ What info do they endeavour to supply? (physiology, GCS etc.) ETHANE 4/ Who constitutes your trauma team and is it a standard response or modified depending on the information you have and / or time of day..? A: Available Immediate Care Doctor 5/ Any pearls of wisdom to share? A: Always keep your tank full and your bladder empty 6/ Finally if any one is particularly proud of the documentation they use for major trauma I'd love to see a copy if you could email it to me! A:BASICS ePRF - don't reinvent the wheel Thanks Jon Jones Acting Consulant Leeds General Infirmary -- No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.302 / Virus Database: 265.6.13 - Release Date: 16/01/2005 -- This email has been scanned prior to sending. No virus found in this outgoing message from this location. Checked by AVG Anti-Virus. Version: 7.0.302 / Virus Database: 265.6.13 - Release Date: 16/01/2005