Youngsville Rescue & EMS

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

Respiratory Emergencies

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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

Peds

Presentation Resources

Helpful Resources

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

Poisoning & Overdose

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Con-Ed Topic: Poisoning & Overdose

Con-Ed Date: March 11, 2015 (rescheduled due to winter weather)

NARCAN kit
NARCAN kit

Overview

Conducted review of Poison Control Center statistics, including causation, route, poisonous agent, and various patient demographics of recent poisonings. Lecture on identification and general management of poisoning by ALS and BLS personnel, including review of Franklin County protocols.

Class discussion of specific toxins and syndromes, including aspirin, acetaminophen, opiates, benzodiazepines, tricyclic antidepressants, alcohol, antihypertensive agents, stimulants, and various CNS depressants. Discussion of toxic exposure as a differential diagnosis in suspected psychiatric emergencies, including video case study.

Lecture and discussion of Excited Delirium Syndrome based on the ACEP White Paper on ExDS with a video based case study.

Franklin County EMS Protocols Reviewed

Adult

Peds

Presentation Resources

How to assemble and use intranasal Narcan (You Tube) This video is for the lay person using an emergency narcan kit, but the equipment is identical to what YRS carries.

Want to learn more about Excited Delirium Syndrome?

Link to ACEP White Paper on Excited Delirium Syndrome

This paper was published by the American College of Emergency Physicians. It provides a good overview and recommendations for first responders and law enforcement dealing with potential Excited Delirium patients.

Want to learn more about specific toxic agents?

Bath Salts for Public Safety Providers (You Tube)

This video by Dr. Bowie provides an overview of the designer drugs, generally referred to as “Bath Salts”. It is intended specifically for the public safety and emergency medicine audience.

Aspirin Overdose by EM in 5 (You Tube)

Calcium Channel Blocker by EM in 5 (You Tube)

These videos by Dr. Anna Bargren are a good overview of aspirin overdose and calcium channel blocker overdose. This is more helpful for advanced providers and those in the ED setting.

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

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https://professionalhelpformen.com/what-is-the-role-of-testosterone-on-males-sex/. What has always distinguished males from females? It was an extraordinary male power in comparison with the female was always a man’s priority.

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

Spinal Immobilization

Anaphylaxis and Epi

Members practice with epinephrine vials
Members practice with epinephrine vials

Helpful Resources

Anaphylaxis & Epi:

Spinal immobilization & 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.