Uncategorized Archives

OSHA Requirements for Working in Emergency Flood Zones and Severe Weather Conditions

It is crucial to conduct a thorough hazard assessment to identify potential risks and provide comprehensive training on specific hazards and protective measures. Your department should have already identified all potential flood hazards in your response area. If this has not been done, it must be completed, and a detailed Emergency Action Pre-plan should be made a top priority.

Blood Volume: Products

When we think about our blood, most health care providers agree that it is necessary to perfuse our body and losing too much will not be good for our patient. But what is blood and why do we need it? This question has many correct answers. Human blood is not only responsible for providing nourishment and oxygenation to the cells of the body’s organs but it also plays a role in fighting off infection, promoting clotting and regulating body temperature. Human blood is made of four basic components: red blood cells, white blood cells, platelets and plasma. Each of these components play a vital role in maintaining homeostasis within our body. Overall blood volume in relation to body mass is also an important part of discussing the importance of human blood on overall functioning of the body.

The Workhorse of the Human Body: How the Human Heart is a Behind the Scenes Hero

Most of us give little thought to how consistent and reliable the human heart is. Without an effectively pumping heart, the human body ceases to function and can die physiologically within minutes. Some organs can tolerate a lack of blood flow better than others. Vital organs such as the brain, the kidneys, the heart, and the liver are the most rapidly affected by a lack or decrease in blood flow while other organs of the body can tolerate a lack perfusion for a longer period of time. The heart is considered “the pump’ of the circulatory system and without a consistently functioning pump, the human body cannot perform adequately to sustain life.

The EZ-IO You Think You Know Part 4

In the previous articles, we talked about the indications, contraindications, use, landmarking, insertion and maintenance of the EZ-IO vascular access system. In this final installment, we will cover insertion in the pediatric patient, pain control and removal of the device. As stated earlier, this device like all other medical devices, has limitations. No medical device fits [...]

The EZ-IO that you think you know Part 3

In parts 1 and 2 of this series, we have outlined the indications, contraindications, medications that can be infused through and IO, needle size selection and driver characteristics. Now lets unpack how to landmark for EZ-IO insertion. As stated in Part 2, the ends of long bones contain a large amount of red blood cells (RBC) [...]

The need for and proper utilization of specialty teams in the HEMS environment

While many may view HEMS organizations as a specialty unto itself many programs have true specialized teams for certain populations. One can think of HEMS providers as a jack of all trades but generally a master of none. We care for all patient populations a health system can see, from the earliest of premature babies [...]

Lights and Sirens: Dangerous or helpful?

Anyone who has driven an emergency vehicle with lights and sirens knows that it can be fun, it gets your adrenaline bumping, and a lot of us become giddy, like a kid in a candy store. But with some of us, it activates our innate road rage tenancies. Other than the obvious, it’s fun and [...]

EMS Fitness

When it comes to working as a first responder, EMT, Paramedic, firefighter, or something else, how do you feel about your personal level of fitness? Do you feel like you are physically and mentally ready for whatever the job throws at you, or do you think there is room for improvement? I think for most [...]

Prevention, help them help themselves.

As a first responder, we have a duty to the public. If someone calls 911 for any reason, we have a duty to help them whether it’s a medical emergency, trauma, psychiatric issue, or something else. We have a duty to help achieve the best possible outcome. However, just helping when they ask for help, [...]

The EZ-IO You Think You Know: Part 2

In part one of this series we talked about the indications, contraindications, MRI conditional compatibility and what medications can be administered via an intraosseous route. Today we will further unpack the specific needle sizes, driver options, usage and potential anatomic sites for insertion using the EZ-IO system. As stated earlier, intraosseous access should be reserved [...]