Acadian Monitoring Service fea…
Acadian Monitoring Service featured in SDM Magazine. http://tinyurl.com/y9mn8s6
Add comment January 29th, 2010
Archive for January, 2010
Bill aims to crack down on non-emergency 911 medical calls
Margaret Staggers, a delegate from Fayette, West Virginia is on the verge of passing a bill that will ultimately stop people from using 911 for non-emergency calls. When these non-emergency calls are made in regions with limited resources, real emergency calls can be delayed when time is so precious. The average emergency care company charges $600 to send out an ambulance on a call. Staggers is petitioning to charge an individual a $50 fine after their third non-emergency call. Her bill will only be in regards to emergency medical calls.
For the rest of the article, Click Here.
Add comment January 29th, 2010
Romania: First aid by motorcycle paramedics
Cities in Romania such as Bucharest are having problems with ambulances getting to the scene of an accident in time to correctly help patients. The Romanian authorities are experimenting by putting out motorcycles equipped with a semi-automated defibrillator, an emergency kit, and an oxygen cylinder. The purpose of using these motorcycles is to get the paramedic to the site when the ambulance isn’t able to. The paramedic’s responsibility is to provide first aid for the patient until the fully equipped ambulance is able to reach the patient. The goal for Romania is to have these services effective by 2015.
For the Full Article, Click Here
1 comment January 28th, 2010
New FDA Salmonella Warning – T…
New FDA Salmonella Warning – The Emergency Email & Wireless Network ………. www. EmergencyEmail.ORG …….. News… http://shar.es/aVyRE
Add comment January 27th, 2010
Medicare Fraud, The New Cocaine Cowboys
During the 70’s and 80’s, regions in South Florida such as Miami were known for the heavy drug trading going on. Now South Florida is making a name for itself for a crime in a totally different category, but a crime that is just as expensive. This crime is Medicare fraud.
Even though this crime is happening all over the states, South Florida is the most active region. All of this money that people are receiving for their “clinics” and “businesses” are coming from the taxpayers.
According to the CBS 4 I-Team, “The federal government has stated that Medicare fraud now costs the American taxpayer $60 Billion every year in stolen money. That’s $200 for every man, woman, and child in America”.
For tips to help scope out these acts of corruption, Read this Entire Article.
1 comment January 27th, 2010
Preparing The Patient for Rapid Sequence Intubation (RSI)
In The Medic’s Words
Submitted by: Colt Jenkins
You have a patient, whom you believe may benefit from RSI. How can you assist the flight paramedic in preparing your patient for this delicate procedure? These two steps will lessen the procedure time, which is, in a perfect world, ten minutes. Realistically, the procedure has been taking at least twenty-five minutes, from start to finish, because of a multitude of factors, many of which can be easily abolished.
The Manual of Emergency Airway Management details the seven “P’s of RSI”. Prior to the arrival of the flight paramedic, the first two P’s can be initiated, or possibly completed.
The first P is Preparation, where assessment of the airway for difficulty is evaluated (This is the ultimate responsibility of the flight paramedic.), IV/IO access secured, rescue device, such as the Combi-Tube, will be taken out of the green bag and placed within arms reach, and laryngoscope and endotracheal tube readied and tested. Note that it is optimal to have tested two sizes of laryngoscopes, both straight and curved. Also, have the next smaller sized endotracheal tube out of the bag, in arms reach too, just in case it is needed. Another part of this first P is that all monitoring devices be attached to the patient (SpO2, ECG, ET-CO2 and NIBP-set to a five minute interval). Not having these devices attached to the patient is one of our most frequent and costly delays to the RSI procedure, as the RSI will not begin without them in place.
While you are completing the preparation, your partner, Basic or Paramedic, can begin the process of completing the second P. This second P stands for Preoxygenation. The purpose of preoxygenation is to wash out nitrogen in the body and create an oxygen surplus within the blood and body tissues. To perform this procedure, on the patient who has a normal respiratory rate with adequate depth, attach the BVM to high flow oxygen. Make a firm seal on the patient’s face with the mask and allow the patient to inhale through the BVM device on his or her own. The text greatly advocates using adjuncts. It may not be out of the question to use two nasopharyngeal airways, one in each nare, and an oropharyngeal airway at the same time. Just make sure there are no contraindications.
The only time that one need assist in ventilating the patient is if the patient’s respiratory rate and/or depth is inadequate. If positive pressure is indicated, practice great care in not introducing air into the stomach. This may cause emesis during the RSI. Minimal preoxygenation is accomplished in three minutes, but five is preferable. Adequate preoxygenation, in a healthy 80Kg patient, can keep his or her SpO2 above 90% for eight minutes, after paralysis is achieved. These eight minutes allow for calm, systematic corrective action to be performed, successfully securing the airway, in the case that a difficult airway is encountered. Longer preoxygenation time may be indicated for the obstetric patient, patients suffering heart or lung disease and those whom are obese. This makes it very important that you tell the flight paramedic how long the preoxygenation has been occurring. It is also important to note that a non-rebreather mask is not acceptable for preoxygenation.
If performed correctly, the steps within these first two P’s can help us perform the RSI in the most efficient manor possible, while maintaining the upmost safety for these critically ill or injured patients. If you have any questions about these steps, please contact any of the full time flight paramedics. We will all be more than happy to help you in any way that we can!
Add comment January 22nd, 2010
Join Acadian Companies in supp…
Join Acadian Companies in supporting the recovery efforts in Haiti by texting HAITI to 90999 to donate $10
Add comment January 21st, 2010
Join Acadian Companies in supp…
Join Acadian Companies in supporting the recovery efforts in Haiti by texting HAITI to 90999 to donatte $10
Add comment January 21st, 2010
