by Einthoven's Triangle on Mon Feb 18, 2008 11:34 am
Structured classes are the best foundation, bar none! The knowledge will last you a life time, as long as you have touch of common sense to go with it!
Having a VOK is sort of treading on dangerous territory, IMHO. You do not need Ricky or Roberta Rescue sticking needles in people's chests when they very will might not need such interventions! Having access to such equipment just invites trouble, IMHO. People get so caught up in gizmo they for get the basics. Plus you need to know how to assess for tension pnuemo, and let me tell you the obvious signs are late signs.
Here are a few examples of having little knowledge can and is a dangerous thing!
#1 Patient with broken humerous, patient was treated with inflated blood pressure cuff that was occluding distal pulse to the point where the forearm was cool, blue, and pulseless! Their excuse was it is just like an airsplint! This was done by first responders....
#2 Patient had been drinking and had an onset of chest pain, patient was treated with not one 1 Nitro, but six Nitro tablets which bottomed the blood pressure out. The person doing that failed to take in that the person was hyperventilatiing! That you do not give people NTG with out having BP to support the use of NTG. This was done by some first responders trying to help the patient self administer his own drugs.
#3 Patient being treated with Non Rebreather Mask at 2LPM, can we say oxygen narcosis? This was done by LPN who thought giving COPD patient too much oxygen was bad....
#4 Diabetic that was unresponsive and drooling (obviously unable to protect own airway) was being force fed orange juice laced with table sugar. Can we say aspiration pnuemonia? This was done by a RN with a 4 year degree.......see education does not ensure competence!
And these are not even invasive procedures.....
#5 Basic EMT starts IV, but upon arrival of ALS back up the IV is not functional as it was stuck in the ARTERY! The EMT could not figure out why blood was pulsing in the IV line and fluid was not going into the patient?
Do things right and get some formal training! If you do not want to invest in yourself that his your choice! But, just cause you have equipment does not mean you know how and when to use it! Take a First Responder Course, and that coupled with some common sense will get you through most things. And, if you are out in East BFE with no cellular coverage what good does GPS do you?
Being prepared is the first step! Just remember that God done gave you the most important tool already your brain, provided you have common sense!