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MedicCast Episode 268

The MedicCast is a proud member of the ProMed Podcast Network.

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MP3 Audio Podcast

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News—-

Mom Thanks Firefighter After Reviving Daughter

Paramedic Suspended for Faking Emergency Calls to Help Lover

Eagle EMS Contributed 4,200 Hours of Service in Past Year

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Tip of the Week: Inhalants Toxicology Tidbit with Lisa Booze from the Maryland Poison Center

Inhalants are defined as breathable chemical vapors that users intentionally inhale because of the chemicals’ mind-altering effects. The substances inhaled are often common household products that contain volatile solvents, aerosols, or gases.

In this toxicology episode, Lisa Booze discusses the common inhalants seen, toxic effects, signs and symptoms of inhalant toxicity, and most importantly what to do when seeing a case of inhalant use and who to call first in such cases of emergency.

NIDA on Inhalants

Maryland Poison Center site

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Sponsored by

Aladtec’s EMS Manager Software. Check out their innovative, built from the ground up product just for EMS scheduling and management.

Sponsor: GoToMeeting makes it easy to collaborate online with anyoneanywhere. Try it free.

The MedicCast Extra,and MedicCast Store

Extra Content for MedicCast Listeners for less than $1 per day (via monthly subscription)
  • NREMT Study and Prep Tips
  • All Tips and Meds segments from the MedicCast and Nursing Show as separate downloadable files
  • Special iTunes Podcast Feed for Members – Get the segments as a podcast
  • Extra Members-Only content added monthly

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Contact Me!

Call the Voice Mail Line —                         (941) 306-3342

email me at podmedic@mac.com

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Song this week:  Berman with “No One Understands Me”

Click here to get Songs from the MedicCast at the iTunes Store.

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Until next time, Scene safety, BSI!

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Creative Commons License
MedicCast Weekly EMS Podcast by MedicCast Productions, LLC is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

 

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I don’t usually put articles about EMS professionals that had been convicted or charged with a crime.  I think it doesn’t matter that they are EMTs or paramedics as much because everybody that gets charged with a crime has some profession, right?  It’s not so notable, however this particular article is concerning.

This is a case about an EMS chief that was allegedly found to have been driving under the influence of alcohol.  A DWI charge that was later downgraded.  We don’t know if it actually happened because he wasn’t found guilty but certainly there was some cause to at least file the initial charges to DWI.

As I’ve always said, I’m not going to comment directly on this particular case but I am going to say this to you:

I think it’s reprehensible when any EMS professional goes out there and drinks and drives.  Okay?

I’m not saying this guy did it, that’s for the court to decide but I’m going to tell you what my opinion is.  How can you be involved in a profession that actively sees the aftermath of those horrible situations when a drunk driver comes along and kills an entire family and but he only got bumps and bruises.  I’ve been there.  Many of you have been there. If you’re a student you will soon be there.

You’re gonna see that patient.  You’re gonna have to treat that drunk with compassion.  You’re going to have to take them to hospital treat them like a patient. Not be angry because you know all the things you’d like to do to that guy for being drunk and driving.  So why would you then therefore go out or let your co-workers go out and drink and drive?

You know,  I want to go out and party as much as the next guy but when I do I make sure somebody else is driving.  Often  I’m the designated driver.  I don’t drink that often so I am happy to just drink soda and drive everybody home.  One of you needs to take that responsibility or take a cab or other transportation and not put yourself behind the wheel.

I don’t ever want to see an EMT or paramedic, let alone an EMS chief be put in a situation where it looks like they’ve been drinking and driving.  It looks bad. It makes us hypocrites when we talk about safe messages.  It just doesn’t do any of us any good.  You’d hate to be that person that everyone else has to live with, that drunk who could kill a family and has to ride to the hospital for bumps and bruises in the back of the ambulance.  You know exactly what that provider is gonna be thinking about you.  Don’t put yourself to that situation.

I have to go there because I had to comment when I saw that particular headline come across.  Again, I don’t know whether this person has been found guilty.  We don’t have any evidence, and you know I’m not a court of law..  I am talking in general.  I’m talking about you the community here at the MedicCast.  Let’s be responsible and approach our alcohol consumption responsibly.

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This article has been featured in the news segment of the MedicCast podcast episode NREMT Cardiac Skills Part 2 and Episode 267

Filed under MedicCast News by on . Comment#

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We’ll kick off with those news items with a look at bed bugs. Da-da-da.  Yeah, I know Bed bugs.  You know they are pests, they’re a pain.  In the past though we’ve talked about it here and maybe more so over at The Nursing Show and my Insights at Nursing panel show talking about what does it really mean bed bugs getting in the hospitals and ambulances and into your own home.  Because ‘till to date they have not been seen to be a vector for any kind of disease and of course that’s the big problem with things like mosquitos and other animals and insects and other animals that might get be getting into places and infesting them is that they can be vectors for disease.  For you know carrying one disease between humans as they bite one person and go on with the next person.

To date there has been no sign that bed bugs are indeed vectors for anything.  And that’s a good news item because they’re really hard to get rid of.  But a recent article that I found over at webMD.com maybe in sighting some panic among some people about bed bugs.  Because “Do bed bugs spread MRSA?”  Is the headline.  Well do they?  Well, no.  There’s no evidence that bed bugs spread MRSA but when they look at a few of their recent home lists who had been pick up and brought in the emergency room for medical issues and they found bed bugs on them.   Somebody thought it will be good idea to go ahead and test the bed bugs to see if they have any diseases on them like infections.  The insects live on and around the skin and certain times of the life cycle before they leave to go hide in the area.  They only come out to feed occasionally. But when they are on you, if they had something like MRSA on them could bite you and leave you with a skin infection.  It makes sense right? Well maybe, maybe not.  What indeed found was they did find medication resistance to bacteria on these bed bugs that were found on these couple of homeless people that came in.  This isn’t a huge population if your statistics person the N is almost the small as it can get.  You know 2 or 3 homeless people do not a large sample size make in any case but it is notable that there were detectable signs of this bacteria.  Now this bacteria lives out there in the wild.  Yes, there’s hospital  and healthcare’s acquired versions of these super bugs but  the community acquired versions are almost as bad as many cases and much more prevalent and were seeing increases of it.  My question of course would be did the bed bugs give the homeless guys MRSA?  Or did the homeless guys give the bed bugs MRSA?  In other words, did the bed bugs have this on them when they got there?  Or did it get transferred to them as they are rubbing up against the skin while they were there?  And can they — could they transfer to someone else?

So it’s hard to say but certainly were getting this from the community in some way whether it’s in living you know to on surface we touch and you know whatever the case maybe.  So be aware of this and make sure that you are just reading headlines carefully.  If you see some headline asking a question like that “Do bed bugs spread MRSA?”  If the bed bugs were found to spread MERSA it would say “Bed bugs spread MERSA”. That would be a much more compelling headline.  So if it’s asking the question it probably it’s not something to be off to worry about.  Read the article, educate yourself but don’t be one of those people who runs out sees the medical headline and thinks he know everything about the article.  Often these headlines are very misleading and can lead you down the path that can be dangerous.  We all have patients that had heard the recent news headline just somebody spread the word to the mind they read the headline didn’t read the article and they thing they know everything about a certain problem and they stop taking their meds.  We’ve seen that patient time and again.  We need to be again on the front lines because we are there anyway of educating these patients about what’s going on medically in the community.  Just educate yourself.  You don’t have to be super knowledgeable about every little study that came down the fight but of something that makes mainstream news take the time and look over the article so you can talk intelligently about it and educate people during that trip to the hospital.

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This article has been featured in the news segment of the MedicCast podcast episode NREMT Cardiac Skills Part 2 and Episode 267

Filed under MedicCast News by on . Comment#

2
Play

MedicCast Episode 267

The MedicCast is a proud member of the ProMed Podcast Network.

—-

MP3 Audio Podcast

Add to iTunesiTunesAdd to ZuneZunePodcast FeedPodcastBlog FeedBlog

Follow on TwitterTwitterFollow on FacebookFacebook

Subscribe to the Podcast Studio Video Version

Add to iTunesiTunesAdd to ZuneZunePodcast FeedPodcast

————————–

News—-

Bedbugs Breed MRSA

DWI Charge Against EMS Chief Downgraded

State Government criticised for using old ambulance response targets

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Tip of the Week: NREMT Cardiac Skills Part 2

The heart has an internal electrical system that controls the rhythm of the heartbeat. Problems can cause abnormal heart rhythms, called arrhythmias. There are many types of arrhythmia. During an arrhythmia, the heart can beat too fast, too slow, or it can stop beating. Sudden cardiac arrest occurs when the heart develops an arrhythmia that causes it to stop beating. This is different than a heart attack, where the heart usually continues to beat but blood flow to the heart is blocked.

In this week’s follow up episode from the previous NREMT Cardiac Skills Part 1, the podmedic provides additional tips for the NREMT skills for cardiac arrest management as well as tips and what to remember when taking this skills station.

NREMT Exam Coordinator Documents

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Sponsored by

Aladtec’s EMS Manager Software. Check out their innovative, built from the ground up product just for EMS scheduling and management.

Sponsor: GoToMeeting makes it easy to collaborate online with anyoneanywhere. Try it free.

The MedicCast Extra,and MedicCast Store

Extra Content for MedicCast Listeners for less than $1 per day (via monthly subscription)
  • NREMT Study and Prep Tips
  • All Tips and Meds segments from the MedicCast and Nursing Show as separate downloadable files
  • Special iTunes Podcast Feed for Members – Get the segments as a podcast
  • Extra Members-Only content added monthly

—————————-

Contact Me!

Call the Voice Mail Line —                         (941) 306-3342

email me at podmedic@mac.com

————————–

Song this week:  Johanna Stahley with “Nothing I Would Change”

Onemanphunkband - EP - Henry & The Invisibles

Click here to get Songs from the MedicCast at the iTunes Store.

Until next time, Scene safety, BSI!

—–
Creative Commons License
MedicCast Weekly EMS Podcast by MedicCast Productions, LLC is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

 

0
Play

MedicCast Episode 266

The MedicCast is a proud member of the ProMed Podcast Network.

—-

MP3 Audio Podcast

Add to iTunesiTunesAdd to ZuneZunePodcast FeedPodcastBlog FeedBlog

Follow on TwitterTwitterFollow on FacebookFacebook

Subscribe to the Podcast Studio Video Version

Add to iTunesiTunesAdd to ZuneZunePodcast FeedPodcast

————————–

News—-

Saluting EMS Professionals

Mercedes Benz Concept Emergency Vehicle Showcased

What Happens When You Call for an Ambulance?

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Tip of the Week: NREMT Cardiac Skills Part 1

The heart has an internal electrical system that controls the rhythm of the heartbeat. Problems can cause abnormal heart rhythms, called arrhythmias. There are many types of arrhythmia. During an arrhythmia, the heart can beat too fast, too slow, or it can stop beating. Sudden cardiac arrest occurs when the heart develops an arrhythmia that causes it to stop beating. This is different than a heart attack, where the heart usually continues to beat but blood flow to the heart is blocked.

A person who suffered from cardiac arrest will die within a few minutes without medical intervention. Patient outcomes depend on the time medical intervention has been initiated and on the skills of the first responder who provided initial cardiac arrest management. Moving on from the previous week’s discussion on airway management skills, this week’s tip of the week will be on cardiac skills or emergency management of cardiac issues.

NREMT Exam Coordinator Documents

——–

Sponsored by

Aladtec’s EMS Manager Software. Check out their innovative, built from the ground up product just for EMS scheduling and management.

Sponsor: GoToMeeting makes it easy to collaborate online with anyoneanywhere. Try it free.

The MedicCast Extra,and MedicCast Store

Extra Content for MedicCast Listeners for less than $1 per day (via monthly subscription)
  • NREMT Study and Prep Tips
  • All Tips and Meds segments from the MedicCast and Nursing Show as separate downloadable files
  • Special iTunes Podcast Feed for Members – Get the segments as a podcast
  • Extra Members-Only content added monthly

—————————-

Contact Me!

Call the Voice Mail Line —                         (941) 306-3342

email me at podmedic@mac.com

————————–

Song this week:  Henry and the Invisibles with “Up and Over″

Onemanphunkband - EP - Henry & The Invisibles

Click here to get Songs from the MedicCast at the iTunes Store.

Until next time, Scene safety, BSI!

—–
Creative Commons License
MedicCast Weekly EMS Podcast by MedicCast Productions, LLC is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.