Wed.Jan 24, 2024

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Anticoagulation Reversal

Core EM

Background Around 6 million people in the U.S. are on oral anticoagulants (Ref 1) Common causes for oral anticoagulation uses include: Atrial fibrillation Venous thromboembolism Stroke Heart valve replacement The number of patients on direct oral anticoagulants is steadily increasing, and about 3% experience life-threatening bleeding annually (Ref 2) Anticoagulation status leads to increased mortality despite the availability of reversal agents in patients with severe bleeding (ref 2) Indicat

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Recent Announcements and New Resources on EMS.gov

American Ambulance Association

From EMS.gov on January 24, 2024 Recent Announcements TODAY: Rural Emergency Medical Service (EMS) Training Grant Pre-Application Webinar The Substance Abuse and Mental Health Services Administration (SAMHSA) is hosting a webinar […] The post Recent Announcements and New Resources on EMS.gov appeared first on American Ambulance Association.

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The Intervals Aren’t Alright!

Core EM

The Case An elderly male with a past medical history of hypertension and diabetes presents to the emergency department with a chief complaint of diarrhea and shortness of breath. His vital signs are: HR 60, BP 105/65, RR 30, O2 100% on room air, oral T 98.6 F, and FSG 120. EKG Show Details EKG Characteristics Rate 60 BPM Rhythm Regular, no discernible P-waves Intervals PR na; QRS complex > 160 ms; QT Prolonged Axis LAD ST Segments Wide QRS complexes slurring into very large pointed T waves Diagn

Plasma 130
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Leadership Track Now Available in the NVFC Virtual Classroom

NVFC

Fire and emergency service leaders have many responsibilities, from recruiting and managing personnel, to budgeting and administration, to community relations, to setting the culture and ethical tone for the department, and much more. Whether new or established, leaders are constantly needing to learn and grow in their roles. The National Volunteer Fire Council (NVFC) has released a new Leadership training track in the Virtual Classroom, designed specifically for fire and EMS department leaders,

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Super Refractory Status Epilepticus

Don't Forget the Bubbles

Going beyond the algorithm, what can we do when a child is still fitting despite appropriate treatment? Four-year-old Fern is a previously healthy girl who presents with a febrile illness and seizures. Seizure activity did not respond to either first or second-line treatments, so she needed rapid sequence induction and transfer to PICU for ongoing anaesthesia and management.

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TIRBO 53: Who needs an arterial line?

Critical Care Scenarios

Arterial lines are resuscitative tools. Arterial lines are resuscitative tools.

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ICE- Medical ID

EMT First Aid

Medical IDEvery smart phone has the function and ability to be able to store my medical information and emergency contact details. But I do think that mobile phone companies are missing a trick. I think they have named it incorrectly; I think it should be called EMERGENCY ID not MEDICAL ID because many persons just skip this element when setting up their phone as they might not have a medical issue.

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Heat Exhaustion and Stroke - The dangers

EMT First Aid

​Heat Exhaustion and Heat StrokeWe have been very lucky this year, the weather has been kind. We are now all experiencing the summers I used to remember as a child - long hot summer days and evenings that seemed to last forever. Unfortunately though if we dont look after ourselves all the fun and games can come to an abrupt stop. Heat exhaustion and heat stroke can occur if we dont look after ourselves in the heat and sun.

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Summer Holidays

EMT First Aid

The summer holidays are here! Most schools have now broken up for the 6 week summer break. If you are heading out this summer, either abroad or in the UK please read our top tips about what to pack and other practical travel advice from lift off to drowning and heat exhaustion.FlyingFlying with little ones is the first challenge; Take small sachets of Calpol or Neurofen in your hand luggage as these can help if the air pressure hurts their ears.

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Itchy Feet - Pet First Aid

EMT First Aid

​Problems with Dog Paws.Dogs spend the majority of their time on their paws walking, running, and fetching, so it's easy to see how important it is to make sure that you take good care of your dog’s paws. Paw pads provide insulation for a dog’s feet, provide traction, aid with balance, slowing down, and stopping, and act as shock absorbers for the bones and joints that make up the dog’s feet and legs.

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Allergic Reactions and Anaphylaxis

EMT First Aid

Anaphylaxis and Allergic ReactionsAnaphylaxis is a severe life-threatening allergic reaction affecting the entire body. Anaphylaxis is becoming more common and you may know someone with a severe allergy. Common allergens include food, fruits, diary products and insect stings but could be anything.Anaphylaxis can proceed rapidly and failure to administer adrenaline promptly has been associated with fatalities.

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Bursting the Myths

EMT First Aid

Facts vs Fiction​When it comes to first aid, there are several well-popularised myths about what to do in certain situations. These myths are unlikely to help, and in some cases may even harm the patient.First aid myth 1: If someone is having a seizure (fit) you should place something in their mouth to stop them from biting on their tongue or choking.Fact: When someone has a seizure, nothing should be placed in their mouth as they may choke/swallow it or injure their teeth.

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Using an AED

EMT First Aid

What is an AED and how to use one.A defibrillator is a lifesaving piece of medical equipment which delivers an electrical shock to a cardiac arrest victim. Cardiac arrests can affect anyone at any time. 30,000 occur outside of hospitals across the UK each year. Currently less than 10% of these people experiencing cardiac arrests in the community surviveAEDs are used in addition to CPR to save the lives of those suffering cardiac arrest.

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Hay Fever and Allergy

EMT First Aid

Hay FeverI am a hay fever suffer and I have been suffering this year, so I thought I would make this blog to explain what hay fever actually is and what can help, you can also watch this videoI am not alone as a hay fever sufferer, as approximately a quarter of all hay fever sufferers in the UK are allergic to tree pollen, are you one of them? Tree pollen allergies are seasonal, mainly occurring between February and June.

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Burns and Scalds

EMT First Aid

Burns and ScaldsBurns are extremely common, painful and potentially life-changing injuries. Burns frequently become infected and scarring from burns is often disfiguring and permanent. Appropriate first aid must be used to treat any burns or scalds as soon as possible. This will limit the amount of damage to your skin.A burn is caused by dry heat – by an iron or fire, for example.

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Cold water Shock

EMT First Aid

Cold Water ShockAccidental drowning takes an average of 402 UK and Irish citizens each year, and the Royal Life Saving Society UK fears that with lockdown restrictions lifting and staycations on the up, families will flock to inland water locations and beaches this summer, without the right knowledge and skills, putting themselves and others at risk.What is Cold water shock?

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How to help with a car accident

EMT First Aid

Car AccidentsTraffic accidents can range between minor incidents such as a bicycle crash or much more serious incidents like a vehicle crash - you can also watch this video​Every year, anywhere from 20-50 million people across the globe are hurt, injured, or involved in car accidents. Because accidents are so common, you may witness one or be involved in one and have to help any victims.

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Hot Sand

EMT First Aid

It’s the summer holidays! ​Do you plan on going to the beach? Or plan on taking a summer holiday abroad (at the time of writing this is still possible). While sharks may scare you, they’re probably not the most likely danger you’ll encounter. I have talked about the dangers of weaver fish but let’s now talk about the sand itself. Do you know how hot sand at the beach is?

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Swimming in the sea

EMT First Aid

Swimming in the seaCharities and emergency services have been urging caution amid fears more deaths or serious incidents could occur as the summer holidays get underway.​The beach and the sea have many dangers from things that can sting us, to being burnt on the sand, or the sun, dehydration and drowning to name a few. When going to the beach, always make sure you are prepared and have planned for the day.

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Weaver fish.another reason to wear beach shoes!

EMT First Aid

Weever Fish - another reason to wear beach shoes!​What are they?Weever fish are found all round our coast. They like to bury themselves in soft sand so are often in the sea on our most popular beaches. Now for a fish that is 2 inches long you wouldn't think it was a threat. However many many adults and children every year step on them. Unfortunately they have a poisonous spine on their backs.and the pain??

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What to do if you see someone drowning.

EMT First Aid

​​Water can be very dangerous. We want you to enjoy the water, but we also want you to recognise its dangers and never underestimate its power.It is the Royal Lifesaving Society's goal to halve the number of accidental coastal deaths by 2024.Knowing what to do in the event of seeing someone in difficulty in the water could help save someone’s life. The majority of people will not just stand and watch someone in difficulty in the water.

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Water and Beach Safety

EMT First Aid

​The warm weather is here and we have just had a heatwave which means summer is approaching. This means more people than ever before are looking to explore the great outdoors and to visit the beach or lakes and rivers with their families and friends but we need to stay safe as drowning is the 3rd leading cause of unintentional injury death worldwide.

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Hairy Caterpillars

EMT First Aid

Hairy caterpillars might look lovely and fluffy and friendly but they are NOT. Keep children away from hairy caterpillars and their nests because of the health problems they can cause.There are many types , but the two considered toxic here in the uk are generally taken to mean the brown-tail and the oak processionary moths.Brown-tail moths are covered with brownish hairs which can easily break off, causing intense irritation and rash if they come into contact with human skin.

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Sports Day Survival Guide

EMT First Aid

Sports Day Survival GuideSummer is here, and it’s that time of year when all schools from nursery all the way through to secondary school take part in athletics and the annual sports day. As a previous PE teacher, this was the time of year the PE department get to celebrate all the students sporting successes. Some schools even allow parents to take part!

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Dangers of Water

EMT First Aid

The Dangers of Water​The warm weather is here and we have just had a heatwave which means summer is approaching. This means more people than ever before are looking to explore the great outdoors and to visit the beach or lakes and rivers with their families and friends. But we need to ensure we stay safe as drowning is the 3rd leading cause of unintentional injury death worldwide.

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Ticks

EMT First Aid

Ticks are tiny creatures that live in woodland and grassy areas, they are particularly prevalent if there are deer and other wildlife. They are blood sucking and bite into the skin to feed on blood. Initially they are extremely small, but swell as they eat, eventually becoming pea sized and therefore easier to spot and remove. Ticks do not fly. Ticks do not jump.

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