Welcome to Episode 53

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Link of the Week: J.C. Hutchins — author of the Seventh Son Trilogy

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News:

Snowballs and EMS in Indiana — thanks Heath!

High School AED Saves Another

Beauty Shop Medicine

Psych Patient Escapes During Transport

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Tip/Trick of the Week — Cold Emergencies

eMedicine Link

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Med of the Week — Diltiazem (Cardizem)

Detroit EMS on Cardizem

Episode 18 on Calcium Channel Blockers

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Until next time, Scene safety, BSI!
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One Response to Cold Emergencies, Cardizem, and Episode 53

  1. Chris B says:

    Here’s a little technique you can use to warm your patient from the inside as well as the outside when you don’t have access to a HotShot IV Warmer, as most of us in the field don’t. It’s a trick that I’ve picked up over the years. Very simple really and goes right along with the blanket tip that Jamie uses. In the morning while you’re checking off your truck on those cold shifts throw a couple of bags of saline on the defroster and just leave them there all day. If you get a patient who needs to be warmed up you have warm fluids on hand. They won’t be too hot because the outer packaging helps to insulate them and keeps them at just about the right temp for what you will need. Just to make sure it isn’t too hot before you use that fluid on your patient. Different trucks have different defroster characteristics. If they seem to be heating up too much, just rotate your fluids now and then with fresh bags to warm all of your fluids. Always use good judgement and clear it with your medical director or pharmacy.
    While we’re on the subject of hot and cold, remember, even if it’s warm outside a baby or newborn WILL LOOSE HEAT RAPIDLY in your truck. This will sneak up on you because you aren’t cold and you don’t expect it. I mean it’s not cold outside, RIGHT! My thought is “If you aren’t sweating it’s too cold for that baby!” Even in the summer you need to turn up the heat for a baby/infant. It’s easier to cool those little guys down than to warm them back up. You can’t just pop them in the microwave for a few seconds. Hypothermia doesn’t always occur in the winter.

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