WA Radio Scanner Users' Group

Hey quick question and it sounds stupid but:

Can the sja paramedics do full intubation now ?

I just read somewhere that they dont and was under the impression that they could.

On-road Paramedics can only intubate patients who have no gag reflex. ie Patients who have arrested or massive head injuries and so forth.
Critical care paramedics (those working of R65) can perform rapid sequence intubation whereby they are able to anesthetise patients given there wider scope of clinical practice guidelines and given the appropriate drugs (propofol, suxamethonium etc) they carry. The chopper also carriers the appropriate equipment (ie ventilators and syringe drivers) to enable someone to safely remained intubated. On road ambulances simply dont have this equipment.
Hope this helps!

Cheers thanks for clearing that up !!!!

Just wondering why they dont use the critical care paramedics on the road as (MICA) paramedics as such when there doing a metro rotation seems a waste off skills thats all.

Im taking a while guess they rotate back into metro now and then

I see SJA are getting a ETT in NSW to build them a Bariatric Ambulance

Was listening to SJA for the first time in a few years the other night and heard a couple of instances when an ambulance was backed up on a priority 1 for a resusitation. Does anyone know how long ago this was introduced?

Leigh wrote:Was listening to SJA for the first time in a few years the other night and heard a couple of instances when an ambulance was backed up on a priority 1 for a resusitation. Does anyone know how long ago this was introduced?

It's been happening for as long as I can remember. It's not unusual to hear this.

I participated in a ressus at the Perth Motorplex last November - and had 2 crews respond both on a P1. However, due to the nature of the patient he didn't make it.

G

Over here it's quite usual to have a back up crew go on a priority 1 to a resus. Gets more hands there quickly to carry equipment, help with patient extrication etc.

G i think you might find that resus was Nov 2007 unless you've had another one since I've been gone. (PS to anyone who will say how will I know it was 2007 funnily enough I happened to be the other person on the responding crew with G that evening).

SJANT wrote:Over here it's quite usual to have a back up crew go on a priority 1 to a resus. Gets more hands there quickly to carry equipment, help with patient extrication etc.

G i think you might find that resus was Nov 2007 unless you've had another one since I've been gone. (PS to anyone who will say how will I know it was 2007 funnily enough I happened to be the other person on the responding crew with G that evening).

Your very right - sorry mate I was meaning 2007...

G

Amb510 wrote:Cheers thanks for clearing that up !!!!

Just wondering why they dont use the critical care paramedics on the road as (MICA) paramedics as such when there doing a metro rotation seems a waste off skills thats all.

Im taking a while guess they rotate back into metro now and then

I see SJA are getting a ETT in NSW to build them a Bariatric Ambulance

SJA do rotate their chopper medics back on road but unfortunately as you have indicated they cannot utilise thier skills and are on reduced pay during their on road stint. I personally know of a few chopper ICP who have buggered off over east as a result of this . . And good day to you all, good to be back lol

Well i guess were lucky in W.A to a point i was talking to a friend who works for a EMS provider in the states an ambulance trip with no insurance coverage will cost you about $1000 US and a trip in an EMS Helicopter will cost you $17,000 US and thats just for a local pickup and drop off.

Do patients that get picked up by rescue1 get billed at all ?

Amb510 wrote:Well i guess were lucky in W.A to a point i was talking to a friend who works for a EMS provider in the states an ambulance trip with no insurance coverage will cost you about $1000 US and a trip in an EMS Helicopter will cost you $17,000 US and thats just for a local pickup and drop off.

Do patients that get picked up by rescue1 get billed at all ?

A Friend of mine that went to the US said, usually about 5 different ambulances rock up to your house from different companys, first question asked is, have you got insurance, if the answer is no, generally most of them will turn away

AO11912 wrote:

Amb510 wrote:Well i guess were lucky in W.A to a point i was talking to a friend who works for a EMS provider in the states an ambulance trip with no insurance coverage will cost you about $1000 US and a trip in an EMS Helicopter will cost you $17,000 US and thats just for a local pickup and drop off.

Do patients that get picked up by rescue1 get billed at all ?

A Friend of mine that went to the US said, usually about 5 different ambulances rock up to your house from different companys, first question asked is, have you got insurance, if the answer is no, generally most of them will turn away

If 5 ambulances turn up and the patient is unconscious then who gets the job? or is it first dressed best served situation. I think if it was a P1 situation you may find that they are transferred anyhow and that these rules and regs would vary from state to state.

You guys really should rent the 'Mother Jug & Speed' DVD

Approx 12:45 - SJA team leader flew up Orrong Rd and FESA - Belmont Firecall - Unsure further details...

G

gkoutlis wrote:Approx 12:45 - SJA team leader flew up Orrong Rd and FESA - Belmont Firecall - Unsure further details...

G

Belmont and Welshpool FRS responded to a 2nd alarm TA around that time. No FESA vehicles there though. So the FESA vehicle may have been heading somewhere else.

observer wrote:

gkoutlis wrote:Approx 12:45 - SJA team leader flew up Orrong Rd and FESA - Belmont Firecall - Unsure further details...

G

Belmont and Welshpool FRS responded to a 2nd alarm TA around that time. No FESA vehicles there though. So the FESA vehicle may have been heading somewhere else.

Thanks mate - Pretty sure SJA team leader was off at this TA - as saw him on P1 with lights and sirens... Anyways - many thanks for letting me know...

G