EMS Educators

The National Association of EMS Educators is the best Instructor program that I have ever attended. Dr. Chris Nollette is a great leader and the President of NAEMSE.

Star of Life

The Star of Life has been an EMS symbol for years. Paramedics and Emergency Medical Technicians have identified with the blue star as part of their heritage.

American Heart Association

The American Heart Association has been an advocate promoting healthy hearts for over 50 years. Their efforts to prevent heart disease and educate the general public has saved millions of lives.

Archive for Diabetes

Oct
04

Patient Assessment of the Trauma Victim

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In emergency medical situations a patient assessment is one of the most important steps emergency personnel utilizes at the scene. This assessment will assist the Advanced Cardiac Life Support emergency workers in answering all of the vital questions. Who, what, how, and address all life threatening situations not only with the patient but in the surrounding area as well. Who the patient is; is the patient a pediatric or an adult? This makes a big difference in your approach to treatment. What happened; what is the emergency and how did it happen or the mechanism of injury.

Knowing where the injury is and how it happened will also weigh in on the mode of transportation as in by air or ambulance, is it going to be a rapid transport situation. If it is going to be a rapid transport situation then all of the life threatening wounds should be addressed and the rest can be done on the way to the receiving facility. Knowing the what and how will also be able to help you decide the type of receiving facility to transport to. Some facilities offer higher levels of care than others depending on severity of injury.

The patient assessment always begins with a scene size up. You should always make sure the scene is safe. Look for downed power lines, irate individuals with weapons, gas leaks, etc… Once the scene is safe and you are allowed to enter you will want to then make sure you observe body substance isolation or (BSI). Before you enter a scene it is a good idea to have BSI. You want as much protection as you can get from the fluids and other substances from the patient and your scene. Once you have observed BSI you will want to find out the number of patients. Knowing this will help you to find out if you are going to need to triage patients as well as know if you are going to need additional resources which is the next step in the patient assessment.

Once you have determined whether or not you will need additional resources and they are contacted if needed, you will then need to determine the mechanism of injury. Knowing the mechanism of injury will assist you in determining the level of care the patient will need and almost always in conjunction with all of the other steps it will help you to make a transport decision. Finally you will need to have a partner hold c-spine. Especially if they have suffered a fall, motor vehicle collision, or any injury involving the neck, head, or spine. This is also where knowing the mechanism of injury comes in.

Knowing how to perform a patient assessment is a vital part of the emergency care process. This will be a part of your skills and knowledge required in your training in the Emergency medical field, especially that of an Emergency medical technician. This will also help anyone who is in any field in which responds to medical emergency calls such as first responders and volunteer firefighters as well as paid firefighters.

Aug
13

Low Glucose

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Millions of people suffer from low glucose whether it is a Diabetic that took too much insulin and did not have a meal ready to be eaten after taking the insulin or whether it is someone that happens to have low blood sugar from time to time.  If you are a medical professional hopefully you will consider taking a PALS course in the near future.  It will help increase your knowledge of pediatrics and the different types of emergencies that are presented in life.

It is always advisable to help prevent low blood glucose to have glucose tablets available at all times.  It is hard to predict when one will have an episode of low glucose.  The PALS class covers information relevant to children and how to intervene in making a healthier outcome.  Low glucose can effect children as well.  Also, try to have frequent small meals throughout the day.

Also, if you are a diabetic and your medications have been increased or changed it is imperative that you check your blood sugars more frequently.  However, a PALS course does not cover pediatric emergencies with low glucose, but it does cover respiratory emergencies and a low glucose level certainly could fall into this situation.

A friend reported that her husband had an episode during his sleep where he displayed moaning and thrashing his arms over on her.  He complained of feeling “hot”.  When she felt his arm as it laid on her, she noticed it was clammy, sticky and sweaty.  He is a diabetic.  She got up and checked his blood sugar and it was 38.  Normal is 70-110.  He was awake enough to drink a glass of milk and eat a few graham crackers.  Before going back to sleep, she rechecked his blood sugar and it was 80 after 30 minutes of him eating.

Do not get someone to try and eat if they are comatose.  This could cause them to choke or aspirate.  PALS course will teach you how to handle a child that is choking.  Consider this class especially if you are a health care professional in an emergency room department.  Check your glucose levels frequently, eat healthy and eat frequent small meals, and keep follow up appointments with your physician.

Categories : Diabetes, Heart Smart
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Aug
03

Diabetic Care | High Glucose

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Diabetes effects millions of people a year.  Some people may not even be aware that they have the disease or are on the verge of having Diabetes.  The medical community has been trying hard to raise awareness of Diabetes Type II through health fairs in the communities, television ads,  billboard ads,etc.  The more someone is aware of the signs and symptoms they become more knowledgeable about how to recognize and treat the disease.  Diabetes causes death, amputations, nerve damage, kidney damage, heart disease, neuropathy, Pulmonary disease, etc.  To prevent the complications of Diabetes, we must first be able to recognize the symptoms.

It is important to know if anyone in the family has ever been diagnosed with Diabetes.  If you have ever been diagnosed as having Gestational Diabetes, then studies have shown that you are more likely to have Diabetes Type II later on in life.  Diabetes Type II usually is found when a person is in their 40’s.  The physician will perform a fasting blood glucose test to check the level of sugar in the blood.  Years ago, the physician wanted the fasting blood sugar to be 115 and under, but newer studies are suggesting that fasting blood sugars be under 100.

The warning signs to be aware of are:

-Excessive thirst and Hunger
-Sleepiness through out the day
-Increase in having to urinate at night time
-Unusual weight loss
-Blurred vision
-cuts or wounds that don’t seem to heal
-Tingling or numbness in the hands or feet
-Recurring skin, gum, and bladder infections

One or more of the signs mentioned above, you should seek medical attention from you primary care physician.  Over a period of time, if diabetes is not controlled, you will suffer complications of diabetes.  The earlier you are diagnosed and the blood sugar is controlled the better quality of life you will have.  Do not wait until it is too late.  There are many new treatments that are available these days for diabetes.

Categories : Diabetes
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