Victoria Ambulance Case Study

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Victoria Ambulance (2013) protocols follow a similar pattern to St. John for PHM of APH. The left lateral tilt is also used, stating that this can help reduce aorta-caval compression and subsequent hypotension. The use of blankets or pillows as wedges placed under the patients right hip is encouraged to achieve a 30° tilt of the patient. If clinical signs of altered perfusion are present fluid resuscitation as per the hypovolemia section is indicated. With a BP less than 100mmHg systolic, 0.9% normal saline at 20ml/kg IV is indicated. If the BP does not improve to over 100mmHg that a second IV is inserted with repeat administration of normal saline 20ml/kg. Victoria Ambulance (2013) recommends pain relief according to their pain relief section. IV Morphine at 5mg doses every 5…show more content…
This entails the legal rights of those receiving health care. Rights five, six and seven strongly apply to the role of the paramedic. Right five is the right to effective communication, right six is the right to be fully informed and right seven is the right to make an informed choice and give informed consent. Ethically, four fundamental principles apply to paramedic practice. These address patient concerns and professional etiquette. Theses principles are benificence, nonmalifecence, autonomy and justice. Benificence is the principle of doing good for the patient. Nonmalifecence means doing no harm. Autonomy refers to a competent adult patients right to determine what happens to their own body. Justice refers to fair treatment regardless of sex, race, socioeconomic status or cultural background (Bledsoe et al., 2011). The Health Practitioners Competence Assurance Act 2003 ensures regulation of health practitioners to protect the heatlh and safety of the public. Mechanisms are put in place that ensure that practitioners are competent and fit to practice (Ministry of Health,

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