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Retrieval Medicine for Critical care Paramedic - Essay Example

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Case 2: Coordination case Name of the student Health sciences and medicine Name of the professor August 25, 2012 Case 2: Coordination Case The following assessment is related to the tasking and coordination of a physician led retrieval. Tasking and clinical coordination are vital aspects of retrieval medicine…
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Retrieval Medicine for Critical care Paramedic

Download file to see previous pages... You have the maps and communication equipment available to you to make each decision. For this submission you must: For all 4 incidents discuss key points in the allocation of physician based retrieval team resource allocation to these incidents. Include in your answer: 1. Justification for activation or non activation based on the little information you have 2. Problems that may be encountered 3. Your actions to gain a clearer picture of the incidents 4. What your team mix may be and why. Case 2: Coordination Case Introduction For health care personnel, every life is precious and worth saving. However, the reality of this field is that demand always exceeds resources. Thus, triage resource allocation skills are an important part of retrieval medicine. A successful retrieval program can significantly improve the outcomes of critically ill or injured patients and it involves tasking and clinical coordination amongst various members such as physicians, nurses and paramedics, and teams such as ICU team, ambulance crew, and helicopter retrieval team. In Australia, prehospital care and retrieval programs are an important component of emergency medical services owing to large and remote lands and distribution of population with geographical peculiarities. Thus, to provide emergency medical care, prompt communication, activation and response are performed. Organisation and functioning However, apart from the response time, another important factor in prehospital care is the skill level of the crew providing the care. Crew may consist of different combinations of the following personnel: physician, paramedic, critical care paramedic and nurses. Means of travel and transport can be air or ground. In most air retrieval programs, physician staffing is considered a standard of care (Garner, 2004). However, this opinion has been contested by Rashford & Myers (2004). Although, no difference was found in the outcomes of patients admitted during primary retrieval by an intensive care paramedic and emergency physician, it has been recommended that aeromedical retrieval should be performed by trained physicians (Cameron, Pereira, Mulcahy & Seymour, 2005). Most of the time, the information received is scarce and the coordinator has to use his own judgement in providing the response team, choose the destination hospital and activate the mode of transport. Tasking is done by a retrieval coordinator or consultant who is ideally an emergency physician with wide retrieval experience. This coordinator elicits maximum information that is possible about the site, mechanism and injuries and the patient. Ambulance services employ for triage Medical Priority Dispatch System which is an algorithm to stratify patient’s status depending upon the symptomatology (Rashford & Isoardi, 2012). The available resources are then mobilised and nearest team with the required staffing is dispatched for those in need. Maps and communication system aid in planning and organisation of the pre hospital care and retrieval. The following cases illustrate the problems that may be encountered in team allocation and response activation. Incident 1: The ambulance service has alerted you to an ongoing incident in an urban area of or your jurisdiction. Five minutes earlier multiple calls had been received regarding a motorcycle rider who had been struck at an intersection. Information you have received is that the Motor cyclist is unconscious. Information is gained about the ...Download file to see next pagesRead More
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