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

Poisoning & Overdose

March 11, 2015 by Candice Ryan-Supples

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

  • #31 Overdose and Toxic Ingestion
  • #6 Behavioral
  • #25 Altered Mental Status

Peds

  • #60 Pediatric Overdose and Toxic Ingestion
  • #57 Pediatric Altered Mental Status

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.

Filed Under: Altered Mental Status, Con-Ed, Uncategorized Tagged With: adult, excited delirium, narcan, overdose, pediatric, poisoning

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