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I picked up this article out of the Massachusetts area about two state troopers who delivered a baby alongside the highway. It just goes to point out this article’s pretty interesting. A woman was on her third baby, she knew she was in active labor. According to the article here, the troopers contacted emergency services when they found the woman on the side of the road and called for assistance and they were the first two on the scene and the baby was coming and so they had to step and do what needed to be done.

This just calls to mind that this is a group effort and sometimes we talk about the sometimes adversarial relationship we have with police in some jurisdictions and it’s unfortunate that that’s the case when it crops up but I think it’s important when we see articles like this to remind ourselves that we are all on the same team, that we’re really all out there to protect, to serve, to provide assistance and care and rescue when need to people. That is a very similar job responsibility for what we do as an overall description of what we do. Yes, police are involved with and their training is involved with taking care of more violent situations and that’s a good thing, they have the raining to do that, we have additional training to help us deal with certain extreme medical situations but certainly in the end of it, we are all about taking care of people and making our communities a better place whether that’s because we have helped deliver a new baby into our community or whether it’s because we had protected our community from a criminal situation, either way, this is a similar task.

So I want to say kudos to these two Massachusetts state troopers were the ones involved in the birth and kudos to them for stepping up and using their more limited medical training but certainly, training nonetheless and providing care until EMS could arrive. Just want to point this out, when you have something like this happen in your community, you should extend a congratulations and a thank you to members of other aspects of the emergency services system who provide a service that makes our jobs easier.

This could have been a lot worse if there was no one there to help this woman with this process and help her in case there was an issue with her baby after birth. Certainly child birth is a natural occurrence, I know the lot of my nurse-midwife friends would say that you don’t necessarily have to have someone right there, it can happen all on its own but certainly assistance is always appreciated in any of these types of situations and we all know how these things could go bad. So having qualified people with some level of training there to get things started is important and it makes our jobs easier ultimately when we have that kind of assistance riding alongside us or riding nearby that we can call on when needed.

Again, kudos to these two Massachusetts state for a job well done and next time you see something like this happen in your community, don’t forget to say congratulations and thanks.

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This article has been featured in the news segment of the MedicCast podcast episode Lisa Booze on Toxic Syndromes and Episode 229.

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Check out the live podcast studio video recording of this week’s MedicCast episode with host Jamie Davis, the Podmedic in the podcast studio at MedicCast Productions, LLC.

Check out all of the links for this Episode 229 at the podcast shownotes page for the Toxic Syndromes EMS review episode.

Find more MedicCast podcast episode videos and the weekly short commentary segments at MedicCast.TV

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Song this week: Matthew Ebel with “An Ordinary Guy”

Matthew Ebel

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

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As EMS professionals, and even as parents, many of us have had the unsettling experience of seeing a child who’s gotten into granny’s pills, or swallowed something from under the sink, or who we think has eaten something they shouldn’t have, but we just can’t be sure.

To help make these incidents less common, it might be helpful to be mindful of this small list, compiled by Dr. Mercola at foodconsumer.org – 7 drugs that can kill children with a single pill

Dr. Mercola notes that 50% of all accidental pediatric poisonings happened when the bottle was only available to the child for a short time, and gives a a list of the more common deadly medications.

Heart pills – can lead to to dangerously low BP in kids, and even shock

Muscle rubs – camphor cause seizures without warning, usually within 10 to 20 minutes of ingestion.

Pain meds – even half a tablet of hydrocodone can kill an infant

Oil of Wintergreen – pleasant smell of wintergreen tempts toddlers, but one teaspoon is equivalent of 90 baby aspirins, a potentially deadly dose for a toddler or child

Antidepressants – second highests cause of accidental death from poisoning in children under 6

BP patches / Eye drops / Nasal Sprays – as little as 6 ml can lead to coma

Diabetes drugs – over 2500 cases of pediatric poisonings in the US in 2001.

Perhaps in our role as public educators we can help inform our patients, friends, family and others about the dangers of these common drugs, and help prevent the needless poisonings of our little ones.

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MedicCast Episode 229

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

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A podcast for EMT’s, Paramedics, and other medical providers of all kinds.

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EMS News—

Troopers Help Deliver Baby

Family of  Rescued Boy and EMT Reunite

Rookie EMT Makes Dramatic Rescue in July 4th Parade

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Tip This Week — Lisa Booze Tox Tidbit on Toxidromes

Emergency medicine providers are the frontliners in provision of care being the first to respond to emergency calls. In cases of drug or substance toxicity, one of the first things they do inspect the area for pill bottles or chemical containers that may have been the cause of toxicity. In the absence of such evidence, they will have to rely on their assessment  skills and observe the patient’s symptoms to determine which substance is most likely involved.

In considering toxicological cause, there are toxic syndromes that we can watch for. Toxic syndromes or toxidromes are groups of signs and symptoms that suggest certain types of drugs or chemicals as the cause. Looking at vital signs and symptoms involving the central nervous system, gastrointestinal system, eyes, skin and mucous membranes, and genitourinary system can provide clues to the toxicological origin of the patient’s illness.

The four toxidromes that health care providers should know about include anticholinergic, cholinergic, opioid and sympathomimetic or stimulant toxidrome.

Maryland Poison Center

Toxidromes Overview and Practice Tests

Clinical Evaluation of Toxic Syndromes

General Principles of the Poisoned Patient

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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: Matthew Ebel with “An Ordinary Guy”

Matthew Ebel

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

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Until next time, Scene safety, BSI!

Creative Commons License

This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License.

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Some might say that ordering pizza too often might shorten your life, but for a man in Denver, doing so actually saved his life.

George Linn went into cardiac arrest just as the delivery man from a local pizza shop was knocking at the door. In a twist that usually only happens in the movies, it turns out the delivery man was actually a military veteran and paramedic who had been recently been laid off from his EMS job in Illinois. He was working at the pizza place until he could find a job in his chosen field.

The paramedic/pizza man performed CPR on the patient – and revived him – until the ambulance arrived. Paramedics on the scene credited him with saving the man’s life. And after hearing about the story, a local hospital and fire department called to offer him a job.

Sounds like this guy was pre-destined to work in emergency medicine – or to take a detour through take-out, depending on how you look at it. It’s great to see someone who clearly belongs in EMS finding his way back to it.

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