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Scottish Ambulance Service
The Scottish Ambulance Service ( gd, Seirbheis Ambaileans na h-Alba) is part of NHS Scotland, which serves all of Scotland's population. The Scottish Ambulance Service is governed by a special health board and is funded directly by the Health and Social Care Directorates of the Scottish Government. It is the sole public emergency medical service covering Scotland's mainland and islands; providing a paramedic-led accident and emergency service to respond to 999 calls, a patient transport service which provides transport to lower-acuity patients, and provides for a wide variety of supporting roles including air medical services, specialist operations including response to HAZCHEM or CBRN incidents and specialist transport and retrieval. History In 1948, the newly formed Scottish National Health Service (NHS) contracted two voluntary organisations, the St Andrew's Ambulance Association and the British Red Cross, to jointly provide a national ambulance provision for Scotland, ...
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South Gyle
South Gyle (pronounced ) is an area of Edinburgh, Scotland, lying on the western edge of the city and to the south and west of an area of former marshland once known as the Gogarloch, on the edge of Corstorphine. Most of the buildings in the area are of recent origin, dating from the later 1980s, 1990s and early 21st century, with the exception of some farm workers' cottages and an early 1970s council estate abutting South Gyle railway station. South Gyle can be neatly divided into two main zones – a residential one, incorporating Gogarloch and the neighbouring area centred on South Gyle Mains; and a commercial/business one which incorporates the Gyle Shopping Centre, Edinburgh Park, Gyle Park (an actual park, but with some shopping centres near it), and South Gyle Crescent. The Royal Bank of Scotland and sportscotland are all based in this district. The ''Lochside'' development also features a number of busts of Scottish poets. Etymology "Gyle", which is pronounced ...
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Nontransporting EMS Vehicle
A nontransporting EMS vehicle, also known as a fly-car, response vehicle, quick response service (QRS) vehicle, or fast response vehicle, is a vehicle that responds to and provides emergency medical services (EMS) without the ability to transport patients. For patients whose condition requires transport (e.g. to a hospital), an ambulance is necessary. In some cases they may fulfill other duties when not participating in EMS operations, such as policing or fire suppression. Vehicle types Non-transporting EMS vehicles come in many sizes and types, from bicycles and golf-carts that can access pedestrian walkways; to motorcycles that are able to fit through stopped or slow traffic; to sedans, station wagons, vans (referred to as "vanbulances"), and SUVs that can carry almost as much equipment as an ambulance; to fire engines that carry large crews and may carry specialized equipment. Essentially, any vehicle that lacks the ability to transport a patient may be used, depending o ...
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Dundee
Dundee (; sco, Dundee; gd, Dùn Dè or ) is Scotland's fourth-largest city and the 51st-most-populous built-up area in the United Kingdom. The mid-year population estimate for 2016 was , giving Dundee a population density of 2,478/km2 or 6,420/sq mi, the second-highest in Scotland. It lies within the eastern central Lowlands on the north bank of the Firth of Tay, which feeds into the North Sea. Under the name of Dundee City, it forms one of the 32 council areas used for local government in Scotland. Within the boundaries of the historic county of Angus, the city developed into a burgh in the late 12th century and established itself as an important east coast trading port. Rapid expansion was brought on by the Industrial Revolution, particularly in the 19th century when Dundee was the centre of the global jute industry. This, along with its other major industries, gave Dundee its epithet as the city of "jute, jam and journalism". Today, Dundee is promoted as "One City, ...
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Charitable Organization
A charitable organization or charity is an organization whose primary objectives are philanthropy and social well-being (e.g. educational, Religion, religious or other activities serving the public interest or common good). The legal definition of a charitable organization (and of charity) varies between countries and in some instances regions of the country. The Charity regulators, regulation, the tax treatment, and the way in which charity law affects charitable organizations also vary. Charitable organizations may not use any of their funds to profit individual persons or entities. (However, some charitable organizations have come under scrutiny for spending a disproportionate amount of their income to pay the salaries of their leadership). Financial figures (e.g. tax refund, revenue from fundraising, revenue from sale of goods and services or revenue from investment) are indicators to assess the financial sustainability of a charity, especially to charity evaluators. This ...
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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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Cardioversion
Cardioversion is a medical procedure by which an abnormally fast heart rate (tachycardia) or other cardiac arrhythmia is converted to a sinus rhythm, normal rhythm using electricity or pharmaceutical drug, drugs. Synchronized electrical cardioversion uses a therapeutic dose of electric current to the heart at a specific moment in the cardiac cycle, restoring the activity of the electrical conduction system of the heart. (Defibrillation#Relationship to cardioversion, Defibrillation uses a therapeutic dose of electric current to the heart at a random moment in the cardiac cycle, and is the most effective resuscitation measure for cardiac arrest associated with ventricular fibrillation and pulseless ventricular tachycardia.) Pharmacologic cardioversion, also called chemical cardioversion, uses Antiarrhythmic agent, antiarrhythmia medication instead of an electrical shock. Electrical To perform synchronized electrical cardioversion, two electrode pads are used (or, alternatively, th ...
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Pain Management
Pain management is an aspect of medicine and health care involving relief of pain (pain relief, analgesia, pain control) in various dimensions, from acute and simple to chronic and challenging. Most physicians and other health professionals provide some pain control in the normal course of their practice, and for the more complex instances of pain, they also call on additional help from a specific medical specialty devoted to pain, which is called pain medicine. Pain management often uses a multidisciplinary approach for easing the suffering and improving the quality of life of anyone experiencing pain, whether acute pain or chronic pain. Relief of pain in general (analgesia) is often an acute affair, whereas managing chronic pain requires additional dimensions. The typical pain management team includes medical practitioners, pharmacists, clinical psychologists, physiotherapists, occupational therapists, recreational therapists, physician assistants, nurses, and dentists. The ...
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Tracheal Intubation
Tracheal intubation, usually simply referred to as intubation, is the placement of a flexible plastic catheter, tube into the vertebrate trachea, trachea (windpipe) to maintain an open airway or to serve as a conduit through which to administer certain drugs. It is frequently performed in critically injured, ill, or anesthetized patients to facilitate Ventilation (physiology), ventilation of the lungs, including mechanical ventilation, and to prevent the possibility of asphyxiation or airway obstruction. The most widely used route is orotracheal, in which an tracheal tube, endotracheal tube is passed through the mouth and larynx, vocal apparatus into the trachea. In a nasotracheal procedure, an endotracheal tube is passed through the nose and vocal apparatus into the trachea. Other methods of intubation involve surgery and include the cricothyrotomy (used almost exclusively in emergency circumstances) and the tracheotomy, used primarily in situations where a prolonged need for airw ...
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Sandpiper Trust
Sandpiper Trust is a Scottish-based charity whose aims are related to improving Pre-hospital emergency medicine, pre-hospital immediate care in remote and rural Scotland. It receives no Government, NHS or Local Authority funding. They are a major supporter of BASICS Scotland. History and Origin Sandpiper Trust was founded in 2001 after the tragic death of a 14-year-old child called Sandy Dickson in an accident in 2000. This accident highlighted to the founders (his family) that critical illness does not respect geography, and that an ambulance can not always be rapidly accessible when accidents occur in remote and rural areas. This led the trust to provide life-saving emergency medical equipment (in the Sandpiper Bag) to rural clinicians. With the hope of enabling the provision of prehospital emergency care in situations where ambulance response times are long, or where the skills of a senior clinician (doctor, nurse or paramedic) may be a valuable augmentation to the statutory ...
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BASICS Scotland
The British Association for Immediate Care Scotland (BASICS Scotland) is an organisation involved with prehospital care. It has the aims of providing encouragement and aid with the formation of immediate care schemes and to provide training to support those working in prehospital care. It shares its origins with the British Association for Immediate Care (BASICS), which has UK wide coverage. In 1993, the British Association for Immediate Care began running prehospital care courses in Scotland, which were met with a warm welcome and it became clear there was a large audience for such education, especially in remote and rural areas of Scotland. This need for training and organisational leadership became clearer after the 1994 Scotland RAF Chinook crash on the Mull of Kintyre. This led to the training provided by BASICS to be modified for a more rural setting, and to the development of BASICS Scotland as a separate organisation in 2002. BASICS Scotland's charitable activities sp ...
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Jellyfish SAS
Jellyfish and sea jellies are the informal common names given to the medusa-phase of certain gelatinous members of the subphylum Medusozoa, a major part of the phylum Cnidaria. Jellyfish are mainly free-swimming marine animals with umbrella-shaped bells and trailing tentacles, although a few are anchored to the seabed by stalks rather than being mobile. The bell can pulsate to provide propulsion for highly efficient locomotion. The tentacles are armed with stinging cells and may be used to capture prey and defend against predators. Jellyfish have a complex life cycle; the medusa is normally the sexual phase, which produces planula larvae that disperse widely and enter a sedentary polyp phase before reaching sexual maturity. Jellyfish are found all over the world, from surface waters to the deep sea. Scyphozoans (the "true jellyfish") are exclusively marine, but some hydrozoans with a similar appearance live in freshwater. Large, often colorful, jellyfish are common in coast ...
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Triage
In medicine, triage () is a practice invoked when acute care cannot be provided for lack of resources. The process rations care towards those who are most in need of immediate care, and who benefit most from it. More generally it refers to prioritisation of medical care as a whole. In its acute form it is most often required on the battlefield, during a pandemic, or at peacetime when an accident results in a mass casualty which swamps nearby healthcare facilities' capacity. Triage always follows the modern interpretation of the Hippocratic oath, but otherwise there is plenty of leeway in interpretation, leading to more than one simultaneous idea of its nature. The best settled theories and practical scoring systems used in here come from the area of acute physical trauma in an emergency room setting; a broken bone obviously counts for less than uncontrolled arterial bleeding, apt to lead to death. But no current principle carries too well over to mental health, reproductive heal ...
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