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 Medications


Trauma Injury

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Trauma can be a wound to the body whether intentional or accidental or as shock which can include psychological. Trauma can cause death or be as minor as a hospital visit. This all depends on they type of trauma and the amount of time that has passed since treatment was sought out. There are several different types of trauma. Some of these types are Penetrating trauma, blunt force trauma, and psychological trauma.

Blunt force trauma often occurs when an injury is inflicted which does not pierce the skin nor organs of the body or any internal space of the body. A blunt force trauma can happen intentionally in such instances as a fight or a brutal attack of sorts. It can also happen unintentionally by means of auto accident or as simple as a fall. Blunt force trauma differs from penetrating in that blunt force trauma is not piercing or puncturing, however it can be just as dangerous and in some cases more dangerous.

Penetrating trauma is when an object pierces the skin, organ or body cavity. This can also be an incident where no outside penetration was the cause but a broken bone or other internal body part was the cause of the piercing or puncture without the piercing of the skin. These types of injuries can be like blunt force traumas in that it can be intentional and unintentional. In cases of intentional it can be from a gun shot or a knife from an altercation. As far as unintentional, like blunt force trauma, penetrating can also occur from an automobile accident or a fall.

Psychological trauma is a result from some sort of traumatic event such as a war, seeing others hurt or from direct violence. You can develop psychological trauma during or after a blunt force or penetrating trauma as well. PALS certification also helps to save children who have been injured in a trauma related incident. Psychological traumas can be long term as well as short term depending on the person. Seeing a professional that is certified in that area of medicine is a must when dealing with this type of trauma.

No matter what type of trauma you have, it is very important that you seek proper medical attention. The quicker you seek medical attention, the higher the chance you will have of having a positive outcome without long term complications. Just because you have been involved in an incident or accident in which a form trauma is not immediately observed doesn’t mean its not there. There is always the risk of internal injuries which you may not know about until its too late. In conclusion, do not play around with any type of injury, no how minor. Getting immediate medical help may save your life or the life of another.


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.


Heart Disease

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Heart Disease is one of the leading causes of death in both men and women in the U.S.  That’s why it is important to learn about your heart and symptoms and be checked by your physician if you experience any irregularities with your heart.  Heart Disease can be inherited and or enhanced by the life-style choices. The American Heart Association ACLS recert class can help prevent sudden cardiac death. Some examples of causes of Heart Disease are cigarette smoking, high blood pressure, diabetes, obesity, lack of exercise, and inherited which  would be based on the family history.

Not everyone gets Heart Disease some are born with it and that is known as Congenital Heart Disease.  Congenital Heart Disease is a type of defect or malformation in one or more structures of the heart or blood vessels that occur before birth.  Congenital Heart disease my present itself at birth and sometimes not until adulthood. It is not known why it occurs as a fetus but has been said that exposure to some viral infections and alcohol could play a role.

Some symptoms of heart disease are irregularities in the heart such as abnormal rhythms or arrhythmia’s, shortness of breath, which can lead to a heart attack.  Other symptoms of the disease are weakness, dizziness, sweating, and a faster heartbeat. Although many heart problems can have the same symptoms it is important to be checked by a doctor if the symptoms keep occurring.

Symptoms of heart attack can be but are not limited to feeling numbness  or arm, pressure or heaviness in the chest, extreme weakness, vomiting.
During a heart attack you may or may not have any symptoms at all , which is more common with diabetics.  If you do have symptoms they may last up to 30 minutes and can not be calmed by oral medication.  Tightness in the chest can turn into severe pain and then you should immediately be seen by a hospital.

There are many treatments and care for someone with heart disease.  You should learn CPR for you and your loved one in case of an attack. There are medications, stents and even surgical procedures, which should be discussed with your physician.

Even though there is no cure for the disease living with the disease is possible and manageable with direction from your doctor. You can also try to live a healthier way of life.  This would include no smoking, plenty of safe exercise and a heart healthy diet.



cardiac medications

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The pharmaceutical industry has been manufacturing cardiac medications for many years. The price of these medications continues to rise year in and year out. Insurance companies such as Blue Cross and Blue Shield has tried to put a cap on the amount of money that can be charged for medications such as Digoxin. The cost of cardiogenic medications has more than tripled as a result of increased coronary artery disease. We must continue to be proactive in the prevention of myocardial disease. Cardiac medications offer great importance but if there are unaffordable or benefits cannot be obtained.

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Advanced Life Support

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ACLS was developed by the American Heart Association in the early 1970s. The acronym ACLS stands for advanced cardiac life support. The program or certification course teaches health care providers how to deliver cardiac medications as well as advanced airway procedures. The course assumes that you have basic knowledge of anatomy and physiology. In addition, you should know how to interpret EKG’s as well. You will be required to run a mega-code successfully to demonstrate your knowledge in advanced life-support procedures. A 25 question written exam is give to test your knowledge regarding the advanced cardiac life support curriculum.

There is an algorithm known as ventricular fibrillation and ventricular tachycardia. This particular cardiac dysrhythmia can best be treated by early defibrillation. Depending on how long the patient has been in cardiac arrest you may need to administer CPR for least two minutes prior to providing any defibrillation to the myocardium. ?Treatment must be initiated within 2 or 3 minutes in order for you to be successful.


Magnesium Sulfate

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Magnesium Sulfate has been used for many years in the emergency medical setting. There have been many physicians were very well pleased with the results will this medication. The etiology of magnesium sulfate still unconfirmed as of 2010. However, there still seems to be a great use for this spectacular medication.

In the early 1990s, there were many emergency rooms physicians using this medication for the treatment of severe asthmatic attacks. The effects of the magnesium sulfate upon the beta-2 receptor sites is still unknown. We can explain it but we know it works very well for these particular patients. In the coming years, we should see a big increase in the use of this electrolyte for many different situations. Be sure to consider mag sulfate as an alternative for severe respiratory distress patients. Finally, be very cognitive of the fact that this medication is not acceptable for everyone. Talk with your physician prior to using any pharmaceuticals.

Categories : Medications
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