2)Well Being Of The Emt B

1,413 views
1,266 views

Published on

Published in: Health & Medicine, Technology
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
1,413
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
63
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

2)Well Being Of The Emt B

  1. 1. Well Being of the EMT-B
  2. 2. Terminal Illness and Death The Stages of Dying… <ul><li>Denial </li></ul><ul><ul><li>“ Not me” </li></ul></ul><ul><ul><li>Defense mechanism </li></ul></ul><ul><ul><li>Buffer </li></ul></ul><ul><ul><ul><li>Shock of dying </li></ul></ul></ul><ul><ul><ul><li>Dealing with Injury </li></ul></ul></ul>
  3. 3. Terminal Illness and Death The Stages of Dying… <ul><li>Anger </li></ul><ul><ul><li>“ Why me!” </li></ul></ul><ul><ul><ul><li>EMT may be a target </li></ul></ul></ul><ul><ul><ul><li>Not personal </li></ul></ul></ul><ul><ul><ul><li>Be empathetic </li></ul></ul></ul><ul><ul><ul><li>Listen/Communicate </li></ul></ul></ul>
  4. 4. Terminal Illness and Death The Stages of Dying… <ul><li>Bargaining </li></ul><ul><ul><li>“ Okay, but first let me…” </li></ul></ul><ul><ul><ul><li>Postpones death in pt mind. </li></ul></ul></ul>
  5. 5. Terminal Illness and Death The Stages of Dying… <ul><li>Depression </li></ul><ul><ul><li>“ Okay, but I haven’t…” </li></ul></ul><ul><ul><ul><li>Sadness/Despair </li></ul></ul></ul><ul><ul><ul><li>Family support </li></ul></ul></ul>
  6. 6. Terminal Illness and Death The Stages of Dying… <ul><li>Acceptance </li></ul><ul><ul><li>“ Okay, I’m not afraid” </li></ul></ul><ul><ul><ul><li>Family support </li></ul></ul></ul>
  7. 7. Dealing With The Dying Pt and Family <ul><li>Pt needs </li></ul><ul><ul><li>Dignity, Respect, Privacy, Communication </li></ul></ul><ul><li>Angry family members </li></ul><ul><ul><li>Comfort them </li></ul></ul><ul><li>Be empathetic </li></ul><ul><li>NO false reassurances </li></ul><ul><li>Everything is being done that can be </li></ul>
  8. 8. Stressful Situations <ul><li>Ex. </li></ul><ul><ul><li>MCI </li></ul></ul><ul><ul><li>Infant/Child Trauma </li></ul></ul><ul><ul><li>Infant/Elder/Spouse Abuse </li></ul></ul><ul><ul><li>Death/Injury of a co-worker </li></ul></ul>
  9. 10. Stress Management <ul><li>Find and outlet! </li></ul><ul><li>Recognize warning signs </li></ul><ul><ul><li>Irritability </li></ul></ul><ul><ul><li>Inability to concentrate </li></ul></ul><ul><ul><li>Difficulty sleeping </li></ul></ul><ul><ul><li>Anxiety </li></ul></ul><ul><ul><li>Indecisiveness </li></ul></ul><ul><ul><li>Guilt </li></ul></ul><ul><ul><li>Loss of appetite </li></ul></ul><ul><ul><li>Loss of interest in sex </li></ul></ul><ul><ul><li>Isolation </li></ul></ul>
  10. 11. Stress Management <ul><li>Lifestyle changes </li></ul><ul><ul><li>Exercise </li></ul></ul><ul><ul><li>Relaxation techniques </li></ul></ul><ul><ul><li>Change diet </li></ul></ul><ul><ul><ul><li>Reduce </li></ul></ul></ul><ul><ul><ul><ul><li>sugars, caffeine, and alcohol </li></ul></ul></ul></ul><ul><ul><ul><li>Avoid fatty foods </li></ul></ul></ul><ul><ul><ul><li>Increase carbs </li></ul></ul></ul>
  11. 12. Family and Friend Responses to EMS <ul><li>Lack of understanding </li></ul><ul><li>Fear of separation </li></ul><ul><li>On-call=STRESS </li></ul><ul><li>Inability to plan </li></ul><ul><li>Frustration of wanting to share </li></ul>
  12. 13. Critical Incident Stress Debriefing- CISD <ul><li>“ A team of peer counselors and mental health professionals who help emergency workers deal with critical incident stress” </li></ul><ul><ul><li>Within 24-72 hours </li></ul></ul><ul><ul><li>Open Discussion </li></ul></ul><ul><ul><li>Not investigation/interrogation </li></ul></ul><ul><ul><li>Confidential </li></ul></ul><ul><ul><li>Evaluate info and give suggestions </li></ul></ul><ul><ul><li>Accelerates recovery process </li></ul></ul>
  13. 14. Elements of Critical Incident Stress Management <ul><li>Pre-Incident Stress Education </li></ul><ul><ul><li>Familiarizes EMT with nature of the service </li></ul></ul><ul><li>On-Scene Support </li></ul><ul><ul><li>ID and support distressed workers on scene </li></ul></ul><ul><li>One-on-One Support </li></ul><ul><li>Disaster Support Services </li></ul><ul><li>Defusing </li></ul><ul><ul><li>On scene/shortly after </li></ul></ul><ul><ul><li>Stop stress response to incident </li></ul></ul><ul><ul><li>30 minutes or less </li></ul></ul>
  14. 15. Elements of Critical Incident Stress Management <ul><li>CISD </li></ul><ul><li>Follow Up Services </li></ul><ul><ul><li>Days after </li></ul></ul><ul><ul><li>Keep eye on providers </li></ul></ul><ul><ul><li>Refer to mental health provider </li></ul></ul><ul><li>Spouse/Family Support </li></ul><ul><li>Community outreach </li></ul><ul><li>Wellness programs </li></ul>
  15. 16. Switching Gears…
  16. 17. Scene Safety <ul><li>FIRST concern on scene </li></ul><ul><ul><li>Communicable diseases </li></ul></ul><ul><ul><ul><li>“Capable of being spread from person to person” </li></ul></ul></ul><ul><ul><ul><li>Often a microorganism </li></ul></ul></ul><ul><ul><ul><li>3 Elements of Transmission </li></ul></ul></ul><ul><ul><ul><ul><li>Source Host Mode of transport </li></ul></ul></ul></ul><ul><ul><ul><li>Factors affecting transmission </li></ul></ul></ul><ul><ul><ul><ul><li>Tx mode, type/degree of exposure, host susceptibility, precautions taken </li></ul></ul></ul></ul>
  17. 18. Scene Safety <ul><li>Body Substance Isolation-BSI </li></ul><ul><ul><li>Blood, ALL body fluids, secretions, excretions (except sweat) </li></ul></ul><ul><ul><li>Regardless of blood content </li></ul></ul><ul><ul><li>BSI includes: </li></ul></ul><ul><ul><ul><li>Hand washing </li></ul></ul></ul><ul><ul><ul><li>Eye protection </li></ul></ul></ul><ul><ul><ul><li>Gloves </li></ul></ul></ul><ul><ul><ul><li>Gowns </li></ul></ul></ul><ul><ul><ul><li>Masks </li></ul></ul></ul>
  18. 19. Scene Safety <ul><li>BSI continued.. </li></ul><ul><ul><li>Hand washing </li></ul></ul><ul><ul><ul><li>Immediately after touching fluid </li></ul></ul></ul><ul><ul><ul><li>After removing gloves </li></ul></ul></ul><ul><ul><ul><li>10-15 second scrub </li></ul></ul></ul><ul><ul><li>Eye protection </li></ul></ul><ul><ul><ul><li>Protects eyes from droplets </li></ul></ul></ul><ul><ul><ul><li>Removable shields for glasses </li></ul></ul></ul><ul><ul><li>Gloves </li></ul></ul><ul><ul><ul><li>Wear them with EVERY pt. </li></ul></ul></ul>
  19. 20. Scene Safety <ul><li>BSI continued… </li></ul><ul><ul><li>Gowns </li></ul></ul><ul><ul><ul><li>For those intimate splashy moments </li></ul></ul></ul><ul><ul><ul><ul><li>i.e. Childbirth or trauma </li></ul></ul></ul></ul><ul><ul><li>Masks </li></ul></ul><ul><ul><ul><li>Airborne pathogens </li></ul></ul></ul><ul><ul><ul><ul><li>mask on pt </li></ul></ul></ul></ul><ul><ul><ul><li>Trauma/blood </li></ul></ul></ul><ul><ul><ul><ul><li>mask on EMT </li></ul></ul></ul></ul><ul><ul><ul><li>HEPA mask if TB </li></ul></ul></ul>
  20. 21. The Full Body Condom
  21. 22. The Cardinal Rule of BSI <ul><li>If its wet, sticky, and not yours… DON’T touch it!! </li></ul>
  22. 23. Personal Protection <ul><li>Identify potential threats </li></ul><ul><ul><li>Electricity </li></ul></ul><ul><ul><li>Fire </li></ul></ul><ul><ul><li>Explosion </li></ul></ul><ul><ul><li>Hazardous materials </li></ul></ul>
  23. 24. Personal Protection <ul><li>Protective Clothing </li></ul><ul><ul><li>Turnout gear </li></ul></ul><ul><ul><li>Puncture proof gloves </li></ul></ul><ul><ul><li>Helmets </li></ul></ul><ul><ul><li>Eye wear </li></ul></ul><ul><ul><li>Haz Mat suits </li></ul></ul><ul><ul><li>SCBA </li></ul></ul>
  24. 25. Hazardous Materials <ul><li>Staging </li></ul><ul><ul><li>Upwind and uphill </li></ul></ul><ul><li>ID possible materials </li></ul><ul><ul><li>Placards </li></ul></ul><ul><ul><ul><li>Color/Symbol/Category/ </li></ul></ul></ul><ul><ul><ul><li>Names/#’s </li></ul></ul></ul><ul><li>Mark off area </li></ul><ul><li>Call for help </li></ul><ul><li>“ Hazardous Materials, The Emergency Response Guidebook” </li></ul>
  25. 26. Hazardous Materials <ul><li>Scene Control </li></ul><ul><ul><li>Specialized professionals </li></ul></ul><ul><ul><ul><li>They get paid to glow in the dark so we don’t have to…. </li></ul></ul></ul>
  26. 27. Violent Scenes <ul><li>ALWAYS controlled by police </li></ul><ul><li>Perpetrator/Family </li></ul><ul><li>Mindful of evidence </li></ul><ul><ul><li>Maintain Chain of evidence </li></ul></ul><ul><li>Document… Document… Document… </li></ul>
  27. 28. And that ends chapter 2…

×