This document provides information about shock and bleeding for EMTs. It defines shock, describes the different types of shock, and outlines the signs and symptoms. It recommends high-flow oxygen, maintaining ABCs, and rapid transport as BLS treatment for shock. The document also categorizes types of bleeding and recommends direct pressure and elevation as initial treatment for external bleeding until ALS arrival.
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THIS SLIDE IS PREPARED BY SURESH KUMAR FOR MY STUDENT SUPPORT SYSTEM TO WATCH THIS VIDEO VISIT YOUTUBE CHANNEL- https://www.youtube.com/channel/UC3tfqlf__moHj8s4W7w6HQQ
YOU CAN JOIN FACEBOOK GROUP FOR MORE SUCH VIDEOS BY THIS LINK- https://www.facebook.com/groups/241390897133057/
FOR MAKING EASY NOTES YOU CAN ALSO VISIT MY BLOG - https://mynursingstudents.blogspot.com/
Instagram- https://www.instagram.com/mystudentsupportsystem_nursing/
Twitter-https://twitter.com/student_system?s=08
,#CHOCKING,#firstaid#anm,#gnm,#bscnursing,#NURSING
PREVIEW OF EMT/EMR BLEEDING POWERPOINT TRAINING PRESENTATIONBruce Vincent
Describes the care of the patient with internal and external bleeding. Estimated teaching time 2 hours. Meets or exceeds current US DOT NHTSA 2009 requirements.
Every year in the US over 320,000 people (of all ages) die from Sudden Cardiac Arrest (SCA) outside of hospitals. While Fire and EMS departments do a great job trying to save these people time is not on their side. Severe brain damage occurs withing 4-6 minutes and brain death by 10 minutes.
On scene bystanders are the best chance for these victims. Prompt CPR and early use of an AED will dramatically increase the victims chance of survival. This presentation is a brief overview on how to use an Automated External Defibrillator (AED). This presentation should not take away from that fact that all people need to attend a formal CPR and AED course.
First Response Training, LLC is a West Palm Beach CPR training facility owned by Conor Devery who has over 20 years of pre hospital and critical care medical experience. First Response Training, LLC provides training for the medical and non medical communities in South Florida. Courses taught include CPR, AED, BLS, First Aid, ACLS, PALS, and EKG. For further information please contact Conor at (561) 459-0221 or vissit him at www.gotcpr.us
First aid for patients with Wound, Hemorrhage.pptxanjalatchi
First aid is as easy as ABC – airway, breathing and CPR (cardiopulmonary resuscitation). In any situation, apply the DRSABCD Action Plan. DRSABCD stands for: Danger – always check the danger to you, any bystanders and then the injured or ill person.
This presentation includes the first aid measures one can provide in case of accidental as well as intentional poisoning in order to minimize the morbidity and mortality in victims with poisoning.
PREVIEW OF EMT/EMR BLEEDING POWERPOINT TRAINING PRESENTATIONBruce Vincent
Describes the care of the patient with internal and external bleeding. Estimated teaching time 2 hours. Meets or exceeds current US DOT NHTSA 2009 requirements.
Every year in the US over 320,000 people (of all ages) die from Sudden Cardiac Arrest (SCA) outside of hospitals. While Fire and EMS departments do a great job trying to save these people time is not on their side. Severe brain damage occurs withing 4-6 minutes and brain death by 10 minutes.
On scene bystanders are the best chance for these victims. Prompt CPR and early use of an AED will dramatically increase the victims chance of survival. This presentation is a brief overview on how to use an Automated External Defibrillator (AED). This presentation should not take away from that fact that all people need to attend a formal CPR and AED course.
First Response Training, LLC is a West Palm Beach CPR training facility owned by Conor Devery who has over 20 years of pre hospital and critical care medical experience. First Response Training, LLC provides training for the medical and non medical communities in South Florida. Courses taught include CPR, AED, BLS, First Aid, ACLS, PALS, and EKG. For further information please contact Conor at (561) 459-0221 or vissit him at www.gotcpr.us
First aid for patients with Wound, Hemorrhage.pptxanjalatchi
First aid is as easy as ABC – airway, breathing and CPR (cardiopulmonary resuscitation). In any situation, apply the DRSABCD Action Plan. DRSABCD stands for: Danger – always check the danger to you, any bystanders and then the injured or ill person.
This presentation includes the first aid measures one can provide in case of accidental as well as intentional poisoning in order to minimize the morbidity and mortality in victims with poisoning.
This word presentation is prepared for DIET Daryaganj ETE trainees while keeping in view their Health and Physical Education curriculum and they are free to use this presentation in anyway as they like.
Acute management of patients with stroke is to stabilize the patient and to complete initial evaluation and assessment, including imaging and laboratory studies, within 60 minutes of patient arrival.
Critical decisions focus on the need for intubation, blood pressure control, and determination of risk/benefit for thrombolytic intervention.
Advanced cardiac life support, or advanced cardiovascular life support, often referred to by its acronym, "ACLS", refers to a set of clinical algorithms for the urgent treatment of cardiac arrest, stroke, myocardial infarction (also known as a heart attack), and other life-threatening cardiovascular emergencies.
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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2. What is Shock
• Shock, also called Hypoprefusion, is a state that leads to inadequate
cellular oxygenation to meet metabolic needs.
• As the cells of the body go without oxygen they attempt to compensate
and will eventually die if not oxygenated.
• There are several causes of shock, with trauma being one of the largest
contributors we will see in the field.
• A full patient assessment is still required, even if shock is
suspected, paying careful attention to the ABCs.
• Since shock is a state of decreased oxygen in the blood, application of
oxygen is the initial and primary treatment for BLS providers.
3. Types of Shock
• Since Shock is a failure of the cardiovascular system to deliver oxygen, we
can identify three main types:
• Pump Failure- Heart cannot pump enough blood
• Pipe Failure- Capillaries dilate (expand) up to 4 times normal
• Fluid Loss- Bleeding, Dehydration, or other problem decreases amount of blood
• Technical terms for these types of shock are: Cardiogenic, Distributive
and Hypovolemic. A fourth, Obstructive, is a physical blocking of blood
flow, seen in neonates, and without removal can lead to death.
• Hypovolemic Shock is the most common for trauma patients
• Cardiogenic Shocks is most commonly seen as a myocardial infarction, or
heat attack.
• Distributive Shock is most commonly seen as anaphylaxis.
4. Shock Recognition
• The identification and recognition of shock is the most important step of
the treatment of shock.
• In addition to vital sign changes, mental status changes are a major
identifier of shock.
5. BLS Care
• If you suspect your patient is in shock, and ALS has not been
dispatched, call of paramedic care immediately.
• A baseline set of vitas is of paramount importance to trend the patients
condition
• Application of high concentration of Oxygen via NRB or assist ventilations
via BVM
• Maintain the patient's ABCs
• Position the patient in the trendelenburg position of no trauma
• Treat the cause if possible (anaphylaxis-EpiPen)
• Keep the patient warm
• Rapidly transport to appropriate facility
6. ****PATIENT DIFFERNCES****
• Shock has three major stages: Compensating, Decompensating and
Irreversible.
• Adults will move through all three stages giving providers time to assess
what stage the patient is in.
• Children will compensate for a longer period of time and
plateau, dropping from compensating to irreversible in a very short
period of time.
• Due to this rapid decline, EMS providers must always assume a child
could be in compensated shock and treat appropriately.
7. Types of Bleeding
• Bleeding can be internal or external, and both can be life threatening.
• Surgeons are the only ones that can effectively treat life threatening
internal bleeding, so reduction of on scene times is the EMTs greatest
treatment.
• External Bleeding is broken into three major types:
• Arterial
• Venous
• Capillary
8. Bleeding Control
• Direct Pressure is the number one treatment for controlling external
blood loss
• Application of a ‘pressure dressing’ is simply a dressing with a bandage
used to hold it in place
• Never remove a blood soaked bandage or dressing. Just add to it.
• Elevation of the limb or positioning will assist with bleeding control.
• Ice or Cold packs and Pressure Points can also be used to assist.
• Tourniquets can be used to control life threatening
bleeding not controlled by another method.
• Mark the time the tourniquet is put in place on the
patients limb.
9. Assisting ALS
• For major bleeding and shock, paramedic care is essential.
• Loading the patient and obtaining vitals every 5 minutes will be the main
duties for the BLS crew. The patient should already be on oxygen and
maintenance of the ABCs is crucial.
• ALS will place the patient on the cardiac monitor, if not done by CARS
members already.
• Assistance with IVs will be at the discretion of
the paramedic treating.
• Direct Pressure for external bleeding will
continue through transport, and may require
multiple people to assist with treating the
patient.
10. Conclusion
• Shock and Bleeding are major life threats that all levels must be able to
recognize
• Oxygen, positioning, warming and ensuring ABCs will be the EMTs
primary treatment for shock
• Bleeding can be both internal and external, use of MOI will assist with
internal bleeding assessment
• Methods to control external bleeding include: Direct
Pressure, Elevation, Pressure Points, Cold Packs, and Tourniquets.
• iPad training manuals are in each rig, and can
be emailed upon request.