Medicore Medical Services Blog

Welcome to our blog. We have set this up a way to discuss topics relating to medical topics and all things first aid. Feel free to get involved.
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Precordial Thump

thump
According to the 2010 American Heart Association guidelines: T he precordial thump should not be used for unwitnessed out-of-hospital cardiac arrest (Class III, LOE C). The precordial thump may be considered for patients with witnessed, monitored, unstable ventricular tachycardia including pulseless VT if a defibrillator is not immediately ready for use (Class IIb, LOE C), but it should not delay CPR and shock delivery. There is insufficient evidence to recommend for or against the use of the precordial thump for witnessed onset of asystole. !   Given that the American Heart Association give no direction, is this something you would consider before the arrival of an AED?
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White coat or yellow jacket syndrome


For years we have known about the effects of white coat syndrome, whereby some patients would experience increased blood pressure when  visiting their doctor. They may also feel anxious and uneasy.  As pre-hospital practitioner's are generally better known for their yellow and green jackets is this something that you have experienced in the course of your work?   If it is something you have experienced: What makes you think that your presence is making the person anxious? Are their any particular cases where you are more likely to see it? What can you do to reduce the effects?   Is it a case that " laughter is the best medicine" ?  
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Sling a thing of the past or useful bit of kit?

arm sling

We would like your opinion on this question! As I am sure you are aware, anybody who has ever completed a first aid course will have been taught how to apply a sling using a triangular bandage.  My question is this; Are slings still as relevant/useful today as they once were? Points to consider: 1. The casualty will usually place an injured arm in the most comfortable position for themselves. 2. Putting the arm in a sling will require additional movement from the position the arm is now in. Usually movement = pain!  3. Not considering remote rescue situations, does the sling offer any advantages over manual support given that generally, a hospital is relatively close by.  4. Would you have the confidence to apply a sling with only a basic first aid course done? Let us know your own thought's below!
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