I completely agree. I meant, why is there only one team in existence? These folks are fantastic and so beneficial to have right on scene. I think there should be more teams available to respond to the different calls that come in. Sometimes, they have two calls come in around the same time. It would be great to have a team available to go to both rather than having to assess which call takes priority.
Well, the problem is just that if the patient has hyperacute injuries, as tension pneumothorax, pericardial tamponade or bilateral heamo/pneumothorax, he/she might very well be dead long before they reach a OR. However, such injuries can with relative ease be treated by a traumatologist / anesthesiologist, if noticed, on the scene.
@leegt5 my point is that by the time it takes a helicopter crew to take off, respond to the area of the incident and then land half a mile or more from the scene forcing their crew to run with all their gear through urban neighborhoods, an ambulance crew could have the patient packaged and already at or near a hospital. It just seems like to me that ambulances are waiting around just so the HEMS crew can assess the patient when the ambulance could already be at the hospital if they didn't wait.
Absolutely, until I as a paramedic can do a thoracotomy, tube thoracostomy, midaz, ket, RSI (which will be highly unlikely in the actually 1% of total ambulance jobs, incidents like this makes up. As has been said as a Paramedic I can preserve life, but these patients would be too far down the dying process by the time I get them to hospital. By having the trauma doc on scene allows us as a team to bring those additional skills to prevent deterioration and actually promote some recovery.
This case was TOTALLY different. The response time was fast and there was more coordination with the landing. I think that it is good that pre-hospital Thoracotomy is being studied because I think that rural paramedics (on the ground) need to be able to do this advanced, and last-ditch effort, because it may take well over an hour for an aircraft to arrive. If HEMS can train paramedics to do this, that other agencies in the USA and UK can as well.
@SpassMacher2000 Ive seen you in two videos so far saying the the helicopter is pointless, I realise that in America they only use it for transport.. but tthats in America. Englane operates differently, and the success rate of HEMS is high, they provide amazing and needed care where it is critical. Sometimes its beter to keep a patient on scene a little longer than to transport them straight away.
A 4 minute response from the royal London hospital in North London too south London is not at all bad!!! If they have to land 1/2 a mile way then normally there will be a police car there to pick them up! The problem ambulance crews have in london is that there are different hospitals that specialise in different things... If you have a patient in need of a major trauma centre and it's rush hour then good luck trying to get there anytime soon by road!! I've worked 2 jobs with HEMS and they are
@SpassMacher2000 The point is that the patient by the time they get to a hospital operating room it would be too late to save the patient thats why they are carried out on scene.
@SpassMacher2000 The potential for serious injury to the Heart or Lungs from being stabbed in upper body is high and may need specialist intervention on scene which only a trained trauma doctor is able to provide and thats why the helicopter would have been called.
I think you might mean a thoracotomy, and you need a Doctor to perform that, not a paramedic. Hems are the only service in the world last time I heard that perform REBOA on the street if it's essential to do so, also open heart surgery, not something a paramedic can do even if someone here keeps suggesting that you do not need a Doctor at the scene, which you definitely do for those procedures I mentioned.
Why just wear the stabwest's when going to a stabbing or a shooting, they are just as likely to be stabbed by a random person on a RTC call and a stabbing call. Propably less likely on a stabbing call, more police on scene than on a RTC.
@SpassMacher2000 HEMS Saves lives. So what if it takes longer to get them to hospial, if something happens on the road to hospital and the Paramedics do not have the knowledge, authority, or tools to fix it, well. I would and do feel a lot safer knowing that a doctor is comming to look at me on the scene to assess my movement and transportation. It makes me feel like they actually care about me, that they are not just taxiing me to a hospital.
i love the way the twat slagging off HEMS is American lol when youve done my job then tell me how to do, HEMS saves lives fact trauma deaths in the capital fell by 50% 1 year after its introduction and have declined ever since. Paramedics do a fantastic job but sometimes further assistance is needed. Its called being part of a team. Im well aware you dont have those in America :-) Thank you Mr. Expert
Show me that study you're referring to. I don't deny the fact that a helicopter is a good thing, if it provides a faster trip to the definitive level of care which for many trauma patients IS AN OPERATING ROOM AND A SURGEON. The Helo crew isn't going to do shit if you're bleeding the fuck out internally. They'll just fuck around on scene for an hour wasting time.
18% success rate in Thoracotomy by Ldn HEMS vs virtually a 0% chance of survival if taken by road for the same procedure in ED! It's why they do it!
I completely agree. I meant, why is there only one team in existence? These folks are fantastic and so beneficial to have right on scene. I think there should be more teams available to respond to the different calls that come in. Sometimes, they have two calls come in around the same time. It would be great to have a team available to go to both rather than having to assess which call takes priority.
Well, the problem is just that if the patient has hyperacute injuries, as tension pneumothorax, pericardial tamponade or bilateral heamo/pneumothorax, he/she might very well be dead long before they reach a OR. However, such injuries can with relative ease be treated by a traumatologist / anesthesiologist, if noticed, on the scene.
Why is there only one team? Seems like there should be several. Such expertise on the scene is great!
When I get older I want to be an air amblulance pilot
Four minutes from hospital to market. I could make noodles with that.
His sister is that bothered that she on her phone to her friend
@leegt5 my point is that by the time it takes a helicopter crew to take off, respond to the area of the incident and then land half a mile or more from the scene forcing their crew to run with all their gear through urban neighborhoods, an ambulance crew could have the patient packaged and already at or near a hospital. It just seems like to me that ambulances are waiting around just so the HEMS crew can assess the patient when the ambulance could already be at the hospital if they didn't wait.
Absolutely, until I as a paramedic can do a thoracotomy, tube thoracostomy, midaz, ket, RSI (which will be highly unlikely in the actually 1% of total ambulance jobs, incidents like this makes up. As has been said as a Paramedic I can preserve life, but these patients would be too far down the dying process by the time I get them to hospital. By having the trauma doc on scene allows us as a team to bring those additional skills to prevent deterioration and actually promote some recovery.
I Love the way how u speak english :D
I`m from Germany (Yes the Lena-Meyer Landrut country XD)
This case was TOTALLY different. The response time was fast and there was more coordination with the landing.
I think that it is good that pre-hospital Thoracotomy is being studied because I think that rural paramedics (on the ground) need to be able to do this advanced, and last-ditch effort, because it may take well over an hour for an aircraft to arrive. If HEMS can train paramedics to do this, that other agencies in the USA and UK can as well.
@SpassMacher2000 Ive seen you in two videos so far saying the the helicopter is pointless, I realise that in America they only use it for transport.. but tthats in America. Englane operates differently, and the success rate of HEMS is high, they provide amazing and needed care where it is critical. Sometimes its beter to keep a patient on scene a little longer than to transport them straight away.
A 4 minute response from the royal London hospital in North London too south London is not at all bad!!! If they have to land 1/2 a mile way then normally there will be a police car there to pick them up! The problem ambulance crews have in london is that there are different hospitals that specialise in different things... If you have a patient in need of a major trauma centre and it's rush hour then good luck trying to get there anytime soon by road!! I've worked 2 jobs with HEMS and they are
@leegt5 specialist intervention, yes, in a hospital operating room.
@SpassMacher2000 The point is that the patient by the time they get to a hospital operating room it would be too late to save the patient thats why they are carried out on scene.
@SpassMacher2000 The potential for serious injury to the Heart or Lungs from being stabbed in upper body is high and may need specialist intervention on scene which only a trained trauma doctor is able to provide and thats why the helicopter would have been called.
whats the name the thing were they cut u open and pump uer heart that
I think you might mean a thoracotomy, and you need a Doctor to perform that, not a paramedic. Hems are the only service in the world last time I heard that perform REBOA on the street if it's essential to do so, also open heart surgery, not something a paramedic can do even if someone here keeps suggesting that you do not need a Doctor at the scene, which you definitely do for those procedures I mentioned.
@Stephen Reeves-Brown you can't do RSI as a paramedic? What can you do then?
4.30 scarred of a needle but gets stabbed by a knife
Why just wear the stabwest's when going to a stabbing or a shooting, they are just as likely to be stabbed by a random person on a RTC call and a stabbing call. Propably less likely on a stabbing call, more police on scene than on a RTC.
having too many people on scene can be just as bad as not having enough.
@SpassMacher2000 HEMS Saves lives. So what if it takes longer to get them to hospial, if something happens on the road to hospital and the Paramedics do not have the knowledge, authority, or tools to fix it, well. I would and do feel a lot safer knowing that a doctor is comming to look at me on the scene to assess my movement and transportation. It makes me feel like they actually care about me, that they are not just taxiing me to a hospital.
Bus 23: Woman 0 referring to 8:34.
i love the way the twat slagging off HEMS is American lol when youve done my job then tell me how to do, HEMS saves lives fact trauma deaths in the capital fell by 50% 1 year after its introduction and have declined ever since. Paramedics do a fantastic job but sometimes further assistance is needed. Its called being part of a team. Im well aware you dont have those in America :-) Thank you Mr. Expert
Why kill someone that is saving your life 😀?
Show me that study you're referring to. I don't deny the fact that a helicopter is a good thing, if it provides a faster trip to the definitive level of care which for many trauma patients IS AN OPERATING ROOM AND A SURGEON. The Helo crew isn't going to do shit if you're bleeding the fuck out internally. They'll just fuck around on scene for an hour wasting time.
you obviously don't carry Tranexamic Acid then!