changing gloves again, again, and again…..
and then you suddenly need the next size up because your hands are getting sweaty….
but you’re not in the back of the truck yet….
On July 24th 2010 a BBC camera crew arrived at Yorkshire Air Ambulance HQ to film the team as part of the Helicopter Heroes series.
Shortly before 7am, emergency medical dispatcher, Chris Solomons, arrived at work feeling unwell.
Chris’s colleagues assessed him and it quickly became apparent he was suffering from a massive heart attack.
Within minutes Chris had gone into cardiac arrest and his colleagues and a cameraman immediately began the battle to save his life - using CPR and an AED.
Meanwhile, the cameras stayed rolling and captured this remarkable footage.
With thanks to the BBC and Chris Solomons.
Read Chris’s full story here (x)
External Jugular Vein Cannulation
Although external jugular vein cannulation is considered a peripheral IV line, it should not be the first choice for an IV. The route to central circulation is not as direct as the antecubital vein, it is difficult to fully stabilize, and extravasation of fluids into the tissues in this area is a more serious complication than at other peripheral sites. Place the patient supine in a head down position to distend the external jugular vein. The external jugular vein begins near the angle of the mandible and extends across the sternocleidomastoid muscles. Ensure you palpate the vein to ensure there is no pulse prior to cannulating. To help prevent infection cleanse the area with an alcohol swab or other approved product in a circular motion starting from the intended puncture site and moving out. Align the cannula in the direction of the vein with the point aimed at the ipsilateral shoulder. If possible, occlude the vein by lightly pressing a finger on the vein just above the clavicle. Puncture the vein midway between the angle of the jaw and midclavicular line and watch for flashback in the catheter hub 1. Once flashback has been obtained, advance another 2 mm and continue to advance the catheter while withdrawing the needle. Apply pressure over the catheter prior to completely removing the needle or bleeding will occur. While holding the catheter in place, connect the tubing to the hub and open the roller clamp to check for flow. Secure the catheter and tubing in place.
Have any of you guys ever dared to start one of these in the field?
gif source (x)
Radio Ambulance (Maruri Grey) (by Luis CAmpoverde)
Do you guys think this warning system would work in your city?
Call I got the other day:
Pt : 52y/o, M, 200lb. No prior Hx. Hunched over stirring wheel of vehicle, barely able to unlock his door for us. Put on stretcher and into the bus. Pt. Lethargic, diaphoretic, grey skin, able to maintain good BP, no prior history of heart disease. First 12 lead ECG unremarkable (first ECG picture). Treated: NRM 15L/min O2, ASA PO, Nitro-Spray SL and Morphine IV. Four minutes into transport repeated 12 lead ECG and were to do a STEMI diversion to the local Heart Institute. Repeated 12 lead ECG in the elevator on our way to the Cath lab (second ECG pictured). Even got some show and tell pictures of pt’s before and after. Pt’s LAD was blocked 100% so they inserted a stent.
Total time between 911 call and stent insertion finished = 54 minutes! You have to love working near top notch facilities.