Emergency Medicine

Grippe is an old name for influenza, or what most call the flu.

There have been 78 combat jumps.

Medicine is society's standard way of dealing with illness and injury.

It is always best to seek medical advice before taking a mixture of different medicines. Consult your local pharmacist, doctor or check with a medical advice line.

As much is necessary to be able to determine the scope of the injury or injuries. The more severe injuries get priority, of course.

Isordil is a trade name for isosorbide dinitrate, a long acting nitrate medication used to treat chest pain, angina, and congestive heart failure.

Emergency medicine is constantly changing - new research is ongoing in several areas, including the diagnosis and treatment of pulmonary embolus; care of those suffering cardiac arrest; whether therapeutic hypothermia is effective, or more effective than preventing hyperthermia after arrest, etc.

Anytime you insert a needle into someones body, unless it's in an autoinjector, to give them a medication of some sort, you need to aspirate for blood. That is an important key in giving vaccines because anytime there is blood, you've hit an artery or vein and the medication should not be injected. Especially in a SQ, if you see blood, you're definitely not doing it correctly. In a SQ, it's fatty tissue, separate from veins and arteries. Aspirating is a good thing!

gain in effort

2-4 LPM by nasal canula.

Veins become prominent after the application of a tourniquet because of the buildup of blood within them, as the blood is still under pressure, but now in a smaller area, causing the veins to become enlarged.

1.5 hours

Any kind of chest trauma or brain injury can affect the mechanics of breathing.

First of all, check the scene for any potential hazards to you, the patient or your team and take appropriate action to isolate or minimize the risk.

Once the safety of the scene has been established, check for the patient's level of consciousness and their Glasgow Coma Score (GCS). Note down the history of the scene, the time of onset and the mechanism of injury (MOI).

Call for an ambulance of medical backup. The patient will need to be transported to an emergency department.

Advise the patient not to move to prevent the condition from worsening or causing pain. Gently palpate the area for any signs of deformity, crepitus, protruding body parts and any abnormalities.

An analgesia such as methoxyflurane, entonox, morphine, ketamine or another suitable drug should be administered to minimize pain prior to immobilization.

If the ambulance is more than 30 minutes away, immobilize the patient by binding the legs and legs together (padded in between). This minimizes the patient's range of motion and will prevent any worsening of the condition.

Give water to drink. You may give small quantities in installments if that is necessary.

The Kentucky Board of Emergency Medical Services uses the AOC background check in order to process applications. In most states, incidents are viewed on a case by case basis. Mitigating factors are how long ago the incident occurred, was anyone harmed, and has there been any repeated problems. One arrest for public intoxication which occurred in the past may not automatically prevent one from becoming a Paramedic.

Naloxone (Narcan) can be given three ways. Intra-nasally or by intravenous or Intra-muscular injection. If given through the nasal cavity, the dosage is 2 mg at a concentration of 1mg/mL. 1 mg in one nare, and the 2nd mg through the other nare. It should be given in a syringe with a M.A.D. device connected at the end where the needle would normally go. When administered it needs to be pushed through at a fast rate when using the M.A.D device. It can also be given through an IM injection the exact same way except using a needle and administering it at a slower rate. The full dose can be given in one single injection in the same extremity. Check your concentration because it may be .4mg/mL which will have to be calculated differently.

Statistically, the most common cause of unknown collapse in patients with medical history is hypoglycaemia (low blood sugar) In this case, the most common drug given is Glucagon, a solution containing glucose to raise the blood sugar level.

However, those with a higher level of clinical training (i.e. First Responders and above) should take a blood sugar reading if the cause of the collapse is unknown and then administer Glucagon as required.

Well, we called 911. The ER doctors scoped his throat to see where it was coming from and ripped open his esophagus. More blood. They proceeded to put in balloons to put pressure on the esoph. and stop the bleeding. The balloons were left in too long. They cut off the circulation of the esoph. and killed the tissue, causing gangrene. "Catastrophic" was the word used by the third hospital he was sent to.

Ampicillin is an antibiotic, a medication given to fight an infection. As such, it does not have an antidote, since antidotes are only given for poisons or toxic substances.

patient is allergic to latex

The pseudoephedrine in Rondec may cause a false positive for amphetamines or methamphetamines.

The most important thing in treatment of a tibial plateau fracture is realizing it is there. Tibial plateau fractures are notoriously difficult to diagnose since they may not show up on an X-ray early on. Clues a tibial plateau fracture may be present include high-force mechanism of injury, more swelling than would be expected, or pain out of proportion to what you would expect on exam.

As noted, identification may be difficult, so if there is high clinical suspicion with an apparently negative plain X-ray, a CT (or MRI) may be needed to identify the fracture.

Once diagnosed, the knee should be immobilized in consult with an orthopedist. In most cases, outpatient follow up is appropriate with appropriate analgesia, immobilization and non-weight bearing until follow up is achieved.

Pitfalls: tibial plateau fractures have a higher than normal incidence of compartment syndrome given the amount of force required to fracture the tibial plateau. Keep this in mind when making this diagnosis and be alert for signs of compartment syndrome.