Recent discussions
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Claudette Gallant
agree with this approach, in either case EMS have to be activated
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Acholia Theriault
This is very good information although I wonder if there are more updated references.
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Brett Hart
Im not sure it has any role, good resuscitate, destination and access to catheterization is a must.
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Brett Hart
With new tech direct should be out the door and video a mainstay. Best first pass success
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Brett Hart
This is hospital determined due to demographics of these locations.
- Team Leader (Physician or Senior RN)
- Usually an ER doctor, ICU doctor, anesthesiologist, or hospitalist.
- Makes decisions, directs the team.
- Airway Provider
- Anesthesiologist, respiratory therapist, or trained ER/ICU physician.
- Manages intubation and oxygen.
- Compressor
- Nurse or paramedic role in hospital.
- Focused on high-quality CPR only.
- Defibrillator/Monitor Nurse
- Operates the defibrillator.
- Manages rhythm checks, shocks, pacing if needed.
- Medication Nurse
- Draws up and gives meds (epi, amiodarone, etc.).
- Keeps track of times and doses.
- Recorder/Scribe
- Documents everything: times, meds, shocks, interventions.
- Communicates with team leader.
- Runner
- Brings extra supplies, contacts lab, pharmacy, or blood bank.
- Respiratory Therapist
- Manages bagging, airway adjuncts, ventilator setup after pulse returns.
- Team Leader (Physician or Senior RN)
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Brett Hart
I’d leave this one alone
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Brett Hart
This appears to be the easiest way to explain to the general population about concussion as they may not be qualified to make the assessment. A decreased loc event, mechanism current presentation all Should be considered and 911 called if uncertain .
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Brett Hart
If we are talking about fist aid then these substances are in businesses where they have msds sheets. Decon is inc in that as a safety procedure. If we are dealing with a member of the public then flush with water and 911 and off to the hospital.
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Aloka Samantaray
can we consider sustained ROSC till hospital admission for OHCA as an outcome
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Cees Van Romburgh
The ILCOR Task Force believes that water is likely the most available decontamination substance worldwide. I wholeheartedly agree with this, also because of its general availability. I have no interest in the product Diphoterin®, but I am pleased that this product is now also mentioned by ILCOR in addition to rinsing water. Diphoterine is an amphoteric irrigating solution armed with rapid pH-neutralising action. It serves as an effective first-aid treatment for managing chemical burns, including chemical eye injury . It works faster than rinsing generously with water to neutralize the toxic substances with a high acidic soil.
The Task Forse is based on 'treatment for acid substances used in attacks' In the aforementioned Search Strategies, Sodium Hydroxide is mentioned. This is a lye, in which rinsing with a lot of water remains paramount. In general, I think we can continue to say that first aid should include actions:
After inhalation: victim from infected environment and to fresh air; If necessary, transport to a hospital in a semi-sitting position. Have the intoxicated person sit or lie down, to minimize oxygen consumption.
After skin contact: Remove contaminated clothing and rinse skin with water for 15-30 minutes. Note: The treatment of the skin is in accordance with the treatment after thermal burns.
After eye contact: Rinse eye with water for 15-30 minutes. Gently spread eyelids. (In the hospital, rinsing can be done with a physiological saline solution). Always consult an ophthalmologist if there is continuous pain, lacrimation, edema, photophobia or visual disturbances after eye washing.
When ingested: inducing vomiting is not recommended, as well as do not administer activated carbon. This is due to clouding of the clinical picture during a later inspection (scopy). In addition, activated carbon does not bind to alkalis. Therefore: Rinse mouth with water and let water drink. Drink a limited amount of water soon after ingestion (within a few minutes). [The purpose of drinking water is to flush the lye from the wall of the esophagus. Dilution with water is ineffective in neutralizing the pH. Do not drink too much water as this can induce vomiting and a second contact of the lye with the esophagus takes place
See by example: Critical Care Toxicology: Diagnosis and Management of the Critically Poisoned Patient. June 2017. DOI:10.1007/978-3-319-17900-1. ISBN: 978-3-319-17899-8.