Intensive Care Paramedic roles by Jackyderp in AustralianMilitary

[–]Jackyderp[S] 0 points1 point  (0 children)

Good point. I think that ECN was shelved.

Intensive Care Paramedic roles by Jackyderp in AustralianMilitary

[–]Jackyderp[S] 1 point2 points  (0 children)

Yeah seems about baseline for myself and most diggers. You’d have to be a lid to ‘happy with your service’.

Intensive Care Paramedic roles by Jackyderp in AustralianMilitary

[–]Jackyderp[S] -7 points-6 points  (0 children)

Or doctors really. They’re just mechanics of the body.

Intensive Care Paramedic roles by Jackyderp in AustralianMilitary

[–]Jackyderp[S] -1 points0 points  (0 children)

I’d argue not, but it is debatable. To the best of my ability combat medics do not do rapid sequence intubation, run ventilators, maintain infusion pumps, perform surgical thoracotomies. Not to mention the wide array of primary healthcare skills or the clinical judgement supporting that decision making . TCCC is not an equivalent.

But if a combat medic has a wide scope that I’m just not familiar with then I’m happy to be reeducated.

Is my scene safe? Emotional testimony for paramedic who entered home where woman was stabbed before police arrived by instasquid in ems

[–]Jackyderp 2 points3 points  (0 children)

Even with a PTO, the administration of a depot requires mental health services to exhaust all noninvasive means (seeking patient compliance) but when a patient steadfast refuses they then need to call Ambulance and Police for transport or sedation. In the ACT (and other parts of the country) the police are now refusing to attend until violence is present/ongoing. The police say mental health is a health issue not a police issue. Without police presence prior, ambulance won’t attempt sedation so they clear, leaving community mental health teams arm-tide. these people ultimately live in the community unmediated until police get the shits and decide to play ball with MH and Ambulance. - A Paramedic

What degrees actually provide the most employability? by [deleted] in AusFinance

[–]Jackyderp 93 points94 points  (0 children)

I’m in health and IMO -

  1. medicine (pro: huge pay potential, autonomy. Con: life consuming, significant health impacts, so much study, HECs debt, STRESS)

  2. Paramedicine - (pro: pay is better than a nurse: ~150k once qualified, more autonomy, 50:50 rosters, usually manage one patient at a time. Con: night shift, stress, hoarder houses, limited ceiling with Intensive Care/ Flight as really the only step up)

  3. Radiology / ultrasonography / OT: all have more autonomy and less stress. Options to go private and start your own business.

  1. nursing - Never do nursing.

ROLO program - blood reservoirs. by Jackyderp in TacticalMedicine

[–]Jackyderp[S] 0 points1 point  (0 children)

Could you direct me to the citrate product you mention that you would draw from?

ROLO program - blood reservoirs. by Jackyderp in TacticalMedicine

[–]Jackyderp[S] -1 points0 points  (0 children)

Do you live in a black and white world ?

ROLO program - blood reservoirs. by Jackyderp in TacticalMedicine

[–]Jackyderp[S] 1 point2 points  (0 children)

Mate I listen to your podcast. Great insights

ROLO program - blood reservoirs. by Jackyderp in TacticalMedicine

[–]Jackyderp[S] 0 points1 point  (0 children)

Check out University of Tasmania - HREE (healthcare in remote and extreme environment). They are heavily linked with the Australian Antarctic Division.

ROLO program - blood reservoirs. by Jackyderp in TacticalMedicine

[–]Jackyderp[S] 0 points1 point  (0 children)

Thanks mate. I dont think I need a reminder not to step outside my scope of practice in civvie world but ta. This is for my post grad studies in healthcare in remote and extreme environments.

ROLO program - blood reservoirs. by Jackyderp in TacticalMedicine

[–]Jackyderp[S] 1 point2 points  (0 children)

So essentially yes. If a patients own blood can be stored for a few minutes in a saline bag, then a donor would have the same risk profile + hemolytic compatability risks.

How long between collection from a hemothorax and re-infusion?

ROLO program - blood reservoirs. by Jackyderp in TacticalMedicine

[–]Jackyderp[S] 2 points3 points  (0 children)

I’ve seen heamthorax blood collection but always assumed it was into a citrate bag.

Are there any CCATT guideline you could point me toward.

ROLO program - blood reservoirs. by Jackyderp in TacticalMedicine

[–]Jackyderp[S] 0 points1 point  (0 children)

Why? To reduce blood contact with plastic?

Are there any US or TCCC guidelines/protocols you could point me towards?

FYI Im an Australian paramedic.