[audio:26_MoreConference.mp3] (55:54) We talk some more about things Ron learned at the Texas EMS conference. He asks, “Doesn’t anyone know how to take a BP?” Find out what Ron’s favorite condition is, and everything you wanted to know about it.
We also discuss drawing blood on the ambulance and how hospitals feel about it. And to stir up some controversy and reflect on another EMS conference panel, we talk about paramedic initiated refusals.
I’m in training to be a paramedic in Perth, Wsestern Australia, with St Johns Ambulance. Our program seems to run very differently from yours, in that we have 6 months and 4 rounds of interviews and fitness tests to get into the program. On top of that, you cant study to be a paramedic outside of the program. The benefit is that once you are accepted, you have one year of full time university study, then you have a mixture of practical and theoretical studies over years two and three, while working full time in an ambulance as an ambulance officer, working under a paramedic. We dont have levels of EMT here, you are either a paramedic, or you arent. Technically we do have patient transport (a touch lower than EMT-B), and critical care paramedic, a fairly standard role. So at the moment I am at the end of my first year on the road, I have 18 months of university left, then a year of internship, then I will (hopefully) be a paramedic with a Bachelor’s Degree in Paramedical Sciences.
Anyway, enough blathering, my question is probably not isolated to our fair city, and it is about the handover. We supposedly follow the DeMIST procedure, which is patient details , mechanism of injury, injuries sustained, and treatment given. My problem is that I usually get about halfway through it when the triage nurse cuts me off, with a 50/50 chance of them making a bored/sarcastic comment about . What is the key to giving a good handover? How do you keep the other people interested enough to listen to the whole thing? And how the hell do you remember everything and not get lost halfway through? Have fun at the EMS conference, cant wait to hear the next update.
Simon from Australia