Cole Grant

My team finally got ahold of @paswinton bags. The cognitive load reduction for pre-hospital emergency anaesthesia is remarkable! Combined with the airway bag it feels like decision to ready to go in under 10 minutes. #remoteparamedic #remotenurse #PHEA

@JessicaSpara If you are looking to specialize in remote practice and/or delivering care in under developed countries I would recommend @theCoROM MSc in Austere Critical Care. Plus it provides you a more global insight into medicine I would suspect other programs don’t have

Paramedic colleagues that have done further qualifications: what have you done? And would you recommend it? Particularly those in #criticalcare 🚑🚁🏨

Finally headed home after finishing clinical placement with @theCoROM and @BlackfireLTD in Africa! Special thanks to the local partners at Kibosho Hospital; & Dr. Mganga for supporting our education & my never ending need for 70 series Toyota Landcruisers. #criticalcareparamedic

@medicboogie IM Ketamine has been proven to be safe, where providers seem to drop the ball is not using any monitoring afterwards and not having basic airway gear nearby. Treat it like procedural sedation in regards to monitoring.

@AirwayMxAcademy @jducanto @DaveOlvera1 @airwayGladiator @JSweenen If I’m on ambulance and have a room of replacements, open If working remotely and only have 1, closed

Hey #airwaymanagers How do you start? Package open or still closed? @jducanto @DaveOlvera1 @airwayGladiator @JSweenen #iGel #airway

@IamJayTulk @rachelgemma90 Why phenylephrine as your vasoactive choice? I mean I love it in certain cases don’t get me wrong but I’m curious. Is it the push aspect?

For emergency medicine: Ketamine TXA Co-amoxiclav

@BDChadwick 1) Ketamine 2) Epi 3) Dexamethasone

This, but for Acute Medicine. If you only had access to 3 medications for the acute take, which would you choose? I'll start, choose your 3 and reply!

Our teams weekly education this week was a trauma review and a great opportunity to pass on the improvised pelvic binder! @AebhricOK would be disappointed in how low it is but we only had one pair of pants… #remotemedicine #remoteparamedic #remotenurse

In order to optimize our ability to create an adhoc remote #ICU, my team adopted the principles from @theCoROM of prolonged field care and austere emergency care in a one stop shopping cart #remoteclinic #prolongedfieldcare #canada #arctic

This is a new concept that I created to address the heat loss problem and to provide something comfortable under the casualty. I am still in the design phase. This weekend, I saw it used in action at the @theCoROM

Just finished a top tier week, in Malta, for Intensive Care for Austere & Remote Environments with providers from all around the world. Perspectives from Canada, UK, US, Ireland, Norway, Germany, South Africa, Poland, Belgium & Hungary! #criticalcare #intensivecare #paramedic

One of the many benefits of doing education overseas is learning how other providers approach common goals. The Hungarian Air Ambulance Method of pre/apnoeic oxygenation is one example! No more fighting the nasal cannula. #intubation #hems #paramedic @theCoROM

@_JaceMullen We were taught 2.5x, enough to get there turn around go back and a little extra for good luck.

Transport friends, When you are calculating oxygen consumption for a transport: what do you use as your safety factor (ie how much more oxygen do you need than you predict you'll use)? Does your program have this written as a policy or is it left to individual crew discretion?

@expensivecare @LavergneNatalie @agwalker01 Just curious, why is magnesium sulfate only available to your flight crews and not ground MICA resources?

@agwalker01 Here’s our newly jazzed-up scope of practice matrix. Available in the “further information” section of our CPG. We trust our MICA paramedics with a comprehensive, evidence based, up-to-date scope of practice.

Fantastic opportunity for Intensive Care Paramedics to join our world renowned @AmbulanceVic MICA Paramedic service. Don't worry if you don't hold the Grad Dip, we're offering to provide that with our partners at @monash_para #MICA50 #BestCare seek.com.au/job/53763378

@_JaceMullen Rumour has it @Ornge was developing an insulated cover for the stretcher tray to cover the monitor/vent/pumps.

@colegrant Yeah we use the crap out of those all year long, they're the best.

We’ve had some pretty cold days the last few days: I’d love to hear from people who regularly transport patients by aircraft in extreme cold weather on techniques or recommendations to help keep IV lines from freezing. I know someone here has this dialed

I’ve been in lots of remote clinics around the country and this is the first time I’ve seen this awesome @30secondsout mindset. Having been on both sides of the medevac phone nothing is guaranteed until help is in the room so plan as if it’s not coming.

Finally got the opportunity to fly on a Canadian aviation legend @KennBorekAir , next up hopefully one of their badass DC3s. #remoteparamedic #twinotter

A devastating reminder of the dangers of flying at night in remote locations…may we never forget.

An observational study of 1172 paediatric seizure pts in Israel (mean 4.6y/o) reported prehospital midazolam given intranasally had higher need for rescue therapy (48.5%) versus IV (31.9%) or IM (35.6%) #PEM #EMS jamanetwork.com/journals/jaman… via @JAMANetworkOpen part of @JAMANetwork