Medical Equipment
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Nope unfortunately I don‘t have easy access to the DIN right now. I am particularly interested in the entitlements for a UMS beyond the usual pannier set. I‘ll try my chain of command on this issue again and see if I can get any assistance. Our medical equipment state is dismal and I‘m trying to take the initiative to improve it.
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I don‘t believe there is a kit list or a "recommended" to have list anywhere in CMED. Every UMS I have been to is a little diferent, but as you know the essentials (Defibrilator, VS monitor, O2 delivery, ECG, audiogram) are usually there and brand/model is dependant on what is avail at time of delivery.
Arctic Acorn
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Hey Kendrick: That traction device looks amazing! I volunteer as a first aider with a local SAR group, and we do a lot of backcountry work here in Yellowknife...I‘m going to look into picking up one or two of those for our jump bags.
As for the O2 and Saint John training, I have my Advanced Medical First Responder 1 (AMFR-1) course through SJA, and I was trained on O2 (though I believe it was a separate endorsement). It does have a place, we‘ve found. We always try to have a bottle when we do first aid duties. It‘s the 2nd best thing for shock (prompt and effective first aid being the best, of course).
Plus, it works wonders for hangovers...err, so I hear...
As for the O2 and Saint John training, I have my Advanced Medical First Responder 1 (AMFR-1) course through SJA, and I was trained on O2 (though I believe it was a separate endorsement). It does have a place, we‘ve found. We always try to have a bottle when we do first aid duties. It‘s the 2nd best thing for shock (prompt and effective first aid being the best, of course).
Plus, it works wonders for hangovers...err, so I hear...
Colin Parkinson
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In the Coast Guard we used a similar traction device, although you have to frequently check the traction as it changes on a rough ride, also make sure the guy is a leftie or a rightie before applying traction!!
Have you guys been issued the Combi-tube? We practiced with it and liked it, but the Medical examiner hummed and hawed on it for us. Our guys have to be compatible with the local EHS,
To avoid the cost in keeping far-flung medics on ships current, they opted for the MAST pants rather than IV's. The MAST's are not well liked by the medical profession as it restricts their options on arrival to emergency, but they where better than nothing, they were recently withdrawn and we have no replacement for now (cost-cutting)
Do you guys use AED's ? This piece of kit is really nice and gives a good record of patient care. It also helps with watching vitals, which is really hard to do in a bouncing hovercraft at night.
I have to disagree with you statements about O2. Yes the valves are delicate, although there are simple ones on the market, I just used one while treating someone on an Air Canada flight, that has a protected gauge and a simple plug in for 2 or 4 LPM's
O2 will really make a difference to a patient, after bleeding it is the best thing a first responder can do for someone. COPD types are generally easy to spot (and not likely to be in the army!) I have seen some amazing turnarounds just by applying O2.
The SAR techs use a O2 bottle based on chemical oxygen, similar to the Chemox masks used (or used to be used) interesting piece of kit!
I will agree that the field dressing is truly a wonderful piece of kit and the military ones are much sought after.
Have you guys been issued the Combi-tube? We practiced with it and liked it, but the Medical examiner hummed and hawed on it for us. Our guys have to be compatible with the local EHS,
To avoid the cost in keeping far-flung medics on ships current, they opted for the MAST pants rather than IV's. The MAST's are not well liked by the medical profession as it restricts their options on arrival to emergency, but they where better than nothing, they were recently withdrawn and we have no replacement for now (cost-cutting)
Do you guys use AED's ? This piece of kit is really nice and gives a good record of patient care. It also helps with watching vitals, which is really hard to do in a bouncing hovercraft at night.
I have to disagree with you statements about O2. Yes the valves are delicate, although there are simple ones on the market, I just used one while treating someone on an Air Canada flight, that has a protected gauge and a simple plug in for 2 or 4 LPM's
O2 will really make a difference to a patient, after bleeding it is the best thing a first responder can do for someone. COPD types are generally easy to spot (and not likely to be in the army!) I have seen some amazing turnarounds just by applying O2.
The SAR techs use a O2 bottle based on chemical oxygen, similar to the Chemox masks used (or used to be used) interesting piece of kit!
I will agree that the field dressing is truly a wonderful piece of kit and the military ones are much sought after.
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Colin P.
Are you using an AED to monitor vitals, if so I‘m guessing its the pulse rate. I would strongly caution you on this as it is not accurate and can rundown your AED battery so that when you need to defibrillate someone in Vfib/Vtach you don‘t have enough juice. Most AEDs that have an ECG on an LED screen are not of good enough quality to do more than determine life threatening arrythmias.
You need a paper strip to accurately look at the things like the PR interval to make a definite assessment. If you want to monitor vitals electronically you need to get something the a Lifepak 12 that can measure Pulse Ox, ETCO2, cardiac rhythm, and bllod pressure and give you a print out.
Are you using an AED to monitor vitals, if so I‘m guessing its the pulse rate. I would strongly caution you on this as it is not accurate and can rundown your AED battery so that when you need to defibrillate someone in Vfib/Vtach you don‘t have enough juice. Most AEDs that have an ECG on an LED screen are not of good enough quality to do more than determine life threatening arrythmias.
You need a paper strip to accurately look at the things like the PR interval to make a definite assessment. If you want to monitor vitals electronically you need to get something the a Lifepak 12 that can measure Pulse Ox, ETCO2, cardiac rhythm, and bllod pressure and give you a print out.
Colin Parkinson
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Yes we do use the AED to monitor vitals ( I am no longer in the Rescue Specialist/diver role, as I am acting in another position, I make better money but I miss it) however we normally do not have to monitor for to long. The hovercraft where I worked, normally can evacuate a patient to a higher level of care within an hour. It would be nice to have dedicated equipment to monitor patients, but due to cost and the harsh marine environment we are limited. Looking after a patient in a cramped Ridged Hulled Inflatable, pounding through a dark winter's night can be challenging to say the least! The AED has been very well received and it also allows the medical board and our Instructors to examine the effectiveness of the care we give. It often takes around 4-5 years to bring new equipment online, as we are a national program, although some of the regions have R & D initiatives which allows them to try out new stuff in the field. Thanks for the response. Here is a link to our program.
http://www.pacific.ccg-gcc.gc.ca/sar/training/index_e.htm
and this link has me in my â Å“other lifeâ ? now I get to do all my diving with an ROV and sipping coffee on the surface, getting fat and lazy!
http://www.pacific.ccg-gcc.gc.ca/photos/ccgatwork/images/ccgpeople6.jpg
http://www.pacific.ccg-gcc.gc.ca/sar/training/index_e.htm
and this link has me in my â Å“other lifeâ ? now I get to do all my diving with an ROV and sipping coffee on the surface, getting fat and lazy!
http://www.pacific.ccg-gcc.gc.ca/photos/ccgatwork/images/ccgpeople6.jpg
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Colin P,
What AED units do you use?
We‘ve recently evaluated 3 brands, we went with LP12 to maintain uniformity but we (Biomed dept) preferred the zoll.
fyi
http://www.medical.philips.com/main/products/resuscitation/products/
http://www.zoll.com/EMSmseries.htm
http://www.medtronicphysiocontrol.com/products/index.cfm
What AED units do you use?
We‘ve recently evaluated 3 brands, we went with LP12 to maintain uniformity but we (Biomed dept) preferred the zoll.
fyi
http://www.medical.philips.com/main/products/resuscitation/products/
http://www.zoll.com/EMSmseries.htm
http://www.medtronicphysiocontrol.com/products/index.cfm
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A little mouse told me that the combi tubes would be coming into the system soon, but I‘m not holding my breath. A good friend of mine who‘s an EMT in Alberta says she loves them and that they‘re a far better system than OPA/NPS intubation. I can‘t say as I‘ve never used them.
As for an AED; I got the chance to play with one during a first aid lecture, and was endlessly impressed. It‘s god to be the most idiot-proof piece of kit in the world. If only all kit was that comprehensive! However, if I can‘t get an O2 bottle, I‘m not going to hold my breath about getting something THAT high speed. Then again, even if I had an AED, I don‘t know if I would take it into the field. I can‘t imagine too many defibrilations being needed amongst 16 year old infantrymen to make the purchase necessary. Oxygen, however, I could definitely see a lot of uses for.
As for an AED; I got the chance to play with one during a first aid lecture, and was endlessly impressed. It‘s god to be the most idiot-proof piece of kit in the world. If only all kit was that comprehensive! However, if I can‘t get an O2 bottle, I‘m not going to hold my breath about getting something THAT high speed. Then again, even if I had an AED, I don‘t know if I would take it into the field. I can‘t imagine too many defibrilations being needed amongst 16 year old infantrymen to make the purchase necessary. Oxygen, however, I could definitely see a lot of uses for.
Colin Parkinson
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Sdimock
We use the Powerheart AED by Cardiac Science, model 9210RD with rescue data card.
We use the Powerheart AED by Cardiac Science, model 9210RD with rescue data card.
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Combitubes are in the system in the pannier sets.
Endotracheal intubation with visualization of the vocal cords is still the gold standard for definitive airway management. A combitube is a good backup and can be used by lesser trained personnel but it is definitely not superior. It does not secure the airway as well and endotracheal drugs cannot be administered via combitube. It is mainly used as a rescue airway when using things like paralytics to intubate a patient.
Endotracheal intubation with visualization of the vocal cords is still the gold standard for definitive airway management. A combitube is a good backup and can be used by lesser trained personnel but it is definitely not superior. It does not secure the airway as well and endotracheal drugs cannot be administered via combitube. It is mainly used as a rescue airway when using things like paralytics to intubate a patient.
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heres two pieces of kit I have yet to use for real on a member of the military...
Combitubes, and AEDs
Thats not a good reason for us not to have them. Its good to know all the diffrent techniques, with its indications, and counterindications.
Its always better to plan for the worst, and hope for the best.
Combitubes, and AEDs
Thats not a good reason for us not to have them. Its good to know all the diffrent techniques, with its indications, and counterindications.
Its always better to plan for the worst, and hope for the best.
Colin Parkinson
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Does anyone know if the CF has Medic‘s/doctors attached to US?Brit units in Iraq? It would a good place to learn the latest in battlefield Medicine.
MedCorps
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We have a RAMC Major at the school in Borden right now. He has just come back from Iraq before getting "sent off" to Canada for a three year stint. Lots of advice / experience if you ever get the chance to chat with him.
Other than that... there are no CFHS pers attached to UK units in Iraq right now that I know of.
Other than that... there are no CFHS pers attached to UK units in Iraq right now that I know of.
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Colin P said:
Does your medical director not have a problem with you attaching the AED to a pt who is not VSA??? The device can be fooled (especially by motion) and you may wind up shocking a pt who is not in V-Fib/V-Tach...
Blake
medicineman
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???!!!
MM
MM
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Ive used the Asherman chest seal on shooting's, stabbings and post chest needle. It's is not a great piece of kit in practical use. On a Mannequin...sure, but not on the street in my experience.
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