Outback Responders in Alice Springs, Northern Territory | Emergency rescue service

Outback Responders

Locality: Alice Springs, Northern Territory

Address: Mparntwe 0870 Alice Springs, NT, Australia

Website: https://www.outbackresponders.org

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25.01.2022 https://acls-algorithms.com/hsandts/ We have added another resource to the comment section of this post! Thanks Shane- always good to go over our bread and butter

25.01.2022 As National Reconciliation Week 2021 draws to a close, our staff from Ampe-kenhe Ahelhe (Children’s Ground Central Australia) share their thoughts on Reconcilia...tion and Reconciliation Week. At Children’s Ground, we know that reconciliation will continue to be just another word unless we all take practical steps to put it into action. Lasting change requires lasting action, beyond special days and weeks of awareness. At Children’s Ground, our staff, families and communities are taking action every day to ensure that the next generation can learn with their families, in safe environments that honour each child’s identity and wellbeing. After Reconciliation Week, what action will you take to support First Nations people and aspirations? Find out more: childrensground.org.au/get-involved #NRW2021 #MoreThanAWord

21.01.2022 Thanks Shane for sending us through this great article on syncope. I really like how this article is written, check it out https://www.resus.com.au/5-things-you-must-do-when-patien/

18.01.2022 Living and working in a place that has access to a lot of recreational trails? This can be a great app to refer to when receiving dispatch and then planning accordingly! We had a play with the free version and it seems sufficient, check it out below ... https://www.trailforks.com/apps/map/ |Helpful apps for remote practice| [Alt text: Screen grab from the Trailforks App website, the background is a blurred out person riding a bicycle, they are smiling and the text overlay on the image is in focus. This reads "trail forks app - mountain bike, hiking, moto, horseback & Ski trail maps" ]

18.01.2022 With the beginning of Pride Month intersecting with the end of National Reconciliation Week, we wanted to share this short documentary which follows the journey of Laura, a sistergirl from the remote Tiwi Islands. Sistergirl and Brotherboy are self-adopted terms used by some LGBTQIA+ Aboriginal and Torres Strait Islander people. In the top end and other northern parts of Australia, the term Sistergirl has also "replaced derogatory terms that have been historically used ...Continue reading

18.01.2022 How do we best incorporate non-traditional paramedic roles into health care delivery? At last week's ROAR conference, we were joined by an expert panel to disc...uss this question. The audio of this conversation is now freely available on Spotify, Apple and Google podcasts. Listen today at http://bit.ly/ACP-Podcasts-plus Thank you to our panellists Alecka Miles (Facilitator), Dave Anderson, Amy McCaffrey and David McLeod.

13.01.2022 | Fentanyl | Emergency Indications Pain Induction to / maintenance of anesthesia ... Sedation for pacing / cardioversion Administration IN, IM, IV, SC, transdermal, IO Pharmacodynamics Fentanyl activates opioid receptors in the nervous system (particularly Mu receptors) to produce pain relief. Fentanyl is an opioid agonist which can slow the conduction velocity of the AV node (negative dromotopic effect) & cause depression of the respiratory controls in the brain. Pharmacokinetics Fentanyl is lipid soluble, meaning that it is rapidly absorbed (this is why it can be administered via IN route). Fentanyl is metabolised by the liver & excreted mostly via the kidneys. Adverse Effects CNS: Decreased GCS, pupil constriction CV: Bradycardia, hypotension Resp: Respiratory depression (decreased respiratory rate, decreased tidal volume, decreased response to hypercapnea) GI: Nausea, vomiting Skin: Pruritis, urticaria associated with histamine release Clinical Pearls Fentanyl is considered the analgesic agent of choice in the following settings; severe headache, hypotensive pt, nauseated or vomiting pt, contraindication to morphine Fentanyl has a serotonergic action. Consider this in the context of overdose where serotonergic agent(s) are suspected (SSRI, amphetamine, MDMA etc) Fentanyl is the preferred opioid analgesic for any patient with moderate to severe renal failure (acute or chronic) as it is mainly metabolised in the liver to inactive metabolites The presence of other CNS depressants (benzodiazepines, alcohol, some hypnotic/sedative agents) can increase the risk or severity of adverse effects Wooden Chest Syndrome (sudden severe rigidity in key respiratory muscles of the chest wall, diaphragm, and upper airway) is associated with rapid IV administration of fentanyl References https://go.drugbank.com/drugs/DB00813 https://litfl.com/pharm-101-fentanyl/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6863461/ https://pubmed.ncbi.nlm.nih.gov/25860200/

12.01.2022 Reflective Practice We recently put together some resources to help graduates with their reflective practice, take a look below at some of our favourites *ACP - Tammie bullards talk on reflective practice from The Good, The Bad & The Ugly Paramedic... https://paramedics.org/courses/reflective-practice *https://www.magonlinelibrary.com//10.12/jpar.2011.3.5.255 In issue number 4 Tammie bullards has a piece on reflective practice *https://www.paramedicpractice.com//i-f-e-a-r-reflection-an *http://prehospitalresearch.eu/?p=1550 *https://youtu.be/-gbczr0lRf4

11.01.2022 A quick search can yield upwards of 50 different types of cognitive bias attributed to the medical field. Let's discuss a few specifics instances that lead to m...edical diagnostic error and thus detrimental patient treatment and outcome. COGNITIVE BIASES--> generally speaking, "systematic errors in thinking that influence decision making and judgment" . TYPES OF COGNITIVE BIAS 1. ANCHORING: rely too heavily on one piece of information or idea usually the first. Example-> patient has abdominal pain and must be biliary because I saw a stone but fail to consider the aorti aneurysm. "I made up my mind that this is the diagnosis or treatment no matter what" 2. CONFIRMATION: tendency to look for information that confirms one's preconceptions, often while dismissing information that may challenge them. Example: the radiologist read said no appendicitis despite me not looking at the film and considering the exam/labs/HPI. Its late in my shift and I don't want to make the consult. CT read confirmed. Done. 3. WISHFUL THINKING: idea that people believe in what they want to be true. This bias could cause someone to overestimate the rewards while underestimating the risks of certain decisions. 4. AVAILABILITY HEURISTIC: tendency to overestimate the likelihood of events that are more readily available in one's memories 5. IMPLICIT BIAS: refers to the attitudes or stereotypes that affect our understanding, actions, and decisions in an unconscious manner. NOTE: this is more clinical/direct patient care bias being discussed. There is also bias directly associated with research. There are also many other types of bias I did not fully cover that are more subtle. TEAM: it's an interesting topic to think and talk about. Even more crucial for us to have personal insight into our own bias while offering patient care. Please share any other Bias you believe is worth mentioning that I didn't list above. traumapro.com #physician #psychology #psych #medicine #medicalschool #pa #rn #nurse #emt #medic #ems #doctor #team #teach #learn #grow #improve #think #insight #bias #cognition #mindset #paramedic #residency #resident #student

10.01.2022 We have a new ECG Theory Workbook available. Log in at www.ambulancecpd.com to download and print off for your CPD Portfolio. A ECG Recognition Workbook is also in the works and we will update you as soon as it's out

03.01.2022 This gave us such a giggle but if you have the insight don't let your practice fall short! Search our page to see all of our posts about ECG's (https://www.facebook.com/page/534974990247143/search/?q=ECG) or head to the Australasian College of Paramedicine who have a HEAP of courses on ECG interpretation ... You got this