CAREERS httpwwwyoutubecomwatchvWaPTYnS4lMampfeaturerelated The goal of modern emergency care is immediate aid treating shock giving CPR amp transport to acute care The EMS system is a coordinated response by all levels of practitioners to accidents and sudden illness ID: 804935
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Slide1
CHAPTER 32EMERGENCY HEALTH CAREERS
http://www.youtube.com/watch?v=WaPTY-nS4lM&feature=related
Slide2The goal of modern emergency care is immediate aid, treating shock, giving CPR, & transport to acute careThe EMS system is a coordinated response by all levels of practitioners to accidents and sudden illness In most areas, EMS services are initiated through the use of the 9-1-1 telephone call
Careers in Emergency Health
CALL
911
HE’S UNCONSCIOUS!!!!
Slide3EMERGENCY CALL CENTER
http://www.youtube.com/watch?v=BFXl4o9Vb5o&feature=related
Slide4Emergency Careers Educational Cost and Earnings
Job Title
Educational Cost
Average Earnings
Emergency Medical Technician
(EMT)
$800 – 2,000
1 – 3 months
Night or weekend programs
$37,000 / year
Paramedic
$3,000 – 13,000
1 – 2 years full-time
$42,000 Ambulance
$44,975
Air Rescue
Flight Nurse
(RN)
AND $6,000-40,000
BSN
$40,000 – 200,000
$66,640 Acute Care
$79,796 Flight Crew
Slide5Works under the supervision of a physicianProvides care to the acutely ill or injured person in the pre-hospital settingFour classifications of E.M.T.s: ER technicians
E.M.T.Paramedic
Triage
http://www.youtube.com/watch?v=73kJ-4gEsnA
Intubation
http://www.facebook.com/video/video.php?v=1058857731434
Emergency Medical Technician
EMT-P (Paramedic) (EMT-4)Provides advanced life supportSkilled in all duties of other EMT personnel and monitoring electrocardiograph readings and defibrillationMay administer medication and perform endotracheal intubation
Emergency Medical Technician
Slide7Requirements vary by stateAt least 18 years old and high school diplomaRegistration with the National Registry of Emergency Medical Technicians (required by 38 states)Training includes a supervised internship
EMT certification is required by ALL statesRecertification
Emergency Medical Technician (Continued)
Slide8Flight rescue professionalsFlight paramedicsACLS certification
Prior field experience
Flight nurses
Registered nurse with at least 2 years of critical care or emergency room experience
ACLS, PALS and critical care certification
Flight respiratory therapists
Must be certified respiratory therapist
Critical care experience
Flight rescue professionals transport victims to emergency facilities
Other Emergency Personnel
http://www.youtube.com/watch?v=hgK2E0nn1Lw
Slide9Purpose of first aid is to sustain life and prevent deathFirst aid training teaches treatment of:
Breathing problemsChoking in adults & infants
Allergic reactions
Low blood sugar
Wounds
Poisoning
Burns
Shock
Fractures
Temperature alterations
Illness caused by medical
conditions/chemicals/drugs
Standard Precautions must ALWAYS be observed
Emergency Procedures
Slide10Order of treatment: Remember your ABC’sEmergency
Assessment and Treatment
Wounds result when tissue is damaged:External (six types)AbrasionScraping of skinBleeding is minimal
IncisionCut made with a surgical instrument, knife, or glassWound with straight edges
Bleeding is rapid and heavy
Laceration
Irregularly shaped cuts made by a sharp object
Bleed the least
Wounds
Wounds result when tissue is damaged:External (six types)PunctureObject pierces the skinHigh risk of infectionAvulsion
Traumatic tearing away of part of the bodyBleeding is rapid and heavy
Amputation
Surgical severing or cutting away of part of the body
Internal
Contusion or bruise
Wounds (Continued)
Slide13Bleeding Wounds
https://www.youtube.com/watch?v=x17IAot_JNk&list=PLh-RhJtgfeZAjLr7iDyCqYuBMPdYWY2CJ
Slide14Figure 32-8 Pressure on Artery Points
Slide15Methods of Bandaging
Slide16Breakage of a boneClassified as:Closed (simple)Do not penetrate skinOpen (compound)Bone breaks through the skin
Greater chance of infection
Fractures
Slide17Table 32-7 Fractures
http://www.youtube.com/watch?v=Z5K-6q36Hlk
Slide18Muscle strainsUsually from overuseCause pain, and sometimes crampingMuscle sprainsRapid swelling and pain when joint is movedDislocationBone moves out of jointSwelling, pain, and discoloration
Treatment: RICE (rest, ice, compression, elevation)
Other Injuries to Bones
& Muscle
Tissue
Slide19Apply Your Knowledge…Moving a patient with one personhttps://www.youtube.com/watch?v=gjZ6RWq21GkPlease find a partner and practice the drag technique in the video, then treat them for a bleeding laceration…
Slide20Signs & Symptoms:Very rapid or slow breathingLabored breathingAccessory muscle use to breathHands up holding throatPossible causes:AsthmaAnaphylaxis Shock from a medical condition
ChokingTreatment:Keep calmGet inhaler if asthmaticGive epinepherine if allergy
Abdominal thrusts if choking
Call 911 & get ready to do CPR
Breathing Problems
https://www.youtube.com/watch?v=Hv68EQ3tCBI
https://www.youtube.com/watch?v=_IxTC5A_9-s
https://www.youtube.com/watch?v=Qx2U0fIqN5I
https://www.youtube.com/watch?v=hyxqEvtr1Mo
Slide21Causes of Shock
Slide22Response of the cardiovascular system to the presence of adrenalin resulting from capillary constrictionCan result from:TraumaElectrical injury
Insulin shockHemorrhage
Reaction to drugs
May occur in conjunction with other injuries or illnesses
Anaphylactic shock is response of body to an allergen
Shock
https://www.youtube.com/watch?annotation_id=annotation_3637289255&feature=iv&src_vid=jp32sTgeFTY&v=BLfFYFr7sWY
Slide23Pale and clammy skinWeaknessRestlessnessPulse and respiratory rate are rapidVomiting may occur
Early Signs and Symptoms of Shock
http://www.youtube.com/watch?v=jp32sTgeFTY&feature=related
TREATMENT OF SHOCK
Slide24ApathyUnresponsivenessDilated pupilsMottled skinLoss of consciousness
Later Signs and Symptoms of Shock
Slide25May result from exposure to heat, chemicals, or radiationSeverity is determined by location, depth, and sizeBurns to the face, arms, legs, and genitals are the most criticalBurns
Slide26https://www.google.com/#safe=strict&q=man%20hit%20by%20lightning%20site%3Ayoutube.com
Slide27Most poisoning occurs in the homePoisonings occur in several ways:Inhaled AbsorbedInjectedObtained by radiation
Signs and symptoms of poisoning:Discoloration or burns on the lips
Unusual odor
Vomiting
Presence of a suspicious container
Poisoning
Slide28Poisoning
Slide29Are you choking…can I help you???CHOKING
Slide30If body temperature varies, body cannot function wellMuscle crampingResults from electrolyte imbalance caused by loss of salt from sweatingCauses pain and inability to use muscleHeat exhaustion
Body temperature is normal but skin is pale and clammyFeel weak and exhausted
Heat stroke
Skin is dry and flushed
Pulse is fast and strong
May cause death
Temperature Alteration
http://www.youtube.com/watch?v=RTVeqf99vSY
Know how to treat a victim for heatstroke
Slide31Frostbite Water in body tissue freezesTissue will die
http://www.youtube.com/watch?v=yM2de-_zEDEHypothermia
Usually caused by immersion in cold water or being stranded in subzero weather
Temperature
Alteration
Slide32Table 32-8 Temperature Alteration
Slide33Slide34Slide35Most injuries by marine life and during diving are caused by the victimAquatic life is rarely aggressiveScuba divingAir embolism and decompression illnessResult from rapid ascent http
://www.youtube.com/watch?v=LfCOnGHheok
Marine Injuries
Slide36Three main types of marine injuries:StingsJelly fish, coralPuncturesSea urchins, stingrays, or spiny fishBites
Fish
Marine
Injuries (cont.)
Slide37Puncture wound
Puncture wound
Sting ray
Stinging fish
Coral
Jellyfish
Slide38Table 32-10 Marine Injuries
Slide39Strokes or cerebrovascular accidentsOccur from spontaneous rupture of a blood vessel or clot formation in the brainSigns and symptoms include:Loss of consciousnessParalysisDifficulty breathing
Slurred speechLoss of bladder controlUnequal pupil size
Medical Conditions
Slide40Seizures (uncontrolled muscle activity)May be preceded by an auraMay occur in several patternsConvulsions (uncoordinated movement of groups of muscles)Move all hard object out of persons wayProtect the head
Medical Conditions (Continued)
http://www.5min.com/Video/Why-Seizures-Occur-489207757
Slide41Table 32-11 Medical Conditions
Slide42Performance Instruction
Cardiopulmonary resuscitation
Treatment for burns
Treatment of poisoning
Treatment of fractures
Heat exhaustion and heatstroke
Hypothermia and
frostbite
Nosebleeds
Drowning
Eye injuries
Insect or snake bites
Stroke and seizures
Slide43Table 32-12 2005 CPR Guidelines for Lay Responders
Slide44Figure 32-9 Fractures