Irish EMS

maglite

I'm looking to find out if DFB, HSE, and the Vols use stay and play aproach or the scoop and run??

I'll make the assumption that the hse my be able to call out aditional help if need

But would the Vols call the HSE for help or would that be against their principles??


With Thanks

Tango Alpha 51

It all depends on what the nature of the call is & what injuries the patient(s) have whether or not the load & go or stay & play is adopted. In relation to the vols, they are only first aiders & whilst I personally have no problem with them transporting minor injuries, they should at the very least call for HSE/DFB backup if their dealing with something more serious (the only exception to this would be if they had an off duty paramedic/advanced paramedic or a doctor on board). I know that there is new protocols out where you need to have at least an EMT or above on the ambulance before a vol/private ambulance operator can transport a spinal patient along with other scenarios. At the end of the day, everyone has to defer to the higher trained clinician. And just for the record, I am a paramedic with the HSE National Ambulance Service

Fyr.Fytr

It depends on the situation and what is wrong with the patient

Generally if they're unstable or critical then load and go, stable or potentially unstable its your choice

Vol's are to transport minor injuries and anything more give ambulance control a call and explain the situation and what skills crew have, distance to a&e and so on and theyll eighter say fire away or hang on for their crew or maybe meet halfway etc

They're are rules in some orgs that cardiac cases are not to be transported without expressed consent from relevant ambulance control


The main thing is every situation is unique. Patients complaint, condition, environmental conditions, history of onset of illness or injury and so on, so you cant blatantly say yes or no its up to the crew on scene at the time really

!!!!!conor!!!!!

Transport according to CUPS category

Critical, Unstable, Potentially unstable, Stable

For adults C and U are load and go whereas P and S would be stay and play

For paeds C, U and P are load and go and S is stay and play.

As said before vols cannot transport cardiac arrests unless informed to do so by ambulance control.

Casualties who are U will usually be transported by vols after informing control and forwarding an ASHICE report to A & E, sometimes the vol amb will meet the HSE ambulance on the way to hospital to pick upan emt or to switch the cas to the HSE ambulance altogether.

maglite

Thanks That clears it up alot,


Another question can HSE/DFB treat and discharge or do they need ot go to A+E,

Take the example of a V+D drunk where only drink is involved assuming the drunk has a support person willing to take charge,

Lacerations that do not require stiches, that sort of thing..