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Association of Ambulance Chief Executives (AACE), 2016. UK Ambulance Services Clinical Practice Guidelines 2016, Bridgwater: Class Professional Publishing
Category: Clinical
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OP Airways VS LMAs and ETI
Oropharyngeal Airway (Guedel),adjunct used to maintain a patient airway According to research by Khosraven et al (2015) one of the main disadvantages of an OP airway is that its length, shape & lack of an inflatable cuff may cause oxygen to leak, leading to less oxygen than we might hope for entering the patient’s lungs.
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Tell me about the treatment of ischaemic CVAs
This post refers to treatment in hospital and the potential for future treatment pre-hospitally. Ischaemic CVAs are usually treated with thrombolysis using IV alteplase within 4.5 hours from symptom onset and after a CT scan and diagnosis, but there are new tests and treatments coming out and many other factors to consider.
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Tell me about ischaemic CVAs
These are strokes that are caused by a blockage in the blood flow to the brain. They may be treated with thrombolysis if not contra-indicated
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Where do you insert the cannula in Needle Cricothyroidotomy?
Or:
– What are the landmarks for Needle Cricothyroidotomy (Needle Cric)?The cannula should be inserted ‘into the trachea via the cricothyroid membrane’ (Gregory & Mursell, 2010: 28).
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What is the third most common cause of adult death?
Also: What can cause adult disability?
According to Haran et al (2016), ‘Stroke is the third most common cause of death and largest cause of adult disability’
Haran et al, 2016, ‘Hyperacute stroke unit training for paramedics’, Journal of Paramedic Practice, Vol. 8. No. 10
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When do you use an NPA?
Or:
When do you use a nasopharygeal airway?
‘…in the presence of trismus, an intact gag reflex, or oral trauma’ (Gregory & Mursell, 2010: 7)
Gregory, P. and Mursell, I. (2010) Manual of Clinical Paramedic Procedures, Sussex: John Wiley & Sons
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Where are most airway obstructions?
These ‘may occur at any level from the nose to the trachea’ but are commonly found ‘at the level of the pharynx’ (Gregory & Mursell, 2010: 2)
Gregory, P. and Mursell, I. (2010) Manual of Clinical Paramedic Procedures, Sussex: John Wiley & Sons
