The document discusses various topics related to transport operations and ambulance services including emergency vehicle design, checking ambulances, ambulance equipment, driving techniques, incident response, transporting patients, and air medical transports. It provides information on setting up landing zones and transferring patients safely. National EMS education standard competencies are also listed that cover operations, transport safety, medicine, infectious diseases and more.
Internal Disaster Preparedness and Management in HospitalsLallu Joseph
This presentation deals on the following
1. Disaster definition- Internal and external
2. Learning from Disasters- Case Studies- AMRI, Chennai Floods
3. Four phases of emergency management
5. Risk assessment
6. 5 steps of emergency preparedness
7. Emergency management and evacuation plan for hospitals
8. Mock drills and how to conduct them
9. Table top exercises
Mock Drills in Hospitals- How to conduct mock drills?Lallu Joseph
Internal disaster management in hospitals is very critical. Hospitals need to prepared to handle emergencies and conduct regular mock drills to check the protocols, awareness of staff and also the equipment.
Internal Disaster Preparedness and Management in HospitalsLallu Joseph
This presentation deals on the following
1. Disaster definition- Internal and external
2. Learning from Disasters- Case Studies- AMRI, Chennai Floods
3. Four phases of emergency management
5. Risk assessment
6. 5 steps of emergency preparedness
7. Emergency management and evacuation plan for hospitals
8. Mock drills and how to conduct them
9. Table top exercises
Mock Drills in Hospitals- How to conduct mock drills?Lallu Joseph
Internal disaster management in hospitals is very critical. Hospitals need to prepared to handle emergencies and conduct regular mock drills to check the protocols, awareness of staff and also the equipment.
Safe transfer of unstable patient from hospital NABH ppt.pptxanjalatchi
Keep your body in a straight line, with a straight back and bent knees. Your head and chest should be up and straight. Keep your feet a little wider than your shoulder width. Keep the person's head, torso, and legs in line during the transfer.
Auto Extrication Training. First responders training involves extensive auto extrication training. Auto extrication is the process of removing a vehicle, or its components, from around a person who is trapped within the vehicle due to a collision.
Safe transfer of unstable patient from hospital NABH ppt.pptxanjalatchi
Keep your body in a straight line, with a straight back and bent knees. Your head and chest should be up and straight. Keep your feet a little wider than your shoulder width. Keep the person's head, torso, and legs in line during the transfer.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
2. National EMS Education
Standard Competencies
EMS Operations
Knowledge of operational roles and
responsibilities to ensure patient, public,
and personnel safety.
The Nurses and attendants staff we provide for your healthy
recovery for bookings Contact Us:-
3. National EMS Education
Standard Competencies
Principles of Safely Operating a Ground
Ambulance
• Risks and responsibilities of emergency
response
• Risks and responsibilities of transport
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recovery for bookings Contact Us:-
4. National EMS Education
Standard Competencies
Medicine
Integrates assessment findings with principles
of epidemiology and pathophysiology to
formulate a field impression and implement
a comprehensive treatment/disposition plan
for a patient with a medical complaint.
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recovery for bookings Contact Us:-
5. National EMS Education
Standard Competencies
Infectious Diseases
Awareness and management of
• A patient who may have an infectious
disease
• How to decontaminate equipment after
treating a patient
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recovery for bookings Contact Us:-
6. National EMS Education
Standard Competencies
Infectious Diseases
Assessment and management of
• A patient who may have an infectious
disease
• How to decontaminate the ambulance and
equipment after treating a patient
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recovery for bookings Contact Us:-
7. National EMS Education
Standard Competencies
Infectious Diseases
Assessment and management of
• A patient who may be infected with a
bloodborne pathogen
− Human immunodeficiency virus (HIV)
− Hepatitis B
• Antibiotic-resistant infections
• Current infectious disease prevalent in the
community
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recovery for bookings Contact Us:-
8. Introduction
• Today’s ambulances are equipped with
state-of-the-art technology.
• Driving an ambulance requires good
technique and judgment.
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recovery for bookings Contact Us:-
9. Emergency Vehicle Design
• US General Services Administration
determines ambulance standards.
• Design and manufacturing guidelines are
reviewed and updated every 5 years.
− Outlined by the DOT KKK 1822
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recovery for bookings Contact Us:-
11. Ambulance Equipment
• Every inch of space on an ambulance
stores and secures equipment.
• Organizations influence the list of supplies
and equipment that should be carried.
− OSHA
− ACS
− NFPA
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recovery for bookings Contact Us:-
12. Checking the Ambulance
• Crew members are
responsible for
ensuring:
− Unit is capable of
responding
− Proper equipment
and supplies are
available
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recovery for bookings Contact Us:-
13. Checking the Ambulance
• A daily check of
the ambulance
should ensure that
it can:
− Start
− Steer
− Stop
− Stay running
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recovery for bookings Contact Us:-
14. Checking the Ambulance
• Warning signs
− Belt noise
− Break fade
− Brake pull
− Drift
− Steering pull
− Pulsating brake
− Steering play
− Tire squeal
− Wheel bounce
− Wheel wobble
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recovery for bookings Contact Us:-
15. Ambulance Staffing and
Development
• Maximize productivity and minimize
response times by analyzing:
− Response times
− Productivity
− Unit costs
− Taxpayer subsidies
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recovery for bookings Contact Us:-
16. Ambulance and EMS Systems
• In US, most first-response EMS and
ambulance service is delivered by the fire
department.
− Other models include:
• Private, for-profit agencies
• Public agency
• Public-private partnerships
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recovery for bookings Contact Us:-
17. System Status Management
(SSM)
• Goals:
− Maximize efficiency
− Reduce response time
• Considers:
− Peak loads
− Strategic deployment
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recovery for bookings Contact Us:-
18. Ambulance Stationing
• Goals:
− Maximize
efficiency
− Minimize response
times
• Factors include:
− Distance vs. call
volume
− Special facilities
− Need for
maintenance
− Storage
− Classrooms
− Sleeping quarters
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recovery for bookings Contact Us:-
19. En Route to Scene
• As you prepare to respond:
− Fasten seatbelts and shoulder harnesses.
− Inform dispatch you are responding.
− Confirm nature and location of call.
− Ask for other information.
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recovery for bookings Contact Us:-
20. En Route to Scene
• While on route:
− Prepare to assess and care for the patient.
− Review dispatch information.
− Assign duties and tasks.
− Decide which equipment to take.
− Decide which stretcher to take.
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recovery for bookings Contact Us:-
21. Arrival at the Scene
• Look for safety hazards.
• Evaluate the need for additional units.
• Determine the mechanism of injury or
nature of the illness.
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recovery for bookings Contact Us:-
22. Arrival at the Scene
• Evaluate the need to stabilize the spine.
• Follow standard precautions.
• If you are the first at a multiple-casualty
incident, estimate the number of patients.
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recovery for bookings Contact Us:-
23. Traffic Control
• Ensure orderly traffic flow, and prevent
another crash.
• Place reflectors and other warning devices
on both sides of crash.
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recovery for bookings Contact Us:-
24. Securing Equipment
• Make sure all equipment is secured before
placing a vehicle in motion.
− Some equipment can become lethal projectiles
if not secured properly.
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recovery for bookings Contact Us:-
25. Safe Patient Transfer
• Excessive speed is unnecessary and
dangerous.
− Common sense and good driving techniques
are required.
• Secure the patient with at least three straps
across the body.
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recovery for bookings Contact Us:-
26. Postrun Activities: Restocking,
Cleaning, and Disinfection
• Clean and disinfect
ambulance and
equipment used.
• Restock supplies.
• Perform routine
inspections.
• Decontaminate the
ambulance.
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recovery for bookings Contact Us:-
28. Driver Characteristics
• Diligence and caution
• Positive attitude about your ability
• Tolerance of other drivers
• Physical fitness
• Emotional fitness
• Proper attitude
• Good judgment and knowledge
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recovery for bookings Contact Us:-
29. Safe Driving Practices
• Route planning and navigation
− Have access to street and area maps
− Become familiar with the roads and traffic
patterns in your area.
• Avoid heavy traffic areas.
• Know your way around.
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recovery for bookings Contact Us:-
30. Safe Driving Practices
• Fatigue
− Don’t be ashamed
to admit when you
are fatigued.
− Place yourself out
of service until
fatigue has
passed.
• Distractions
− Never attempt to:
• Type
• Text
• Operate personal
data devices
• Listen to music
• Eat or drink
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recovery for bookings Contact Us:-
31. Safe Driving Practices
• Use of safety restraints
− All passengers should wear seatbelts.
• Speed
− Always drive with caution.
• Siren risk-benefit analysis
− Never use to transport a nonemergency patient.
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recovery for bookings Contact Us:-
32. Safe Driving Practices
• Driver anticipation
− All other drivers are unpredictable.
− Maintain a safe travel distance behind vehicles.
− Do not respond aggressively to drivers.
− Do not accelerate through intersections.
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recovery for bookings Contact Us:-
33. Safe Driving Practices
• Driver anticipation (cont’d)
− Make eye contact with fellow drivers.
− Use turn signals.
− Never force a vehicle into oncoming traffic.
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recovery for bookings Contact Us:-
34. Safe Driving Practices
• Cushion of safety
− Maintain a safe distance from vehicles.
− Avoiding being tailgated.
− Be aware of blind spots.
• View ahead
• Rear of vehicle
• Side of vehicle
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recovery for bookings Contact Us:-
35. Safe Driving Practices
• Vehicle size and distance judgment
− Vehicle length and width are critical when:
• Maneuvering
• Driving
• Parking
• Braking and passing
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recovery for bookings Contact Us:-
36. Safe Driving Practices
• Backing up the
emergency vehicle
− Use a spotter.
− Agree with the
spotter before
moving.
− Keep your spotter
in view at all times.
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recovery for bookings Contact Us:-
37. Safe Driving Practices
• Backing up the emergency vehicle (cont’d)
− Agree on hand signals before moving.
− Keep your window cracked open.
− Do a walk-around before getting in the vehicle.
− Use audible warning devices.
− Do not rely on a back-up camera.
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recovery for bookings Contact Us:-
38. Safe Driving Practices
• Parking at an emergency scene
− Allow for efficient traffic control and flow.
− Do not block other emergency vehicles.
− Park uphill or upwind.
− Stay away from structures that might collapse.
− Always use your parking brake.
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recovery for bookings Contact Us:-
39. Safe Driving Practices
• Parking at an
emergency scene
(cont’d)
− Park as close to
the scene as
possible.
− Park where your
departure will not
be hampered.
− Be aware of
terrain.
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recovery for bookings Contact Us:-
40. Safe Driving Practices
• Parking at an emergency scene (cont’d)
− Turn off headlights to avoid blinding oncoming
traffic at night.
− Always wear visible protective clothing.
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recovery for bookings Contact Us:-
41. Emergency Vehicle Control
• Two ways to control a vehicle:
− Changing directions
− Changing speed
• Drivers must constantly evaluate the road
surface.
Brought to you by
The Nurses and attendants staff we provide for your healthy
recovery for bookings Contact Us:-
42. Emergency Vehicle Control
• Road positioning
and cornering
− Take corners at the
speed that will put
you in the proper
road position
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recovery for bookings Contact Us:-
43. Braking
• Getting a feel for brake pressure comes
with experience and practice.
• Get to know each vehicle you drive.
Brought to you by
The Nurses and attendants staff we provide for your healthy
recovery for bookings Contact Us:-
44. Controlled Braking
• Weather and road conditions
− Weight distribution should be taken into
consideration during inclement weather.
• Hydroplaning
− Gradually slow down without slamming on the
brakes.
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recovery for bookings Contact Us:-
45. Controlled Braking
• Water on the roadway
− Lightly tap the brakes several times after driving
through water to dry them.
• Decreased visibility
− During fog, smog, snow, or heavy rain, use low
headlights.
− Use headlights during the day.
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recovery for bookings Contact Us:-
46. Controlled Braking
• Ice and slippery surfaces
− All-weather tires and appropriate speed will
reduce traction problems.
− Be especially careful on bridges and
overpasses.
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recovery for bookings Contact Us:-
47. Laws and Regulations
• Vary from state to state and city to city
• Emergency vehicle drivers have certain
limited privileges.
− Privileges don’t lessen liability in a crash.
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recovery for bookings Contact Us:-
48. Laws and Regulations
• Use of warning lights and sirens
− Unit must be on a true emergency call.
− Audible and visual warning devices must be
used simultaneously.
− Unit must be operated with due regard for the
safety of others.
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recovery for bookings Contact Us:-
49. Laws and Regulations
• Right-of-way
privileges
− Only use when
necessary.
− Know your local
right-of-way
privileges.
• Use of escorts
− Generally not a
good idea
− Leave space
between vehicles.
− Instruct family
members not to
drive closely
behind you.
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50. Laws and Regulations
• Intersection hazards
− Look for other motorists and pedestrians before
proceeding into the intersection.
• Unpaved roadways and rural settings
− Operate the vehicle at a lower speed.
− Maintain a firm grip on the steering wheel.
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51. Laws and Regulations
• School buses
− Never pass a
school bus that
has stopped.
• School zones
− In many states it is
illegal to exceed
the speed limit in
school zones.
• Funeral
processions
− Most states offer
no exemption.
− Out of respect,
most drivers turn
off audible
devices.
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52. Air Medical Transports
• Can speed up transfer of patients
• Factors to consider:
− Does the patient’s condition warrant the risk of
using air transport?
− Will the use of air transport truly save time?
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54. Advantages of Using Air
Ambulances
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55. Disadvantages of Using Air
Ambulances
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56. Helicopter Medical Evacuation
Operations
• Why call for a medevac?
− Ground transportation will take too long.
− Conditions limit or prohibit the use of ground
transportation.
− Patient requires advanced care.
− Multiple patients will overwhelm a hospital.
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57. Helicopter Medical Evacuation
Operations
• Who receives a medevac?
− Patients with time-dependent injuries or
illnesses
− Patients with serious conditions
− Trauma patients
• Who do you call?
− Notify dispatcher
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58. Helicopter Medical Evacuation
Operations
• Medevac issues
− Weather
− Environment/terrain
− Altitude
− Airspeed limitations
− Cabin size
− Cost
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59. Establishing a Landing Zone
• Should be a hard or a grassy level surface
• Should be cleared of loose debris
• Should be clear of overhead or tall hazards
• Should be marked with weighted cones or
emergency vehicles
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60. Landing Zone Safety and
Patient Transfer
• Be familiar with capabilities, protocols, and
methods for accessing helicopters.
• Go only where the pilot and crew directs
you.
• Keep a safe distance from the aircraft
whenever it’s on the ground and “hot.”
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61. Landing Zone Safety and
Patient Transfer
• The proper
approach is
between nine-o’-
clock and three-o’-
clock.
• Walk in a crouched
position when
approaching.
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62. Landing Zone Safety and
Patient Transfer
• When operating at a landing zone:
− Pay attention to the flight crew.
− Become familiar with hand signals.
− Do not approach unless instructed by flight
crew.
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63. Landing Zone Safety and
Patient Transfer
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64. Landing Zone Safety and
Patient Transfer
• When operating at a landing zone (cont’d):
− Make sure all equipment/patients are secured.
− Always approach from the front.
− Smoking, open lights or flames, and flares are
prohibited within 50 ft of the aircraft.
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65. Communicating with Other
Agencies
• When requesting a medevac response,
always include:
− Ground contact radio channel
− Call sign of the unit
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66. Special Considerations
• Night landings
− Do not shine lights in the air to help the pilot.
− Direct light toward the ground.
− Smoking, open lights or flames, and flares are
prohibited within 50 ft of the aircraft.
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67. Special Considerations
• Landing on uneven ground
− Approach from downhill side only.
− Do not move the patient until signaled.
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68. Special Considerations
• Medevacs at hazardous materials incidents
− Flight crew should be notified immediately.
− Landing zone should be established upwind and
uphill from the scene.
− Exposed patients must be decontaminated
before being loaded into the aircraft.
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69. Summary
• DOT KKK 1822 sets the standards for
ambulance design and manufacturing
specifications.
• Three body styles: Type I, Type II, Type III
• Check the ambulance at the beginning of
every shift to ensure that all equipment is
available and in good working order.
• Preventative maintenance is as important
as operating skills.
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70. Summary
• Perform routine inspection after each call.
• Learning how to properly operate your
vehicle is just as important as learning how
to care for patients.
• Drivers must be qualified to drive an
ambulance, must be physically and
emotionally fit, and must have the proper
attitude.
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71. Summary
• All drivers and passengers should use
appropriate safety restraints while vehicles
are in motion.
• Make sure all equipment is secure before
leaving the scene.
• Lights and sirens should be used sparingly.
• Avoid backing up vehicle if possible. When
unavoidable, always use a spotter.
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72. Summary
• Use extreme caution when driving in heavy
traffic areas or in rural areas.
• Slow down in inclement weather.
• Any specific exemption from traffic laws
does not negate your responsibility to
proceed with due regard.
• Escorts should not be used.
• Air ambulances are used to evacuate
medical and trauma patients.
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73. Summary
• A medical evacuation is commonly known
as a medevac.
• You must follow certain safety rules when
you are working around landing zones and
helicopters.
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75. This platform has been started by Parveen Kumar
Chadha with the vision that nobody should suffer the
way he has suffered because of lack and improper
healthcare facilities in India. We need lots of funds
manpower etc. to make this vision a reality please
contact us. Join us as a member for a noble cause.
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76. Our views have increased the
mark of the 4,18,000
Thank you viewers
Looking forward for franchise,
collaboration, partners.
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77. Contact us:- 011-25464531, 9818569476
E-mail:- nursingnursing@yahoo.in
We are also available on
Justdial New Delhi.
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