@colegrant

Advanced Paramedic who prefers to practice medicine at altitude or indoors| @AMS_HQ Paramedic | MSc Student | Views are my own

 British Columbia, Canada
Joined November 2008
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  • Following278
  • Followers119
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My team finally got ahold of @paswinton bags. The cognitive load reduction for pre-hospital emergency anaesthesia is remarkable! Combined with the airway bag it feels like decision to ready to go in under 10 minutes. #remoteparamedic #remotenurse #PHEA
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Finally headed home after finishing clinical placement with @theCoROM and @BlackfireLTD in Africa! Special thanks to the local partners at Kibosho Hospital; & Dr. Mganga for supporting our education & my never ending need for 70 series Toyota Landcruisers. #criticalcareparamedic
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Our teams weekly education this week was a trauma review and a great opportunity to pass on the improvised pelvic binder! @AebhricOK would be disappointed in how low it is but we only had one pair of pants… #remotemedicine #remoteparamedic #remotenurse
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In order to optimize our ability to create an adhoc remote #ICU, my team adopted the principles from @theCoROM of prolonged field care and austere emergency care in a one stop shopping cart #remoteclinic #prolongedfieldcare #canada #arctic
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This is a new concept that I created to address the heat loss problem and to provide something comfortable under the casualty. I am still in the design phase. This weekend, I saw it used in action at the @theCoROM
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Just finished a top tier week, in Malta, for Intensive Care for Austere & Remote Environments with providers from all around the world. Perspectives from Canada, UK, US, Ireland, Norway, Germany, South Africa, Poland, Belgium & Hungary! #criticalcare #intensivecare #paramedic
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One of the many benefits of doing education overseas is learning how other providers approach common goals. The Hungarian Air Ambulance Method of pre/apnoeic oxygenation is one example! No more fighting the nasal cannula. #intubation #hems #paramedic @theCoROM
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I’ve been in lots of remote clinics around the country and this is the first time I’ve seen this awesome @30secondsout mindset. Having been on both sides of the medevac phone nothing is guaranteed until help is in the room so plan as if it’s not coming.
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Finally got the opportunity to fly on a Canadian aviation legend @KennBorekAir , next up hopefully one of their badass DC3s. #remoteparamedic #twinotter
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Cole Grant retweeted
Adam Greene@BCEHSCCP31 May 2023
A devastating reminder of the dangers of flying at night in remote locations…may we never forget.
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An observational study of 1172 paediatric seizure pts in Israel (mean 4.6y/o) reported prehospital midazolam given intranasally had higher need for rescue therapy (48.5%) versus IV (31.9%) or IM (35.6%) #PEM #EMS jamanetwork.com/journals/jam… via @JAMANetworkOpen part of @JAMANetwork

Assessment of First-line Therapy With Midazolam for Prehospital Seizures in Children

This cohort study assesses the effectiveness of midazolam treatment in terminating pediatric seizures in the prehospital setting.

jamanetwork.com
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If your flight suit isn’t held together with sutures do you even fly bro?
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Replying to @cliffreid
So prehospital medicine shouldn't be viewed as a hobby or side-gig but a specialized and nuanced role. Can we add IFT to this too?
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BCEHS #air #ambulance #paramedics are making a difference to patient care in northern BC. Learn how the #Prince George air ambulance is helping rural communities. princegeorgecitizen.com/loca… @PGCitizen #PatientCare #Critical care paramedics

Prince George helicopter bringing the hospital to northern B.C. patients

Dedicated rotary medevac service spawns local critical care paramedic training program

princegeorgecitizen.com
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13/n One quote stood out to me: "Ambulance PCRs should be a chapter in the record of a patient journey not a seperate book."
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Replying to @jducanto @marioalrb84_a @emcrit @gueromedico @ResusOnTheRoad @DrJeffJarvis @jarrodmosier
James, I use a pressure infuser, small storage cube, lightweight, infinity adjustable.
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Paramedics need to be at the patient. If they can't operate safely in a tech rescue environment, equip & train until they can. If they're not physically fit, implement standards. If they don't know rescue medicine, give them the knowledge.
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The lesser known side of #Northern retrieval is the 16+ hour ground responses to provide remote #BC residents with access to #CriticalCare. #HEMS
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Cole Grant retweeted
Ornge@Ornge11 Jan 2022
Working in an aeromedical environment can be challenging at the best of times. Add extreme temperatures like -37C in northern Ontario and new challenges emerge such as frozen stethoscopes! We’re grateful to our staff and northern partners for the work you do for your patients.
Paramedic holding a frozen stethoscope

ALT Paramedic holding a frozen stethoscope

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Don't let anyone tell you that #wildmed doesn't exist in HEMS. NSW CCPs are trained as remote area operators, and are self sustaining for 24 hours in remote and austere environments.
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