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Ambulance: Naloxone in Cardiac Arrest

Written by RSS Poster Medic Scribe

 

Case # 1

You find the fifty year old man supine on the floor with the fire department doing CPR. Their AED announces, “No shock advised. Continue CPR.”

You set your monitor by the man’s head and connect the fire department’s pads to your monitor, while your paramedic student quickly places an IO in the man’s tibia. As you approach the two minute mark, you charge the monitor, and then order stop CPR. The patient is in asystole. “Continue CPR,” you say, as you harmlessly dump the charge by hitting the joule button.

Just then the man’s wife announces, “Oh, my God! He was using heroin.” She holds the empty bags she has just found in the trash can. “He used to use. He’s been clean for five years.”

What drug do you give?

***

Epinephrine.

According to the 2010 AHA Guidelines

There is no data to support the use of specific antidotes in the setting of cardiac arrest due to opioid overdose.

Resuscitation from cardiac arrest should follow standard BLS and ACLS algorithms

Naloxone has no role in the...

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Fire: Why Building Insurers Are Excited About Smart Water Mist Sprinklers

Written by RSS Poster PlumisAutomist


There are an estimated 365,000 residential fires each year in the United States alone. Of which, approximately 180,000 starts in the kitchen. The average cost is $45,000 leading to an economic cost of at least $7 billion. Multiple residencies such as student housing, retirement homes, shared accommodation and flats with communal kitchens are all high-risk categories and increasing concerns for property owners and insurance companies alike.

Automist, a new smart water mist sprinkler system, has the advantage of being designed to be compatible with the majority of building layouts and ease of retrofit without major disruption. When installed in the course of a major refurbishment project, the advantage is twofold: disruption is minimised, and volume pricing offers exceptional value.

A common concern to all building insurers and insurance holders alike is the requirement to meet standard regulations and fire safety laws. Automist Smartscan is the only product of its kind that has been...

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Fire: HARTLEPOOL -1954

Written by RSS Poster LONDON FIRE JOURNAL
Photo: Hartlepool Borough Council

``The Match Factory fire began in the late afternoon on August 30th, 1954. It showed as a column of black smoke gushing from the north corner of the roof,took hold and continued late into the night gutting the building. On a lighter note it is said that the insurance company when viewing the claims is reported to have said that the girls who worked there must have been the best dressed in the country. ''

- Hartlepool History Then and Now 


Fire: Smokers warned of fire risks from e-cigarettes

Written by RSS Poster Merseyside Fire & Rescue Service - Latest News
Smokers warned of fire risks from e-cigarettes


Police: The Same But Different

Written by RSS Poster Mental Health Cop

Norman Lamb MP wrote to his local police force recently, asking about those kinds of cases I’ve been banging on for years now: people being held in custody for hours and hours, if not days and days, following their arrest for an alleged offence but whilst awaiting admission to hospital under the Mental Health Act 1983. The BBC covered this sort of thing last week, following the release of data by the National Police Chiefs’ Council and Mr Lamb’s contact with Norfolk Police led to some data for his local area.

Two things struck me —

  1. 68hrs is quite a short period of time compared to some of the examples we’ve seen in recent weeks. The NPCC data made reference to a child being detained for 5 days and to an adult being detained for 6 days, so less than 3 days makes me think some people got off quite lightly!
  2. The Medical Director of the Norfolk and Suffolk NHS Foundation Trust gave a response to the media that made me wonder whether a) someone else who didn’t understand the problem wrote a press release that went out...

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Police: A Copper’s Year (2017)

Written by RSS Poster policecommander

December. A month when people seem to write lists.

So here’s one of mine:

Ten Coppering Reflections on the year gone by.

(1) Policing under Strain

I’ve said it before and it bears repeating… These are the most challenging times for policing in this country since the end of the Second World War.

Growing demand. Growing complexity. Rising crime. Falling officer numbers. Growing pressure. Growing scrutiny. The complex consequences of austerity.

And more to come.

There is a difference between a saving and a cut – and I know many more good police officers working under significantly more strain than at any previous point in my career.

And still they keep on saving lives and seeking the lost; still they keep on comforting the broken and protecting the vulnerable; still they keep on confronting the dangerous and, just sometimes, risking it all.

I remain more proud than I can possibly say to count myself amongst them.

I work with heroes.

(2) The Shadows of Terror

Westminster Bridge. London Bridge. Borough Market....

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Police: From Criminal Minds to criminology to Crimestoppers: Katrine’s experience

Written by RSS Poster Crimestoppers

Katrine, student placement volunteer

My name’s Katrine, and I’m a on a student placement at Crimestoppers. I’m originally from Norway. The winters in northern Norway are quite different to those here in England. What Brits call cold, we call summer – and what they call dark, we call cosy.

One key element to surviving a northern winter is binge-watching television shows. We snuggle up on the sofa with a blanket and a nice cup of tea to watch television programmes for days. My favourites are crime dramas.

From Criminal Minds to criminology

Growing up in my small town, I watched a lot of a particular programme – CBS’s Criminal Minds. The show follows FBI profilers in their mission to catch the most twisted and horrifying criminals in the US. Part of me wondered if criminals like these existed in real life. After some research, I discovered that some of the episodes were based on real-life crimes and criminals. I was fascinated, and I was eager to learn why some people commit unspeakable crimes...

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Fire: Sunderland House Fire - TWFRS Chief Fire Officer, Chris Lowther, praises brave firefighters

Written by RSS Poster Tyne and Wear Fire and Rescue
Chris Lowther, Chief Fire Officer, Tyne and Wear Fire and Rescue Service, spoke out today to recognise the professionalism and bravery of the fire crews who attended the house fire in Sunderland on Tuesday morning (December 12th) where an 18-month old boy was rescued. “When our firefighters attend a house fire, they often don't know what challenges they might face until they arrive on scene. As well as tackling the fire itself, their first priority is to ensure the safety and welfare of everyone involved. On Tuesday, crews from Marley Park, Sunderland Central and Farringdon showed true dedication when rescuing 18-month old Miles McBurnie from the smoke and flames. Once the little boy had been rescued by Marley Park's Blue Watch, it was clear that he was suffering from smoke inhalation, so the crew performed CPR until the paramedics arrived to take him to hospital. We understand he is recovering and our thoughts remain with his family and we...

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Police: BENCH GOT IT WRONG

Written by RSS Poster The Justice of the Peace
I suppose upon some reflection that I have commented here when it has seemed apposite on sentences being too weak rather than the reverse.  Today I find myself in the opposite corner. Curfew is a useful sentence because it is a deprivation of liberty and can be applied immediately upon a finding of guilt without the need to have a pre sentence report.  For those reasons it is essential that the bench takes on an inquisitorial role to ensure that the punishment fits the crime and the offender fits the punishment.  At least that is the way in which I personally approached such a disposal. For a bench to impose a curfew on a grandmother of previous good character who deprived the DHSS of £12,500, a relatively small amount for an offence  in such circumstances, is a disgrace. The report does not state under which section of the law she was charged.  If defence lawyer did not immediately appeal against sentence she ought to be ashamed as should the bench for the imposition of a sentence which was totally unsuitable in the circumstances.


Fire: Appeal for information after suspected arson in Bootle

Written by RSS Poster Merseyside Fire & Rescue Service - Latest News
Appeal for information after suspected arson in Bootle



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Emergency Shorts:
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