Wednesday, June 17, 2009

Upgraded skills of a Tasmanian Intensive Care Paramedic

Again, I previously posted (before rashly deleting the entire blog) most of the following information.

Tasmanian IC Paramedics previously did an in-house course lasting about 6 months but I recently completed an Advanced Diploma of Paramedical Science (Ambulance) over 9 1/2 months to obtain my Intensive Care qualification. I understand T.A.S. are still (maybe) planning on moving to a Graduate Diploma of Emergency Health (MICA Paramedic) through Monash University in the near future.

These are the upgraded skills of an Intensive Care Paramedic over those previously posted as Paramedic level in Tasmania (again this list is not complete but you get the idea):

12 lead ECG interpretation
Endotracheal intubation and cricothyroidotomy
-> Sedation to maintain the ET tube
Gastric intubation
Chest decompression (12g cannula)
External jugular cannulation
Intra-osseous cannulation
Synchronised cardioversion
-> Sedation for cardioversion
Enhanced pain relief (Morphine and Midazolam)
Extra cardiac drugs: Adenosine, Amiodarone, Atropine, Lignocaine, Sodium Bicarbonate
Extra IV drugs for: TCA & Psychostimulant OD's, APO, Asthma, COPD, Anaphylaxis, Vomiting, Meningococcal Septicaemia, Crush Syndrome, Organophosphate poisoning,
Full Paediatric Guidelines & Pharmacology

And just for some extra information, here is what I've heard around the station, should be coming to Tasmanian ICP's at some stage in the future, as other states already have them.
It may be years before we get some:

Rapid sequence induction (RSI)
Transcutaneous cardiac pacing
Dextrose 50% - changing to 10% for hypoglycaemia
Syringe drivers for accurate drug infusions
Amiodarone infusion for conscious VT, before Lignocaine
Magnesium for severe asthma
Intranasal Fentanyl as another option for pain relief

Til then, be safe.

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