Amy Gomes (Craike)

I cannot even believe that I am saying this.... but I am almost SOLD OUT of my first book order! I am so grateful ❤️ If you are keen for a copy, please pre-order (via onelittleheart.com.au ). Books arriving in Sept. Half way to an AED being donated! ❤️

Excited to announce the pre-order of my kid’s book about #Paramedics. - Educational, incl practice 000 audio; - Linked book reading with @GregPage_Yellow and Auslan component; - Raising money for Heart of the Nation; - AED/CPR awareness. Www.onelittleheart.com.au

Dr @alaanibrahim (#PEM Director of Training) opened #PARAPEM20 this morning and is now finishing off by explaining paediatric rash recognition. Teaching #paramedics about skin rash classifications; what is a dangerous rash?

Dr Dan Bodnar reminds us, “cool the burn, warm the patient”. Large study showed cooling burn for over 20 mins under cold water reduces: - rates of skin grafts, - thickness of burn, - hospital admissions and - operating room interventions. #PARAPEM20

“While kids are not small adults, they are more like small adults than large cucumbers! In fact, adults are just 50kg kids!” Dr Dan Bodnar explains at #PARAPEM20 that there are still a lot of similarities.

Dr Dan Bodnar, Assistant Med Director, Paediatric Consultant - presenting on Paediatric Trauma and Burns at #PARAPEM20. Declaring first that his least favourite things are man buns, musical theatre, dogma and black and white protocols; Dulux has many shades of white!

Red flags for NAIs. @elliott_bates advises to be aware of delays in seeking care, changes in story by caregivers (or between two caregivers) regarding cause of injury, explanation inconsistent with child’s development capabilities ie limb fractures in non-mobile child #PARAPEM20

Have a suspicion for NAI with bruising in protected areas and bruising that isn’t over bony prominent areas - bruising over bony areas most common area of accidental injuries. @elliott_bates #PARAPEM20

A heavy topic presented by Flight CCP @elliott_bates. Non-Accidental Injuries in paediatrics can sometimes present in a non obvious manner. #PARAPEM20

Paediatric cardiac arrests are emotionally difficult. Despite best efforts, sometimes patients die on scene. @FatamboGary takes some comfort in knowing that the parents saw a group of professional strangers doing their best by working together to help save their child. #PARAPEM20

What do these two have in common? @FatamboGary highlights that both have a similar blood volume. Be very aware of that. Small amount of blood can be a lot for a paed. Bring soaked dressings to hospital for weighing. #PARAPEM20

Water needs to be less than 6 degrees to see positive outcomes after prolonged submersion that other colder countries may see. @FatamboGary explains that in Aus this is highly unlikely. #PARAPEM20

Study reviewed “What is the best time for paramedics to stay on scene in paediatric arrests?” - 0-10 min - 10-35 min - >35 min Study found 10-35 min had highest ROSC rates with good neurological outcome (sweet spot being 25), followed by >35 mins group. @FatamboGary #PARAPEM20

One US study showed that “scoop and run” management of paediatric cardiac arrest patients resulted in 0% positive neurological outcome. @FatamboGary highlights the importance of interventions rather than diesel. #PARAPEM20

Driveways and Swimming Pools are two of the most dangerous locations for children and paed cardiac arrests. HARU CCP Gary Berkowitz @FatamboGary talks about the nuisanced care in paediatric arrests. These are high acuity but low frequency events. #PARAPEM20

Paediatric “Drug Calcs and Vascular Access Tips and Tricks” with Critical Care Paramedic Jamie Rhodes @CritcareJNR at #PARAPEM20. These are the most stressful patients to attend to start with mental preparation.

Midwife/Paramedic Shonel Hall @Shonel1H discusses Management of 4th Stage Labour - The Newborn. Delayed cord clamping assists the baby in its first moment of life and can provide enough iron for the baby’s first year of life - “Wait for White”. #PARAPEM20

“Don’t lick cane toads... you MAY get a hallucinogenic effect but you will more likely get Digoxin type poisoning” Dr @KIsoardi explains. Just incase you were wondering.... #PARAPEM20

At #PARAPEM20, Dr @KIsoardi believes that the historical ‘One Pill Can Kill’ tox snapshot may not be the best approach but rather consider high risk paediatric ingestions.

The One Pill Can Kill lists are useful in Paediatric tox, but certain drugs within the classes can vary in their risk - some don’t come in big enough doses per pill. Dr @KIsoardi feels that opioids are the most deadly thing on this list. #PARAPEM20