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Chain of Survival Although it is an important link in the Chain of Survival, CPR alone cannot fully resuscitate a person in SCA. Early defibrillation is the third and perhaps most significant link. Most SCA victims are in ventricular fibrillation (VF), an electrical malfunction of the heart that causes the heart to twitch irregularly. Defibrillation, the delivery of an electrical shock to the heart muscle, can restore normal heart function if it occurs within minutes of SCA onset. When CPR and defibrillation are provided within eight minutes of an episode, a person's chance of survival increases to 20%. 1 When these steps are provided within four minutes and a paramedic arrives within eight minutes, the likelihood of survival increases to over 40%. 1 Defibrillation, the Key to Survival According to the American Heart Association (AHA), in cities where defibrillation is provided within 5-7 minutes, the survival rate from SCA is as high as 49%. 1 The AHA also cites that after automated external defibrillators (AEDs) were placed at Chicago's O'Hare and Midway Airports, 9 out of 14 SCA victims (64%) were revived with an AED and had no permanent neurological damage. However, the availability of AEDs in locations such as airports, airplanes, offices, community centers, and other public places is an evolving trend. The process began almost forty years ago, when the time-sensitivity of SCA and the importance of pre-hospital care first captured the attention of Dr. J.Frank Pantridge. ALS an hour away? We would load and go and get to the hospital and not wait for an als intercept if it was that long.

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Large Granular Lymphocyte (LGL) SGA

Iraq: Front-Line ER Explore the rarely seen world of a war zone hospital. The Balad Air Base is the largest medical hub in Iraq where Iraqi soldiers and civilians lay side-by-side injured US servicemen. Follow Balad's medical team 24/7- responding to emergencies. This was on Discovery Health Channel last night. It gives us an idea of what Dust is doing over there in Iraq. I think it is on today at 1 pm and maybe tomorrow at 3 pm.

What is wrong with people? I sincerely hope they put the guy through the wringer and life in prison.

lead

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pool

(48.You think that caffeine should be available in I.V. form... ) It's not? Dang it.

Neat. Such a lovely color too, and you get your choice of Desert Sand or Desert Sand :wink:

Iowa has a law for infants, I do not know the particulars as to age etc. Just recently a new mother left a baby at a hospital in Des Moines under protection of the law. It has kept down the dumping of the infants in garbage cans or the side of the road. At least this mother gave the baby a chance at a life that is probably better than the one she had or could provide.

16-25 I know I am older than dirt. We had a Studebaker, I still have a wringer washer somewhere, a box of 45 records which happens to include an original Beach Boys Surfin Safari with the jacket still in tact. My telephone number when I was a kid was PL (Pleasant ) 3957, oh and so much more. Those were the days

Another question. What time were you dispatched? Amount of time between weakness starting and the time you were called/dispatched?

All the above, plus vitals, BGL, what did she do that day, anything out of the ordinary, what did she eat, when and where. There are all sorts of questions that could be asked here. Support with O2 moniter vitals and transport.

A. KENDRICK EXTRICATION DEVICE (KED) First EMT 1. Stabilize and support the head in a neutral position 2. Maintain stabilization until patient’s head is secured to KED Second EMT 1. Assist in repositioning the patient’s body to a neutral position, as necessary 2. Assess and record circulation, movement and sensation in all four extremities 3. Select and apply an appropriately sized cervical collar 4. Prepare and position KED behind patient (Request additional help in positioning patient if necessary) 5. Secure KED with center and bottom chest straps. Assure firm contact of device with lower back and armpits 6. Pad any void between patient’s head and the device to preserve neutral alignment as is necessary 7. Secure head to device; first strap over forehead, second strap over chin NOTE: The chin strap may be omitted or removed if airway compromise exists 8. First EMT may now release manual stabilization Both EMTs 1. Secure groin and top chest straps 2. Secure hands and lower extremities 3. Position long immobilization device adjacent to patient 4. Slide and pivot patient; support patient at thighs and with device handles 5. Lower patient to long immobilization device; maintain legs in flexed position 6. Move patient to head of long immobilization device 7. Release groin straps and lower the patient’s legs to the long immobilization device. Loosen top chest strap as necessary to facilitate breathing and patient comfort 8. Secure patient to long immobilization device at chest, pelvis, thighs, and below knees, padding as necessary 9. Reassess and record circulation, movement and sensation in all four extremities What are Cheyne-Stokes respirations

We recertified in March and implemented the new protocols at that time.

We carry it as part of our protocols, but don't recall it being used ever. Last clinicals I had we had two back to back attempted suicides, and the hospital used it. Both patients puked it up, and they were readied for another dose or two.

nope, needs Charmin

Singing Happy Birthday

Scene Safety, any hazards. Since he was thrown from the tractor, it was an open tractor, what kind of mower, bar type, belly mower or pull behind? ABC's C spine. Loss of consciousness? Did the tractor roll over him? How long between the time of the incident and help arrives? These are a few of the things that I want to know and do first.

Cheeky

We had a pt . faking seizures. Problem was she wasn't' t even good at it, ems personnel were not fooled but her mother and husband were, and every time they called for the ambulance. She would shake her arms and legs and call out "help me", roll her eyes around and so on. When she was brought into the ER all was quiet, she was contented she was getting some undivided attention till Momma and Hubby showed up then she was having a seizure! The whole time I was there I walked around the cot, watching her watch me. She was shaking her arms and legs and calling out. I for just nothing more than proving the point, took her arm to take her pulse and lifted it a little higher than normal and then dropped it over her face. That arm flung back away from her face to her side. When the nurse asked for any medications, she had a box of anti depressants and anti seizure medications that would knock your socks off. Momma said he had a fever, well she had long flannel P. J.'s on and it was about 85 that day and she was covered with her blanket. It takes all kinds.

I actually can say I do not drink at all. Years and Years ago when the legal age for drinking was 18 where I lived, yes I tipped a few to many. That being said, we just grew up and quit, that was somewhere around 37 years ago.

They start EMT B classes with new EMS Pants, holster to carry the scissors, have a fully stocked trauma kit in the trunk and new boots.