The Graham Response

EMS PTSD Statistics

Posted by Graham Medical on May 16, 2018 11:00:00 AM

When we think of emergency personnel, a number comes to mind. 1st on the scene, 1st to respond, 1st line of defense. These number ones reflect the vital roles played by police, firefighters, EMTs and paramedics. Seen as figures of authority, strength, and bravery in our communities, our first responders can seem invincible.

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Topics: EMS

The Cold Hard Facts on Traumatic Shock

Posted by Graham Medical on May 9, 2018 3:00:00 PM

As Ryan Gerecht, MD, CMTE, delineated in this JEMS Article, traumatic shock is defined as inadequate blood supply to end organs due to blood loss, with the physiological consequences of hypovolemia, and hypotension. The resulting poor oxygen supply to vital organs can cause lactic acidosis (defined as an arterial pH of less than 7.35). In turn, coagulation and body temperature become deregulated in an environment of acidosis. In a continuing vicious cycle, hypothermia will then add to the poor response of platelets and clotting factors, causing hemorrhage to become worse.

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Topics: EMS Blankets

The Importance of Keeping Trauma Victims Warm

Posted by Graham Medical on May 7, 2018 1:00:00 PM

The Basics 

Like most EMT and paramedic professionals you probably have a good grasp of how hypothermia in the field can adversely affect the outcome of the patient in traumatic shock; but often the imperative to provide fluid resuscitation, hemostasis, and CPR becomes your more overriding concern.

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Topics: EMS Blankets

First Responder PTSD Support: Florida Leads the Way

Posted by Graham Medical on Apr 16, 2018 10:00:00 AM

Post Traumatic Stress Disorder (PTSD) can be a serious issue for many first responders. This Washington, DC newscast references a University of Pheonix commissioned survey which reports that 80% of firefighters experienced exposure to a traumatic event, and the numbers for police and EMTs is even higher with over 90% reporting exposure to trauma. This extensive trauma exposure has consequences, with 33% of first responders surveyed reporting that they had been formally diagnosed with a mental health disorder, such as PTSD. Florida has recently passed legislation to help deal with this issue.

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Topics: EMS, EMS Health

EMS Patient Transport Protocol: Unstable Vital Signs

Posted by Graham Medical on Mar 28, 2018 2:00:00 PM

In an ideal world, all patients would be transferred to critical care facilities after being safely stabilized by EMTs at the scene. Unfortunately, we don't live in an ideal world. Many times EMT providers are forced to transport unstable patients under less than ideal conditions.

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Topics: EMS

EMS Patient Transport Protocol: Open Wounds

Posted by Graham Medical on Mar 22, 2018 11:00:00 AM

Open wounds can be a common cause of cardinal conditions such as compromised airways, uncontrolled bleeding, changed mental status, and providing cause for suspected abuse.

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Topics: EMS Patient Transport

EMS Patient Transport Protocol: Musculoskeletal Injury

Posted by Graham Medical on Mar 15, 2018 2:00:00 PM

As EMS providers, there are two clear categories of importance for patient transportation: protecting the patient and protecting EMS personnel. Administrators carry the responsibility of implementing safe practices to manage this transportation effectively by using knowledge of injury management to conduct training, and providing the tools and equipment needed to carry out these procedures.

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Topics: EMS Patient Transport

EMS Patient Transport Protocol: Patients Who Decline Transport

Posted by Graham Medical on Mar 12, 2018 11:00:00 AM

As an emergency care provider, you will occasionally find patients who refuse transport.  A Utah study showed that 5.1% of patients refused transportation against direct medical advice of EMS. A common reason to refuse transport is concerns about cost. Many patients also may feel that their injury is not severe enough to warrant an ambulance ride.

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Topics: EMS Patient Transport

EMS Patient Transport Protocol: Helicopter Transport

Posted by Graham Medical on Mar 9, 2018 11:00:00 AM

The majority of patient transport is conducted via ground transport, typically in an ambulance. This patient transport is conducted with either basic paramedic protocols or with more advanced life support protocols and medical staff, such as those used in interfacility transport and specialty care.

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Topics: EMS Patient Transport

Chrome Mylar Hypothermia Blanket and the Benefits to Emergency Care

Posted by Graham Medical on Feb 26, 2018 1:00:00 PM

Mylar hypothermia blankets are a product of the space race when scientists needed a lightweight material to reflect the sun's heat. The resulting product is comprised of a thin plastic sheet coated with a shiny, reflective aluminum metallic film. Thanks to its high gloss and impervious nature, this material is strong, has excellent reflective properties as well as being wind- and waterproof. Because it was initially produced for NASA, Mylar blankets are colloquially known as space blankets.

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Topics: EMS Blankets