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27 Feb 2008, 18:59 (Ref:2139501)
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#1 | ||
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Veteran
Join Date: Sep 2003
Posts: 1,074
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NICE advice; relevant for rescue units, paramedics and medics?
All,
Have you seen the new NICE guidance on "Pre-hospital initiation of fluid replacement therapy in trauma"? Especially the very first paragraph: "IV fluid should not be administered if a radial pulse can be felt." http://www.nice.org.uk/nicemedia/pdf...ckrefguide.pdf I'd be interested in your comments. John |
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27 Feb 2008, 19:14 (Ref:2139521)
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#2 | ||
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Veteran
Join Date: May 2002
Posts: 923
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There has been a request to the MSA to look at reducing the amount of fluids a rescue unit has to carry (currently 6 litres), but have not heard what is happening.
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27 Feb 2008, 19:38 (Ref:2139541)
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#3 | ||
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Veteran
Join Date: Jan 2003
Posts: 6,124
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I think the number of patients actually given IV fluids prior to Ambulance transportation - against actual number of patients transported anyway, is probably quite low anyway.
Cannulation is probably over-done by most Ambulance Trusts as well. |
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__________________
27 Years In Orange
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27 Feb 2008, 20:48 (Ref:2139591)
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#4 | |
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Rookie
Join Date: Jan 2008
Posts: 24
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This is old news in trauma management but as always takes and age to filter down through the MSA. But certainly what is being taught on medical refreshers.
Most rescue units should now work to JRCALC guidelines up to their level of competence |
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27 Feb 2008, 22:20 (Ref:2139664)
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#5 | ||
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Veteran
Join Date: Jan 2003
Posts: 6,124
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Is the 2008 JRCALC available yet? Not seen it online anywhere.
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__________________
27 Years In Orange
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28 Feb 2008, 02:49 (Ref:2139819)
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#6 | ||
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Rookie
Join Date: Nov 2007
Posts: 26
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Next version of JRCALC is not due until 2009.
If you want the 2006 version then goto http://www.jrcalc.org.uk |
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28 Feb 2008, 08:22 (Ref:2139927)
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#7 | ||
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Veteran
Join Date: Jan 2003
Posts: 6,124
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I've got the 2006 version, just wondered if it was an annual thing.
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__________________
27 Years In Orange
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28 Feb 2008, 11:11 (Ref:2140033)
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#8 | ||
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Veteran
Join Date: Dec 2002
Posts: 3,364
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That has been the advice for some time. See, for example, a 2002 paper http://emj.bmj.com/cgi/content/full/19/6/494 (will require free registration).
Regards Jim |
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__________________
Life is not safe, just choose where you want to take the risks.
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