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Mercia Accident Rescue Service
Mercia Accident Rescue Service (or MARS) is a BASICS affiliated charity operation based on providing a fast-response, advanced medical team to back up the emergency services of the English counties of Herefordshire and Worcestershire. The charity aims to provide an organisational framework within which practitioners can be properly trained and equipped to provide prehospital care, its work is supported by local fundraising: https://www.herefordtimes.com/news/10642134.mercia-accident-rescue-service-mars-raising-money-for-ultrasound-machine-to-be-used-at-accident-scenes-across-herefordshire/. MARS is staffed by a team of 11 doctors and two advanced clinical practitioners. MARS responders assist at serious incidents such as road traffic collisions, industrial accidents, drownings, assaults, and critically unwell medical patients. Equipment Carried The typical equipment carried by a MARS responder includes: *Basic, intermediate and advanced airway: OP, NP, iGel, COETT, Surgica ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
British Association Of Immediate Care
British may refer to: Peoples, culture, and language * British people, nationals or natives of the United Kingdom, British Overseas Territories, and Crown Dependencies. ** Britishness, the British identity and common culture * British English, the English language as spoken and written in the United Kingdom or, more broadly, throughout the British Isles * Celtic Britons, an ancient ethno-linguistic group * Brittonic languages, a branch of the Insular Celtic language family (formerly called British) ** Common Brittonic, an ancient language Other uses *'' Brit(ish)'', a 2018 memoir by Afua Hirsch *People or things associated with: ** Great Britain, an island ** United Kingdom, a sovereign state ** Kingdom of Great Britain (1707–1800) ** United Kingdom of Great Britain and Ireland (1801–1922) See also * Terminology of the British Isles * Alternative names for the British * English (other) * Britannic (other) * British Isles * Brit (other) * Briton ( ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Thoracostomy
A thoracostomy is a small incision of the chest wall, with maintenance of the opening for drainage. It is most commonly used for the treatment of a pneumothorax. This is performed by physicians, paramedics, and nurses usually via needle thoracostomy or an incision into the chest wall with the insertion of a thoracostomy tube (chest tube) or with a hemostat and the provider's finger (finger thorocostomy), A thoracostomy is often confused with thoracotomy, which is a larger incision commonly used to gain access to organs within the chest. Medical uses When air, blood, or other fluids accumulate in the pleural cavity it may be drained by thoracostomy. Whereas air in this space (pneumothorax) may be released by needle thoracostomy, other substances require drainage with a thoracostomy tube. Contra-indications There are no absolute contraindications to thoracostomy. There are relative contraindications (such as coagulopathies); however, in an emergency setting these are outwei ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Midlands Air Ambulance
The Midlands Air Ambulance Charity (MAAC), formerly County Air Ambulance, is a charity operating a Helicopter Emergency Medical Service (HEMS) in Gloucestershire, Herefordshire, Shropshire, Staffordshire, Worcestershire and the West Midlands. It operates three aircraft. History The Midlands Air Ambulance was first registered as a charity in 1990, and started using the County Air Ambulance name in 1993. The role of the charity is the provision of HEMS in the Midland counties of England. It also provides secondary support to neighbouring counties. It responds to 2,000 potentially life saving missions every year. At launch, the charity operated a single helicopter based at Halfpenny Green Airport and, at its peak, had grown to operating three aircraft covering across 12 counties of England and Wales. The reduction in areas covered began in 2006 and was largely due to other air ambulance charities setting up or expanding and to consolidation of West Midlands Ambulance Servic ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
West Midlands Ambulance Service
The West Midlands Ambulance Service University NHS Foundation Trust (WMAS) is responsible for providing NHS ambulance services within the West Midlands region of England. It is one of ten ambulance trusts providing England with emergency medical services, and is part of the National Health Service. The West Midlands Ambulance Service University NHS Foundation Trust (WMAS) provides a 999 emergency medical response service for the counties of Herefordshire, Shropshire, Staffordshire, Warwickshire, Worcestershire, the seven boroughs of the West Midlands metropolitan county and combined authority area: Birmingham, Coventry, Dudley, Sandwell, Solihull, Walsall and Wolverhampton, and the unitary authorities of Stoke-on-Trent and Telford & Wrekin. The trust also provides non-emergency patient transport services in Birmingham, the Black Country, Arden, Cheshire and the Wirral. The contract for Worcestershire, which had been run by the ambulance service for 30 years, ended in Marc ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Sedation
Sedation is the reduction of irritability or agitation by administration of sedative drugs, generally to facilitate a medical procedure or diagnostic procedure. Examples of drugs which can be used for sedation include isoflurane, diethyl ether, propofol, etomidate, ketamine, pentobarbital, lorazepam and midazolam. Medical uses Sedation is typically used in minor surgical procedures such as endoscopy, vasectomy, or dentistry and for reconstructive surgery, some cosmetic surgeries, removal of wisdom teeth, or for high-anxiety patients. Sedation methods in dentistry include inhalation sedation (using nitrous oxide), oral sedation, and intravenous (IV) sedation. Inhalation sedation is also sometimes referred to as ''relative analgesia''. Sedation is also used extensively in the intensive care unit so that patients who are being ventilated tolerate having an endotracheal tube in their trachea. It can also be used during a long term brain EEG to help patient relax. Risks T ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
SpO2
Oxygen saturation is the fraction of oxygen-saturated hemoglobin relative to total hemoglobin (unsaturated + saturated) in the blood. The human body requires and regulates a very precise and specific balance of oxygen in the blood. Normal arterial blood oxygen saturation levels in humans are 97–100 percent. If the level is below 90 percent, it is considered low and called hypoxemia. Arterial blood oxygen levels below 80 percent may compromise organ function, such as the brain and heart, and should be promptly addressed. Continued low oxygen levels may lead to respiratory or cardiac arrest. Oxygen therapy may be used to assist in raising blood oxygen levels. Oxygenation occurs when oxygen molecules () enter the tissues of the body. For example, blood is oxygenated in the lungs, where oxygen molecules travel from the air and into the blood. Oxygenation is commonly used to refer to medical oxygen saturation. Definition In medicine, oxygen saturation, commonly referred to as "s ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Amputation
Amputation is the removal of a limb by trauma, medical illness, or surgery. As a surgical measure, it is used to control pain or a disease process in the affected limb, such as malignancy or gangrene. In some cases, it is carried out on individuals as a preventive surgery for such problems. A special case is that of congenital amputation, a congenital disorder, where fetal limbs have been cut off by constrictive bands. In some countries, amputation is currently used to punish people who commit crimes. Amputation has also been used as a tactic in war and acts of terrorism; it may also occur as a war injury. In some cultures and religions, minor amputations or mutilations are considered a ritual accomplishment. When done by a person, the person executing the amputation is an amputator. The oldest evidence of this practice comes from a skeleton found buried in Liang Tebo cave, East Kalimantan, Indonesian Borneo dating back to at least 31,000 years ago, where it was done ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Thoracotomy
A thoracotomy is a surgical procedure to gain access into the pleural space of the chest. It is performed by surgeons (emergency physicians or paramedics under certain circumstances) to gain access to the thoracic organs, most commonly the heart, the lungs, or the esophagus, or for access to the thoracic aorta or the anterior spine (the latter may be necessary to access tumors in the spine). A thoracotomy is the first step in thoracic surgeries including lobectomy or pneumonectomy for lung cancer or to gain thoracic access in major trauma. Approaches There are many different surgical approaches to performing a thoracotomy. Some common forms of thoracotomies include: * Median sternotomy provides wide access to the mediastinum and is the incision of choice for most open-heart surgery and access to the anterior mediastinum * Posterolateral thoracotomy is an incision through an intercostal space on the back, and is often widened with rib spreaders. It is a very common approa ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Intraosseous Infusion
Intraosseous infusion (IO) is the process of injecting medications, fluids, or blood products directly into the marrow of a bone; this provides a non-collapsible entry point into the systemic venous system. The intraosseous infusion technique is used to provide fluids and medication when intravenous access is not available or not feasible. Intraosseous infusions allow for the administered medications and fluids to go directly into the vascular system. The IO route of fluid and medication administration is an alternative to the preferred intravascular route when the latter cannot be established in a timely manner in emergent situations. Intraosseous infusions are used when people have compromised intravenous access and need immediate delivery of life-saving fluids and medications. Background The use of the IV route to administer fluids has been around since the 1830s, and, in 1922, Cecil K. Drinker et al. saw that bone, specifically the sternum, could also be used as a route of ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
British Association For Immediate Care
The British Association for Immediate Care (BASICS) is an organisation which has the stated aim to encourage and aid the formation and extension of immediate care schemes. The ''British Association for Immediate Care'' was founded as a charity in 1977 and combines bringing people together who have an interest in pre-hospital immediate care with supporting and promoting regional and local immediate care schemes across the UK. The organisation relies on volunteer medical professionals to provide healthcare assistance in support of the emergency services. It is registered as a charity. History The British Association of Immediate Care Schemes was established in June 1977. Kenneth Easton, a General Practitioner, was the first chairman of the organisation. Initially it was formed from the existing schemes. The organisation then offered individual membership to doctors that had an interest in immediate care, such as those working in General Practice, Surgery, Medicine, Emergency M ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
End Tidal CO2
Capnography is the monitoring of the concentration or partial pressure of carbon dioxide () in the respiratory gases. Its main development has been as a monitoring tool for use during anesthesia and intensive care. It is usually presented as a graph of (measured in kilopascals, "kPa" or millimeters of mercury, "mmHg") plotted against time, or, less commonly, but more usefully, expired volume (known as volumetric capnography). The plot may also show the inspired , which is of interest when rebreathing systems are being used. When the measurement is taken at the end of a breath (exhaling), it is called "end tidal" (PETCO2). The capnogram is a direct monitor of the inhaled and exhaled concentration or partial pressure of , and an indirect monitor of the partial pressure in the arterial blood. In healthy individuals, the difference between arterial blood and expired gas partial pressures is very small (normal difference 4-5 mmHg). In the presence of most forms of lung disease, a ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Surgical Airway Management
Surgical airway management (bronchotomy or laryngotomy) is the medical procedure ensuring an open airway between a patient’s lungs and the outside world. Surgical methods for airway management rely on making a surgical incision below the glottis in order to achieve direct access to the lower respiratory tract, bypassing the upper respiratory tract. Surgical airway management is often performed as a last resort in cases where orotracheal and nasotracheal intubation are impossible or contraindicated. Surgical airway management is also used when a person will need a mechanical ventilator for a longer period. The surgical creation of a permanent opening in the larynx is referred to as laryngostomy. Surgical airway management is a primary consideration in anaesthesia, emergency medicine and intensive care medicine. Surgical methods for airway management include cricothyrotomy and tracheostomy History Asclepiades of Bithynia is credited with being the first person who proposed bron ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
