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Medicine in Remote Areas MIRA 7-11 November 2016

This Course is designed to give you the skills and knowledge to plan for and manage emergency medical situations in remote locations. Ideally suited to any person or team wishing to undertake work in austere, remote or dangerous locations throughout the world.

View our brochure for the full information.

FPOSi - First Person on Scene

Fposi

Jet Boating Accident

A very frosty start to the waiau this morning . Plenty of flow running around 115 cumex and rising, great run up with one boat passed Gareth Munro Down stream a different kettle of fish. Big gust of wind tipped us on our side and pitched us out onto the bank, a good 4 mins went by and off we go , last boat and humming along only to come across rick johnson swimming for his life, it was then that the first aid course kicked in and rescue time in full action . Pulling rick and brent , unconscious from the cold water is a massive awakening to how brutal this sport is . Medic was called and on the scene within minutes ! Massive thankyou to the promed team. The westpac chopper was now called and made very fast time from chch. Brent was flown to chch where he is in a stable condition. 

Jetboatacc

Gateway Safety Rap Competition

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The rap/song must have a minimum of two verses and ideally a chorus and be related to what the students learned during their course

Entries will be judged on the safety message, clarity, originality and fun content

Upload your video, to be in with a chance of winning $500 ($250 for the school and $250 for the entrants)

The winners of this competition will be announced at this year CATE Conference in Tauranga

View their Facebook page

 

Questions and Answers on AED’s

Can I buy an AED from you?
Yes. We sell four brands of AEDs.

What is ventricular fibrillation?
Ventricular fibrillation is the fatal rhythm that causes sudden cardiac arrest. The heart instantly goes from a normal heart rhythm to a chaotic rhythm called ventricular fibrillation. When the heart goes into VF, the pulse and blood pressure is instantly lost and the person loses consciousness in a few seconds. The only effective treatment is an electric shock across the chest and through the heart. A shock, if delivered in time, can convert the fatal rhythm of VF back to a normal heart rhythm. An AED is a device that automatically analyses the heart’s rhythm and can deliver a shock if VF is present.

What is the relation of CPR to AED?
CPR cannot convert VF into a normal rhythm (only an electric shock can do this) but CPR can circulate a small trickle of oxygenated blood to vital organ and thus slow the dying process until an AED arrives. Thus CPR buys time until the AED arrives to deliver a shock.

How soon must I attach an AED to a person in cardiac arrest?
The sooner the better. The chances of a successful defibrillation using an AED falls by about 7% to 10% with each passing minute.

Why do I call 111 before attaching the AED?
Clearly if there are two witnesses to the cardiac arrest, one should call 111 while the other retrieves and attaches the AED. If there is only one rescuer, that person should call 111 in order to get EMS personnel responding to the scene. It is worth the extra minute to get help on the way. The emergency operator can also remind you how to use the device and even coach you through CPR if you forgot. Even if you are successful with the AED, EMS personnel will have to administer medications (to prevent a relapse into VF) and administer oxygen or even place a breathing tube down the person’s windpipe.

Will my medical insurance cover the cost of an AED?
Probably not. If your have a very specific risk of sudden cardiac arrest and it can be supported by your physician, your medical insurance company may cover the cost.

Can I purchase an AED over the counter?
Yes you can in New Zealand.

When I attach the pads to the person in cardiac arrest, how long does it take for the AED to work?
The devices vary somewhat but in general once the pads are attached, the device takes 5-10 seconds to analyze the heart’s rhythm and another few seconds to charge itself up.

If I use an AED do Good Samaritan laws cover me?
Yes, so long as you use it properly.

What is the cost of an AED?
Currently AEDs sell for $2000 to $5000.

How long do batteries last?
It varies by device but in general batteries last 2-5 years.

How long are the pads good for?
It varies by device but in general they are good for 2-5 years.

Who invented the first AED?
The first AED was invented by a Portland, Oregon surgeon, Arch Diack around 1980.

What if the AED doesn’t give a shock?
Not every cardiac arrest is caused by VF. Approximately one third of the time the heart will not be in VF and therefore the AED will not deliver a shock. In this case it will advise the rescuer to check the patient and begin CPR.

What happens if I am touching the person when the AED shocks?
Probably nothing. You may feel a slight tingle. Try to not touch the person when the shock is delivered. If you should have latex gloves available, this should also protect you even if you are touching the patients chest at the moment of shock.

What if the victim is wet or lying on a wet surface?
Try to dry the chest with a towel before applying the pads. Defibrillation is most safely performed on a dry surface. The risks to rescuers and bystanders associated with defibrillating on a wet surface have to be balanced against the risk to the patient of delaying defibrillation. If the patient cannot be safely and quickly moved to a dry surface, as far as possible all bystanders should move off the wet surface. Anyone that must be on the wet surface should avoid direct contact with the patient, and should avoid contact between their body - particularly above their waist - and the wet surface, as far as possible. Wearing latex gloves will also reduce the likelihood of the rescuer being shocked in the event the rescuer is touching the patient at the moment of defibrillation.

What if the chest is hairy and the pads won’t stick to the skin?
You might keep a disposable shaver with the AED just for this purpose.

Can the AED accidentally shock someone who doesn’t need a shock?
Not likely. The AED is designed to only shock VF. It will not shock any other heart rhythm. Nevertheless, AEDs are not perfect and in 1% of cases it may shock a rhythm other than VF. That’s why it should only be attached to a person who is unconscious and has collapsed.

What if the victim has a pacemaker?
Ignore the presence of the pacemaker.

What if the victim has an implanted defibrillator?
The AED is not needed for someone who has an implanted defibrillator. However, if the implanted defibrillator is not firing, you can consider attaching an AED (it is possible the implanted defibrillator is not working properly). The AED will not harm the implanted defibrillator.

What do I do if the AED works and the victim starts to wake up?
That’s great. Unless the person tries to sit up, place the victim on his or her side so saliva can drain out without blocking the airway.

How do I know if the shock was delivered?
Some devices say “shock delivered” but you will also know because you will see the chest’s muscular twitch in response to the electric shock.

Do I have to place the pads in the exact spot shown in the diagram?
As close as possible. When the pads are in the incorrect location the shock is less effective.

What if the woman has a bra on?
Lift the bra up over the breasts and let it bunch up around the neck, then attach the pads.

Will an AED save everyone in cardiac arrest?
No. Many factors such as whether the collapse was witnessed, the heart’s rhythm, and the underlying condition of the victim determine whether the victim lives or dies.

Ebola Virus Disease

Prevention, Treatment and Preparedness

CPR Training for Masters Games in Timaru

A featured article in the Timaru Herald with Don Gutsell and two other staff members of Pro+Med NZ providing 20 hours worth of free training for 60 games volunteers.

Cprtraining

 

In-school training provides vital first aid skills

Pro+med NZ is featured in the School News publication for being one of the training providers to provide in-school training.   See the publication here.

Health and safety requirements for sporting events

The relevant health and safety requirements are considered and planned for by the City or District Council responsible for the event, during the consent or permitting process. Organisers can contact the local council for advice or support with any issues and request that someone is available to attend event-planning meetings

Under the Health and Safety in Employment Act, employers who organise event, and self-employed event organisers, have a duty to take all practicable steps to ensure the safety of staff, volunteers, participants, and spectators at the event site.

Organisers will find detailed guidelines in the Ministry of Civil Defence & Emergency Management publication Safety Planning Guidelines for Events.

Detailed information regarding risk management planning for all sport and recreation events is available from the Sport and Recreation New Zealand website. This should be used in conjunction with the Standards New Zealand publication HB 246:2010 'Guidelines for Risk Management in Sport and Recreation'.

Hydraulic Injection - Safety Alert

Incident Date: 11th December 2013

Safety Alert Date: 16th December 2013

Location: Perth

Country: Australia

HSE Outcome: Grease Injection into small finger, surgery, hospitalisation

Equipment Involved: Hand Activated Grease Gun

Root Causes: Operator was attempting to remove hand grease gun from grease nipple after pumping several times and finding it hard. In gripping hose and manoeuvering it the hose ruptured, injecting grease into little finger.

Incident

Operator was using a hand held grease gun to lubricate various grease points ON EARTH moving plant.

Operator only felt a sharp prick to little finger and on inspection noticed a small hole. On squezing finger approximately one teaspoon of grease was ejected. N.B. – Gloves were not being used at the time.

Medical attention was sort resulting in a lengthy operation and removal of a vein in the forearm. This was replaced with an ARTIFICIAL VEIN.

At this time the operation appears succesful however constant medical monitoring and surgery care is paramount to a succesful rehabilitation.

HI

Key Safety Learning’s

  • Inspect equipment prior to use to ensure it is in sound working order with no cuts, damage.
  • Check and tighten all fittings.
  • Wear suitable protective gloves when using any equipment with stored energy potential.
  • Even relatively low pressure equipment has the potential to inflict Hydraulic Injection injury.
  • Grease gun hose was not a strengthened hydraulic pressure (woven/mesh) type but of rubberised compound only.

Liebherr would like to acknowledge and thank Jake Burley for sharing his story in the interests of safety awareness.

Liebherr wishes Jake a full and speedy recovery.

Liebherr-Australia Pty Ltd encourages the responsible distribution of this Safety Alert in the interests of best practice Occupational Health and Safety management.

G.Lenegan

HSE Advisor
Liebherr Australia Pty Ltd

 

Need medical supplies?

Pro+Med (NZ) have launched their medical supplies online shop.  You can visit www.promedsupplies.co.nz.

Promed International has been granted RTO in Australia

Promed International has been granted Australian Registration as a national registered training organisation (RTO).

'In accordance with the provisions of the National Vocational Education and Training Regulator Act 2011, your application for registraion has been granted for Promed International Pty Ltd RTO ID number 40705.   Our scope can be viewed at http://training.gov.au/Organisation/Details/40705'

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