Lincolnshire Integrated Voluntary Emergency Service
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Lincolnshire Integrated Voluntary Emergency Service
Lincolnshire Integrated Voluntary Emergency Service, known commonly as LIVES, is a registered charity staffed by volunteers providing pre-hospital care services across Lincolnshire. LIVES operates alongside the East Midlands Ambulance Service to provide clinical and critical care skills as well as immediate medical responses in the form of community first responders. LIVES operates under the national pre-hospital care co-ordinating body, the British Association for Immediate Care. LIVES is a registered provider of healthcare with the Care Quality Commission History During the 1970s two doctors in Lincolnshire, Dr Michael Cooper from Nettleham and Dr Richard Harper-Smith of Tetford, devised the LIVES concept. An open meeting was convened, attended by over one hundred local doctors enthused by the idea of the service. The original objective of the scheme was to provide expert emergency medical assistance for road traffic accident victims and other trauma cases throughout Linc ...
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Ambulance Service
Emergency medical services (EMS), also known as ambulance services or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. They may also be known as a first aid squad, FAST squad, emergency squad, ambulance squad, ambulance corps, life squad or by other initialisms such as EMAS or EMARS. In most places, the EMS can be summoned by members of the public (as well as medical facilities, other emergency services, businesses and authorities) via an emergency telephone number which puts them in contact with a control facility, which will then dispatch a suitable resource for the situation. Ambulances are the primary vehicles for delivering EMS, though some also use squad cars, motorcycles, aircraft, or boats. EMS agencies may also operate a non-emergency patient transport service, and some have rescue squads to provide technical rescue services. As a first resor ...
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Sleaford
Sleaford is a market town and Civil parishes in England, civil parish in the North Kesteven district of Lincolnshire, England. Centred on the former parish of New Sleaford, the modern boundaries and urban area include Quarrington, Lincolnshire, Quarrington to the south-west, Holdingham to the north and Old Sleaford to the east. The town is on the edge of the fertile The Fens, Fenlands, north-east of Grantham, west of Boston, Lincolnshire, Boston, and south of Lincoln, England, Lincoln. Its population of 17,671 at the United Kingdom Census 2011, 2011 Census made it the largest settlement in the North Kesteven district; it is the district's administrative centre. Bypassed by the A17 road (England), A17 and the A15 road (England), A15, it is linked to Lincoln, Newark-on-Trent, Newark, Peterborough, Grantham and King's Lynn. The first settlement formed in the Iron Age where a prehistoric track crossed the River Slea. It was a tribal centre and home to a mint for the Corieltauvi i ...
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Thoracostomy
A thoracostomy is a small incision of the chest wall, with maintenance of the opening for drainage. It is most commonly used for the treatment of a pneumothorax. This is performed by physicians, paramedics, and nurses usually via needle thoracostomy or an incision into the chest wall with the insertion of a thoracostomy tube (chest tube) or with a hemostat and the provider's finger (finger thorocostomy), A thoracostomy is often confused with thoracotomy, which is a larger incision commonly used to gain access to organs within the chest. Medical uses When air, blood, or other fluids accumulate in the pleural cavity it may be drained by thoracostomy. Whereas air in this space (pneumothorax) may be released by needle thoracostomy, other substances require drainage with a thoracostomy tube. Contra-indications There are no absolute contraindications to thoracostomy. There are relative contraindications (such as coagulopathies); however, in an emergency setting these are outweighed ...
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Sedation
Sedation is the reduction of irritability or agitation by administration of sedative drugs, generally to facilitate a medical procedure or diagnostic procedure. Examples of drugs which can be used for sedation include isoflurane, diethyl ether, propofol, etomidate, ketamine, pentobarbital, lorazepam and midazolam. Medical uses Sedation is typically used in minor surgical procedures such as endoscopy, vasectomy, or dentistry and for reconstructive surgery, some cosmetic surgeries, removal of wisdom teeth, or for high-anxiety patients. Sedation methods in dentistry include inhalation sedation (using nitrous oxide), oral sedation, and intravenous (IV) sedation. Inhalation sedation is also sometimes referred to as ''relative analgesia''. Sedation is also used extensively in the intensive care unit so that patients who are being ventilated tolerate having an endotracheal tube in their trachea. It can also be used during a long term brain EEG to help patient relax. Risks There are ...
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Prehospital Care Equipment
Emergency medical services (EMS), also known as ambulance services or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. They may also be known as a first aid squad, FAST squad, emergency squad, ambulance squad, ambulance corps, life squad or by other initialisms such as EMAS or EMARS. In most places, the EMS can be summoned by members of the public (as well as medical facilities, other emergency services, businesses and authorities) via an emergency telephone number which puts them in contact with a control facility, which will then dispatch a suitable resource for the situation. Ambulances are the primary vehicles for delivering EMS, though some also use squad cars, motorcycles, aircraft, or boats. EMS agencies may also operate a non-emergency patient transport service, and some have rescue squads to provide technical rescue services. As a first resort t ...
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Royal College Of Surgeons Of Edinburgh
The Royal College of Surgeons of Edinburgh (RCSEd) is a professional organisation of surgeons. The College has seven active faculties, covering a broad spectrum of surgical, dental, and other medical practices. Its main campus is located on Nicolson Street, Edinburgh, within the Surgeons' Hall, designed by William Henry Playfair, and adjoining buildings. The main campus includes a skills laboratory, the Surgeons' Hall Museums, a medical and surgical library, and a hotel. A second office was opened in Birmingham (UK) in 2014 and an international office opened in Kuala Lumpur, Malaysia, in 2018. It is one of the oldest surgical corporations in the world and traces its origins to 1505, when the Barber Surgeons of Edinburgh were formally incorporated as a craft of Edinburgh. The Barber-Surgeons of Dublin was the first medical corporation in Ireland or Britain, having been incorporated in 1446 (by Royal Decree of Henry VI). RCSEd represents members and fellows across the UK ...
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General Practice
General practice is the name given in various nations, such as the United Kingdom, India, Australia, New Zealand and South Africa to the services provided by general practitioners. In some nations, such as the US, similar services may be described as family medicine or primary care. The term Primary Care in the UK may also include services provided by community pharmacy, optometrist, dental surgery and community hearing care providers. The balance of care between primary care and secondary care - which usually refers to hospital based services - varies from place to place, and with time. In many countries there are initiatives to move services out of hospitals into the community, in the expectation that this will save money and be more convenient. India A group of 15 doctors based in Birmingham have set up a social enterprise company - Pathfinder Healthcare - which plans to build eight primary health centres in India on the British model of general practice. According to Dr Ni ...
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Advanced Airway Management
Advanced airway management is the subset of airway management that involves advanced training, skill, and invasiveness. It encompasses various techniques performed to create an open or patent airway – a clear path between a patient's lungs and the outside world. This is accomplished by clearing or preventing obstructions of airways. Obstructions can be caused by many things, including the patient's own tongue or other anatomical components of the airway, foreign bodies, excessive amounts of blood and body fluids, or aspiration of food particles. Unlike basic airway management such as head tilt/chin lift or jaw-thrust maneuver, advanced airway management relies on the use of medical equipment and advanced training. Certain invasive airway management techniques can be performed "blind" or with visualization of the glottis. Visualization of the glottis can be accomplished either directly by using a laryngoscope blade or by utilizing newer video technology options. In roughl ...
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Critical Care Medicine
Intensive care medicine, also called critical care medicine, is a medical specialty that deals with seriously or critically ill patients who have, are at risk of, or are recovering from conditions that may be life-threatening. It includes providing life support, invasive monitoring techniques, resuscitation, and end-of-life care. Doctors in this specialty are often called intensive care physicians, critical care physicians or intensivists. Intensive care relies on multidisciplinary teams composed of many different health professionals. Such teams often include doctors, nurses, physical therapists, respiratory therapists, and pharmacists, among others. They usually work together in intensive care units (ICUs) within a hospital. Scope Patients are admitted to the intensive care unit if their medical needs are greater than what the general hospital ward can provide. Indications for the ICU include blood pressure support for cardiovascular instability ( hypertension/hypote ...
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Horncastle War Memorial Centre
Horncastle is a town and civil parish in the East Lindsey district in Lincolnshire, east of Lincoln. Its population was 6,815 at the 2011 census and estimated at 7,123 in 2019. A section of the ancient Roman walls remains. History Romans Although fortified, Horncastle was not on any important Roman roads, which suggests that the River Bain was the principal route of access to it. Roman Horncastle has become known recently as '' Banovallum'' (i. e. Wall on the River Bain). Although this Roman name has been adopted by some local businesses and the town's secondary modern school, it is not firmly known to be original. ''Banovallum'' was merely suggested in the 19th century through an interpretation of the ''Ravenna Cosmography'', a 7th-century list of Roman towns and road-stations, and may equally have meant Caistor. The Roman walls remain in places. One section is on display in the town's library, which was built over the top of the wall. The Saxons called the town ''Hyrnecas ...
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First Responder
A first responder is a person with specialized training who is among the first to arrive and provide assistance or incident resolution at the scene of an emergency, such as an accident, disaster, medical emergency, structure fire, crime, or terrorist attack. First responders typically include law enforcement officers (commonly known as police officers), paramedics, emergency medical technicians, and firefighters. In some jurisdictions, emergency department personnel, such as doctors and nurses, are also required to respond to disasters and critical situations, designating them first responders; in other jurisdictions, military and security forces may also be authorized to act as first responders. A certified first responder is an individual who has received certification to provide pre-hospital care in a certain jurisdiction, such as the Certified First Responder in France. A community first responder is a person dispatched to attend medical emergencies until an ambulance arrive ...
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Cardiac Arrest
Cardiac arrest is when the heart suddenly and unexpectedly stops beating. It is a medical emergency that, without immediate medical intervention, will result in sudden cardiac death within minutes. Cardiopulmonary resuscitation (CPR) and possibly defibrillation are needed until further treatment can be provided. Cardiac arrest results in a rapid loss of consciousness, and breathing may be abnormal or absent. While cardiac arrest may be caused by heart attack or heart failure, these are not the same, and in 15 to 25% of cases, there is a non-cardiac cause. Some individuals may experience chest pain, shortness of breath, nausea, an elevated heart rate, and a light-headed feeling immediately before entering cardiac arrest. The most common cause of cardiac arrest is an underlying heart problem like coronary artery disease that decreases the amount of oxygenated blood supplying the heart muscle. This, in turn, damages the structure of the muscle, which can alter its function. ...
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