Friday March 27th 2015

Posts Tagged ‘extrication’

A Change of the Dogma: If it helps only one? Episode 36

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**This podcast is not meant to change YOUR current practice, only your medical director can do that! …but nothing says you can’t try to convince them ;) – KDB**

Whoa! Look at that mechanism of Injury! Hope they C-spined her!

A common EMS practice that goes back to the days of Johnny and Roy is that of spinal immobilization…er…ah…spinal motion restriction I am now told. However this skill, which we have spent countless hours learning and practicing is starting to fall out of favor? Why is that? Well, simply put the research says that a) it may not be effective and b) it may actually be harmful. Get that? Harmful!

Join Dr. Laurie Romig, Tim Noonan, Russell Stine, Bob Lutz, Kyle David Bates, and Kelly Grayson as they reference an article written by Kelly regarding spinal immob…oops, spinal motion restriction.

Learning Objectives for this episode:

The Listener will be able to:

  • Discuss the reasonings behind the changes to spinal immobilization

 

 

A Zombie Apocalypse! Episode 34

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No Really! Would you be able to handle 240 zombies at a football stadium? Well Delaware County, Ohio found out this past October when they held a disaster drill in which people were turned into, well, um…zombies! But it is not completely their fault…the CDC started it all.

We also discuss a more traditional disaster drill but on a geographically larger scale as well as a one that deals with public preparedness. Which is better? Which is more effective? Which is more fun?

Join Assistant Chief Mike Schuiling from Delaware County EMS, Brain Galligher of Delaware County Office of Homeland Security and Emergency Management, Steve Murphy, Jeremiah Bush, and Kyle David Bates as we talk about disaster preparedness evaluation.

Slide, Don’t Lift: Episode 30

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Bending, lifting, twisting and essentially turning yourself into a pretzel in a car is how we often work at the scene of an MVC. However are we destined to “just deal with it” or are there some adjustments we can do to make moving and extricating patients safer for us?

Join Scott Kier, Kyle David Bates, and Jeremiah Bush as they discuss this topic with our Australian friend and renowned ergonomist Chris Fitzgerald.

Episode Curriculum
The listener will be able to:

  1. Define ergonomics;
  2. Appreciate the importance of proper body mechanics;
  3. Discuss how typical operations at the scene of a motor vehicle crash can increase your chances of injuries;
  4. Discuss engineering controls and how to alter their habits to work safer.

References

Lifting cushions

Curved transfer board

More lifting cushions

KFRS casualty extrication highlights

 

Check Your Pee! Episode 29

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Oftentimes we talk about provider rehabilitation only during times of extended operations such as with structure fires. However with the arrival of summer, working on the hot blacktop at the scene of an MVC or during a cardiac arrest in a hot environment can quickly lead to heat-related illness and/or injury.

Join Mike Mcevoy, Russell Stine, Jeremiah Bush, Dr. Jeff Myers,  Steve Murphy, and Kyle David Bates as they discuss essentially how not to end up on the business end of an IV catheter while working at any scene during warm weather.

JEMS article: More Than Just a Standard: NFPA 1584 defines the rehab process

EMS 1: Mike McEvoy: EMS vitals during firefighter rehab

This week’s objectives the listener will be able to:

  1. Define REHABilitation and PREHABilitation;
  2. Defend the importance of Rehab and Prehab;
  3. Perform a self-hydration assessment and care;
  4. Identify situations when rehabilitation may be necessary.

“Ya got what ya got!” Rural Disaster Management Ep 23

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Once again we are at the 17th Annual Interior Region EMS Council Symposium in Fairbanks, Alaska where we talk with Yvonne Howard from Eagle EMS about 2 major disasters in her area.

Imagine being one of a few responders caring for numerous injured passengers of a tour bus that had crashed. Now imagine being with them alone for hours with only 1 ambulance and its supplies. This is first topic we discuss.

The second disaster Yvonne tells a heart wrenching tale of how Eagle was essentially wiped out by a solid tsunami of ice in May of 2009 and how they have yet to recover.

Join Wilma Vinton, Steve Murphy, and Kyle David Bates as they talk with Yvonne about how small rural communities deal with such disasters.

Our podcast also opens with the winner of the 1st Vendor Sponsorship Drawing, Clint Bodily of Laerdal.

 

What do you mean ‘Load & Go’? Go Where? Episode 22

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Join us again in Alaska as Steve Murphy and Kyle David Bates talk with Rusty Lasell from Tri-Valley Fire Department in Healy, AK about wildland fires, earthquakes, and response to other such disasters in a rural area. We also discuss tourist season, 6-8 hour ambulance runs and how that impacts volunteerism.

To Cut or Not to Cut? Episode 17

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It sometimes seems that we become preoccupied with our tools when trying to get someone out of a vehicle. “Cut here…no here…get the spreader…let’s try…” are all phrases that are often heard while “extricating” a patient.

But what determines the extent of extrication that is required and what techniques should be used? I think that depends upon is the person entrapped or simply just confined? Either way, should we consider an alternative route of removal? Should we consider having the patient just simply step out of the car?

Join JD Graziano of the EMS Standing Orders podcast, Wilma Vinton, Russell Stine, Andrew Rossow, Kyle David Bates, and Rick Russotti as they delve into this topic and stress that communication is the key.

This episode is dedicated to my paramedic preceptor, Mark Falkenhan, who was killed in the LOD fighting a fire on January 19, 2011. Our hearts and prayers go out to Mark’s family and all of my friends and colleagues in Baltimore County Fire.


Our sponsor for this episode is:

The Mitigation Journal podcast: Unique Perspectives on Civil Preparedness and Emergency Response for your Ears


Candy Cane BLEVE w/ Gingerbreadization – Episode 15

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How would you deal with an MVC of a high-profile bowl-full-of-jelly bariatric patient involving multiple small patients as well as nine caribou-type animals?

Using some tongue-in-cheek we look at the role of the Public Information Officer (PIO) in regards to media relations, extrication of the bariatric patient, arriving safely, establishing a safe work zone, alternate fuel vehicles, START triage, and briefly discuss dealing with injured animals. We also look at the hazardous material Christmas Magic, reindeer droppings, looting of presents, and the defibrillation of Rudolph.

So from Rick Russotti, Robert Raheb, Allen Bubel, Kyle David Bates, and Chris Kaiser we wish you a safe and joyous Holiday Season. Merry Christmas!

On a serious, sad note we dedicate this episode to EMT Laura Elizabeth Pullam, 29, of Lowndesboro, Alabama who died after being struck by a passing car on December 15, 2010. Our thoughts and prayers go out to her family.

Opening song, “Santas too Drunk to Drive” by The Hot Rods and found on Music Alley.

Keep Your Toque On! Episode 13

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…and give one to your patient while you’re at it!

With the colder weather moving in we address the environmental factors that we, and our patients, will face at the scene of an MVC. In this episode we discuss how the cold effects responders and patients as well as how to help delay the onset of hypothermia. Our panel gives suggestions such as using hats for triage and parachutes to create a warmer environment.

Join Steve Murphy, Jeremiah Bush, Wilma Vinton (our REALLY cold weather expert), Kyle David Bates, and making his debut on the FFM podcast Matt Fults as we discuss and give insight into cold-weather response.

An email that Wilma received regarding the heaters that they use:

We have 2 different Fresh air heaters.  We have a 500,000BTU Frost Fighter Heater on Squad 62.  It uses a 4000 watt Generator to run the blower and controls.  It burns diesel fuel which is contained in an auxiliary tank.  The second heater is mounted on E-66.  It is a Herman Nelson 500,000BTU heater and is directly plumbed to the truck’s fuel tank.  It uses electricity supplied by the trucks onboard diesel generator.  We have both 12″ and 6″ inch flexible heater hose and one manifold to attach additional lines.

New Frost Fighter heater’s cost around $5300.00.  A compliment of hoses will run between 500 and 700 dollars depending on sizes.

Let me know if there is anything else you need to know.


Captain Andrew Rossow

Steese Fire Department
Fairbanks, Alaska

Some resources that we spoke of:

Is Assessment Dead? LIVE! at EMS Expo Episode 10

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Watch the video of our podcast from Dallas. Thanks to Jamie Davis, the podmedic, over at the ProMed Network

The question that we pose this week is, “Is patient assessment dead?” Have we become robots, applying treatment and VOMIT to our patients without really ever touching them? Have we become to dependent upon technology?

Join us this week as we discuss this topic in front of a live audience while at EMS Expo in Dallas, Texas on Thursday, September 30, 2010. Our panel consisted of Brad Buck, Scott Kier, Jason Thompson from Rapid Deployment Products, Kyle David Bates, and Rick Kendrick.

Yes, the Rick Kendrick! The inventor of the K.E.D. joins us the second half of the podcast to give us his insights into the decline in patient assessment AND to answer some questions that people have about his invention.

EMS Expo Bonus Material

EMS Inventor Rick Kendrick Demonstrates the K.O.D.E 2

Kyle discusses EMS Expo with Jamie Davis and Chris Montera

And….if you stay tuned until after the closing theme you can catch some of our opening outtakes where we almost lose the camera AND rub in the fact that Team FFM beat Team EMS Garage in darts!

Our EMS Expo podcast was sponsored by

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