When dealing with burn patients, you want to find out as early as possible how the patient acquired the burn and what type of burn it is. For example, you might want to know if it was a flame burn that could possibly lead to airway obstruction due to inhalation of smoke or swelling of surrounding tissues. Or if it were a scald burn on a child in which you would consider the possibility of child abuse. Other types of burns include chemical burns, electrical burns, flash burns caused by explosions, and radiation burns. This information can usually be obtained from dispatch prior to your arrival.
Another aspect of burns that is necessary to identify is the depth of the burn. In pre-hospital care, burns are categorized by severity as superficial, partial thickness, and full thickness burns. Do not spend a lot of time determining the type of burn in the field. An approximation should be made for the hospital and so you know the proper treatment for the patient. Superficial burns involve only the epidermis or ou
Continuous positive airway pressure, or CPAP, is a non-invasive treatment method intended for patients who are experiencing respiratory distress, but are still able to maintain their own airway. CPAP was originally used for people who experience obstructive sleep apnea to increase pressure in the upper airway and prevent collapse of the throat during sleep. However, it has been found to be a great tool in the pre-hospital setting and decreases the need for more invasive airway management, such as intubation. Although effective, endotracheal intubation can be difficult in the field and contains some complications and disadvantages. If used early enough, CPAP can prolong the need for intubation or even replace the need for it altogether. It is important to remember though, that CPAP only treats the symptoms of respiratory distress; it does not fix the main problems the patient is suffering from.
Who needs it
Continuous positive airway pressure is indicated for patients whose oxygen demand has ex
Paramedic school is an intense year capped off by an approximately 500 hour field internship. Before you embark on the journey, take some advice from a recently retired Paramedic Instructor with over 15 years of teaching experience, Joyce Lockwood, BS, NRP. Here at EMTprep, we completely understand the nerves students have about applying what they learn in the classroom to real, live patients. We’re here to help ease some of the pressure that students put on themselves during these milestones as they transform from a student to a professional EMS care provider.
During the interview, Instructor Lockwood stated, “If I could give one piece of advice to a paramedic student it would be to trust in what you know and believe in yourself. When your instructor tells you, ‘you are ready,’ you are!” Every single person in EMS has a beginning; each person has started somewhere. The instructor you are learning from, or even the experienced paramedic you look up to, was in the same ex
The abdomen is a large body cavity containing several organs and body systems. When assessing a patient with a chief complaint involving the abdomen, it is imperative to know the anatomy of the abdomen and where organs are located, as well as the function of these organs. Identifying the location of bruising, pain, or injury can help you to identify which organs are potentially involved. The abdomen is divided and referred to in quadrants; upper right, upper left, lower right, and lower left. For example, organs commonly located in the upper right quadrant include the liver and gallbladder, so an injury to this area may involve damage to those organs. Furthermore, the abdomen contains both hollow and solid organs, some of which contains acid-like substances, while others are susceptible to these substances. Lacerated or ruptured organs can spill their contents onto other organs causing intense inflammation, damage, and are often life-threatening situations. Injuries to the abdomen are also referred to as open