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Scottish Ambulance Service: Difference between revisions

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==== Critical Care ====
Scottish Ambulance Service Advanced Practitioners in Critical Care (APCC) are based at Raigmore Hospital, Newbridge Ambulance Station in Edinburgh and Glasgow Airport.<ref name=":7">{{Cite web |title=FOI 1138 Response Letter.pdf |url=https://www.whatdotheyknow.com/request/753429/response/1812612/attach/html/8/FOI%201138%20Response%20Letter.pdf.html |access-date=2022-08-31 |website=www.whatdotheyknow.com|date=8 May 2021 }}</ref> They are considered a ''Yellow level'' response in relation to the trauma network.<ref>{{Cite web |title=FOI 1138 Advanced Practitioner Critical Care Job Description.pdf |url=https://www.whatdotheyknow.com/request/753429/response/1812612/attach/html/3/FOI%201138%20Advanced%20Practitioner%20Critical%20Care%20Job%20Description.pdf.html |access-date=2022-08-31 |website=www.whatdotheyknow.com|date=8 May 2021 }}</ref> They carry injectable medications not usually availablyavailable to Scottish Ambulance Service paramedics,<ref name=":10">{{Cite web |date=2022-11-19 |title=SAS {{!}} Advanced Practitioners in Critical Care - a Freedom of Information request to Scottish Ambulance Service |url=https://www.whatdotheyknow.com/request/sas_advanced_practitioners_in_cr |access-date=2023-09-27 |website=WhatDoTheyKnow |language=en}}</ref> including:
 
* IV Ketamine, 200mg in 20ml (0.1-1mg/kg)
* IM Ketamine, 500mg in 10ml (4mg/kg of ideal body weight)
* IV Salbutamol 500mcg in 1ml (Adults; max dose 1mg, Children 2-12 years 15mcg/kg)
* IV Magnesium 5g in 10ml (Asthma: 2g, Pre/Eclampsia: 4g, toxidrome: 2g)
* IV Calcium Gluconate 10% w/v in 10ml (Toxidrome & hyperkalaemia: up to 20mls)
* IV Sodium Bicarbonate 8.4% w/v in 100ml (Toxidrome & hyperkalaemia: up to 100mls)
* IV/IM Haloperidol, 5mg in 1 ml (1.25mg to 10mg).
 
[[File:Jellyfish SAS.png|thumb|A diagrammatical representation for the prehospital elements of the Scottish trauma.|323x323px]]They can undertake a number of advanced interventions,<ref name=":10" /> including:
 
* DC cardioversion
* Cardioversion
* Transthoracic pacing
* Pacing
* Sedation
* Surgical airway
* Thoracostomy
* Termination of PEA (assuming certain criteria are met)
* Advanced clinical assessment
* Advanced decision making and management of critically unwell patients.
* Point of care ultrasound
* Paediatric intubation