1 / 13

DOT National Standard EMT-Intermediate/85 Refresher

Welcome!. DOT National Standard EMT-Intermediate/85 Refresher. MEDICAL EMERGENCIES. Allergic reaction Possible overdose Near-drowning ALOC Diabetes Seizures Heat & cold emergencies Behavioral emergencies Suspected communicable disease. BEHAVIORAL EMERGENCIES. Perspective

timothy-barber
Download Presentation

DOT National Standard EMT-Intermediate/85 Refresher

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Welcome! DOT National Standard EMT-Intermediate/85 Refresher

  2. MEDICAL EMERGENCIES • Allergic reaction • Possible overdose • Near-drowning • ALOC • Diabetes • Seizures • Heat & cold emergencies • Behavioral emergencies • Suspected communicable disease

  3. BEHAVIORAL EMERGENCIES Perspective Pathophysiology Epidemiology PE & Diagnostic Findings S/S Differential considerations Tx MEDICAL EMERGENCIES

  4. perspective • Depression & suicidal ideation • Anxiety Disorders • panic attacks • Schizophrenia • Bipolar disorder • The agitated or violent pt • Factitious illness • Malingering • Conversion disorder

  5. Differential Dx • The agitated or violent pt • Identify causes • Hypoglycemia • Severe amphetamine or cocaine toxicity • Hypoxia • Hyperthermia • Anticholinergic toxicity • Alcohol intoxication or withdrawal

  6. Differential dx • Finger stick glucose determination • Oxygen saturation • PE • Verbal survey

  7. treatment • Consider verbally controlling the pt • Physical restraint to a back board • Chemical restraint

  8. Treatment • Physical restraints • Use only when necessary and in those situations where the pt is exhibiting behavior deemed to present danger to him/herself or to the field personnel • Minimum restraint necessary to accomplish necessary pt care & safe transport • Circulation to the extremities (distal to the restraints) should be evaluated frequently

  9. Chemical restraint Tx • Indications: to reduce combative behavior that endangers the pt or caregivers • Contraindications: • Absolute • sensitivity to diphenhydramine or midazolam • SBP <90mm Hg (adult) • Relative • N/V • Depressed mentation • Suspected drug/alcohol intoxication • Multiple systems trauma • Head injury • Concomitant narcotic administration • These MAY be the proximate cause for the condition that requires proposed sedation. The best judgment of the medic is necessary to evaluate the need for sedation

  10. Treatment

  11. Treatment

  12. Perspective • Pathophysiology • Epidemiology • PE & Diagnostic Findings • S/S • Differential considerations • Tx

  13. Questions? • References • Marx, John A. ed, Hockberger & Walls, eds et al. Rosen’s Emergency Medicine Concepts and Clinical Practice, 7th edition. Mosby & Elsevier, Philadelphia: PA 2010. • Tintinalli, Judith E., ed, Stapczynski & Cline, et al. Tintinalli’s Emergency Medicine A Comprehensive Study Guide, 7th edition. The McGraw-Hill Companies, Inc. New York 2011. • Wolfson, Allan B. ed. , Hendey, George W.; Ling, Louis J., et al. Clinical Practice of Emergency Medicine, 5th edition. Wolters Kluwer & Lippincott Williams & Wilkings, Philadelphia: PA 2010.

More Related