tag:blogger.com,1999:blog-4051283404650044746.post4363781918727719843..comments2023-07-06T15:41:13.461+01:00Comments on UK Street medic: I'm Back!machttp://www.blogger.com/profile/12224939870747906286noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-4051283404650044746.post-91514714325732574242009-01-26T00:39:00.000+00:002009-01-26T00:39:00.000+00:00We do interfacility transfers to a couple of major...We do interfacility transfers to a couple of major hospitals which have cath labs. Because our prehospital call to needle times are very good in our area we find that we have actually aborted the AMI prior to arrival at hospital (post PHT). It's down to the hospital who they transfer. With this guy I think it was really 'shit or bust', he was post arrest,still unstable and we knew very little about his medical history. Although going to a cath lab seems to be gold standard for AMI there is no evidence to suggest which is the best treatment in the VERY early stages of AMI (such as less than 3 hours). Having said that a lot more of the hospitals in our area are providing PPCi/angioplasty and we are now administering clopidogrel (plavix) prehospital for STEMI pts.machttps://www.blogger.com/profile/12224939870747906286noreply@blogger.comtag:blogger.com,1999:blog-4051283404650044746.post-18233689778055698612009-01-25T20:28:00.000+00:002009-01-25T20:28:00.000+00:00Ok, is there no procedure to transfer the patients...Ok, is there no procedure to transfer the patients to a facility with a cath lab?brendanhttps://www.blogger.com/profile/02473010719681302118noreply@blogger.comtag:blogger.com,1999:blog-4051283404650044746.post-4613695741329033862009-01-24T20:58:00.000+00:002009-01-24T20:58:00.000+00:00We do have cath labs but not at our local hospital...We do have cath labs but not at our local hospital. Cath labs are all the rage in the big cities where they have the experience and expertise at hand, obviously due to number of procedures carried outand patient volume.machttps://www.blogger.com/profile/12224939870747906286noreply@blogger.comtag:blogger.com,1999:blog-4051283404650044746.post-10486885143578732292009-01-23T21:09:00.000+00:002009-01-23T21:09:00.000+00:00Nice blog. One question I had though:In resus his...Nice blog. One question I had though:<BR/><BR/><I>In resus his 12 lead ECG showed a massive heart attack so the team decided to give him thrombolytics (clot-busting drugs). </I><BR/><BR/>On this side of the ol' pond, he would've gone straight to a cath lab after resuscitation and AMI confirmation. Is there a reason most MI patients in England seem to just get thrombolytics? <BR/><BR/>PLEASE don't tell me it's because it costs less...brendanhttps://www.blogger.com/profile/02473010719681302118noreply@blogger.comtag:blogger.com,1999:blog-4051283404650044746.post-57373607633968355612009-01-18T21:22:00.000+00:002009-01-18T21:22:00.000+00:00Cracking Job on the RTC Mac. Its not every day you...Cracking Job on the RTC Mac. Its not every day you get a good result like that one!.<BR/>Do you know if he made it to discharge?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4051283404650044746.post-81089094828009268102009-01-18T20:56:00.000+00:002009-01-18T20:56:00.000+00:00'Chest pain, it's not worth taking the chance.'Tha...'Chest pain, it's not worth taking the chance.'<BR/><BR/>That is so true. Just this week we had a cardiac arrest brought in, 50 year old male, had been to see his GP in the morning complaining of chest pains only to be told everything was fine and was sent home. A few hours later he had a massive heart attack and died.<BR/><BR/>Just makes me think about people who will waste ambulances with non-emergency calls, but then some people having a real emergency won't even pick up the phone. I've heard of people driving to hospital with life threatening problems. <BR/><BR/>Glad you had a nice christmas anyway :)Lumohttps://www.blogger.com/profile/01698491839950059507noreply@blogger.com