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5 tips for beating the summer heat – An EMS and Medical Stock PSA

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Hey EMS agencies: Looking to help spread the word about staying safe in the heat? Cut and paste this stock PSA to your own site or simply link to this page from your agency's social media page. Here are 5 tips on how to stay cool and healthy that not everyone has heard before.

You probably don’t need us to tell you this, but it’s really hot out there. It’s blazing hot, dangerously hot even. The heat our area is experiencing is affecting everyone, whether we feel it directly or not. While you probably know the basics on how to stay cool and healthy during heat waves such as this one, there are a few things that you may not have thought of yet that can help make this epic heat wave just a little bit more tolerable. Here’s what you need to know:

  1. You’re losing a lot more water than you realize – “Insensible” water loss, or water we lose through breathing, sweating, and keeping our skin, eyes, and mouth from drying out is markedly increased in hot temperatures. Humans lose a shockingly high amount of water this way during a heat wave. You have to proactively replace this loss of water and the fact is that most of us don’t. While the old adage that a person should drink “at least 8 glasses” of water a day may not hold up to scientific study, the Institute of Medicine still recommends that adults consume at least 91 ounces of water on any given day. It doesn’t all have to come from drinking it in, as some of this fluid comes from the foods we eat, and some fruits and vegetables are very high in water content and can hydrate you almost as well as a glass of water can. Drink more water and avoid soda pop and alcoholic beverages, as these can actually contribute to dehydration. The best way to measure hydration level is to monitor your potty breaks. You should be going to the bathroom for a “number one” at least four times per day and the color of the urine should be clear to a faint yellow. When your body is dehydrated it concentrates your urine. The darker your urine is, the more dehydrated you are. Keep it clear.
  1. Watch your kids too – Kids lose a lot of water in the summertime. Even short bursts of outdoor play can burn a lot of water off of a little one. Push fluids and encourage your kids to drink water, tea, and lemonade. Creative ways to get more water in your kids include supplying popsicles and Jell-O, which are both mostly water with a little flair. You can also have fresh strawberries, celery stalks, and watermelon which both add fruits and veggies to their diets while being an excellent source of quality hydration.
  1. Watch for dehydration and heat-related illness – In this heat you can become dehydrated quickly without realizing it. Dehydration is a serious medical condition that can sneak up on a person and make them sick before they know it’s happening. Mild cases of dehydration show symptoms after about 2% of one’s body water is lost. These symptoms can be a moderate to severe headache (like a hangover), dizziness or fainting when standing up, loss of appetite, dry skin, and constipation. You can also feel fatigued and generally ill. In more serious cases, you may experience a rapid heart rate and flushing of the skin. If you notice any of these symptoms, drink water and cool down. You’ll be amazed at how much better you’ll feel. Watch for confusion, weakness, and an absence of sweating because these could be signs of heat exhaustion or heat stroke, which are serious medical conditions. If you believe that you or someone else is experiencing these symptoms, move the patient to cooler temperatures and encourage them to drink cool fluids to replace what they’ve lost and bring down their body temperature. In serious cases, seek medical attention or call 911.
  1. Wear shoes – Invariably, when the sun blazes down this hard, the emergency rooms start seeing burns to people’s feet caused by walking barefoot on hot concrete. In fact, one ER in the state just had a case of significant burns a patient suffered from walking on hot sand at the beach. When the sun is this strong, resist the urge to go barefoot when you’re walking outside. Burns on the feet are more than just painful, they take a long time to heal and make walking anywhere less than pleasant. Be careful.
  1. Be smart about sunscreen – Most instruction labels on sun-protection products advise that you should apply before you go into the sun, and allow some time for the product to absorb into the skin and start protecting it. Read the label on your favorite sunscreen and follow the directions for the first application as well as the schedule for reapplying it. We’ve all been burned in the past but we can prevent it from happening again if we’re careful. You also should put on a hat and find some shade from time to time. A cherry-red hue isn’t in style this season..

Have fun this summer, but stay cool and be careful. Watch each other and make sure people are taking the heat seriously. It is dangerously hot out there. If you need us, we're here 24 hours per day to take care of any emergency needs. We’ll be here, but we hope that you can avoid us altogether by keeping yourself and your family cool and comfortable. Stay safe

As AmboDriver Always says… For all you EMS types

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The good folks over at EMS Magazine and Http://www.EMSresponder.com have seen fit to publish some of my EMS type ramblings in print format. It’s an article on Partnering With your Community as an EMS agency and if-I-do-say-so-myself it’s got some useful information in it.

So take a trip on over to have a read at http://emsresponder.com/print/EMS-Magazine/Community-Partnerships/1$13742 

Or, you could go ahead and wait till your magazine arrives in the mail of course… you do subscribe, don’t you?

The Perfect Emergency? Well, almost

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So a while ago, I went to an emergency medical call that was about as perfect as an EMS call could be.

Picture this if you will. Our ambulance was in service. The system was at normal operating levels which are well funded and are adequate for our response loads 90% of the time. I had thoroughly checked and cleaned my ambulance and the equipment inside of it at the beginning of my shift and I had even gotten a chance to have a cup of coffee or two before the call came in. When the call did come out over the radio, it was merely a short walk to the ambulance for my paramedic partner and I. We climbed into our dual paramedic staffed, well maintained, state-of-the-art ambulance, and rolled out to the scene of the emergency which was about 8 blocks away through light traffic. We arrived within 4 minutes of the 911 call and were informed by our dispatcher that the residence was equipped with a “Knox Box” entry system so we could quickly gain entry. We retrieved the key from our ambulance, were able to open the Knox Box, and easily entered the residence using the key inside of it. While entering, we noticed that the resident had a “Vial of Life” sticker on the front door, which signified that the patient was most probably participating in our “Vial of Life” program, meaning that the patient had all of their medical information written down properly on one of our stock forms. In fact, we found the “Vial of Life” right in the refrigerator door, where it was supposed to be.  The patient, an elderly person, had used a (Non brand-name specific) home emergency call button to summon assistance, which we also had recommended to him/her during the public outreach that convinced her to have everything else in place for our arrival.

In short, this patient had done almost everything right. He/She had paid taxes throughout his/her long time living in the district and had supported us in order to allow us to have quality, state-of-the-art equipment. He/She had supported us so that we could get good training as well. He/She had listened to us when we suggested that He/She wear an emergency call button as he/she got up there in years, had written down his/her medical information in the “Vial of Life”, had put the Vial of Life in the correct place, and had even installed a Knox Box on the home so we could gain access quickly.

So what wasn’t right with this call? The patient had been experiencing symptoms consistent with a stroke. In fact, it was an easy diagnosis from across the room type of stroke. The patient had noticed that he/she was possibly having stroke-like symptoms and had decided that it would be best to get cleaned up, get dressed, clean up the house a little, and call a neighbor over to see if he would take him/her to the doctor’s office before the neighbor convinced the patient to press the button and call us out to help. By that time… well let’s hope the doctors can work some magic.

With all of the bloggers, paramedics, EMTs, and everyone else out there harping about “BS” 911 ambulance calls, one would find it easy to overlook cases like the one above. I for one will come right out and say that I will gladly run 100 nonsense EMS calls rather than miss just one of the above… I don’t want someone to die or suffer further morbidity simply because they were too scared, or polite, or timid to call an ambulance.

I don’t know how to fix the problem, I’d just like to remind you all out there that our job is indeed to take care of people when they’re scared, when they’re sick, and when they’re just plain-ol’ stupid. We’re healthcare providers and it’s our duty. No exceptions.

Remember that.

EMS Documentation – EMS Narrative Reporting – Paramedic – EMT – ReportPage

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Somehow I've become the go-to site for information on the EMS Narrative Report. I'm very much OK with that. I believe that the Narrative Report and the EMS Report is the most important information-sharing tool for the Paramedic or EMT.

Here are some of the things I've written concerning the EMS Narrative Report, and for EMS Charting general.EMS 2.0 logo

Soapy Pictures – The EMS Narrative Report

This article is about the evolution of my narrative style, and shows how I went from just writing something into actually charting about the patient in the best way that I can. It shows how I fuse the "Chronological Narrative" reporting style with "SOAP Charting" (using the SOAP method to write the EMS narrative) – There's a lot of tips in here.
 

More on EMS narrative reporting 

This article is a more in-depth "nuts and bolts" how-to guide for the paramedic or EMT to use in designing their narrative reporting style. I emphasize how to properly place information and how to share it with the user of the information. Emphasis is placed on using the SOAP charting method.
 

Six Tricks You Can Use Today to Improve your EMS Narrative Report

Don't have time to read due to your call volume? Use these tips and tricks as a quick tutorial and begin writing professional EMS narrative Reports today. Whether you're a paramedic or an EMT, these tips will have you writing your ambulance run sheet like a pro.
 

For more information, please read the above information on the EMS narrative report, SOAP charting, EMS Charting, and EMS Patient Care Reports.

 

 

 

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