Safety Education Specialists

Khyber

As many of you know, Wes is currently in the hospital. Thank you all for your continued prayers and positive thoughts. Many of the LEO’s Wes has taught are currently wearing the Khyber Patch in support. #khybertraining #police #cops #code_four #rangeday
#daily_badass
#lslustour #dr_wes_doss #thanks

[04/17/20]   All training will be conducted as a 1-on-1 session. You may use our Vagaro page to register for a Skills Session (if you have already done part of the course online), or an open-enrollment session, if you wish to do everything in your session. The fees for the Skills Sessions are $65 for Heartsaver and $70 for BLS. The fees for the full courses are $75: BLS Renewal, $85 Heartsaver AED, $105 Heartsaver First Aid with AED. These fees are paid when you arrive for your session.

Med-Tact School of Tactical Medicine

What's Open, Closed In Ashburn During Coronavirus Shutdowns

We are in the Ashburn Patch - open for Essential Healthcare Workers.

patch.com Nearly 30 local businesses are in our guide so far of what's open and closed in Ashburn.

COVID-19 Safety Education Specialists Business Update: AHA BLS Skills Checks are available for Essential Healthcare Workers. We are able to conduct these sessions 1-on-1 and in compliance with all CDC, AHA and Virginia guidelines. Visit our website www.ses911.com to select your appointment time or contact us at [email protected]

SES COVID-19 Updates

[03/30/20]   Per the Governor of Virginia's Stay-At-Home Order, through June 10, 2020 - SES will only offer Skills Session appointments for Healthcare Workers who can provide documentation that they are Essential Workers. These appointments will be conducted while respecting all social distancing requirements. These students must complete the Online training through the AHA prior to scheduling their session. Documentation of essential-worker status will be maintained in SES records. While the AHA has recommended extending certification expirations by 60 days, this is only a recommendation - not a mandate. Individual employers and licensing bodies may elect to not allow a 60-day grace period. For this reason, SES will remain open to Essential-Healthcare personnel only and only for 1-on-1 skills sessions made by appointment. To make an appointment, please contact us directly via email: [email protected] Our online scheduler will be operational for Healthcare workers only until the order is lifted.

Safety Education Specialists | ses911.com

SES is now closed for all open-enrollment courses through 04/18/2020. If you are a Healthcare Worker and you need BLS in order to work, please contact us at [email protected] and we will set up a 1-on-1 appointment for your Skills Session. This service is ONLY for Healthcare Workers who need their BLS certification. www.ses911.com

ses911.com

[03/17/20]   Per the new CDC guidelines to Slow the Spread, SES will close all open-enrollment classes. Students currently registered may attend their classes as scheduled. We will continue to offer 1 on 1 skills appointments through 03/21/2020. After 03/21, we will suspend all services until April 5th 2020. If you are a Healthcare Worker who needs BLS Certification for work, we will work with you on a case-by-case basis.

Congresswoman Jennifer Wexton

The White House and Centers For Disease Control (CDC) have issued new guidance that every Virginian should follow to slow the spread of coronavirus.

The next 15 days are critical—avoid gatherings of over 10 people, stay home if you can, and avoid discretionary travel.

Read more here: https://www.whitehouse.gov/briefings-statements/coronavirus-guidelines-america/

Scrubs - bacterial movement (My Cabbage episode)

This video is an example of how quickly bacteria and viruses can spread, and how easy it is to get infected without even thinking about it.

[03/14/20]   Dear Students: There has been a delay in processing our ecard orders for "Heartsaver" ecards. We have ordered them, but they have not hit our distribution bank as expected. We have pushed the issue up the chain for a resolution. We appreciate your patience.

[03/12/20]   Statement from SES regarding the COVID-19 Pandemic.
At this time, we are continuing all classes and appointments as scheduled. Individual students are encouraged to use their own discretion in deciding whether or not to attend. If you would like to reschedule, as always, we do not charge a fee to reschedule due to illness.
We have always used disposable breathing valves for our training, changed lungs after each class etc and will add the use of nitrile gloves for all students.
We will also lower our students per class to ensure maximum social distancing during this time.
Any student who appears ill, has traveled outside of the USA within the last 14 days, or has a temperature of 100.0 or above will be denied entry to class.
Thank you for your understanding and cooperation.

FOX61

Facts not Fear: As many people start to get sick with the flu or experience allergies, here's a look comparing the symptoms between the coronavirus, the flu and seasonal allergies. https://www.fox61.com/coronavirus

Loudoun County first responder quarantined after coming into contact with person who tested positive for coronavirus

loudountimes.com Loudoun County officials announced Sunday night that a local first responder has been quarantined as a precaution after coming in contact with someone outside of the county who has since

Savage Paramedics

North American Rescue

🎯🎯🎯

By @drmikesimpson:
“The biggest mistake I see young medics making is over-packing. When you are packing your kit, especially your aid bag, there is a strong urge to "What-if?" every possible scenario. (This is the 180 degree problem from what I discussed earlier in the week about forgetting why you are there and what you should be carrying) As medics gain more experience, they develop a more realistic approach to what they should carry based on what they are likely to encounter and what they can reasonably treat. Ask yourself: 1)Based on the operational environment, what will be the most common injury pattern that I encounter? 2)What is the most life-threatening, yet survivable injury, that I can treat with my skillset? 3)How long will I have to treat and how close is the next level of care? 4)Where am I strong and weak as a medic? 5)What are my team mates carrying in the way of medical supplies and should/could they carry more?

If you over "What-if?" you will soon find yourself carrying a hundred pounds of gear. That is the point of diminishing returns, where you will be so impaired by the added weight, that you will cease to be an asset and will become a liability to your team.

Travel lite, less is more. Know your limitations and that of your gear, and know your operational environment. More on this, and the modular approach to kitting, in future posts.”
#tccc #tecc #cotcc #march #18d #68w #tems #specialforcesmedic #tacmed #operationalmedicine #trauma #emergencymedicine #prehospitalmedicine #contoms #stopthebleed #swat #firstresponder #swatmedic #rescuetaskforce #rtf

American Red Cross

Here’s three easy steps you can take right now to prepare your household for an emergency, including the coronavirus. https://rdcrss.org/2TH30Dv

Tactical Emergency Medicine

Get some training.
#USTEM

[03/03/20]   Training at NIAID in Maryland today. So far, no #coronavirus in sight...

Sudden cardiac arrest often a woman's first sign of heart disease | Sudden Cardiac Arrest Foundation

sca-aware.org New research from the Smidt Heart Institute says women at risk for cardiovascular disease must be better identified

Saint Fisher Church of Evidence Based Medicine

There are a lot of people asking about IFAK packing lists across social media. Always go with CoTCCC recommended devices and equipment. ***we have no financial disclosures***

Massive hemorrhage: Choose two CoTCCC recommended tourniquets

Airway: NPA

Respiration: Two vented chest seals, NCD if you are trained

Circulation: Two bleeders with hemostatic dressings or compressed gauze and elastic pressure dressing (ACE bandage), this could go into massive hemorrhage too.

Hypothermia: There’s nothing you can pack that’s effective

Additional: Shears, sharpie, cax card, gloves

How a Fire Department in Arlington is Changing Active Shooter Response Worldwide

nbcwashington.com Dr. Reed Smith knows that when it comes to active shooter emergencies, seconds matter. That’s why the emergency room doctor, who also serves as the medical director of the Arlington County Fire Department, began studying hundreds of autopsies from victims of mass shootings years ago. With other me...

BYU Pole Vaulter Pierces Scrotum In Horrific Accident, Needed 18 Stitches

Are you prepared? Accidents can happen anywhere

tmz.com This BYU pole vaulter had a horrifically unfortunate injury during a training sesh ... and he needed 18 stitches to sew up his scrotum.

Safety Education Specialists | ses911.com

Our phone lines are currently down. While we work to resolve this, please email any class questions. [email protected] Or, you may view our schedule and register online at www.ses911.com

ses911.com

Fire Department Chronicles

Learn how to save someone's life and laugh at the same time!!
Sharing this video could LITERALLY save someone's life.

I like to see evolving science

“Tourniquets can be a life-saving measure. However, to dispel a myth, you can and should place a tourniquet over a two bone compartment if possible. While high and tight is appropriate in CUF, when there is no time to fully assess a limb, there is no data to demonstrate that high and tight is better if there is time to assess a limb. TQs work better the lower they are placed on the limb. Two bone BS is a myth. .
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The main determinant of effectiveness in well-designed tourniquets is the ratio of device width-to-limb circumference. The predicted occlusion pressure: (limb circumference/tourniquet width) × 16.67 + 67. This suggests, that be placing the TQ lower, it requires less pressure. They work better on the forearm or calf area and need not be reserved for the thigh or upper arm as is sometimes recommended for control of distal limb hemorrhage.
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Furthermore, a previously tight thigh tourniquet can loosen after exsanguination from non-extremity bleeding (e.g., chest, abdomen, or pelvis injuries). A significant loss of total body blood volume will diminish the thigh circumference under and proximal to the tourniquet and will cause tourniquet loosening.”
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1. Kragh JF Jr, Walters TJ, Baer DG, et al. Practical use of emergency tourniquets to stop bleeding in major limb trauma. J Trauma 2008;64(2 Suppl):S38-49; discussion S49-50.

2. Brodie S, Hodgetts TJ, Ollerton J, et al. Tourniquet use in combat trauma: UK military experience. J R Army Med Corps 2007;153(4):310-313.

3. Beekley AC, Sebesta JA, Blackbourne LH, et al. Prehospital tourniquet use in Operation Iraqi Freedom: effect on hemorrhage control. J Trauma 2008;64(2 Suppl):S28-37.
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#FOAM #wellandrew #TCCC #medic #police #lawenforcement #trauma #combatmedic #68w #vasopressor #corpsman #ParaRescue #austeremedicine #tacticalmedicine #tacmed #tacticalems #tccc #tecc #tacticalcombatcasualtycare #specialforcesmedic #specialforcesmedics #socm #combatmedicine #emergencymedicine #paramedic #stopthebleed
Reposted from @fisherad1

Hahaha!

Great example of how a headline can mislead you - did you know that the Hartford Consensus found that the improvised tourniquets placed on victims of the Boston Marathon bombing were NOT successful in occluding arterial blood flow? Imagine how many lives could be saved if 90% of Americans didn’t just say they would intervene in a bleeding event but actually participated in @stopthebleedmonth and got proper training?!?!?!? @americanredcross @theonion THIS is what you should be advancing, NOT improvisation.

https://www.bleedingcontrol.org/~/media/bleedingcontrol/files/hartford%20consensus%20compendium.ashx

#stopthebleed #bleedingcontrol #tauma #emergencymedicine #bethedifference #savinglives #northamericanrescue

North American Rescue

Follow-up to our last post by @nardoctor

Great graphic from @proactiveresponsegroup - would add placing TQ 2-3 inches above a defined wound and packing the neck but this is a great post! Posted the link to the Hartford consensus in my bio so if you are not familiar with it you can give it a read! Plan to succeed not to improvise! #tccc #tecc #stopthebleed

[01/31/20]   Why you won't see us hosting a "CPR Party." SES is a group of professional instructors. We take our job of training you to save lives seriously. As such, we will not engage in a "party-like" training exercise. Recently, our COO was approached about signing up to do "CPR Parties" to train people in non-certification CPR. The pitch described it as being similar to a make-up/tupperware/home shopping party. Our reply. No thank you. We are not an MLM. While it is great to get a group of people together to learn CPR (and we have taught at client's homes, with their friends in attendance), it is not a "party." Learning CPR is a serious skill and one that requires the correct mindset. A "CPR Party" leaves the impression of a flippant, care-free environment.

Fire Department Chronicles

True or no?

[01/21/20]   A reminder to students: We cannot allow children to attend our courses, even with parental supervision. Unless the child is a registered student, they may not join you for class. We understand that in some cases this may present a difficulty. If such a difficulty arises, we will happily move your reservation to a better date/time. Thank you for your understanding and cooperation.

Yellow Wiggle Greg Page was given life-saving CPR by crew, off-duty nurse in audience

Learn CPR and save a Wiggle. Good job all!

smh.com.au Greg Page, one of the founding members of The Wiggles, suffered a cardiac arrest and collapsed on stage while performing at a bushfire relief concert in Sydney on Friday night.

North American Rescue

Don’t forget that while your medicine may be clinical, your patients are often in need of simple caring humanity. Repost @the.student.of.911.medicine

North American Rescue

Perfecting the finer art of the Rule #1 of TCCC - pew pew then medicine! #tccc #sofmed #savinglives #productswithamission #northamericanrescue

Fire Department Chronicles

Who knows the "Q" word?

This should be in the new hire curriculum. What are other “No-No” Phrases?

Every guideline update....ever

#truthhurts

Police dog saved with Narcan after accidental exposure to Fentanyl during drug bust

newsweek.com A Rhode Island police dog is back on the beat after surviving an accidental fentanyl exposure during a drug bust.

NO POLITICS Initial Analysis of Murders in White Settlement TX Church

This is a NO POLITICS initial analysis of today's murders in a church in White Settlement, Texas. It is meant to educate in technical and tactical applicatio...

North American Rescue

no no NO!!! Preach @Repost By @the_resuscitationist:
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This is the danger of social media and not vetting information/instructor.
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There is a tremendous amount of misinformation and poor, if not, dangerous teaching out there. And please feel free to check my sources and content. That's responsible learning.
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Do NOT try this technique. For deep penetrating wounds with life threatening bleeding, the use of gauze (looks like 4x4) to blot and whipe away blood (likely any clot that had transpired) is not appropriate.
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CORRECT APPROACH: if uncontrollable and extremity, use a CoTCCC approved tourniquet. With packing, use hemostatic gauze if available or Xstat. Or pack with finger or finger while holding pressure. I have videos on this page that show proper packing techniques.
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Peep those black tactical gloves.
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📽Video provided by @a_sad_paramedic this is NOT him or his teaching. He IS a good resource and reach out to him for when/where he teaches.
#ems #medic #paramedic #physician #er #emergency #hospital #teach #medical #doctor #doc #dr #wound #bleeding #video #trauma #doc #surgeon #rn #nurse #emt #emtb #pa #nursing #combat #war #practice

Savage Paramedics

Next Generation Combat Medic

In the news: improper intubation can be catastrophic for a patient

Recently, a series of "wrong tube" intubations came to light amongst the "EMT-Cardiac" service in Rhode Island.

Over a 2.5 year period, 11 patients were found to have died following intubation where the endotracheal tube was improperly inserted into the esophagus, effectively halting respiratory support while causing gastric insufflation.

When these cases were brought before the board in Rhode Island with the recommendation from the EMS director to restrict intubation to paramedics, it was essentially rejected.

The next day, a 12th patient died with a wrong tube intubation performed by "EMT-Cardiac" personnel.

Several valuable lessons can be learned from this case:

- The ability to "take the airway" should never be taken lightly. Training should not be finger-drilled.

- Ensure all personnel who are expected to intubate know the proper meds, as well as their primary, secondary, and tertiary airway interventions (such as DL, VL, SGA, cricothyroidotomy)

- While not always ideal, temporarily using a BVM to restore oxygenation levels can allow for reorientation by the provider, as well as to decrease stress with a repeat attempt

- Administratively, honestly dealing with after-action reviews (AARs) and utilizing feedback to revise and refine systems and SOPs should be encouraged (which does not appear to be the case here)

A report of Rhode Island's "EMT-Cardiac" cases, and how they were dealt with, can be found here:
https://www.propublica.org/article/ems-crews-brought-patients-to-the-hospital-with-misplaced-breathing-tubes-none-of-them-survived

A great (and rare) video of what an esophageal intubation looks like can be found here:
https://www.youtube.com/watch?v=yYqHKeqcrSw

JTS Airway Guidelins here:
https://jts.amedd.army.mil/assets/docs/cpgs/JTS_Clinical_Practice_Guidelines_(CPGs)/Airway_Management_17_Jul_2017_ID39.pdf