Dr Mark listened carefully to my situation and was appreciative of the difficulties we were facing as a crew. He was keen to empower us as much as possible to deal with situation we found ourselves in and, therefore, gave us a large degree of latitude in which to manoeuvre in terms of additional doses of post ROSC midazolam.
I had contacted Julian reference a patient involved in an RTC who did not produce cortisol due to a disturbance in his HPA axis caused by the removal of his pituitary gland. The RTC was a stressful event and therefore a dose of Hydrocortisone IV would benefit him. I found Julian's advice extremely reassuring, caring, professional and informative giving me the confidence to treat this patient effectively and efficiently.
Dr Mark gave excellent advice over the phone, and helped towards making a successful diagnosis, as well as suggesting differing analgesia, which had a better outcome for the patient.
Short link to review Dr Julian Mark: http://iwgc.net/eer6m