This course provides EMS providers with strategies for handling death-related situations. It discusses preparing for these events through education, having a support system, and understanding one's own emotional response. When a death occurs, providers are taught to remain calm and compassionate, allow family involvement if possible, and properly notify family members of the death. After leaving the scene, the course recommends using problem-focused, emotion-focused or meaning-focused coping strategies to process one's experience and prevent stress-related issues.
The document provides an overview of basic first aid procedures for common medical emergencies. It outlines steps for assessing safety at an emergency scene and prioritizing care. Procedures are described for treating conditions like no breathing, bleeding, shock, heart attack, choking, burns, broken bones, heat exhaustion, and fainting. The objectives are to recognize the benefits of first aid certification, identify proper emergency response procedures, and assist coworkers when injured.
Pre-hospital care aims to reduce morbidity and mortality for patients outside the hospital by providing immediate medical care at the scene and during transport. It involves various providers like paramedics, nurses, and doctors who are specially trained to treat patients in pre-hospital settings. The philosophy is to intervene appropriately and transport patients safely to definitive care in a timely manner. An effective pre-hospital care system requires coordination between various stakeholders including emergency responders, hospitals, and policymakers to ensure patients receive optimal care from the scene to the hospital.
The document provides guidance on performing an initial patient assessment for EMTs. It describes evaluating the scene for safety, determining the mechanism of injury or nature of illness, and performing an initial assessment of the patient's airway, breathing, circulation, mental status and skin signs. The assessment may be followed by a more focused physical exam and history gathering for medical versus trauma patients. Key steps include maintaining spinal immobilization if needed, assessing vital signs, and identifying any life-threatening conditions requiring immediate treatment.
The document discusses the components of the EMS system including bystanders, dispatchers, first responders, EMTs, emergency departments, specialty centers, and allied health personnel. It describes the roles and responsibilities of EMT-Bs which include patient safety, assessment, documentation, and continuing education. Quality improvement ensures the highest quality of care through reviews, audits, feedback, and continuing education. Medical direction provides clinical oversight with on-line direction using phones/radios, off-line using protocols, and standing orders varying by state law.
This document provides information on airway management and ventilation techniques for EMTs. It discusses opening and maintaining the airway using head tilt/chin lift or jaw thrust, suctioning, and airway adjuncts like nasal and oral airways. It also covers assessing adequate breathing, signs of inadequate breathing, and ventilation techniques including mouth-to-mask, bag-valve-mask, and manually triggered ventilators. Special considerations for infants, children, dentures, and tracheostomies are addressed. The document concludes with details on administering oxygen using various devices.
Medical Emergency Teams - do they even matter?scanFOAM
A Medical Emergency Team (MET) consists of ICU physicians and nurses who respond to deteriorating patients on medical/surgical wards. The document discusses how a MET could help by identifying deteriorating patients earlier; reducing cardiac arrests and mortality; teaching ABCDE resuscitation to ward staff; and substituting for absent doctors. While there is no direct evidence that METs reduce mortality, Rapid Response Systems which include screening for deterioration and appropriate response have been shown to reduce cardiac arrests and in-hospital mortality according to several studies. The challenges for Rapid Response Systems are early detection of deterioration, timely triage, and ensuring patients are transferred to and receive care in the proper unit.
- EMS is a system comprised of various components including public access to 911, EMS response, clinical care, medical control, legislation/regulation, evaluation/quality improvement, transport to hospitals, and prevention/public education.
- As an AEMT, you are an important part of the EMS system and will provide emergency medical care to sick and injured patients within your authorized scope of practice under the supervision of a medical director. Your role involves professional conduct, effective patient interaction, and following legal and regulatory requirements.
The document provides an overview of basic first aid procedures for common medical emergencies. It outlines steps for assessing safety at an emergency scene and prioritizing care. Procedures are described for treating conditions like no breathing, bleeding, shock, heart attack, choking, burns, broken bones, heat exhaustion, and fainting. The objectives are to recognize the benefits of first aid certification, identify proper emergency response procedures, and assist coworkers when injured.
Pre-hospital care aims to reduce morbidity and mortality for patients outside the hospital by providing immediate medical care at the scene and during transport. It involves various providers like paramedics, nurses, and doctors who are specially trained to treat patients in pre-hospital settings. The philosophy is to intervene appropriately and transport patients safely to definitive care in a timely manner. An effective pre-hospital care system requires coordination between various stakeholders including emergency responders, hospitals, and policymakers to ensure patients receive optimal care from the scene to the hospital.
The document provides guidance on performing an initial patient assessment for EMTs. It describes evaluating the scene for safety, determining the mechanism of injury or nature of illness, and performing an initial assessment of the patient's airway, breathing, circulation, mental status and skin signs. The assessment may be followed by a more focused physical exam and history gathering for medical versus trauma patients. Key steps include maintaining spinal immobilization if needed, assessing vital signs, and identifying any life-threatening conditions requiring immediate treatment.
The document discusses the components of the EMS system including bystanders, dispatchers, first responders, EMTs, emergency departments, specialty centers, and allied health personnel. It describes the roles and responsibilities of EMT-Bs which include patient safety, assessment, documentation, and continuing education. Quality improvement ensures the highest quality of care through reviews, audits, feedback, and continuing education. Medical direction provides clinical oversight with on-line direction using phones/radios, off-line using protocols, and standing orders varying by state law.
This document provides information on airway management and ventilation techniques for EMTs. It discusses opening and maintaining the airway using head tilt/chin lift or jaw thrust, suctioning, and airway adjuncts like nasal and oral airways. It also covers assessing adequate breathing, signs of inadequate breathing, and ventilation techniques including mouth-to-mask, bag-valve-mask, and manually triggered ventilators. Special considerations for infants, children, dentures, and tracheostomies are addressed. The document concludes with details on administering oxygen using various devices.
Medical Emergency Teams - do they even matter?scanFOAM
A Medical Emergency Team (MET) consists of ICU physicians and nurses who respond to deteriorating patients on medical/surgical wards. The document discusses how a MET could help by identifying deteriorating patients earlier; reducing cardiac arrests and mortality; teaching ABCDE resuscitation to ward staff; and substituting for absent doctors. While there is no direct evidence that METs reduce mortality, Rapid Response Systems which include screening for deterioration and appropriate response have been shown to reduce cardiac arrests and in-hospital mortality according to several studies. The challenges for Rapid Response Systems are early detection of deterioration, timely triage, and ensuring patients are transferred to and receive care in the proper unit.
- EMS is a system comprised of various components including public access to 911, EMS response, clinical care, medical control, legislation/regulation, evaluation/quality improvement, transport to hospitals, and prevention/public education.
- As an AEMT, you are an important part of the EMS system and will provide emergency medical care to sick and injured patients within your authorized scope of practice under the supervision of a medical director. Your role involves professional conduct, effective patient interaction, and following legal and regulatory requirements.
The document provides guidelines for cervical spine immobilization including:
- Proper techniques for applying cervical spine immobilization and the criteria for when to immobilize a patient.
- Spinal immobilization should be provided if there is any reasonable possibility of a spinal or head injury.
- The algorithm outlines the steps for manually stabilizing the cervical spine, logrolling a supine patient onto a backboard, and fully immobilizing standing or seated patients.
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
Pre hospital care of acutely injured patient by mohd taofiq et al.taofiq yinka
This document summarizes a presentation on pre-hospital management of acutely injured patients. It provides historical background on the development of emergency medical services. It also discusses epidemiology of trauma, the organization of trauma systems, concepts of pre-hospital care, the Nigerian experience, and recommendations. A study in Nigeria found that pre-hospital care was inadequate, with few patients receiving care and many experiencing delays in transport. It recommends establishing trauma centers and developing national pre-hospital care guidelines to improve trauma outcomes in Nigeria.
The document provides an overview of key topics from a chapter on prehospital emergency care, including anatomical terms, body positions, anatomical planes and landmarks, body cavities, and the musculoskeletal system. It describes anatomical structures like the skull, spinal column, and skeletal system. Case studies and review questions are presented to help reinforce the material.
1) The document discusses a case of a pedestrian hit by a car with injuries including a flail chest, unstable pelvis, and internal bleeding. The goals of treatment are to prevent death from hemorrhage through early intervention, good airway management, resuscitation, and surgical intervention.
2) It introduces the principles of damage control resuscitation (DCR) including permissive hypotension to limit blood loss, early use of blood products to replace lost volume and clotting factors, and damage control surgery to control bleeding. DCR aims to address the "lethal triad" of coagulopathy, acidosis, and hypothermia.
3) Clinical markers like thromboelastography
The document discusses oxygen therapy equipment and administration. It describes the importance of oxygen for patients and outlines the benefits and indications for supplemental oxygen. Potential hazards of oxygen are discussed, including the dangers associated with high-pressure oxygen cylinders. Common oxygen therapy equipment is outlined, including cylinders in various sizes, regulators to control oxygen flow, and delivery devices like nasal cannulas and nonrebreather masks. Guidelines are provided for safely operating oxygen equipment and demonstrating proper administration techniques.
This document discusses the initial assessment and management of trauma patients based on ATLS guidelines. It covers the primary and secondary surveys, with a focus on airway management, breathing, circulation, disability, and exposure. Specific injuries such as tension pneumothorax, cardiac tamponade, and hemorrhagic shock are reviewed. Resuscitative endovascular balloon occlusion of the aorta and resuscitative thoracotomy are described as emergency procedures for trauma patients in shock. The document emphasizes treating the greatest threats to life first in trauma resuscitation.
Chapter2 trauma assessment and managementdjorgenmorris
The document outlines the steps in the ITLS trauma assessment process including the primary survey, ongoing exam, and secondary survey. The primary survey consists of a scene size-up, initial assessment including ABCs, and a rapid trauma survey or focused exam. Critical interventions should be performed without delay for conditions like airway obstruction or major bleeding. The ongoing exam monitors for changes. The secondary survey is a more thorough head-to-toe exam, which may be done en route or on scene for stable patients.
Initial management of polytrauma patients requires a systematic approach with airway, breathing, and circulation as top priorities. The primary survey assesses these areas to identify life-threatening injuries, while the secondary survey provides a full head-to-toe examination to identify all injuries and guide further treatment. Trauma mortality follows a trimodal distribution with immediate deaths from major vascular or brain injuries within an hour, early deaths from hemorrhage or respiratory failure within hours, and late deaths after 3 days often from sepsis or organ failure.
Prehospital care in trauma is as important as in hospital care. The presentation addresses simple and basic approach to care a polytrauma victim in platinum 10 minutes based on BTLS.
Geriatric trauma patients face higher risks than younger adults due to age-related frailty and medical comorbidities. Ground-level falls are a leading cause of injury in older adults and can result in significant morbidity even from seemingly minor falls. Pre-existing conditions like osteoporosis, anticoagulant use, and cardiovascular disease increase complications. Rib fractures and cervical spine injuries pose particular dangers. Mortality is influenced more by injury severity, comorbidities, and medications than age alone. Proper management requires awareness of geriatric needs and tailoring care to address specific risks.
This document outlines the purpose and content of the Canadian Red Cross Emergency Medical Responder course. The purpose is to provide responders with the knowledge and skills to help sustain life and reduce pain until a higher level of care arrives. The course content is based on the National Occupational Competency Profiles established by the Paramedic Association of Canada for emergency medical responders. It covers topics like legal/ethical issues, scope of practice, medical control, and provides objectives for responders to assess patients, provide basic care, and assist more advanced medical personnel.
Adult Basic Life Support
Demonstration of how to give basic life support to anyone acutely injured or ill. Cardiac support, Advanced Trauma Life Support,
This document provides an overview of the key components of emergency medical services (EMS) systems and their evolution over time. It discusses the development of EMS following lessons learned from wars, as well as influential reports and guidelines that helped define EMS standards and scope of practice models. The document also outlines the 10 core components that the National Highway Traffic Safety Administration recommends for state EMS systems, such as regulation, human resources/training, transportation, medical direction, and more.
This document discusses methods for triage and assessment in mass casualty situations. It describes evaluating patients based on airway, breathing, circulation, disability and exposure (ATLS methodology). Patients are categorized into triage categories (immediate, delayed, minimal, expectant) based on their injuries and prognosis. Scoring systems like Injury Severity Score (ISS) and Revised Trauma Score (RTS) are used to evaluate patients and compare outcomes between treatment centers using TRISS methodology.
This document discusses guidelines for obtaining a patient's medical history and vital signs. It describes how to interview patients or bystanders to gather information on chief complaints, symptoms, medical conditions, medications, and events leading to the incident. It also provides instructions on assessing vital signs like respiration, pulse, blood pressure, and level of consciousness. Normal ranges for respiration rates are included. The importance of documenting findings and comparing multiple readings over time is emphasized.
The document discusses the current state of emergency medical services (EMS) in India and a proposed roadmap for EMS in India by 2020. It notes that over 350,000 accidental deaths occur annually in India, many due to lack of timely EMS. Current EMS is provided by various regional networks but faces issues like lack of standardization, equipment and funding challenges. The proposed 2020 roadmap calls for a national ambulance code, single emergency number, EMS education programs and integrating existing EMS systems to provide standardized emergency response across India.
This presentation covers the principle and practice of Burns management in a pre-hospital care setting with the focus on Thermal burns. The session was presented in the EMCON2018 National conference, Paramedic session at Bangalore
This document provides an overview of resuscitation techniques that are modified for pregnant patients. It discusses the following key points:
1. Cardiac arrest is rare in pregnancy but can be caused by conditions like sepsis, heart disease, hemorrhage or amniotic fluid embolism.
2. Changes in pregnancy like increased blood volume can lead to hypotension and cardiac arrest if the uterus impinges on blood vessels.
3. Modifications to resuscitation include placing the patient on their left side to relieve pressure, good ventilation, IV fluids, slightly higher chest compressions, early expert intubation, and rapid caesarean delivery if needed.
4. Managing reversible causes, being prepared
This document discusses respiratory emergencies and respiratory compromise. It provides an overview of respiratory anatomy, including the upper and lower airways, bronchi, bronchioles, and alveoli. It describes signs of respiratory compromise like hypoxia, hypercarbia, respiratory distress, and respiratory failure. Common causes of respiratory compromise include asthma, chronic bronchitis, emphysema, and allergic reactions. Signs of respiratory distress are also outlined.
The focus of this module is to explore patient/family centered care and how it links to incident analysis and management to will help to make care safer. Guest speakers and patient representatives will highlight what the patient needs are at different points during the incident analysis and management process. During small group discussions, participants will tap in to their own experiences and apply the “Checklist for Effective Meetings with Patients/ Families”.
The document provides guidelines for cervical spine immobilization including:
- Proper techniques for applying cervical spine immobilization and the criteria for when to immobilize a patient.
- Spinal immobilization should be provided if there is any reasonable possibility of a spinal or head injury.
- The algorithm outlines the steps for manually stabilizing the cervical spine, logrolling a supine patient onto a backboard, and fully immobilizing standing or seated patients.
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
Pre hospital care of acutely injured patient by mohd taofiq et al.taofiq yinka
This document summarizes a presentation on pre-hospital management of acutely injured patients. It provides historical background on the development of emergency medical services. It also discusses epidemiology of trauma, the organization of trauma systems, concepts of pre-hospital care, the Nigerian experience, and recommendations. A study in Nigeria found that pre-hospital care was inadequate, with few patients receiving care and many experiencing delays in transport. It recommends establishing trauma centers and developing national pre-hospital care guidelines to improve trauma outcomes in Nigeria.
The document provides an overview of key topics from a chapter on prehospital emergency care, including anatomical terms, body positions, anatomical planes and landmarks, body cavities, and the musculoskeletal system. It describes anatomical structures like the skull, spinal column, and skeletal system. Case studies and review questions are presented to help reinforce the material.
1) The document discusses a case of a pedestrian hit by a car with injuries including a flail chest, unstable pelvis, and internal bleeding. The goals of treatment are to prevent death from hemorrhage through early intervention, good airway management, resuscitation, and surgical intervention.
2) It introduces the principles of damage control resuscitation (DCR) including permissive hypotension to limit blood loss, early use of blood products to replace lost volume and clotting factors, and damage control surgery to control bleeding. DCR aims to address the "lethal triad" of coagulopathy, acidosis, and hypothermia.
3) Clinical markers like thromboelastography
The document discusses oxygen therapy equipment and administration. It describes the importance of oxygen for patients and outlines the benefits and indications for supplemental oxygen. Potential hazards of oxygen are discussed, including the dangers associated with high-pressure oxygen cylinders. Common oxygen therapy equipment is outlined, including cylinders in various sizes, regulators to control oxygen flow, and delivery devices like nasal cannulas and nonrebreather masks. Guidelines are provided for safely operating oxygen equipment and demonstrating proper administration techniques.
This document discusses the initial assessment and management of trauma patients based on ATLS guidelines. It covers the primary and secondary surveys, with a focus on airway management, breathing, circulation, disability, and exposure. Specific injuries such as tension pneumothorax, cardiac tamponade, and hemorrhagic shock are reviewed. Resuscitative endovascular balloon occlusion of the aorta and resuscitative thoracotomy are described as emergency procedures for trauma patients in shock. The document emphasizes treating the greatest threats to life first in trauma resuscitation.
Chapter2 trauma assessment and managementdjorgenmorris
The document outlines the steps in the ITLS trauma assessment process including the primary survey, ongoing exam, and secondary survey. The primary survey consists of a scene size-up, initial assessment including ABCs, and a rapid trauma survey or focused exam. Critical interventions should be performed without delay for conditions like airway obstruction or major bleeding. The ongoing exam monitors for changes. The secondary survey is a more thorough head-to-toe exam, which may be done en route or on scene for stable patients.
Initial management of polytrauma patients requires a systematic approach with airway, breathing, and circulation as top priorities. The primary survey assesses these areas to identify life-threatening injuries, while the secondary survey provides a full head-to-toe examination to identify all injuries and guide further treatment. Trauma mortality follows a trimodal distribution with immediate deaths from major vascular or brain injuries within an hour, early deaths from hemorrhage or respiratory failure within hours, and late deaths after 3 days often from sepsis or organ failure.
Prehospital care in trauma is as important as in hospital care. The presentation addresses simple and basic approach to care a polytrauma victim in platinum 10 minutes based on BTLS.
Geriatric trauma patients face higher risks than younger adults due to age-related frailty and medical comorbidities. Ground-level falls are a leading cause of injury in older adults and can result in significant morbidity even from seemingly minor falls. Pre-existing conditions like osteoporosis, anticoagulant use, and cardiovascular disease increase complications. Rib fractures and cervical spine injuries pose particular dangers. Mortality is influenced more by injury severity, comorbidities, and medications than age alone. Proper management requires awareness of geriatric needs and tailoring care to address specific risks.
This document outlines the purpose and content of the Canadian Red Cross Emergency Medical Responder course. The purpose is to provide responders with the knowledge and skills to help sustain life and reduce pain until a higher level of care arrives. The course content is based on the National Occupational Competency Profiles established by the Paramedic Association of Canada for emergency medical responders. It covers topics like legal/ethical issues, scope of practice, medical control, and provides objectives for responders to assess patients, provide basic care, and assist more advanced medical personnel.
Adult Basic Life Support
Demonstration of how to give basic life support to anyone acutely injured or ill. Cardiac support, Advanced Trauma Life Support,
This document provides an overview of the key components of emergency medical services (EMS) systems and their evolution over time. It discusses the development of EMS following lessons learned from wars, as well as influential reports and guidelines that helped define EMS standards and scope of practice models. The document also outlines the 10 core components that the National Highway Traffic Safety Administration recommends for state EMS systems, such as regulation, human resources/training, transportation, medical direction, and more.
This document discusses methods for triage and assessment in mass casualty situations. It describes evaluating patients based on airway, breathing, circulation, disability and exposure (ATLS methodology). Patients are categorized into triage categories (immediate, delayed, minimal, expectant) based on their injuries and prognosis. Scoring systems like Injury Severity Score (ISS) and Revised Trauma Score (RTS) are used to evaluate patients and compare outcomes between treatment centers using TRISS methodology.
This document discusses guidelines for obtaining a patient's medical history and vital signs. It describes how to interview patients or bystanders to gather information on chief complaints, symptoms, medical conditions, medications, and events leading to the incident. It also provides instructions on assessing vital signs like respiration, pulse, blood pressure, and level of consciousness. Normal ranges for respiration rates are included. The importance of documenting findings and comparing multiple readings over time is emphasized.
The document discusses the current state of emergency medical services (EMS) in India and a proposed roadmap for EMS in India by 2020. It notes that over 350,000 accidental deaths occur annually in India, many due to lack of timely EMS. Current EMS is provided by various regional networks but faces issues like lack of standardization, equipment and funding challenges. The proposed 2020 roadmap calls for a national ambulance code, single emergency number, EMS education programs and integrating existing EMS systems to provide standardized emergency response across India.
This presentation covers the principle and practice of Burns management in a pre-hospital care setting with the focus on Thermal burns. The session was presented in the EMCON2018 National conference, Paramedic session at Bangalore
This document provides an overview of resuscitation techniques that are modified for pregnant patients. It discusses the following key points:
1. Cardiac arrest is rare in pregnancy but can be caused by conditions like sepsis, heart disease, hemorrhage or amniotic fluid embolism.
2. Changes in pregnancy like increased blood volume can lead to hypotension and cardiac arrest if the uterus impinges on blood vessels.
3. Modifications to resuscitation include placing the patient on their left side to relieve pressure, good ventilation, IV fluids, slightly higher chest compressions, early expert intubation, and rapid caesarean delivery if needed.
4. Managing reversible causes, being prepared
This document discusses respiratory emergencies and respiratory compromise. It provides an overview of respiratory anatomy, including the upper and lower airways, bronchi, bronchioles, and alveoli. It describes signs of respiratory compromise like hypoxia, hypercarbia, respiratory distress, and respiratory failure. Common causes of respiratory compromise include asthma, chronic bronchitis, emphysema, and allergic reactions. Signs of respiratory distress are also outlined.
The focus of this module is to explore patient/family centered care and how it links to incident analysis and management to will help to make care safer. Guest speakers and patient representatives will highlight what the patient needs are at different points during the incident analysis and management process. During small group discussions, participants will tap in to their own experiences and apply the “Checklist for Effective Meetings with Patients/ Families”.
The document discusses palliative care and hospice. It defines palliative care as providing relief from pain and symptoms while regarding dying as a normal process. Palliative care aims to improve quality of life and can be used concurrently with other treatments. Hospice focuses on comfort and quality of life for patients with an incurable illness in the last phase of life. Early integration of palliative care can improve quality of life and survival for patients with serious illnesses.
This document provides guidance on end of life communications principles for veterinary professionals. It discusses how to help clients decide when it is time to transition to palliative or hospice care based on pain levels, quality of life assessments, and other medical and non-medical factors. It emphasizes the importance of compassionate communication from diagnosis to death, including empathetically discussing prognosis, treatment options, and the signs of impending death. The document stresses listening to clients, being available for support, and handling end of life cases with sensitivity in order to deepen client loyalty through this difficult experience.
Veterinarians must become better at all aspects of the client encounter surrounding a pet who is reaching the end of its life. This Webinar slide deck will help you.
This document outlines objectives and content for a unit on loss, grieving, death and dying. It includes definitions of key terms like loss, grief, bereavement and mourning. It discusses Kubler-Ross' stages of grief, signs of death, needs of dying patients, and the nursing process for grieving clients. The objectives are to understand physiological signs of death, beliefs about death, helping dying patients' needs, legal implications, caring for the body after death, and assessing and supporting those experiencing loss and grief.
Postvention Guidelines for Professionals: Suicide of a ClientFranklin Cook
1. The document provides guidelines for professionals on how to respond after a patient dies by suicide. It addresses supporting the deceased's family, other patients who knew them, and office staff.
2. For the family, the guidelines recommend expressing condolences, offering referrals for grief support, and checking in after 2-4 weeks to evaluate their coping and risk of suicidal ideation.
3. For other patients, the guidelines suggest containing information to avoid rumors, debriefing staff, increasing support and monitoring for those at high risk of being affected.
4. For staff, the guidelines recommend discussing feelings with colleagues, referring anyone personally affected, and seeking outside consultation if experiencing ongoing distress.
Trauma is a neurobiological process that occurs when a stressful event causes the brain to become "cortisoaked" in stress hormones like cortisol. When this happens, parts of the brain involved in fear, memory, and decision-making function differently. Discussing trauma can be difficult due to both internal barriers within survivors and external stigma. It is important to use supportive responses when talking to someone who has experienced trauma, such as active listening, validation, and offering resources without attempts to fix or blame. Coping skills and mindful awareness can help both survivors of trauma and supporters manage feelings and regulate emotions.
The Mental Status Examination [MSE], also referred to as Mental State Examination, is an integral and essential skill to develop in a psychiatric evaluation. Conducting an accurate MSE helps elicit signs and symptoms of apparent mental illness and associated risk factor
Module 8.3 Psychosocial Support for RelativesHannah Nelson
The document discusses psychosocial support for relatives of ICU patients. It notes that critical care experiences can be traumatic for families, with relatives often suffering from PTSD. It emphasizes the importance of communication with relatives and outlines best practices for announcing a patient's death, such as doing so in a private room, avoiding euphemisms, using proper body language, and building on what the family already knows about the patient's condition. The ICU Psychosocial Care Scale is also presented as a tool to assess support for families and patients.
The document provides guidance on breaking critical or bad news to patients. It discusses that breaking bad news is a complex task that requires skills like assessing the patient's understanding, gauging how much information they want, sharing the news in a stepwise manner, responding to emotions, and planning follow up. The document outlines a six step protocol for breaking bad news, including preparing, assessing the patient's perspective, determining how much they want to know, sharing the information, responding to reactions, and planning next steps.
This document outlines objectives and content for a unit on concepts of loss, grieving, death and dying. It discusses types of loss, grief, terms related to loss and grieving, Kubler-Ross' stages of grief, manifestations of grief, effects of multiple losses, nursing assessment and diagnosis of grieving clients, and providing support to dying patients and their families. Key points covered include assessing physiological signs of death, identifying beliefs about death across ages, discussing needs of dying patients, and changes that occur in the body after death.
This document discusses trauma-informed care for forensic clients at Fulton State Hospital. It provides information on the hospital's clients, which include those deemed incompetent to stand trial or not guilty by reason of insanity. It also describes the hospital's security levels and treatment programs. The document discusses how trauma is prevalent among clients, especially those with disabilities or mental illness, and explains the neurological and social effects of trauma. It emphasizes the importance of trauma-informed care and providing a safe environment to avoid re-traumatization. It recommends treating trauma as a universal precaution, developing specific trauma treatment plans, and training staff to engage compassionately with clients.
What is Palliative Care UMMC April 11 Chairmans talk.pptCarmelliaSuharsa
Palliative care aims to relieve suffering and improve quality of life for patients with serious illnesses. It provides relief from pain and other distressing symptoms, and supports the whole person - including their psychological and spiritual needs. Palliative care can be provided at any stage of illness, alongside curative treatment, and is distinct from hospice care which focuses on comfort at the end of life. Effective communication is essential, using tools like empathy, active listening and shared decision making to understand patient goals and preferences.
This document provides guidance on delivering bad news to patients. It discusses that bad news can seriously affect a patient's view of the future. Delivering bad news properly is important for the patient's psychological adjustment and reduces stress for doctors. However, it can be challenging due to individual patient needs, time constraints, and a focus on biomedical training over communication skills. The document recommends the ABCDE/SPIKES approach for delivering bad news, which includes advance preparation, building rapport, communicating clearly, dealing with reactions, and validating emotions. Key steps involve preparing details, arranging private time, assessing the patient's understanding, offering hope and support, and documenting the discussion.
This document discusses the triggers and symptoms of trauma, stress, and mental health issues among firefighters and EMTs, such as depression, suicidal thoughts, substance abuse, and bullying. It notes that 57 firefighters died by suicide in 2013 and 2014, and a survey found 36% had thoughts of suicide and 6% attempted. It provides recommendations for what to do if someone exhibits signs of suicide risk, such as getting help from medical professionals or a crisis hotline. The document advocates for employee assistance programs, critical incident stress debriefing, and rehabilitation programs to help those struggling with mental health issues stemming from their work in emergency services.
Psychological first aid (PFA) refers to initial support and assistance provided to individuals exposed to critical incidents like disasters. The goals of PFA are to relieve suffering, improve short-term functioning, and accelerate recovery. It is delivered by social workers, health workers, and disaster response workers in shelters, hospitals, and other locations in the immediate aftermath of an event. PFA involves providing social support, education on stress reactions, stress management techniques, and linking individuals to additional services if needed.
Giving bad news to patients is a complex communication task that requires special skills. Doctors must [1] prepare thoroughly, [2] address the patient's emotions with empathy, and [3] develop a management plan with the patient's input. Strategies like SPIKES provide a framework to [1] set up the conversation, [2] assess the patient's perspective, [3] obtain their invitation to know, [4] give knowledge and information, [5] address emotions, and [6] summarize and develop a strategy. Managing patients after a pregnancy loss also requires sensitivity, as they experience grief, guilt, and isolation.
Blood Monitoring in an MS Disease Modifying Therapy ClinicMS Trust
This document discusses blood monitoring in an MS disease modifying therapy (DMT) clinic. It identifies blood monitoring as a "wicked problem" due to its complex, interconnected nature with no single solution. It discusses various challenges with blood monitoring including coordinating tests, communicating results, interpreting abnormalities, and ensuring accountability. The document also reviews concepts from human factors engineering that could help address issues, such as clear roles and communication, avoiding distractions, and managing fatigue and resources. It explores what an ideal blood monitoring system may look like.
Psychological first aid (PFA) provides basic emotional and practical support to individuals in the immediate aftermath of critical incidents or disasters. It aims to stabilize individuals, reduce distress, and help them cope with and recover from the event. PFA is delivered by social workers, health workers, and disaster response teams on-site at shelters, hospitals, and other locations. It involves assessing needs, providing information, connecting individuals to social supports, and referring those with severe distress to professional mental health services. The goals of PFA are to relieve suffering, improve short-term functioning, and accelerate recovery.
How to Setup Warehouse & Location in Odoo 17 InventoryCeline George
In this slide, we'll explore how to set up warehouses and locations in Odoo 17 Inventory. This will help us manage our stock effectively, track inventory levels, and streamline warehouse operations.
Chapter wise All Notes of First year Basic Civil Engineering.pptxDenish Jangid
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
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2. Course Intended Audience and Description
• This course is intended to be viewed by EMS providers and
students, but principles can be used by other healthcare
professionals
• Course Description
• As Emergency Medical Service Providers, this course serves to bridge the gap
that new providers may face when delivering the news of death to a family,
how to properly manage a scene with a deceased patient and how to
perform self-management after the death of a patient
3. Course Objectives
• Upon successful completion of this course, the provider will be
able to
• Explain the role of an EMS provider on scene with a deceased patient
• Understand the proper way to manage a scene when death has occurred
• Identify the proper steps to deal with a death on scene from the providers
perspective
4. Course Requirements
• To receive full credit, students must complete all lectures and
modules with 100% attendance
• Pass the final exam with a score of 90%
6. Why do we talk about this?
• Death is inevitable, meaning that it isn’t a matter of if but when
you will find yourself on a scene with a death of a patient
• Although emergency professionals frequently coexist with death
and its process, it is still not an easy event to cope with and can
be considered as one of the most shocking experiences related to
their field of work. (1)
7. A look at the data
• “A qualitative study about experiences and emotions of emergency
medical technicians and out-of-hospital emergency nurses after
performing cardiopulmonary resuscitation resulting in death”
(Fernández-Aedo, I., Pérez-Urdiales, I., Unanue-Arza, S., García-
Azpiazu, Z., & Ballesteros-Peña, S. (2017)
• Purpose of the study was to investigate how providers reacted to
unsuccessful cardiac arrest death, since these are one of the most common
events resulting in patient death
• While there were only 13 participants, there were some helpful ideas to come
from this study
8. More about the data
• Some of the key findings
• Most of the providers had participated in more than 50+ cardiac arrest
events
• While opinions varied on the effects, the general negative emotions that
came out of a failed resuscitation effort were sadness, uncertainty or
doubt, and stress
• Generally, participants said they would be calmed and reassured when they
knew that they performed the technical aspect of their job with high
quality
• Support from peers was also instrumental in combating doubt and sadness
9. Some takeaways from the data
• If we understand how a death event will affect us, we can prepare
for the outcome before the event happens
• Having close coworkers that you can talk about the event
afterwards is vital
• Many providers try to leave their work at work unless they have a
family member who is in the healthcare field
• Providers mental health is a group responsibility
11. Prepare, Prepare, Prepare
• Preparation from a death event starts before we even leave the
station by ensuring that we do the simple task like
• Check off our truck to ensure that we have the proper equipment
• Mentally being prepared to respond to traumatic emergencies
• Invest in our own education to ensure proficiency
• This goes beyond simply doing the job, but understanding our protocols,
procedures, etc
• Set up a system of support – we should know who we can talk to when an
event occurs
• This could be your partner, a leader, a seasoned provider, a member of the
critical incident stress management (CISM) team, etc
12. Prepare, Prepare, Prepare
• We should also work to have outlets and a procedure to help
ourselves when we have a death event occur
• This could include having other hobbies, events, or other ways to
decompress after a difficult call
13. Things to remember during our response
• When responding to a high acuity call that has a high potential for
death, we should ensure that we are calm during our response
• Slow is smooth and smooth is fast – Essentially when we respond, we want
to be methodical in our execution of our craft
• Instead of getting all hyped up during your response, take a minute to mentally
prepare, review your protocols, etc
• We cannot save everyone
• One of the hardest things to do is to understand that we are not going to
win each time, but we can give them the best chance
14. Emergency Actual
• When we arrive, we want to remember the principle of being slow
to be smooth, and that in turn makes us fast
• Our role will be dictated by the call, resources and level of providers on
scene
• As an EMT, your role may be to gather equipment or maybe to triage patients
• As a Paramedic, you may oversee the scene, or performing advanced
interventions
• Either way, we are all in this together so we should all have our defined roles
prior to our arrival on scene
15. Emergency Actual
• Family Involvement
• While this may seem odd to some providers, the involvement of families
during death events is extremely helpful in the process (De Robertis, E.,
Romano, G. M., Hinkelbein, J., Piazza, O., & Sorriento, G. (2017))
• In many cases, family would like the offer to be involved in the lifesaving
measures as an observer, even if they do not accept
• As they watch you work, it reassures the family that you are doing everything for
their loved one
• Many hospitals, especially pediatric hospitals, have implemented family
involvement at bedside which does help in the death process
• When surveyed, patients usually wanted family around during an arrest or other
serious life threatening event, but they did want the option to make that decision
through end of life planning
16. So where do we come in?
• During the event, we should seek to act with compassion and
professionalism
• Allow the family to watch the event and even assign a crew
member to explain what is happening
• Understand that emotions run high, both for us and the family of
the patient
• As long as it is safe, allow the family to be present during critical
events. If it becomes unsafe, enlist the help of others on scene or
move the patient to a safe location
17. Some things to remember
• Family involvement is an option, not a requirement
• We should be honest with families about the prognosis and
attempt not to give false hope
• Not all families are good candidates to have at patient side
• Training is fundamental to having a successful emergency
• Even when the family is not present, we should have a high sense
of humanity – we work for the best outcomes regardless of who is
watching
19. Next Steps
• All calls eventually end, even if sometimes they feel they go on
forever
• When you determine that continuing care is futile, you should follow your
agencies guidelines to end efforts
• This may include you notifying the corner, transporting the body, etc
• Unless there is an agency protocol, you should never remove
anything from the patient/scene until allowed to by whomever has
control of the scene
• Now that the event is ending, we have to engage the family and
ourselves
20. Family Notification
• Even if the family has been present, it falls to the leader on scene
to provide notification
• This could be a paramedic, field supervisor, etc
• When talking to the family members, remember that they not only
remember what was said, but how you said it (Ombres, R.,
Montemorano, L., & Becker, D. (2017)).
• If possible, you should roll play during training to ensure that you know what
to say in the event of the death of a loved one
• If we poorly notify the family, this can actually prolong and intensify
grief
21. Elements of proper notification
• While there are no specific bullet points for how to properly notify
about death, here are some general ideas on creating your
“script”
• Directly address the family. If there are more than one family member, it
may be best to address the “family leader” – spouse, older adult, etc
• Be direct but not crass – Use direct language such as “Your loved one is
dead.” instead of language such as “I’m sorry, they have passed on.”
• Part of this is cultural sensitivity since everyone has different end of life views
• Avoid saying things like “I’m sorry” since the family may be looking for
someone to blame. Instead, say statements that support the efforts given
by the providers
22. Elements of proper notification
• In many instances, less is best. An example could be “Sir/Ma’am,
your loved one is dead. We did everything we could but there is
nothing more that we can do. How can we help you or is there
anyone that we can contact for you?”
• You should practice what you will say in this instance before you are on the
call, so this is something that can be incorporated into training
• Every situation is different, so you must learn to adapt your
wording to match the situation
• Sometimes, sitting with the family is appropriate, but you will
need to “read the room” to understand how to address this
23. Scene Management
• Some pearls of scene management when you do have a deceased
patient include
• Not removing anything from the body until allowed to by the controlling
agency – either the coroner or law enforcement
• Be sure to document factual findings and notify law enforcement if the
death is suspicious
• Ensure that the family does not move the body or attempt to tamper with
the body until the coroner or law enforcement allows it
• Cover the body with a sheet, ensure that you notify your proper authorities,
and then ensuring that you back out of the scene without disturbing the
body or scene
25. Death can be difficult
• While we become accustomed to death in our industry, we must
be aware that some calls may hit differently than others
• Most (72%) of providers have said that death can be difficult to
deal with (Austin, C. L., Pathak, M., & Thompson, S. (2018)
• One of the reasons that it is so difficult is the lack of time that an
incident takes from arrival to transfer of care
• The solution is not a single, linear response
26. Options for dealing with death
• Coping exist in a few different areas to include:
• Problem-Focused
• Emotion-Focused
• Meaning Focused
• While the stages of grieving are usually taught in class, we have a
lack of understanding how to cope with death (Conning, R, 2018)
27. Problem-Focused Coping
• This mechanism is used by people to focus on strategies to do
something constructive and take action to remove the stressor
(Conning, R. J. (2018)
• Some examples of this would be
• Problem-Solving
• Time-Management
• Obtaining Instrumental Social Support
• Even though the idea of social support is extremely important, the
other tactics in this coping method do not work well with death
incidents
28. Emotion Focused Coping
• This form of coping attempts to reduce the negative emotional
response associated with stress
• Some examples that can be helpful are
• Distraction
• Emotional disclosure
• Prayer and/or meditation
• Journaling
• Emotional focused coping can also have some negative activities,
but providers can use some of these examples in a productive
manner
29. Meaning Focused Coping
• In this form of coping, the person focuses on having positive
emotions and encouragement as a way of overcoming a stressor
• Some examples could be
• Look at positives that happened even if they are mundane
• Speak about the benefits of the experience
• Refocusing priorities after the stressful event
• In this method, the key is a positive response in the face of
negative circumstances
30. Coping
• While everyone experiences death differently, these methods are
some of the general ones that people use during stressful
situations
• One practical thing that you can do early is to create a stress
management plan. This plan will allow for you to identify what to
do in case of stressors, especially when we have an extremely high
chance of engaging a stressful situation
31. Tools for providers
• As discussed earlier in the course, having a support system is
important to ensure mental stability when dealing with death
• Some helpful resources could be a CISM Team, Leadership Intervention
teams, etc
• Other helpful resources can be found online through areas like:
• The Code Green Campaign (https://codegreencampaign.org/)
• You also can set up yourself with success by having hobbies or
activities to allow you to destress outside of work
• This does not include having part time jobs, etc but something you do for
fun like hiking, biking, playing video games, or other activities
33. Conclusion
• In our course, we have looked at just a small section of how to
deal with death. While we could spend a significant amount of
time on the topic, we hope that you have learned how to better
deal with death
• If you are interested in more information, please contact our
office at info@phoenixacademic.org to schedule a consultation
• We hope that you have enjoyed this presentation and look forward
to seeing you expand your knowledge as a provider!
Editor's Notes
Fernández-Aedo, I., Pérez-Urdiales, I., Unanue-Arza, S., García-Azpiazu, Z., & Ballesteros-Peña, S. (2017). A qualitative study about experiences and emotions of emergency medical technicians and out-of-hospital emergency nurses after performing cardiopulmonary resuscitation resulting in death. Enfermería Intensiva (English ed.), 28(2), 57-63.
De Robertis, E., Romano, G. M., Hinkelbein, J., Piazza, O., & Sorriento, G. (2017). Family presence during resuscitation: a concise narrative review. Trends in Anaesthesia and Critical Care, 15, 12-16.
Chicago
De Robertis, E., Romano, G. M., Hinkelbein, J., Piazza, O., & Sorriento, G. (2017). Family presence during resuscitation: a concise narrative review. Trends in Anaesthesia and Critical Care, 15, 12-16.
Chicago
Ombres, R., Montemorano, L., & Becker, D. (2017). Death notification: someone needs to call the family. Journal of palliative medicine, 20(6), 672-675.
Chicago
Austin, C. L., Pathak, M., & Thompson, S. (2018). Secondary traumatic stress and resilience among EMS. Journal of Paramedic Practice, 10(6), 240-247.
Conning, R. J. (2018). Preparedness of emergency care providers to deal with death, dying and bereavement in the prehospital setting (Doctoral dissertation).
Chicago
Conning, R. J. (2018). Preparedness of emergency care providers to deal with death, dying and bereavement in the prehospital setting (Doctoral dissertation).
Chicago