Archives for patient-management
Summer is coming to a close and the farm fields will be getting more active again. We’ve kept this post fairly short with some patient management thoughts, but have included several links below that touch on: haybines, augers, combines, anhydrous ammonia tanks, corn headers, grain bin rescue, and rope systems.
This post in addition to the linked posts will give you several topics to discuss and prepare for with your crew.
Some things to think about before the call from FF / Life Flight RN Si Judy:
- Know the resources available to you
- Based on the type of call, as you suit up and head out, consider what further resources you may need, such as helicopter transport, field amputation teams, etc…
- Size up and control your scene
- Don’t allow yourself or the victims friends/ family member to become injured working without power shut off or with unfamiliar equipment
- Plan your patient management ASAP
- Think about how we can control significant bleeding, and injured extremities before extrication. Some injuries can tamponade themselves and will bleeding increase or begin once the injured patient has been extricated?
Protect the patient
- Don’t forget that if it is needed for us to wear turnout gear to protect ourselves from heat or debris, the patient will also be exposed to this.
- Explain your steps to the patient
- This will hopefully allow the anxiety of the patient to decrease allowing the patient to not fight against our extrication attempts or cause more damage to themself by trying to extricate themselves.
Pass it on!
We spent a morning with Packexe Smash CEO Andrew Orchard at a scrap yard in Michigan to demo a glass management product. Mr. Orchard is not a firefighter, but seems to get what we do. He put his money where his mouth is by flying in from the UK to show us what his product is all about and to make sure we understood the application. He even left us a bunch of Smash to use at upcoming classes and new terminology unrelated to the fire service. We’ll explain the later over a beer after training. Smitty from Boron Extrication set us up with a bunch of cars to test the product and get some tool time in.
To be perfectly honest, I had not thought much about glass management other than yelling “glass” or covering a victim/rescuer with a blanket before smashing a window out. After thinking about it for a little while…when glass breaks – dust and fragmented pieces fly everywhere including: down your gloves, pants, and into the area where you are working. My first thoughts were that this is another time consuming task that we don’t have time or personnel for. Using the product changed my definition of glass management. Will we use Smash on every wreck – No. Will Smash help us manage glass and protect rescuers and victims sometimes – Yes. After a little practice, the application is not time consuming at all and the value seems worth a few seconds.