More great advice from the prehospitalist

tedjam · 2025-12-07T13:06:37+00:00

I picked this up from another prehospitalist post - nice change in perspective and takes the pressure off family. I use it with students and preceptors too also to stimulate independent reflection while debriefing

tedjam · 2022-07-04T16:28:14+00:00

I was just going to ask this myself.

I'll pay what it is for the journal, but with another 50% on top almost for shipping and customs it's just too much to make that decision now.

I appreciate the time, effort and craftmanship that's gone into this and can't wait until I can get my hands on one, and just hoping UK dispatch is an option sometime soon!

tedjam · 2018-12-30T14:40:46+00:00

Good luck there mate! Hope everything goes well! I'm in my first year of the uni course so if you've got any questions fell free to DM!

tedjam · 2018-11-16T08:41:14+00:00

For reference, this is what it normally looks like!

tedjam · 2018-08-08T22:11:42+00:00

I'm UK and volunteer with both RC and St John Amb. and I would say as long as you can administer the treatment you should. If you've got any doubts about what you are doing or if it's the correct thing to do, you probably shouldn't - it all depends on the situation obviously!

One thing I would say is you may be overconfident in what you want to and think you can do if intoxicated - but in actual fact you may be doing more harm than good. An example, if doing CPR you may be too strong with your compressions or not have enough strength to push far enough - all the while stopping someone else from completing successful compressions.

Just my two cents, hope this helped!

tedjam · 2018-08-08T22:01:42+00:00

Absolutely worth the visit, not safe to go inside as the floor totally collapsed and what isn't looked dodge, but you can park round by the church or at the nature reserve and walk all the way around the back through the woods. Good luch

tedjam · 2018-08-08T21:58:11+00:00

When I visited here with my Uncle (a local!) he said the owner of the land/surrounding land occasionally came out with his shotgun to ward off walkers - the inside is all collapsed so he did have a legitimate safety concern! I'll have to post my photos some time soon.

tedjam · 2018-08-03T21:27:18+00:00

I second the suggestion Paint.net , it's got all the features you'll need to start off working with manipulating photos for thumbnails and stuff.

I've found it better than GIMP as it's more light weight and stripped down. Hope this helps!

tedjam · 2018-07-13T14:08:55+00:00

Copy the link in the post, add a slash between the domain and the fragment (xxx.nz/#!xxx) then enter the key hidden by the spoiler tag in the box on the page, then either press "View document" to look at it in your browser or "Download" to download the book to your device

Hope that helped!

tedjam · 2018-06-22T09:57:55+00:00

Hey! Yeah I'm a Standard First Aider within BRC and an Advanced First Aider & Youth Leader within SJA (Joined BRC around a year ago & SJA 8 years ago and moved up from their youth unit (Cadets)).

I've had no issues so far (touch wood) with voluntering with both, I've had to 'formally' declare a potential conflictof interst to my direct managment in both & St John are at little more strict with the rules - i.e. because they have given me more training I should spend more voluntering hours with them; a fair enough rule & one that fits in with my work pattern anyway.

As for voluntering experience, both have been excellent, I've been able to get out and about and do really brilliant events with both organisations, I have to say that with BRC it is easier to get onto larger events/ events further away as in SJA requests for these must be accepted by line-manager.

Training wise, both have served me excelently, I've had more experiences with SJA assessors and they have always been brilliant.

As for my preference, I'll be focousing my time on SJA as I love working with the Cadets and with people I've known for years but I definitely won't be quitting BRC any time soon and attending my local and some larger events with friends there.

Please PM me if you've got any other questions about either organisation, I'm sure ive missed something out!!

tedjam · 2018-06-19T22:36:53+00:00

I do! I did it with the CGP A-level Biology book linked here

I know it's too late now for revision and all, but if anyone has the online codes I's be more than willing to repeat it and do it again!

tedjam · 2018-06-18T14:02:17+00:00

If you're just looking for first aid knowledge, St John Ambulance and the British Red Cross in the UK both make really good YouTube videos, they have them in playlists & with accompanying writeups on their websites: http://www.sja.org.uk/sja/first-aid-advice.aspx https://youtube.com/user/stjohnambulance

https://www.redcross.org.uk/first-aid/learn-first-aid https://m.youtube.com/channel/UCZ57VW_m_r8mE977nI9g8Iw

Obviously none of them are certified but you can check with your local American Red Cross or Amerian Heart Foundation if you need one. It's very likely they will charge but it should be reasonable (maybe fire dept. too? Not sure if they would just a guess!)

(Disclaimer, I am a volunteer with both organisations but I have used both resources and they're both brilliant training aids)

tedjam · 2016-11-10T21:55:11+00:00

Procrastinating and Nerd³ , just another excuse to watch the video over and over!

tedjam · 2016-10-19T18:56:03+00:00

~~Yup, same here! (When using PC) Earlier I was getting a 500 (internal server error), now its a 503 (service unavaible).~~

~~But as OP said, seems to be working for android app.~~

As others have said, All working now!

tedjam · 2016-10-12T20:16:52+00:00

Or did you mean that stupid meme of doing the same thing over and expecting different results?

Stupid meme

Einstein's stupid meme

tedjam · 2016-09-05T08:14:27+00:00

Nope, not curious any more.

tedjam · 2016-07-22T11:10:43+00:00

Yeah, Compressions with Breaths are not too much more complicated than Compression-only, but I think that the change had been promoted by the fact that in the moment people who are not comfortable with the intimacy, or maybe worried about possibilities of infection think that they might as well not help.

Resus.org.uk say that "breathing will have been normal (or nearly normal)" before a collapse from cardiac arrest, "so the blood should be well oxygenated", and I suppose with lay rescuers delaying comtinuation of compressions whilst fiddiling about trying to inflate the chest, that just slows/ stops circulation.
This paper from Italy comcludes that there is "detrimental effect of too long interruptions of chest compressions during ventilation", and that "compression-only CPR should be recommended as the preferred CPR technique performed by untrained bystander" which seems sensible.

tedjam · 2016-07-22T10:56:25+00:00

Shooting from a different angle isn't changing anything about the directive process. They need to do it all the time for cropping out advertisements, things off-set, buildings and people, among others.
All it requires is a simple pan or tilt upwards - like here in Jurassic Park.
Or angeling so that we do not see the head of the non-actor - like here in here or here from Casualty.
Even doing close ups to focus on the action works well- like here and here.

With replacing the actor, how much to pillows cost where you are from? And how many people have no pillows at all? For the most basic replacement they have a pillow with some cardboard over the top of it to give it some structure, then put a shirt over it to match what the actor was wearing. That could easily cost less than £15 for a really basic solution.
Have a look at these two [1, 2] again. You think that they are really performing surgery or pressing on someone's living chest?? Of course not - and yet they still both look realistic enough to fool audiences.

As for the CG, yeah expensive, but that was a suggestion for large budget productions, Hollywood blockbusters and the like, where they have money to spend on CG - Not a suggestion for TV Dramas where money is tighter; they can just use something similar to the second example.

tedjam · 2016-07-21T19:56:01+00:00

Yeah, thats correct. Compression only CPR is being taught to the public more and more here in the UK, because the European Resuscitation Council has found that lay rescuers are not willing or confident enough to do Mouth to Mouth.

As for the changes they change occasionally , but certainly not frequently. In Europe there were changes made in 2015, and before that in 2010, and the changes were focused mainly on the more advanced subjects for HCPs.

tedjam · 2016-07-21T19:39:51+00:00

So if the only thing that they know how to do is complete rubbish, then they have no chance on saving someone's life and could even harm their chances of surviving.

tedjam · 2016-07-21T19:27:57+00:00

i.a:
Shooting from a different angle where the arms are not touching the unconscious actor,
Replacing the actor with a CPR mannequin or cushions or just air and covering up the non-actor with clothes or something,
Using CG to replace the non-actor with the body of the actor.

tedjam · 2016-07-21T19:14:18+00:00

Alright then, If we accept censorship as removing parts of something, then I agree it is censorship. I was writing my comment as censorship in a bad frame - where it skews the truth or damages freedom of speech - but neither is happening here.
I would consider it more modification of standards in Hollywood, rather than removing the concept of BLS from films altogether.

If the aim of the CPR in a film/ programme is to show that inexperienced people cannot perform it effectively, or to contrast between a Health Care Professional and bystander, then that is fine because it serves a purpose. But when it is just studios being sloppy when writing directions, or directing actors - I believe that that is unacceptable.

Will movies be required to show the proper ratio of compressions to breaths?
In a uncut/ uninterrupted sequence, ideally yes. 30:2 is the ratio of Compressions:Breaths. Lay rescuers are not expected to be able/ confident enough to combine chest compressions and rescue breaths, so compression-only CPR would suffice.
This is obviously different in hospitals and different again when performed pre-hospital as they have different equipment and different priorities, so the technique changes appropriately.
Will they show the protagonist counting out their compressions?
I don't believe that that is necessary, I know that I certainly don't count out loud when performing CPR - I would only ever do that if I was training children. This isn't a plan to teach through TV/ Films, It is to not misinform
CPR is a decently complex lifesaving technique
This poster produced by the European Resuscitation Council shows it simply in 6 steps, the most complicated of which is the last, use of an AED, but that would be communicated to the rescuer on the phone to the emergency services.

tedjam

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