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@NWAmb_Jon @RobEtall@wmasrobmoore @NWAmb_Dan @powerNHS The box size isn't relevant as far as I unnderstand, unless we're taking OTC meds from a non-pharmacy supplier (like a supermarket) in which case no box splitting. In hospital we get portions of boxes all the time. Most amb study the same. Never saw a box in LAS.
@NWAmb_Jon @RobEtall@wmasrobmoore @NWAmb_Dan @powerNHS You definitely don't legally need to carry the whole box. If you go to a pharmacy with a prescription for one vial of IV morphine that's exactly what you'll get - just one. The pharmacist can re-package the meds at point of supply.
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@jim_crawfurd@timnutbeam Size was definately decent. Other studies should suggest maybe a 10% benefit for an hour earlier ABx, but only in the severe sepsis group, not all sepsis. Agree that we shouldn't be spending too much effort on this is most "normal" settings.
@timnutbeam Trial seems unlikely to show difference when you look at how much earlier the ABx were given (not a massive difference) and the overall mortality. Be interested in the same study in a very rural setting with long pre-hosp times.
Thought this concept had been well and truly removed years ago. Looks like it's still trying to struggle on... Shock index genuinely useful. https://t.co/0Fulb7pv6H
@ClareBosanko Anyone actually tested this? Last data I remember from the military (++yrs ago) was to get dry ASAP. Warm vapour enviro't needs energy input
Although this is true, be careful to state this. It makes people stressed resulting in witholding essential treatment. #ERC17Freiburg https://t.co/nrZWdvOcG7
@prehospit_al@ClareBosanko You can, and should, try; but there's an array of reasons you won't know for sure based on ETCO2 alone. Covered in recent @PHEM_cast *cough*
@robetall@WMASLStubbs Getting at: like you said these patients can often be safely discharged as we do in WIC/GP/ED. Someone asked what feature made dc possible.