Medics FAQ
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dun say him until so bad lah.....althou i know he have the cheek to ask his ORDed medic to come back help IQA lolOriginally posted by Rockhound:another reason she decided to quit was becos of the other Snr Medic in the same medical centre....he was too incompetent...
and anywaes...she doesnt lose much.....she has a degree anywaes.....easy transition... -
he deserves to burn...
for all his skiving...
for all his incompetence...
and for all his abscence when it matters the most.... -
LOL DEREK WHY U HERE XD
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Good post about medics. Never know much about medics even though go through NS like most males.
But medics mostly nice guys. Good to be friends with, imo. -
Is that what they're doing currently??Originally posted by thelousy:Heads up from the P-032 batch(current).
For future medics to-be, god bless you. Why? Currently the new course commander 2WO Tan Puay Ming decided to revamp the curriculum starting from P-033 batch onwards.
Changes from current system(Tentative, from what I heard from my SGTs)
-Running 2-8km on every even/odd days of the week
-1 hour static training session per day
-Eventual 24km Route March
-Field camp
-Drawing of rifles everyday during Combat Phase(Fall in 5AM)
-Everyday night training(Till 9+++PM)
-Outfield at Mandai when needed
Hope this will help future medics-to-be prepare themselves mentally.
Wow! So much have changed!
The last time when I was an instructor for BMC course, things were much easier and smooth-sailing..
Damn, I miss those days..
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Any tips on IV guys? I keep missing my buddy's vein
Sometimes there's backflow but the catheter can't be dislodged. Whyyyy? It's pissing me off. -
choose a vein that is as straight and as thick as possible.Originally posted by Intravenous:Any tips on IV guys? I keep missing my buddy's vein Sometimes there's backflow but the catheter can't be dislodged. Whyyyy? It's pissing me off.
u might poke at the vein at a curve angle, meaning not in line with the vein and it "kink" with force when u try to dislodge into the muscle.
u hit a valve. e.g. the y or x junction of the vein joining.
u hit the vein but either barely into the vein or overshot the vein. may cause swelling, and later, bruise on the entry site. -
Which size of needle? 20g or the 16g?Originally posted by Intravenous:Any tips on IV guys? I keep missing my buddy's vein Sometimes there's backflow but the catheter can't be dislodged. Whyyyy? It's pissing me off.
Is the blackflow fast or slow?
Sometimes the needle just scrape the top of the vein, or its not fully into the vein; that explains slow blackflow of blood. To rectify this, don't be afraid to push in deeper a little bit more once backflow is attained and also to decrease angle of needle to about 20 to 30 (for 20G needle)
This happens more likely with the 16G as the needle is sometimes about 60% the size (diameter) of the vein. In the case of 16G, try to go in at a much smaller angle then the 20G.
And one tip, the most obvious veins (those that sticks out of your friends arm without tying the torniquet) may not be the best ones.
Choose veins that are just visible before tying the torniquet, and won't 'run' when you try to push it with your fingers.
Last but not least, don't be afraid to approach your instructors for help and most importantly, make every IV practical count! -
Well those were 20Gs needles, I'm starting on 16G the following week, are there any major changes I should take note of? (besides the pain that is )
There was once I had backflow then suddenly the backflow just stopped out of a sudden. The sergeant said I had the tourniquet on for too long and the vein collapsed or something, dun really know what that means. Then most of the time my sergeant had to "topo" the vein for me instead of me getting the backflow the moment I insert the needle, how do you do this topo-ing? -
combat medic only used 16G, 1 size fits all. Maybe you met some running vein. In IV topo means the veins cannot be found after you have poke it, so have to try find the vein using the needle.Originally posted by Intravenous:Well those were 20Gs needles, I'm starting on 16G the following week, are there any major changes I should take note of? (besides the pain that is )
There was once I had backflow then suddenly the backflow just stopped out of a sudden. The sergeant said I had the tourniquet on for too long and the vein collapsed or something, dun really know what that means. Then most of the time my sergeant had to "topo" the vein for me instead of me getting the backflow the moment I insert the needle, how do you do this topo-ing? -
You must first understand the purpose of the torniquet.Originally posted by Intravenous:Well those were 20Gs needles, I'm starting on 16G the following week, are there any major changes I should take note of? (besides the pain that is )
There was once I had backflow then suddenly the backflow just stopped out of a sudden. The sergeant said I had the tourniquet on for too long and the vein collapsed or something, dun really know what that means. Then most of the time my sergeant had to "topo" the vein for me instead of me getting the backflow the moment I insert the needle, how do you do this topo-ing?
When you tie the tourniquet for IV, you're tying a Veinous Torniquet;means you tie just enough to stop the blood from flowing back to the heart. Therefore, veinous blood from the tip of your fingers to the point where you tie the torniquet, will flow slowly through to the point it will stop flowing.
As you know blood flows from the heart to other parts of body via Arteries and from other part of body to the heart via Veins.
So, when the body detects that one of the vein does not have blood flowing back to the heart as fast as it should (due to the torniquet), it will adjust the blood flow by redirecting the blood to another vein with a much faster flowrate, thus causing the vein with the slow rate of blood flow will have less blood passing through it. Eventually, the vein will collapse.
That is why, you are not advised to tie the torniquet too long. And do not tie your buddy's arm, and wait for your SGT to come and watch you do. Only tie when he is ready and sitting beside you.
So. identify the vein first, then tie torniquet, swap and carry on IVing, don't waste time.
"Topo"ing is not an overnight skill to learn. It comes with experience. Usually, whenever people have "one-Shot-One-Kill" during IV Practice session in BMC, I don't usually give them that much credit. I prefer trainees to miss, then able to find back the vein and manage to get backflow; Now that's how you guys should learn IV. Always vary your buddies with each IV session, ranging from visible veins to barely visible to can't-be-seen veins.
Basically, topo-ing is when you can't hit the vein the first time you poke, and then with the needle still in the arm, try to find the vein with your other free fingers and guiding the needle to that vein. Sometimes you just need to turn the needle a few mm to the left/right; sometimes you need to lower/increase the angle of needle to the skin. But do realise that once you start to topo, you better find the vein fast as the the vein may collapse very fast due to prolonged torniquet tying.
Always remember, even if you managed to get "one-Shot-One-Kill" for all 10 IV practices in BMC, if does not mean you will get it again during your first IV to a real-life casualty.
--> I feel like I was giving IV lesson at Training Shed 702.. lol -
Just poke oni la....u cannot see or feel...dun poke...
be confident....at least u do in training shed or open audit....
during atec...i had to do IV at nite...had to uncap the back....cant see shit sia...but at least can feel -
Topo = searching for the vein by feel, poke at an angle, back flow already realign and dislodge. Greatest angle i did was 45 degrees.
Taught CCAC to a bunch of BRC people at Kranji, found it weird to be teaching people IV when I myself just graduated from BMC 2 months ago. Had to like push them just to poke through la. In the end I topo-ed for most of them. = = -
On behalf of P0-33 batch, POP LO!
Now I just pray that I return to my unit. -
If you are been posted by unit, u'll return to unit. Unless you are posted there after BMT. Then another lucky draw, heard the top 10% will be retained back as instructor then the next 10% will be posted to Tekong as medic, 10% for air force and navy. The rest army take, with the last 10% posted to MRF.Originally posted by Intravenous:On behalf of P0-33 batch, POP LO!
Now I just pray that I return to my unit. -
thought MRF quite fierce one how come post last 10% thereOriginally posted by tarutaru:If you are been posted by unit, u'll return to unit. Unless you are posted there after BMT. Then another lucky draw, heard the top 10% will be retained back as instructor then the next 10% will be posted to Tekong as medic, 10% for air force and navy. The rest army take, with the last 10% posted to MRF. -
Well I seen recently the quality of personals in Nee Soon, mostly of them are obese.Originally posted by relackjack:thought MRF quite fierce one how come post last 10% there
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lol those new pass out medics, heard ur course commander 2WO Tan gonna get promoted again ar?
knn he is super high flyer lo, gonna get promoted in less than 1/2 yr after he got his Warrant rank -
take a walk over to 1 ADF?Originally posted by tarutaru:Well I seen recently the quality of personals in Nee Soon, mostly of them are obese. -
anyone heard of a company called J tech?
they make the new medical storm bag and some units are using....
anyone got lobang? -
yo.. I also kana combat medic vocation and going in 26th dec. Like to know if the first week got confinement anot and is the pay 400 +50 dollar only? after finish the course will become wad rank?
Ah li ga do =D -
stay ure rank arh...go unit then promote.Originally posted by FiRe1987:yo.. I also kana combat medic vocation and going in 26th dec. Like to know if the first week got confinement anot and is the pay 400 +50 dollar only? after finish the course will become wad rank?
Ah li ga do =D -
is it true that we have to poke needles into the veins of each another ?
what if i am afraid of blood and needles ... -
not only others, poke your own also.Originally posted by Zelords:is it true that we have to poke needles into the veins of each another ?
what if i am afraid of blood and needles ...
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if 1st day i tell my PC i afraid of blood and needles den straight OOC ?