tag:blogger.com,1999:blog-2990254441624674011.post5082693104071809698..comments2023-07-12T14:34:31.407+01:00Comments on A Life In The Day Of A Basics Doc: UnderwearRapidResponseDochttp://www.blogger.com/profile/03544668439101821499noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-2990254441624674011.post-44341131246642456842010-06-07T23:28:27.648+01:002010-06-07T23:28:27.648+01:00Very exciting, thanks for the continued writing!Very exciting, thanks for the continued writing!Internal Optimisthttps://www.blogger.com/profile/16194212321633856081noreply@blogger.comtag:blogger.com,1999:blog-2990254441624674011.post-77559761687190587512010-06-07T12:10:43.946+01:002010-06-07T12:10:43.946+01:00Hi, Chris. This WAS an RSI (rapid sequence induct...Hi, Chris. This WAS an RSI (rapid sequence induction, for non medics.) The issue here wasn't that I hadn't paralysed the patient; it was that fact that,despite paralysis, the jaw wouldn't open. I presume it was locked shut because of the trauma to the jaw when he fell face first onto the road.RapidResponseDochttps://www.blogger.com/profile/03544668439101821499noreply@blogger.comtag:blogger.com,1999:blog-2990254441624674011.post-51832030434617917792010-06-07T04:12:41.372+01:002010-06-07T04:12:41.372+01:00Was RSI not an option?Was RSI not an option?Unknownhttps://www.blogger.com/profile/00132226972120472859noreply@blogger.comtag:blogger.com,1999:blog-2990254441624674011.post-71331769110381909092010-06-04T15:54:43.385+01:002010-06-04T15:54:43.385+01:00Mrs RRD - having (as you probably know) met RRD on...Mrs RRD - having (as you probably know) met RRD on several occasions in the line of duty, I'd like to tell you that as soon as he gets on scene, the first thing he takes out the boot is his Superman underwear and cape - gets all dressed up - and then goes to work. :D<br />Doc - I've just done my first ever Needle-Chest-Decompression - and even that was enough to get the adrenaline going. You just never know when you'll meet that elusive "first time"! If it ever does happen, I'd like to be the one there to assist! <br />Keep up the good work!InsomniacMedichttps://www.blogger.com/profile/10119967573462562407noreply@blogger.comtag:blogger.com,1999:blog-2990254441624674011.post-47197289689771552462010-06-04T14:37:53.060+01:002010-06-04T14:37:53.060+01:00LOL! Mrs RRD, If he ever does please post pics! LM...LOL! Mrs RRD, If he ever does please post pics! LMAO!Anonymoushttps://www.blogger.com/profile/07669420079538929194noreply@blogger.comtag:blogger.com,1999:blog-2990254441624674011.post-35745826046838171602010-06-04T00:58:35.223+01:002010-06-04T00:58:35.223+01:00Personally, I like to think of him more as Superma...Personally, I like to think of him more as Superman rather than Batman. This is possibly because I feel Batman has an edge of darkness about him and Superman is just plain good! So far I have managed to ensure he never goes out with his underwear over his jumpsuit though!Mrs RRDhttps://www.blogger.com/profile/10140229085070463408noreply@blogger.comtag:blogger.com,1999:blog-2990254441624674011.post-77124423223695080902010-06-04T00:34:17.489+01:002010-06-04T00:34:17.489+01:00You're more than welcome Doc. Aye, it's ce...You're more than welcome Doc. Aye, it's certainly a catchy one isn't it? Cricothyroidotomy... no doubt it's even harder to perform than it is to spell!<br /><br />It does seem like tensions are rife with the majority of the incidents you attend (pun intended, haha!), so it seems like one of the main reason you guys (by which I mean BASICS doctors) are so indispensable. It still sickens me that the government would funnel £10,000 into a leadership questionnaire featuring Hitler for the Ambulance Service, but none whatsoever to something so essential to patients' safety as BASICS.<br /><br />Considering how busy it must already be as a consultant in A&E, I certainly salute your dedication to give up yet more of your time just to help people. You're a real life Batman! Albeit without the rubber costume (I hope!).Convectuosohttps://www.blogger.com/profile/03637431598078348228noreply@blogger.comtag:blogger.com,1999:blog-2990254441624674011.post-30319611311786935442010-06-03T22:44:50.965+01:002010-06-03T22:44:50.965+01:00Thank you, both of you. A tracheostomy is a surgi...Thank you, both of you. A tracheostomy is a surgical procedure, done in an operating theatre, and is indeed one in which the trachea is cut and a tube inserted. So, what's the difference between that and a cricothyroidotomy (i just love the name)? Well, in an emergency, one doesn't cut into the trachea itself, but above the trachea, between the thyroid cartilage and the cricoid ring, which is where the trachea is attached to. <br /><br />In your comment, Convectuoso, you mention my penchant for performing thoracostomies on most of my patients. Yep, too true! Mainly because, once I have intubated a critically injured patient, any positive pressure will turn a simple pneumothorax into a tension. And that can be very difficult to diagnose in the back of a fast moving ambulance. Therefore, intubation + significant trauma to the chest = thoracostomy.<br /><br />Glad you enjoy reading - I hope I continue to live up to your expectations.RapidResponseDochttps://www.blogger.com/profile/03544668439101821499noreply@blogger.comtag:blogger.com,1999:blog-2990254441624674011.post-2677546344391206252010-06-03T22:17:14.955+01:002010-06-03T22:17:14.955+01:00Ah you tease RRD, every time I think it's fina...Ah you tease RRD, every time I think it's finally going to be that time that you have to perform it the surgical airway but you're always saved at the last minute! You master of suspense you. In my layman's vagueness I always thought it was called a tracheo(s)tomy? I wonder where I got that one from.<br /><br />No thoracotomy on a tension pneumothorax this time then. I've just happily read the entirety of your blog and it seems to be something of an RRD signature procedure! And an incredibly useful one at that. Keep up the vital work.Convectuosohttps://www.blogger.com/profile/03637431598078348228noreply@blogger.comtag:blogger.com,1999:blog-2990254441624674011.post-82550235205194827902010-06-03T14:39:14.909+01:002010-06-03T14:39:14.909+01:00Loved this story, and loved that I knew what you w...Loved this story, and loved that I knew what you were talking about! Looks like I did learn something in paramedic school :-) Good writinghghttps://www.blogger.com/profile/11525392264802536526noreply@blogger.com