Monthly Archive for November, 2006

Ambulance Technician Dispatched instead of a Paramedic

Due to my role in St. John, I have gotten to know many people that work for the NHS Ambulance Service. The same people, who turn up when you call for an ambulance. So, whats the problem?

So, you are in your living room, trip over and break your leg. You are close enough to reach the phone, so call 999. An ambulance turns up, and are let in by the neighbours. The crew are ready to help you, but you notice that thy are a Technician. Will you…
A: Let them help you?
B: Question them to when a “Paramedic” will arrive?

I know which I would Choose!

Lets start by explaining the difference between Paramedics and Technicians for those Non-Medical people (and Medical Staff!!)

Most people think of all Ambulance Crews as being Paramedics, as this is what the TV shows…In fact, less than half of the Ambulance Crews out there are Paramedics. The rest are usually Technicians. Paramedics are all Emergency Medical Technicians (EMT’s), that have undergone specialist training, which enables them to use a few more procedures, and give a few more drugs.

Due to lack of “Public Awareness”, many people think that EMT’s are not qualified more than a “First Aider”, can only administer Oxygen and drive the ambulance for the Paramedics. Infact, in most counties, the Paramedic stands back as the technician does the work. Technicians are trained in Pain Relief, Resusitation (Airway Management and Defibrillation),are able to read and understand different Vital signs and a range of drugs. This indicates that they have to make on the spot decisions…Do you think they would be allowed on the road if they weren’t qualified.

It is thought, that more than 90% of calls can be treated by an EMT without the need for a Paramedic. The 999 controllers understand which resources are needed for different jobs, so they know who to send. However, there are times when all the “Paramedic’s” are out on a call. Therefore, a Technician is dispatched to maintain life, the same as a Paramedic. If a technician arrives, it doesn’t neccessarily mean there isn’t a Paramedic coming, but the EMT could be closer, therefore able to increase the chance of survival with Early treatment.

So, I will ask the question again…Would You
A: Let them help you?
B: Question them to when a “Paramedic” will arrive?

If you chose B the first time, I hope that you answered A this time..

Take Care…

Police Station Theft

Nothing about me happened today really apart from me upgrading to Firefox 2…but I doubt you want to know that!!

So I looked around and found the following on the Yahoo UK News website, so it belongs to them, not me…

Policemen

LONDON (Reuters) - London detectives said on Wednesday they were hunting for burglars who had stolen laptops possibly containing their own pay details, along with those of some of their fellow police officers.

The crooks broke into business premises owned by LogicaCMG, the firm responsible for the Metropolitan Police’s pay and pension services, and swiped three computers containing details about thousands of the force’s staff.

Officers said the burglary, last Thursday evening, was thought to be an opportunist crime and not a targeted raid.

“A risk assessment of the data on the laptops has been conducted,” the Met Police said in a statement.

“We believe the risk of staff members falling victim to either fraudulent activity or identity theft is minimal.”

Staff were being informed and CIFAS, the fraud prevention service, was being contacted to help safeguard officers and other employees becoming victims.

One man was arrested last Friday on suspicion of burglary and has since been released on police bail.

The Met said Logica had offered its Commissioner, Sir Ian Blair, an “unreserved apology”.

Image and Text Copyright © Yahoo UK News

Take Care…

St. John Ambulance

As you all already know, I am a member of St. John Ambulance, but I know that some of you don’t understand what it is, and why I do it…So, I, like TJWood, have decided to post Why and What’s…

What is St. John Ambulance?

St. John Ambulance (SJA) is thought to be “the UK’s leading First Aid, transport and care charity”. The following is an extract form Wikipedia:

St. John Ambulance is an international charity, based in England, dedicated to the teaching and practice of medical first aid.

St. John Ambulance has over 45,000 volunteers, not only on the Medical side, but also in Admin, Support and Youth teams. Over half of the volunteers are under 26, making St. John Ambulance a major youth organisation.

St. John Ambulance are mainly known as those who provide First Aid, Ambulance and Medical cover at public events, from the London Marathon, Great North Run and major sporting or entertainment events, to local carnivals and fêtes, they are always there to provide care and save lives.

The volunteers work very closely with their local emergency services, and even provide assistance during major incidences or respond to emergency calls during busy times (only in some areas!!)

Me and St. John Ambulance

Many a year ago, when I was about 9 or 10, I took part in my first First Aid Course, at my primary school. Who would have thought that a small introduction to First Aid would get me to where I am today (and I don’t mean sitting at my Laptop).

After the school course, I became interested in keeping my skills up to date, and putting them into use…so with a friend, I joined St. John Ambulance Cadets. At first, I was still very shy, and when my friend stopped going, I like a sheep followed and also stopped.

After about 3 months, I rejoined to see if I enjoyed it, which I obviously did, as I stayed on, and took part in lots of First Aid and Care training. I went on my first duty about a year or two later. This was to Goodwood Racecourse, where I was based with Southwick Division. They taught me all about duty life and equipment. I slowly went on more and more duties, until I was going out on every duty possible! Whether it isthe Festival-Of-Speed, or a local school football match, I was there!

I later found out that I could help with the Badgers. These are the 5-10 year olds of the division, that learn how to be healthy, have fun and of course, First Aid!

I am currently wearing the Adult Uniform, and have held the Flag in St. John Ceremonies, and this year, was asked to lay the Wreath in memory of those who had so much to give for us.

I am also part of my division’s IT and Communications team, which means I and 2 others [Mr.M and Mr.B] look after all the computers, radios, websites etc…

I don’t know where I will be in the future, hopefully still in St. John…could end up saving you one day!!

There we go…A post on St. John… If you want to know more visit http://www.sja.org.uk OR ask Me!!

Take Care…

Snowed Under

It’s that time of year, that I love, but hate at the same time…It’s nearing my time of the year, where there are short, cold days. Anybody who knows me will know that I hate summer.

I realised yesterday, that I need to do a lot more work to do well in my courses. Spent most of yesterday doing a 14 page Human Geography Essay, entitled China: Changing Population Policies for a Changing Population…”. Sounds Fun, Huh?

I need to revise Operating System Fundamentals and DOS for a CISCO module tomorrow…Lucky it’s only a short section

This module will discuss the basics of the operating system. The operating system is the program that manages computer operations. This module describes the components, functions, and important terminology related to an operating system. The module focuses on the Disk Operating System (DOS). Students will learn the basics of DOS, the commands used, and the file structure. Students will also learn about memory management and the tools used to adjust and optimize memory.

I also need to finish implementing my database system on Microsoft Access for my ECDL course.

On top of these, I have plenty of things to Blog about, might just leave them!! then there is Sleeping, Eating and reading the St. John forum (Trust me, it’s very long now!!)

I must find another job too, one with decent pay (preferably involving IT or Tills, they are fun too!!)

Maybe thats why I havn’t been posting recently!

¬ < -- HeHe, I keep pressing that button...just thought you would like to know.

O yeah, I have also got to write a 4side of A4 essay, in Times New Roman size 12 for a Mr. Santa Cruz.

Take Care…

New Look

Yep, here we go… I have yet again changed the design of my blog. I decided that the last one wasn’t homely enough for me!!

I am now using a design by Jeff Malek called dark.cash. As usual, i have made some slight changes, so that it works for me!!

Let me know what you think, and improvements…

Take Care…

You know you’ve been in St John too long when…

You no longer watch sporting events to see the scores but to see how the medical crews handle the accidentsYour Hi-Viz is no longer Day-Glo yellow but faded in the sun to dishwater white

Your Christmas wish list only includes items from SJS, Britcross, SP and Laerdal catalogues

Matters of the heart refers to CPR and not romance

You put your shoes on as soon as your home phone rings

You refer to “Blues & Twos”, “999” and “Casualty” as “educational television”

You constantly criticise “999”, “Casualty” and “ER” for their shabby techniques

You enjoy wearing black trousers and white shirts

At any public event you first look for the first aiders

When you see someone else treating a casualty you look to see what they’re doing wrong

The first thing you look for in a new car is first aid kit storage space

You don’t refer to ambulance/police sirens as “sirens”, but as “Two Tones”, “Wail & Yelps” or “Wokka-Chokkas”

You refer to ambulances as “Crusaders”, “Centurions” or some other equally stupid name

Whenever you see an ambulance/police car on a “blue light run”, you comment about their inappropriate use of their sirens

You get worried that you only have 20 cigarettes for 4 hours of duty

When you run, your hand automatically goes to your waist to prevent the 27 different pouches from flapping around

You view Maglites as a gift from the Gods. You love them like your mother and even have cute little holders for them. If you get a new one you must tell, show and blind everyone you meet

You live for the day when the car you are travelling behind crashes, rolls over and bursts into flames

It upsets you to open one of your own crepe bandages

You tell funny stories from duties that no-one outside St John finds funny

You eat from the dodgy food stands that everyone else avoid because they give you a discount

You wait for someone to have an accident to relieve the boredom, then swear that they have just spoilt your meal break

Regards to Revd. Charlie Weeks-Bell who wrote this for the National Members List.

Take Care…

First Aider - to be or not to be. And your point is?

“Help, help, my son has stopped breathing,” a female Social Worker screams.[A passing postman rushes up to the son, doesn't check airway, and starts blowing air into his mouth as seen on TV.]

A school girl shouts, “Get an ambulance”, to her passing teacher talking on her mobile phone.

A road-sweeper puts their arm around the distressed mother and says: “he’ll be ok, that person is breathing for him and an ambulance is on its way”.

Who are the First Aiders here? None of them have said that they are First Aiders.

Well the first First Aider was the mother as she diagnosed lack of despiration and called for help - without her actions her son may well never recover.

The second First Aider was the postman that just started to give ‘Mouth to Mouth’. He didn’t check the airway but he is giving a form of treatment that may save the lads life.

The third First Aider was the school girl who recognised that the treatment being given required some professional assistance - and therefore shouted for an ambulance to be called.

The road-sweeper was the fourth First Aider as he was giving some sort of treatment for shock to the mother.

And the point is? Sometimes we all get carried away with ourselves. A First Aider is somebody that gives the ‘first‘ bit of assistance to a person that requires it. First Aid is the ‘first‘ initial emergency treatment. You do NOT need to be trained in ‘First Aid’ to be able to administer ‘First Aid’.

Somebody that is TRAINED in First Aid will deliver a BETTER standard of initial or first emergency treatment/care. This is recognised by the public.

Trained First

Aiders come from all types of backgrounds and employment, from the dustman, unemployed, a trained or untrained nurse, shopkeepers, doctors or school children, as examples. First Aiders can be trained by various organisations as well as SJA.

It is the training and discipline that St John Ambulance gives that makes St John Ambulance such a successful and effective organisation. It stands to reason that St John Ambulance Members are therefore BETTER First Aiders; but they are not the ONLY First Aiders.

Doctors and Nurses in St John Ambulance can be effective in delivering first aid but those who have trained in first aid will openly admit that they are BETTER and more EFFECTIVE First Aiders than those without that additional training.

A First Aid trained Doctor or Nurse is NOT a BETTER First Aider than a St John Ambulance trained lay member and most of the medical profession will admit that. They are all equal as First Aiders. However, a medically trained First Aider probably has more confidence as they do work continually with people in varying degrees of illness or injury.

Remember that a First Aider gives the initial care or treatment only.

We have to hand over our care once the initial first aid has been delivered and this is by either sending the patient home to see their GP when suitable or send them to hospital - handing over our care to the ambulance crew.

On a large Public Duty we are lucky to have Nurses, Paramedics, Technicians or Doctors on duty so that our patients can be passed over to them for ‘Second Aid’ or opinion.

For a large public duty I need a Doctor or two, I also need a few paramedics and Registered Nurses; but most importantly, I require lots of disciplined, sensible, first aid trained personnel that can initiate treatment and transfer them somehow to the waiting Health Care Professionals if required. The treatment that follows may well be performed by the first

aid trained personnel under guidance from the HCP’S.

A large duty cannot function correctly or legally without disciplined First Aiders, First Aiders with further training and crewing ambulances as well as Doctors and Nurses. It is not always a legal requirement to have Paramedics on duty but experience has taught me that it is very wise to include them.

And my point is: Will you all please stop running each other down on here. You are all valuable to SJA; we need you all; each and everyone one of you gives that individuality that organisations thrive on, HCP or non-HCP.

And finally I leave you with an open question: Does the age or length of experience have anything to do with the Forum rants of “we are better than you”?

Regards to Terry Wing who wrote this for the National Members List.

Take Care…

Rememberance Day

Today we remember the men and women who have served their country.

In 1918, on the eleventh hour, of the eleventh day in the eleventh month, the guns of the Western Front fell silent after more than four years of war.

——

They shall not grow old, as we that are left grow old:
Age shall not weary them, nor the years condemn.
At the going down of the sun and in the morning
We will remember them.

Fourth Stanza of “For the Fallen” by Laurence Binyon

Take Care…

I.C.E.

Hello There…I am feeling a lot better today. Back at 6th Form, for Geography and Computing.

Oh yes, I also passed one of the ECDL Modules!! Woooo, I am now qualified to use Microsoft Word 2003!!

OK, Now for my Plea…I know I have ratted on about this before, but I do think that it is worthwhile… Please enter I.C.E into your phone.

It is thought that 8 out of 10 people are not carrying Next of Kin information, which would help the Emergency Services greatly if you were involed in an accident.

So…How does it work?
Well, you simply store the Name and Number of someone you wish to contact in an emergency, however you should add the letters ICE in front of the name.

ICE stands for ‘In Case of Emergency’: it’s what the emergency services will look for if you’re involved in an accident and have your mobile phone with you. This straightforward idea was developed by the East Anglian Ambulance Trust and is supported by Vodafone.

What Should I do next?
Make sure the person whose name and number you are giving has agreed to be your ‘ICE partner’. You also need to make sure that this contact has a list of people to contact on your behalf (Work, College…). They also need to know any allergies and medical conditions you may have, so that this can be passed onto the Ambulance Service.

If you are under 18, your ICE partner should be your mother, father or an immediate member of your family authorised to make decisions on your behalf. Friends and other relatives are not allowed to make decisions for you if you are in hospital.

Storing an ICE number makes it easier for everyone if you’re involved in an accident. It only takes a few seconds, so do it today - please.