Cole Grant

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

[Cole Grant @colegrant]

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

[Cole Grant @colegrant]

@JessicaSpara If you are looking to specialize in remote practice and/or delivering care in under developed countries I would recommend @theCoROM MSc in Austere Critical Care. Plus it provides you a more global insight into medicine I would suspect other programs don’t have

[Cole Grant @colegrant]

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

[Cole Grant @colegrant]

@medicboogie IM Ketamine has been proven to be safe, where providers seem to drop the ball is not using any monitoring afterwards and not having basic airway gear nearby. Treat it like procedural sedation in regards to monitoring.

[Cole Grant @colegrant]

@AirwayMxAcademy @jducanto @DaveOlvera1 @airwayGladiator @JSweenen If I’m on ambulance and have a room of replacements, open
If working remotely and only have 1, closed

[Cole Grant @colegrant]

@IamJayTulk @rachelgemma90 Why phenylephrine as your vasoactive choice? I mean I love it in certain cases don’t get me wrong but I’m curious. Is it the push aspect?

[Cole Grant @colegrant]

@BDChadwick 1) Ketamine
2) Epi
3) Dexamethasone

[Cole Grant @colegrant]

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

[Cole Grant @colegrant]

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

[Aebhric O'Kelly DTN FRSM FAWM @AebhricOK]

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

[Cole Grant @colegrant]

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

[Cole Grant @colegrant]

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

[Cole Grant @colegrant]

@_JaceMullen We were taught 2.5x, enough to get there turn around go back and a little extra for good luck.

[Cole Grant @colegrant]

@expensivecare @LavergneNatalie @agwalker01 Just curious, why is magnesium sulfate only available to your flight crews and not ground MICA resources?

[Cole Grant @colegrant]

@_JaceMullen Rumour has it @Ornge was developing an insulated cover for the stretcher tray to cover the monitor/vent/pumps.

[Cole Grant @colegrant]

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.

[Cole Grant @colegrant]

Finally got the opportunity to fly on a Canadian aviation legend @KennBorekAir , next up hopefully one of their badass DC3s. #remoteparamedic #twinotter

[Adam Greene @BCEHSCCP]

A devastating reminder of the dangers of flying at night in remote locations…may we never forget.

[Jonathan Lee @ThatJonLee]

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
https://t.co/eaDeSf2eRR via @JAMANetworkOpen part of @JAMANetwork