So there has been recent discussions of Crit Care (CC) of late, inlcuding in relation to HEMS and im just curious what people would consider a "realistic" deployment of CC. I currently utelise RRVs for my CC coverage, but would be curious as to what people would consider a realistic deployment of CC beyond the obvious HEMS units
Realistic Crit Care
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So there has been recent discussions of Crit Care (CC) of late, inlcuding in relation to HEMS and im just curious what people would consider a "realistic" deployment of CC. I currently utelise RRVs for my CC coverage, but would be curious as to what people would consider a realistic deployment of CC beyond the obvious HEMS units
CCP’s as well as some charity run services
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So there has been recent discussions of Crit Care (CC) of late, inlcuding in relation to HEMS and im just curious what people would consider a "realistic" deployment of CC. I currently utelise RRVs for my CC coverage, but would be curious as to what people would consider a realistic deployment of CC beyond the obvious HEMS units
Perhaps im going on a tangent but personally I do not train every RRV in CC as this is unrealistic. Within our Make Ready Centres there is one 1 CCP to cover the whole region, i label them differently and have custom ARRs set. Then I have an army of SRVs (Solo Response Vehicles - essentially our RRVs) utilising fleet lists to place them somewhat accurately. I send my SRVs to most C1 calls to backup crews, and often more then one on calls like Cardiac Arrest, Unconcious Child, Fall from height etc etc, I also send them on C2 calls to either speedup response times to C2s when greater then 20 mins for a DCA, or where "extra hands" i feel could be useful for the crews on calls like "Spinal injury, Traumatic Limb Amputation and many others. I also use JRUs for any call requiring police + ambo as one of the counties i cover, has three. Then I use co-responders to speed up response times to rural calls.
Then I also use the GP vehicle on a HRL at every A&E hospital (i dont simulate UTCs or hospitals without ED) to represent on call doctors. I make custom AARs for these to.
HEMS I have 2 bases, with 3 helicopters (1 with 1, 1 with 2), and then two HEMS rrvs trained in CC, and also with custom AARs. These I send to Mass Cass, Serious RTC, traumatic injuries etc
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So there has been recent discussions of Crit Care (CC) of late, inlcuding in relation to HEMS and im just curious what people would consider a "realistic" deployment of CC. I currently utelise RRVs for my CC coverage, but would be curious as to what people would consider a realistic deployment of CC beyond the obvious HEMS units
Beyond the obvious HEMS helicopter I utilise all RRV space in the HEMS stations for Critical Care Cars.
I also utilise HRLs placed randomly with the GP cars and CC training to simulate BASICS.
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Perhaps im going on a tangent but personally I do not train every RRV in CC as this is unrealistic. Within our Make Ready Centres there is one 1 CCP to cover the whole region, i label them differently and have custom ARRs set. Then I have an army of SRVs (Solo Response Vehicles - essentially our RRVs) utilising fleet lists to place them somewhat accurately. I send my SRVs to most C1 calls to backup crews, and often more then one on calls like Cardiac Arrest, Unconcious Child, Fall from height etc etc, I also send them on C2 calls to either speedup response times to C2s when greater then 20 mins for a DCA, or where "extra hands" i feel could be useful for the crews on calls like "Spinal injury, Traumatic Limb Amputation and many others. I also use JRUs for any call requiring police + ambo as one of the counties i cover, has three. Then I use co-responders to speed up response times to rural calls.
Then I also use the GP vehicle on a HRL at every A&E hospital (i dont simulate UTCs or hospitals without ED) to represent on call doctors. I make custom AARs for these to.
HEMS I have 2 bases, with 3 helicopters (1 with 1, 1 with 2), and then two HEMS rrvs trained in CC, and also with custom AARs. These I send to Mass Cass, Serious RTC, traumatic injuries etc
Yeah, that does sound quite good. Might overhaul my setup a bit then.
Beyond the obvious HEMS helicopter I utilise all RRV space in the HEMS stations for Critical Care Cars.
I also utilise HRLs placed randomly with the GP cars and CC training to simulate BASICS.
Thank you
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For realistic critical care I think there should be an additional training for Doctors for example, Doctor - Critical Care and then the original critical care training renamed Specialist Paramedic - Critical Care, this could also be used when/if HEMS gets utilised this could also be replicated the current Specialist Paramedic training with Doctor - Urgent Care and Specialist Paramedic - Urgent Care
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