Emergencies on the magic school bus!
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This is a 1 hour presentation on medical emergencies for school bus drivers and administrators. Targets to lay people, it is an introduction to emergency planning and response to students suffering a medical emergency in transit.
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Emergencies on the magic school bus!
- 1. Emergencies on the Magic School Bus! Robert S. Cole Ada County Paramedics rcole@adaweb.net
- 2. Some of this stuff is simple, until you need it!
- 3. #1: Take a class
- 5. #2: know when you should call for help!
- 6. When will you call for help?Call EMS if: Mental Status: • The child is unconscious, semi-conscious or unusually confused/agitated. • The child has a seizure for the first time or a seizure that lasts more than five minutes. Airway • The child’s airway is blocked. • The child is making funny sounds while breathing Breathing • The child is not breathing. • The child is having difficulty breathing, shortness of breath or is choking. • The child is coughing up or vomiting blood. Circulation • The child has no pulse. • The child has bleeding that won’t stop with simple measures. Other Emergencies • The child has been poisoned (any type). • The Child is having an Allergic Reaction (any type, including recreational) • The child has injuries to the neck or back. • The child’s condition is limb-threatening (for example, severe eye injuries, • amputations or other injuries that may leave the child permanently disabled • unless he/she receives immediate care). • The child has low blood sugar and cannot feed himself. • The child’s condition could worsen or become life-threatening on the way to the hospital. • Moving the child could cause further injury. • The child needs the skills or equipment of paramedics or emergency medical technicians. If any of the above conditions exist, or if you are not sure, it is best to call
- 7. Mental Status: Mental Status: • The child is unconscious, semi-conscious or unusually confused/agitated. • The child has a seizure for the first time or a seizure that lasts more than five minutes. • You can’t wake the child up.
- 8. Airway Airway • The child’s airway is blocked. • The child is making funny sounds while breathing • Child is turning blue…
- 9. Circulation Circulation • The child has no pulse. • The child has bleeding that won’t stop with simple measures.
- 10. Circulation Circulation • The child has no pulse. –> CPR and AED! • The child has bleeding that won’t stop with simple measures.
- 11. Other Emergencies • The child has been poisoned (any type, including recreational).
- 12. Other Emergencies • The Child is having an Allergic Reaction (any type) • Any adverse medication reaction
- 13. Other Emergencies • The child has low blood sugar and cannot feed himself. • The child has injuries to the neck or back. • The child’s condition is limb-threatening (for example, severe eye injuries, amputations or other injuries that may leave the child permanently disabled unless he/she receives immediate care). • The child’s condition could worsen or become life- threatening on the way to the hospital. • Moving the child could cause further injury. • The child needs the skills or equipment of paramedics or emergency medical technicians.
- 14. Big Pitfalls!
- 15. Don’t be afraid to….
- 16. Don’t be afraid to….
- 17. Don’t be afraid to….
- 18. Don’t be afraid to….
- 19. Do not… Don’t be afraid to let a child eat or drink on his own, but don’t try to feed him. If he cant do it himself, he may choke.
- 20. Do not… Never attempt to give a child his insulin. Most diabetic “emergencies” encountered by a bus driver are actually sugar (hypoglycemic) problems, not insulin (hyperglycemic) issues. Not all injections are insulin however.
- 21. Don’t be afraid to HELP!
- 22. #3: Have a plan
- 23. Plan: How will you communicate? What is your back up method?
- 24. Plan: How will you communicate?
- 25. Plan: WHAT will you communicate?
- 27. Plan: WHO will you communicate too? Contact State-Comm at 208-846-7610
- 28. Plan: Be careful when communicating
- 30. Privacy laws do not apply in a medical emergency
- 31. #4: Pull over somewhere safe
- 32. Think about patient access…
- 33. #5: Know your location
- 34. #6: Be safe
- 35. Be Safe: Vest
- 36. Be Safe: Gloves
- 37. Be Safe: Mask
Editor's Notes
- This slide is a comment about “Lizard Brain” and the cognitive abilities under stress.
- The AHA and the ARC are just two reputable organizations out there. Be wary of any completely online courses without a skills verification, as these are generally scams. Recert as recommended by the class (Typically every two years)
- Broad list taken from a bus drivers manual in FL
- Feb 22. 2014 A Florida aunt and a concerned motorist are being hailed with saving the life of the woman's five-month-old nephew, after the infant fell unconscious and stopped breathing while the aunt was driving along a busy Miami highway on Thursday. A photo of 37-year-old Pamela Rauseo performing CPR on her nephew Sebastian de la Cruz, who lay limp and blue in his aunt’s arms, has gone viral, reports CNN on Friday. The harrowing ordeal played out on State Road 836 in Miami, a six-lane thoroughfare known locally as the Dolphin Expressway. When little Sebastian, who was born prematurely and suffers respiratory problems, stopped crying in Rauseo’s back seat, she knew something was wrong. “That was a red flag for me, because the car was at a standstill, and he'd had a little bit of a cold, and I knew that he was congested, so I got really worried,” Rauseo said on Friday. When she turned around and saw Sebastian unconscious and turning blue, she panicked, leaping from her car and pleading for passing motorists to stop. Fortunately, a number of them did. Hurried drivers got out of their cars to see if they could assist. “I pulled over on the left, and I jumped to the back to check up on him, and he was out,” Rauseo said. “I touched him to stimulate him. I got no response, so I took him out of his car seat, and he was completely limp and turning purple. I tried to call 911, but I was just so nervous, my hands wouldn't function.” According to the Miami Herald, driver Lucila Godoy, 34, along with Rauseo, began a tandem CPR – Pamela placing her entire mouth over her nephew’s mouth and nose, with Godoy doing quick, two-fingered chest compressions on the baby’s chest. “I was driving in the middle lane; she was in the fast lane, and all of a sudden I see her, and she's screaming and she's holding the baby and she's putting it up and down,” Godoy said. “I just stopped the car and jumped out of the car, and I asked her what was going on, and we started working as a team.” Godoy had taken a CPR course when she was pregnant in Venezuela with her own son, also named Sebastian, reports CNN. Her instincts took over and she was able to assist Pamela to save the young baby’s life. Other motorists raced back and found Miami policeman Amauris Bastidas, an officer in his patrol car not far behind the stopped traffic. Bastidas came and took over the CPR. “I lifted him up in the air and moved him up and down,” Bastidas said. “He started breathing and crying.” Miami Fire and Rescue rushed Sebastian to hospital, where a spokeswoman confirmed last night that he is in stable condition. “We're confident he'll be fine,” Rauseo said. “We just need to get to the root of what's causing these issues for him.”
- Don’t be afraid to let a child eat or drink on his own, but don’t try to feed him. If he cant do it himself, he may choke.
- Don’t be afraid to let a child eat or drink on his own, but don’t try to feed him. If he cant do it himself, he may choke.
- Never attempt to give a child his insulin. Most diabetic “emergencies” encountered by a bus driver are actually sugar (hypoglycemic) problems, not insulin (hyperglycemic) issues.
- Do you call 911 or a dispatcher? Do you have a back up method of communication?
- 2.2.1 Network Overview The original basic 9-1-1 network was developed by the former AT&T and Bell Laboratories and initially affected the Bell companies. In Idaho, Mountain Bell (formerly known as, U S WEST, Qwest and now CenturyLink) implemented the first system and was based on a circuit-switched or analog technology and remains largely unchanged today. GTE Corporation (formally known as Verizon Landline and now Frontier Communications) implemented a circuit-switched 9-1-1 network in several counties north of the Salmon River. Wireless implementation throughout the State was one of the upgrades funded by the grant fee. Wireless technology was implemented in two phases. Phase I delivers the wireless 9-1-1 call to the correct PSAP with the caller’s phone number. Phase II includes the longitude and latitude (X/Y coordinates) of the caller’s location with the Phase I data. In 2008, the year the grant program began, 30 of 46 PSAPs were not wireless capable. Since the implementation of the grant fund, all of Idaho’s 46 PSAPs are either E9-1-1 or are in the process of migrating from Basic 9-1-1 to E9-1-1. After the completion of Fiscal Year 2012 Enhanced Emergency Communications Grant Fee cycle, nearly all of Idaho’s PSAPs are E9-1-1 Phase II wireless capable The maps on the following pages show the status of 9-1-1 service in the State of Idaho in the year 2008 and the status of 9-1-1 currently in 2013. The two maps demonstrate the progress that has been made in 9-1-1 service over the past four years since the Enhanced Emergency Communications Grant Fee program was enacted. A complete progression of the status of 9-1-1 service from 2008 – 2013 can be found in Appendix A.
- Should be self explanatory.
- This is just one example of a patient information card.