Last On: 5:48AM, 9 Feb 11
Jamie Syrett
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  • Fairport, NY
  • United States
  • Physician
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Jamie Syrett's Discussions

Should Firefighters and police officers be taught Tactical Medical Procedures?
6 Replies

In my region our hospital has sponsored the teaching of our firefighters how to manage GSWs to themselves and their team members. This comes after a recent well publicized shooting of firefighters…Continue

Started this discussion. Last reply by Skip Kirkwood Apr 19, 2013.

The Curse of the Medical Doctor - Is substandard care better than no care?
4 Replies

We have started a discussion in our region about standards of care. Basically the argument goes........some areas do not have a call density that justifies permanent coverage and relies on some small…Continue

Started this discussion. Last reply by geoff.horning Jan 13, 2012.

Is a dislocated hip an ALS or BLS call?
69 Replies

Curious about this one. Elderly patient with an artificial hip. EMS present on scene with an ALS/BLS crew. Patient complains of pain. Obviously internally rotated hip. Crew decides ALS drives and BLS…Continue

Started this discussion. Last reply by Justin P Sep 16, 2012.

 

Jamie Syrett's Page

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Jamie Syrett's discussion was featured

Should Firefighters and police officers be taught Tactical Medical Procedures?

In my region our hospital has sponsored the teaching of our firefighters how to manage GSWs to themselves and their team members. This comes after a recent well publicized shooting of firefighters responding to a call. The idea is that if they are in a situation they are trapped and can't reach an EMS provider they can address immediate life threats. The question is 2 fold - should we teach it and what procedures should we teach? The current course has a 1 hour lecture and a 3 station practical…See More
Apr 22, 2013
Skip Kirkwood replied to Jamie Syrett's discussion Should Firefighters and police officers be taught Tactical Medical Procedures?
"All EMS personnel ARE taught these things.  If you know some that are not, somebody messed up.  The question was about NON-EMS personnel.  EVERYBODY should be taught self-aid and buddy aid. "
Apr 19, 2013
Devin Nemec replied to Jamie Syrett's discussion Should Firefighters and police officers be taught Tactical Medical Procedures?
"Is there any reason they shouldn't be prepared? Personally, I think it would make sense for all EMS personnel to be taught these things to. It might be common sense when your thinking about it in the break room, but when it's real and…"
Apr 11, 2013
Mike Bjarköy replied to Jamie Syrett's discussion Should Firefighters and police officers be taught Tactical Medical Procedures?
"We teach our (police) armed response units in the UK about simple trauma medicine including iGel, CATs, Celox, Israeli Dressings and approaches to trauma care under fire. Should normal cops and fire rescue personnel be taught? My gut feeling is no…"
Apr 9, 2013
Jennifer Berry replied to Jamie Syrett's discussion Should Firefighters and police officers be taught Tactical Medical Procedures?
"I agree with Skip. I think you should either do it well and consistently, or you shouldn't do it at all. This is what Gordon Graham touched on in his EMS Today closing keynote session. He used the example of a submarine fire. He said they are…"
Mar 26, 2013
Jamie Syrett's discussion was featured

Should Firefighters and police officers be taught Tactical Medical Procedures?

In my region our hospital has sponsored the teaching of our firefighters how to manage GSWs to themselves and their team members. This comes after a recent well publicized shooting of firefighters responding to a call. The idea is that if they are in a situation they are trapped and can't reach an EMS provider they can address immediate life threats. The question is 2 fold - should we teach it and what procedures should we teach? The current course has a 1 hour lecture and a 3 station practical…See More
Mar 17, 2013
Skip Kirkwood replied to Jamie Syrett's discussion Should Firefighters and police officers be taught Tactical Medical Procedures?
"Those are not "tactical" medical procedures - those are regular, ordinary, EMS scope of practice procedures that every paramedic learns in school and should refresh periodically. Anybody who wants to can and should learn…"
Mar 16, 2013
Jamie Syrett posted a discussion

Should Firefighters and police officers be taught Tactical Medical Procedures?

In my region our hospital has sponsored the teaching of our firefighters how to manage GSWs to themselves and their team members. This comes after a recent well publicized shooting of firefighters responding to a call. The idea is that if they are in a situation they are trapped and can't reach an EMS provider they can address immediate life threats. The question is 2 fold - should we teach it and what procedures should we teach? The current course has a 1 hour lecture and a 3 station practical…See More
Mar 15, 2013
Justin P replied to Jamie Syrett's discussion Is a dislocated hip an ALS or BLS call?
"Also don't forget keeping the patient warm, many times a patient with a hip fx or dislocation is either on the floor, toilet, dressed in a nightgown etc... and very prone to hypothermia, even a 1-2 degree drop in body temperature can have…"
Sep 16, 2012
Leo Robillard replied to Jamie Syrett's discussion Is a dislocated hip an ALS or BLS call?
"My EMS system advocates, this to be an ALS senario. It may start with First Responders asking for help and offering a base line, O2, and maybe a splint. When 2 EMT-Bs arrive (and reassesses) they ask for help and offer a trend in pt homeostasis…"
Sep 16, 2012
Fred Peace replied to Jamie Syrett's discussion Is a dislocated hip an ALS or BLS call?
"I agree as Brooks very eloquently pointed out sudden pain following movement (to imply inadequate mechanism for Fx) should raise suspician of dislocation. Implanted devices have earned a reputation for very easily dislocating from simple…"
Sep 15, 2012
Robert D. Watts replied to Jamie Syrett's discussion Is a dislocated hip an ALS or BLS call?
"Hello, Here in PA I would say that is a BLS event if; There are no additional signs or symptoms of injury or medical distress.  If the Pt has an open fracture, Loss of sensation or lower extremity pulses.. that could change the scenario…"
Sep 14, 2012
Justin P replied to Jamie Syrett's discussion Is a dislocated hip an ALS or BLS call?
"Thats one way to 'fix' lazy medics, make them ride all the calls :) . Although as an EMS educator I don't agree with that approach because I think that part of an EMT's professional development includes them learning how to ride…"
Sep 12, 2012
Brooks Walsh replied to Jamie Syrett's discussion Is a dislocated hip an ALS or BLS call?
"Just want to make a small point, before you put this poor soul in a collar, and start going down the trauma path. Artificial-hip dislocations are common, usually atraumatic, and do not need to be emergently reduced. Native-hip dislocations, by…"
Sep 11, 2012
Calen Edgar replied to Jamie Syrett's discussion Is a dislocated hip an ALS or BLS call?
"In my area, protocols dictate that ALS provider must be in back for all 911/ emergency calls. Only time BLS is allowed in back is on a hospital discharge or a similar situation."
Sep 11, 2012
Fred Peace replied to Jamie Syrett's discussion Is a dislocated hip an ALS or BLS call?
"Thank you Justin P,  I agree that by refusing to ride the call as a BLS provider and putting it back in the ALS providers court, your making a very strong statement and forcing them to face this as a matter of ethics that your employer has a…"
Sep 6, 2012

Profile Information

Employer/Affiliation
Physician
Primary Agency/Department Type
Volunteer Rescue Squad, Hospital
Primary Department/Agency Name
Newark Community Hospital
Years in EMS/Public Safety
15

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At 9:28pm on July 28, 2011, Michael Lee Reisman Maj-Ret RNNP said…

 My you tube

http://youtu.be/jj1H1Q31NaA

To my brother and sister medics out there. It's worth a look see the darker side of contracting overseas. One still has to do what is right

Please I'd like feedback

Major Reisman Maj-Ret RN CS FNP

 

 
 
 
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