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EMS- Respiratory Emergencies (Again)

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Robert Cole
Robert Cole

Ok, heres the story. I was teaching this otherwise sharp EMT-Basic class that bombed two respiratory emergency tests in a ROW! So this is the remedial lecture I inflicted on them. I don\'t know if they passed because of this fine work, or just because they were afraid of another lecture fo they failed. Hope its useful to you.

Health & MedicineEducation
1 of 90
Steve Cole, Paramedic, CCEMT-P Respiratory Emergencies (again)
Why Again? ,[object Object],[object Object],[object Object],[object Object],[object Object]
What we are going to discuss ,[object Object],[object Object]
Basic Concept: Air Goes in and Out Blood Goes Round and Round Any thing infringing on this is a BAD THING !
Key Concepts ,[object Object],[object Object],[object Object],[object Object]
Key Concepts ,[object Object],[object Object],[object Object],[object Object],[object Object]
Primary Concepts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Volume ,[object Object],[object Object],[object Object]
Respiratory Physiology
What do we assess? ,[object Object],[object Object],[object Object]
Respiratory Rate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Respiratory Quality ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Adult Lung Volumes ,[object Object],[object Object],[object Object],[object Object]
Key components of an intact respiratory system ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Drive to breath ,[object Object],[object Object],[object Object],[object Object],[object Object]
“ Hypoxic Drive” ,[object Object],[object Object],[object Object],[object Object]
Dr. Slovis’s top 5 effects on respiratory drive. ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Airway and Respiratory tract ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Mechanical Bellows ,[object Object],[object Object],[object Object],[object Object],Special Thanks to Charlie Miller for this Graphic.
The Mechanical Bellows ,[object Object],[object Object],[object Object],Special Thanks to Charlie Miller for this Graphic.
The Mechanical Bellows ,[object Object],[object Object],Special Thanks to Charlie Miller for this Graphic.
A diffusion friendly place for gas exchange to happen. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diffusion
An O2 friendly RBC with hgb. ,[object Object],[object Object],[object Object],[object Object]
An intact circulatory system ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Must have enough of a pressure to promote diffusion. ,[object Object]
Assessing the pt with Respiratory Distress.
First Impressions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Skin Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Noisy breathing is obstructed breathing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Speech Dyspnea ,[object Object]
Breath Sounds ,[object Object],[object Object],[object Object],[object Object]
 
 
Abnormal breath sounds ,[object Object],[object Object],[object Object],[object Object]
Causes of respiratory abnormalities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Signs/symptoms of distress ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
More S/S ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Take another look ….What do you see?
Hows this? Pursed Lips Sparrow Chest Tripoding Retractions Abd retractions Kewl Haircut O2
Inadequate Breathing: Infants and Children Retractions Nasal Flaring See-Saw Breathing Diaphragmatic Breathing
BREAK?
The Usual Suspects Photo by Linda R. Chen - © 1995 Gramercy Pictures.
Top 6 you need to know ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COPD
Causes of Chronic Obstructive Pulmonary Disease (COPD) ,[object Object],[object Object],[object Object],[object Object]
Common Traits of COPD’ers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Air Trapping ,[object Object],[object Object],[object Object],[object Object]
EMPHYSEMA ,[object Object],[object Object]
Chronic Bronchitis ,[object Object],[object Object],[object Object],[object Object]
ASTHMA: causes…. ,[object Object],[object Object],[object Object],[object Object]
Acute asthmatic attack: ,[object Object],[object Object],[object Object]
Signs and Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Status Asthmaticus ,[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bronchodilators ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Metered Dose Inhaler ,[object Object],[object Object],[object Object]
BASIC USE OF AN MDI
Remember to Obtain orders from medical direction.
Remember the 5 R’s
Remember the 5 R’s ,[object Object],[object Object],[object Object],[object Object],[object Object]
Shake vigorously
Depress hand-held inhaler as patient inhales deeply.
Instruct patient to hold/blow out breath.
Allow patient to breathe. Repeat dose if ordered.
Spacer Device
REMEMBER: ALL THAT WHEEZES IS NOT ASTHMA….. AND NOT ALL ASTHMA WHEEZES!
All that wheezes is not asthma: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Oxygen Myth and COPD ,[object Object],[object Object],[object Object],[object Object],[object Object]
NEVER WITHHOLD OXYGEN FROM A PATIENT WHO NEEDS IT!
Signs and Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pulmonary Edema ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Signs and Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Signs and symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment: ,[object Object]
Pulmonary Embolism ,[object Object],[object Object],[object Object],[object Object],[object Object]
Signs and symptoms: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object]
Hyperventilation ,[object Object],[object Object],[object Object]
Signs and symptoms ,[object Object],[object Object],[object Object],[object Object]
Treatment: ,[object Object],[object Object],[object Object],[object Object]
Spontaneous Pneumothorax ,[object Object],[object Object],[object Object]
Signs/ symptoms ,[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object]
Other problems: ,[object Object],[object Object],[object Object]
[object Object],[object Object]
Questions?

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