Emergency Situation 101

Emergency Situation 101

Be prepared for anything. Tips and tricks for emergency situations. This page provides rescue, emerg When an emergency occurs, how will you react?

House fires, car accidents, earthquakes, chest pain, choking, bleeding and seizures. In any emergency situation it is critical that you remain calm and turn rational decision into decisive action. This page is for entertainment purposes only, there is no substitute for proper training, but by following this page you might learn something that will one day save your life.

Operating as usual

24/03/2021
11/04/2020

Yeah, suck it other first responders, EMS is the best! We're number 3! We're number 3! 👍😎👍

Truth

10/04/2020

What's your score?

31/03/2020

While the world is at a standstill, BC's ambulance paramedics are on the move.

Photo Credit: Joshua Berson

Provincial Health Services Authority - PHSA

04/03/2020

From the WHO "In the face of a previously unknown virus, China has rolled out perhaps the most ambitious, agile and aggressive disease containment effort in history"

"Much of the global community is not yet ready, in mindset and materially, to implement the measures that have been employed to contain COVID-19 in China. These are the only measures that are currently proven to interrupt or minimize transmission chains in humans. Fundamental to these measures is extremely proactive surveillance to immediately detect cases, very rapid diagnosis and immediate case isolation, rigorous tracking and quarantine of close contacts, and an exceptionally high degree of population understanding and acceptance of these measures. Achieving the high quality of implementation needed to be successful with such measures requires an unusual and unprecedented speed of decision-making by top leaders, operational thoroughness by public health systems, and engagement of society"

https://www.google.com/url?sa=t&source=web&rct=j&url=https://www.who.int/docs/default-source/coronaviruse/who-china-joint-mission-on-covid-19-final-report.pdf&ved=2ahUKEwiz9arqh4DoAhVyFjQIHX00DGMQFjAAegQIBBAB&usg=AOvVaw1gO_RTfaIWQuEkjdvq_O7i

www.who.int

Timeline photos 17/12/2019

Here is a good explanation about glove colours...and why black is not a good choice when dealing with blood.

with
・・・


TEAM,
Had a few of you reach out about why I use light blue gloves and not black or dark colors. Here's an incredible image and early post I made that I want to revisit.


Blood sweeps are quintessential components to the MARCH algorithm, and especially at point of injury. I also complete blood sweeps (actually blood rakes is more effective) even at a receiving trauma center because...


MISSED WOUNDS KILL. .
Penetrations, stab wounds, projectiles, bullet holes, and head lacs are all potentially missed injuries.


DON'T DO IT TO LOOK COOL:
I admit, I used to think black gloves were sleek, good looking, and "tactical". Fluid (blood, vomit, chemicals, emesis etc) all look fairly similar on black gloves. Add low visibility or red/green situations and it can be difficult to decipher between each fluid. .
There are plentiful examples of medical gear, styles, or techniques that are trendy. But are the beneficial?Remember your evidence based medicine.


I had an attending share some wisdom when I asked to try a novel treatment. "Especially in emergency medicine practice, it's typically not good to be the first person or last person to do something".


My team only uses blue, purple, and light colored gloves.
Have a strong and blessed week, TEAM!

📸

04/11/2019
14/10/2019
Timeline photos 07/10/2019

Today's topic is pelvic injuries following traumatic amputations following a blast.

During some training we often see people being to taught to "drop a knee" on the pelvis to slow bleeding while applying a tourniquet during a blast scenario.

It's important to note that many amputations caused by blasts have associated pelvic fractures. By applying pressure to an unstable pelvic fracture, a provider can damage arteries and cause massive internal blood loss. "Dropping a knee" can lead to further damage and internal bleeding.

It is recommended that any casualty with an amputation caused by a blast should be treated with a pelvic binder when the situation allows for application. There are commercial devices (The pelvic binder, T-POD a d SAM Pelvic sling) however the SAM Junctional TQ and the Junctional Emergency Treatment Tool (JET) may also be used. It's important to remember that the pelvic binder should be placed across the Greater Trochanter of the femurs and NOT across the iliac wings. Avoid log rolling the casualty during application.

Background information:
-77 patients with lower limb amputation after a blast injury
-10% with unilateral amputations had pelvic fractures
-30% with bilateral amputations had pelvic fractures
-39% with bilateral above knee amputations had pelvic fractures.
(Cross, JR Nav Med Devices, 2014)

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17/09/2019
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