Youngsville Rescue & EMS

Providing emergency services to the town of Youngsville, NC since 1973

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Pediatric Emergencies

September 9, 2015 by Candice Ryan-Supples

Con Ed Topic: Pediatric Emergencies

Con Ed Date: June 17, 2015

Overview

  • Pediatric anatomical differences
  • NC pediatric morbidity and mortality data
  • Common pediatric emergency presentations
  • Broslow-Luten tape usage and weight based dosing
  • Child abuse and maltreatment

Presention Resources

Pediatric Emergencies for EMS PPT

Helpful Resources

Child Abuse Info for First Responders Adapted with additional info for NC Providers

1313991 - Broselow Paediatric Emergengy Tape

Filed Under: Uncategorized

Phillips MRX Monitor

May 20, 2015 by Candice Ryan-Supples

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Con Ed Topic: Phillips MRX Monitor In-Service

Con Ed Date: May 20, 2015

Overview

Guest Instructor Todd Baker from Southeastern Emergency Equipment provided an in-service training on the new Phillips MRX. Following the in-service, members conducted cardiac arrest scenarios using the new monitors.

Missed our session? Franklin County Emergency Services organization members can complete the online in-service.  Go to Heart Start MRX website. Contact your agency’s training officer for your password.

Phillips Monitor

 

 

 

Filed Under: Uncategorized

Cardiology

April 22, 2015 by Candice Ryan-Supples

Con Ed Topic: Emergency Cardiology

Con Ed Date: April 22, 2015

Overview

  • Cardiac anatomy and physiology
  • Acute coronary syndromes
  • Cardiac arrest
  • Electrical therapies
  • Cardiac pharmacology
  • Cardiac emergencies case studies

Bonus: ST segment elevating game of high stakes cardiology jeopardy!

Franklin County EMS Protocols Reviewed

#11 Asystole/PEA

#12 Bradycardia, Pulse Present

#13 Adult Cardiac Arrest

#14 Chest Pain/STEMI

#15 CHF Pulmonary Edema

#16 Adult Tachycardia Narrow Complex

#17 Adult Tachycardia Wide Complex

#29 Hypertension

Since cardiac symptoms can be GI in nature,  we decided to see how many other differential diagnoses we could come up with for abdominal pain.

Presentation Resources

Medical Animation on Acute Coronary Syndrome (YouTube)

Medical Animation Cardiac Anatomy  (YouTube) Simple Review of Cardiac Anatomy

Helpful Resources

Learn more about myocardial infarction on Khan Academy’s YouTube channel. Check out their Myocardial Infarction playlist.

Khan Academy MI Playlist

Boundtree University Free Online CE Look for their two classes called Heart Failure and STEMI Care

Filed Under: Uncategorized

Respiratory Emergencies

March 25, 2015 by Candice Ryan-Supples

Con-Ed Topic: Respiratory Emergencies

Con-Ed Date: March 25, 2015

CPAP
YRS standard issue CPAP

Overview

  • Respiratory anatomy & physiology
  • Respiratory pathophysiology
  • Differentiation of ventilations vs perfusion vs diffusion
  • Identification and treatment of CO poisoning
  • CHF related emergencies and use of CPAP
  • Identification and treatment of bronchospastic emergencies, including asthma and COPD
  • Review of IM epinephrine administration for EMT-Basics

Franklin County Protocols Reviewed

Adult

  • #15 CHF Pulmonary Edema
  • #26 COPD Asthma

Peds

  • #61 Pediatric Respiratory Distress
  • #50 Pediatric CHF Pulmonary Edema

Presentation Resources

  • Respiratory Emergencies PPT
  • Lung Anatomy Medical Animation (You Tube)
  • Asthma Medical Animation (You Tube)
  • Pneumothorax Medical Animation (You Tube)
  • COPD Medical Animation (You Tube)
  • Pneumonia Medical Animation (You Tube)
  • Pulmonary Embolism Medical Animation (You Tube)
  • YRS standard issue CPAP: BLS Systems Rescuer CPAP System Instructional Video

Helpful Resources

Check out EMS World’s CE activity Carbon Monoxide Poisoning: A Silent Death

  • EMSWorld Carbon Monoxide CE
  • Boundtree University’s free online CE: look for their class called Respiratory Emergencies and CPAP

Filed Under: Con-Ed, Respiratory Tagged With: chf, cpap, pneumonia, pulmonary edema

Capnography, IM Epi for EMT-B, X-Collar Usage

January 28, 2015 by Candice Ryan-Supples

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Chief shows off his X-Collar skills
Chief shows off his X-Collar skills

Con-Ed Topic: Skills review on capnography, anapyhlaxis treatment, & X-Collars

Con-Ed Date: January 28th, 2015

Overview

1. Simplified introduction to capnography as a tool for BLS and ALS providers, includes basic wave form interpretation and use of the capnogram as a diagnostic tool. Discussed the role of capnography in resuscitation situations as a clinical indicator of compression effectiveness, advanced airway placement, and potential for ROSC.

2. In depth review of the identification and treatment of anaphylaxis, including the use of IM epinephrine. Focused on BLS provider administration with hands-on practice and medications identification.

3. Skills session for X-Collar and King Airway with multiple ALS evaluators.

IM Epi Draw up
Mrs. Chief demonstrates IM epi administration in a skills station

Franklin County EMS Protocols Reviewed

Airway

  • #02 Adult Airway
  • #03 Adult Failed Airway
  • #44 Pediatric Airway
  • #45 Pediatric Failed Airway

Spinal Immobilization

  • #90 Selective Spinal Immobilization

Anaphylaxis and Epi

  • #24 Allergic Reaction Anaphylaxis
  • #56 Pediatric Allergic Reaction
Members practice with epinephrine vials
Members practice with epinephrine vials

Helpful Resources

Anaphylaxis & Epi:

  • Anaphylaxis and Epi Medical Animation (You Tube)
  • IM Injection Techniques for the Deltoid

Spinal immobilization & X-collar:

  • Video on the potential harms associated with traditional spinal immobilization
  • Online training for x-collar

Capnography for EMS providers:

King airway 2
The County FTO oversees the King Airway station

This is an excellent video series on You Tube; 8 short videos you can watch on your phone or other mobile device at any time. They are perfect for EMS providers of all skill levels.

  • The Resuscitationist Review of ETCo2 (You Tube)

Filed Under: Con-Ed, Respiratory, Spinal immobilization Tagged With: adult, anaphylaxis, capnography, IM injection

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