Sunday, February 26, 2012

EMS Revisited: Customer Care Part 9 - EMSWorld.com

EMS Revisited: Customer Care Part 9 - EMSWorld.com

Medic 21 responds to a call for a fall victim. Dispatch updates with the information that an elderly man has fallen down a flight of stairs and is unconscious. Porter First Aid responds also with three volunteer EMTs.

When Medic 21 arrives, First Aid already has the patient in their ambulance. Terri, one of the EMTs, reports that the patient fell down a flight of stairs, was unconscious, then was carried upstairs and put to bed by his daughter, a nurse at Porter Community Hospital. She says the patient is confused but conscious.

Epinephrine: Drug Whys

Epinephrine: Drug Whys

Side effects of epinephrine include increased heart rate, palpitations, sweating, nausea, vomiting, nervousness, tremors and dizziness


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Sunday, February 5, 2012

Scald injuries in the pediatric patient

Scald injuries in the pediatric patient

By Kenny Navarro
Bound Tree University
Burns affect approximately one million Americans each year (LaBorde, 2004), half of whom receive medical treatment (American Burn Association, 2007). Unfortunately, about 3,500 of these patients die as the result of their injuries (American Burn Association, 2007). Many of the hospitalized patients who survive are severely disfigured or disabled. By providing proper care, pre-hospital personnel can reduce the morbidity and mortality associated with burn injuries.

Friday, February 3, 2012

Managing Unstable Musculoskeletal Injuries - EMSWorld.com

Managing Unstable Musculoskeletal Injuries - EMSWorld.com

Musculoskeletal injuries are one of the most common injuries EMS providers manage. Nearly 85% of all patients suffering blunt force trauma experience some sort of musculoskeletal injury.

Mass Casualty Incident Management Part I - EMSWorld.com

Mass Casualty Incident Management - EMSWorld.com


Mass casualty incidents can shake even the most seasoned first responder. Weather emergencies can arrive fast and furious like a tornado, or slow and low like a flood. Mass gathering sports events will give you time to plan ahead, while a multi-car crash on the highway will not. Mass casualty incidents may require a fire department response for hazardous materials, or a law enforcement response for an active crime scene.

Suicide - EMSWorld.com

Suicide - EMSWorld.com

"These are the worst calls you can go on."

That's how Steve Berry, BA, NREMT-P, described responding to a suicide during the Wisconsin EMS Association's "Working Together: Emergency Services Midwest Conference and Exposition," held January 25–28.

Mass Casualty Incident Management Part II - EMSWorld.com

Mass Casualty Incident Management - EMSWorld.com

When we refer to “declaring” or “calling” an MCI, using MCI response or entering MCI mode, we’re talking about the same thing. These terms refer to the first due crew recognizing that the number of patients exceeds the threshold of immediate resources. In calling an MCI, the first due crew acknowledges the need for scene management over immediate hands-on patient care and broadcasts this as the “mode” of the incident so that incoming units can coordinate their response.

Combative Patients - EMSWorld.com

Combative Patients - EMSWorld.com

Have you ever had to deal with a combative patient?

Maybe the person is just verbally abusive or they try to push you out of the way out of frustration. Maybe they go so far as to take a swing at you in anger. Or maybe you're confronted with a 6'4" tall man, weighing 300 pounds and high on PCP and methamphetamines. Can you handle him?

Gastrointestinal Bleeding - EMSWorld.com

Gastrointestinal Bleeding - EMSWorld.com

Every year, more than 300,000 patients are hospitalized with gastrointestinal (GI) bleeding1 and countless more are managed in emergency departments. More than 150 out of every 100,000 people experience some sort of GI bleeding annually. Nearly 70% of GI bleeds occur in the upper GI tract and more than 50% of all GI bleeds are caused by peptic ulcer disease. Presently, the mortality from GI bleeding is around 10%, and this rises with age as patients begin to have multiple contributing underlying conditions like hypertension, diabetes and cardiac disease. For individuals younger than age 50, however, the most common cause of GI bleeding is hemorrhoids, which, while uncomfortable, is more of a nuisance than anything else.2

Power Lines on Car Challenge Calif. Rescuers - EMSWorld.com

Power Lines on Car Challenge Calif. Rescuers - EMSWorld.com

"Three transformers from the pole came down and energized the vehicle and first responders couldn't continue the rescue until after the electricity was turned off in the area, Base said."