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#emergencymedicine

3 posts2 participants2 posts today

#emergencymedicalservices and #emergencymedicine

Some principles for safe chemical restraint of violently agitated people:
1. Try de-escalation!!!
2. Confirm (preferably out loud) that there is a patent airway and a pulse
3. If possible, position patient face up
4. Use ketamine if available. Antipsychotics or benzodiazepines are other good options
5. Immediately get patient face up if not already
6. Check (and verbalize) airway, pulse, BP
7. Monitor frequently

1/6

Yo #emergencymedicine and #emergencymedicalservices peeps:

Another reminder to NEVER prone-restrain a patient (and also, use appropropriate monitoring, for fuck’s sake).

Before applying chemical restraint, always:
1. Verbally introduce yourself and try to de-escalate.
2. Verbally note open airway and obvious presence of life (“I can tell your airway is open and you have a pulse because you’re screaming at me”).
3. Be ready to safely position and monitor immediately!

9news.com/article/news/crime/p

Emergency Centre Thoracotomy in South Africa.

Can you perform a life-saving thoracotomy without ICU, theatre, or specialist staff? A new study from Cape Town shows it's possible — and often successful — even in district hospitals facing high trauma burdens. Read our latest St Emlyn’s review 👇 #EmergencyMedicine #TraumaSurgery #FOAMed #GlobalHealth

stemlynsblog.org/emergency-cen

St.Emlyn's · Emergency Centre Thoracotomy in South Africa.A South African study shows emergency thoracotomy in low-resource district hospitals can achieve survival rates comparable to major trauma centres. @stemlyns

A Comparison of Ketamine to Midazolam for the Management of Acute Behavioral Disturbance in the Out-of-Hospital Setting - PubMed flip.it/EuhdzH Una comparación de la ketamina con el midazolam para el manejo de los trastornos agudos del comportamiento en el entorno fuera del hospital #ketamine #ketamina #psychedelic #psychedelics #emergencymedicine #psychedelic #psychiatry #neuroscience #mentalhealth #nursing #behavioralhealth #spravato #psychedelicresearch #research #ketaminesafety

We are back in Poland for another Austere Emergency Care course. We support training companies that want to become certified providers of AEC courses through Specialized Medical Standards.

We are monitoring the second course offered by Eagle-Med System. The have one more AEC to run before they become their own provider of this course.

CoROM is happy to work with any other company that wants to run this #PFC programme.

specializedmedicalstandards.org

specializedmedicalstandards.orgSpecialized Medical Standards – Austere Emergency Care

Últim xoc distributiu amb la metàfora bomberil de l'equip SMUR del Marins Pompiers de Marsella, el neurogènic.

El seu tractament:
Alineació de cap, coll i tronc +++
Anticipar la hipotèrmia
Si IOT, immobilització manual del cap
Prevenir lesions secundàries
Limitar/evitar reompliment vascular
Noradrenalina per obtenir PAS≥100 mmHg o PAM>85

Seguim amb les metàfores bomberils del xoc. Ara ens toca el xoc sèptic, el més comú.

Les característiques ecogràfiques d'aquest xoc són una mica peculiars, els xocs distributius són els únics que tenen una Integral Temps Velocitat augmentada. L'eco també ens serveix per a la recerca d’infecció profunda o de vegetacions cardíaques. També ens pot guiar en l’expansió volèmica