Code 1 Communications http://blog.dixieems.com A Blog from Dixie EMS Mon, 15 Sep 2014 19:25:22 +0000 en-US hourly 1 http://wordpress.org/?v=4.0.1 Tourniquets Making a Comeback Nationwide http://blog.dixieems.com/dixinews/tourniquets-making-comeback-nationwide/ http://blog.dixieems.com/dixinews/tourniquets-making-comeback-nationwide/#comments Mon, 15 Sep 2014 19:14:46 +0000 http://blog.dixieems.com/?p=3773 Tourniquets-Making-a-Comeback-Nationwide
After fears of amputation caused people to shy away from tourniquets, their effectiveness in lifesaving is causing a comeback   » » » 
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After fears of amputation caused people to shy away from tourniquets, their effectiveness in lifesaving is causing a comeback.

Police in Houston and across the US are being equipped with tourniquets. Being that prolonged use can lead to limb amputation, tourniquets fell out of use during the Civil War. However, during the recent years of war in Iraq and Afghanistan, a tourniquet’s lifesaving benefits were shown to far outweigh those concerns. Successful applications on the street continue to reinforce that outlook.

Since then, officers have been saving lives that they otherwise might not have.

Since then, officers have been saving lives that they otherwise might not have. An officer even diminished the impact in quality of life for a victim of a motorcycle accident. In addition to saving his life, the tourniquet allowed for the possibility that the victim may keep his knee. This will make it easier for him to be fitted with a prosthetic. “The only silver lining that comes from any war is improvements in medical care and specifically in trauma care,” said John Holcomb, director of the Memorial Hermann Texas Trauma Institute.

Training is imperative, since an incorrectly applied tourniquet can cause damage. Police officer & former Army captain Austin Huckabee has used a tourniquet to save a life. Understanding the need, he has always carried one – even before they were issued by the police force. He now trains his fellow officers how to correctly apply the professional tourniquets they all expect to be carrying by the end of September.

Sources: AP, News Net 5 Cleveland, Yahoo News, CombatTourniquet.com

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Researching Nasal Spray Snake Venom Antidote http://blog.dixieems.com/dixibuzz/researching-nasal-spray-snake-venom-antidote/ http://blog.dixieems.com/dixibuzz/researching-nasal-spray-snake-venom-antidote/#comments Tue, 26 Aug 2014 22:36:00 +0000 http://blog.dixieems.com/?p=3769 Researching-Nasal-Spray-Snake-Venom-Antidote
Neostigmine may prove to be a lifesaver for snake bite victims, if a viable administration method can be found   » » » 
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Researchers are looking into the best way to allow anyone to safely to administer neostigmine. This drug, usually injected or given via IV, can be toxic and is very dangerous if handled incorrectly. However, it is a promising anti-paralysis drug that can help some snake bite victims survive. Many snake venoms use neurotoxin to paralyze the victim. This drug may help.

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Cot Revolution: Ferno’s Innovative iNX Power Stretcher http://blog.dixieems.com/dixequip/cot-revolution-fernos-innovative-inx/ http://blog.dixieems.com/dixequip/cot-revolution-fernos-innovative-inx/#comments Wed, 02 Apr 2014 00:10:17 +0000 http://blog.dixieems.com/?p=3700 Ferno---iNX---The-iNtegrated-Patient-Transport-&-Loading-System
Ferno's new cot with iNtegrated Patient Transport and Loading System, developed with the input of emergency medical personnel, is set to revolutionize patient transportation   » » » 
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Ferno’s new powered independent x-frame cot with iNtegrated Patient Transport and Loading System, developed with the input of emergency medical personnel, is set to revolutionize patient transportation

Forget what you knew about ambulance stretchers. Washington-based Ferno EMS went back to a blank drawing board. They researched new technology, consulted with emergency medical providers, tested heavily & rolled out the iN/X (Powered iNdependent X-Frame with iNtegrated Patient Transport and Loading System) ambulance cot, a medical stretcher that revolutionizes patient care and EMS handling.

» EMT Safety

Your back is saved! Or, at least it won’t be further aggravated by the constant strain and bending. The iNX power loader features the iNtegrated Loading System. This allows the stretcher to lift each part of the frame independently so loading is a breeze while you remain standing upright. The Automatic High Speed Extend and Retract feature reduces load and unload time. You can even adjust & program the height to match that of your ambulance’s floor.
Dual powered actuators maximize tip stability and lifts patient loads up to 700lbs. The iNdependent X-Frame Design allows you to navigate obstacles with your thumb and not your back. It’s even easier to see where you’re going in dark or hazardous areas due to the iNdependent lighting system with continuous and flashing modes.

» Ease of use

Focus more on the patient’s condition & care. The iN/X gurney features simple one-touch operation, freeing more attention for what’s more important. An LCD display provides system status, operational cues & power level. The cot maneuvers great in any direction at any bed height due to 360° locking swivel wheels. A programmed chair position makes transferring seated patients much easier. There’s even an integrated charging system which eliminates battery management. In the event of power loss, a manual back-up system provides complete operation. To prevent power loss & other problems, in-fastener shut off prevents accidental operation in ambulance. Accessories can be attached easily in any position using the Versa-Loc Outer Rail System.

» Patient Care & Comfort

The iNX cot is packed with features to enhance the comfort & treatment of your patients. Procedural care is enhanced by a level patient surface. However, the iNX bends smart. In addition to the adjustable seat back, the patient’s feet can be raised for shock treatment. The adjustable arm rests feature an IV position, and the telescoping foot-end handles increases patient foot clearance while loading. And for a nice touch useful for long transports: a sealed memory foam mattress.

Ferno’s iNX is truly a game-changer in patient transportation. It’s innovative features are set to revolutionize EMS and make providers rethink what’s possible. For more information, call me at (718) 257-6400 or email me at ecohen@dixieems.com.

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Responders Now Allowed To Administer Naloxone http://blog.dixieems.com/dixinews/first-responders-now-allowed-to-carry-administer-naloxone/ http://blog.dixieems.com/dixinews/first-responders-now-allowed-to-carry-administer-naloxone/#comments Mon, 31 Mar 2014 21:23:22 +0000 http://blog.dixieems.com/?p=3692 First-Responders-Now-Allowed-To-Carry-&-Administer-Naloxone
States are starting to allow first responders to carry & administer Naloxone for quicker drug overdose treatment   » » » 
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States are starting to allow first responders to carry & administer Naloxone for quicker drug overdose treatment

Illegitimate use of narcotic painkillers such as oxycodone has been on the rise in Massachusetts. In the past few months an unprecedented 140 people (at least) have died due to suspected heroine overdose. From 2000 to 2014 opiate overdose cases increased 90%. To combat this, Governor Deval Patrick has directed the Department of Public Health (DPH) to take action. These steps are geared towards combating overdoses, stopping the epidemic from getting worse, helping those already addicted to recover and mapping a long-term solution to ending the  widespread opiate abuse.

  • First responders are now permitted to carry and administer Naloxone (Narcan). This allows a greater chance that Narcan will be administered soon enough to reverse the overdose. People who fear a family member or friend may overdose will also have access to Naloxone through through standing order prescription in pharmacies.
  • Prescription of any hydrocodone-only formulation (Zohydro) is prohibited pending measures to safeguard against the potential for misuse.
  • DPH-Mandated prescription monitoring by physicians and pharmacies.
  • Addition of personnel to the Massachusetts Interagency Council on Substance Abuse and Prevention from organizations and parties involved to make recommendations on how do best resolve this health emergency.

Massachusetts is not the only state acting to expedite first response treatment of opioid overdose. Governor Chris Christie of New Jersey issued a waiver to more than 28,000 certified EMTs allowing them to carry & administer Narcan. This waiver also provided them with a measure of legal protection from lawsuits related to administration of the drug. According to the state Office of the Medical Examiner, drug-related deaths increased from 843 in 2010 to 1,294 in 2012.

Governor Christie just recently announced the launch of a pilot program that will train and equip police officers to administer Narcan as an antidote to people suffering from an overdose of heroin or prescription narcotics. This pilot program is based in Ocean & Monmouth counties which have both seen significant increases in heroin overdose deaths. Acting Attorney General Hoffman worked with  Ocean County Prosecutor Joseph D. Coronato and Acting Monmouth County Prosecutor Christopher J. Gramiccioni  and other State agencies to create a standardized law enforcement training module that can be readily adopted by any county.

New Jersey’s Narcan pilot program includes the following:

  • Local law enforcement agencies must utilize a standard operating procedure for Narcan use.
  • Agencies must designate a Narcan Program Coordinator. This coordinator will be responsible for training all police personnel and ensure Narcan kits are deployed properly.
  • Training and distribution of Narcan kits to the municipal Program Coordinators are overseen by a County Coordinator.
  • Training through a “Train the Trainers” model:  An officer participates in training sessions conducted by Dr. Lavelle, an emergency room physician at Thomas Jefferson University Hospital in Philadelphia, then takes that training back to his or her policing agency and trains fellow officers.
  • Each municipal officer’s name and training certification is supplied to the County Coordinator. Once this has been done, Narcan kits are prescribed for each officer.

These programs are a great start in the renewed fight against heroine & prescription drug overdose. The hope is that the details will be ironed out to make the programs run as smoothly and efficiently as possible, and that more states will sign up. And, hopefully, treatment for overdose will arrive & be administered in time to have the greatest effect.

For more information see Mass.gov, The Asbury Park Press & The Shore News Network.

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Seal A Hemorrhaging Wound In 15 Seconds http://blog.dixieems.com/dixequip/seal-a-hemorrhaging-wound-in-15-seconds/ http://blog.dixieems.com/dixequip/seal-a-hemorrhaging-wound-in-15-seconds/#comments Wed, 05 Feb 2014 19:17:57 +0000 http://blog.dixieems.com/?p=3684 Seal-A-Hemorrhaging-Wound-In-15-Seconds---Cropped
Rapidly-expanding sponge disk filled syringe stops hemorrhaging wound in 15 seconds   » » » 
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Rapidly-expanding sponge disk filled syringe stops hemorrhaging wound in 15 seconds

Former U.S. Army Special Operations medic John Steinbaugh has been deployed to Iraq many times. In the course of his duties, he’s treated many deep, hemorrhaging wounds gushing blood. A medic must pack such a wound with gauze as much as 5 inches deep at times. If the bleeding hasn’t stopped after 3 minutes of direct pressure, the medic must pull out the gauze & repack the wound. It’s more agonizingly painful for the wounded soldier than it sounds. As Steinbaugh puts it: “You take the guy’s gun away first.”

Even with this treatment available, hemorrhage is a leading cause of death on the battlefield. “Gauze bandages just don’t work for anything serious,” says Steinbaugh. So, after retiring, he joined RevMedx, a small group of veterans, scientists, and engineers working on a better way to stop bleeding.

“Gauze bandages just don’t work for anything serious”

Currently in development is a compact syringe filled with small sterile, biocompatible, and fast-expanding sponge disks coated with chitosan, a blood-clotting, antimicrobial substance. A medic injects the sponges into the wound. The sponges expand in 15 seconds to fill the wound cavity and create enough pressure to stop the bleeding. The sponges also cling to moist surfaces so they are not pushed out of the wound by blood pressure. “By the time you even put a bandage over the wound, the bleeding has already stopped,” Steinbaugh says.

The military has shown interest in the project, granting them $5 million. Researchers at RevMedx are exploring many other applications. They are also researching biodegradable materials so the sponges do not need to be removed, as well as expanding gauze for larger wounds. RevMedx and the military are in final talks with the FDA for the sponge-filled syringe.

To read more about this go to the article in Popular Science

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