Posted by: medicblog999 | February 13, 2009

If time heals…?

I can’t take credit for this one but thought I was too good not to share!

Seen on a notice board at one of my neighbouring stations:

“If time heals all wounds, why do we have to get there in 8 mins?”

Made me laugh!

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Responses

  1. The 8 minute culture throws up some silly instances.

    I attended a “CVA” as a Community First Responder today. I gave O2 but that was all I could do. Luckily it appears that the emergency was actially a TIA.

    Waiting for my professional colleagues, I was amazed to see a minibus with blue lights approaching.

    All control had available to send was a Patient Transport vehicle and crew. A Community Paramedic was also on his way, but he arrived later. Remember, as far as Control was concerned it was a CVA.

    Neither of these resources arrived within 8 minutes, but my arrival had stopped the clock. (It also stops the clock with a diabetic in hypoglycaemia, even though I have nothing with which to treat the condition.)

    However, in the case of a CVA, is a patient transport minibus really appropriate?

    • I know it seems crazy, the clock does stop with you, but the service will also have to send a response which in this case was the PTS crew. Now, even though you are trained to a higher level than a PTS crew, they are still classed as the services response (albeit in a first response role). The Community Paramedic is obviously who you want on scene but again, without a fully manned 2 person ambulance, the patient still cant go anywhere. I dont know how it works in your area, but in NEAS if a PTS vehicle attends as a first response, they cannot transport the patient, even if a Rapid Response paramedic arrives and is willing to travel with the patient in the PTS vehicle to hospital.
      It all seems barmy, but I guess if you are out in the sticks, if your closest station crew is out on a job then there is going to be a long wait for a crew, and the service has to do the best they can with the resources available. Thats why community first responders are so important.

  2. I’m hardly in the sticks! I have about 50,000 people in my CFR area – and we’re rarely asked to travel more than three miles. We’re also close (<10 miles) to two medium sized cities. (Sorry to be so obscure but I don’t want to identify myself too much; the Trust probably wouldn’t like it.)

    At best we have one crew and one CP to serve the area. Two or three incidents at once and cover has to travel.

    I have no objection to the clock stopping when I arrive on scene, PROVIDED THAT I CAN ASSIST.

    In the case of angina, MI or even an arrest, I can do something to prevent deterioration. Likewise with DIB, epilepsy and panic attacks (though I wish we could still use paper bags for hyperventilating patients).

    For a hypo I can do nothing, even if glucogel/hypostop is available. (Well, I can give them milk – I’m not supposed to give Lucosade. I have “prescribed” Cadbury’s Chocolate Buttons, and full-fat Coke, but don’t tell anyone!) However, the patient’s workmate, with 5 minutes training, can give it.

    It’s surreal.


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