Author Archive for jeff – Page 2

There many people in the United States who suffer with some type of respiratory disease. People who have asthma are subject to having emphysema later on in their life. This is a type of pulmonary disease that causes individuals to have chronic infections in their lower alveoli as a result of a decrease in surfactant. As a result, respiratory arrest is not uncommon in these particular type patients throughout the United States. Should you be providing treatment for a patient with some type of chronic obstructive pulmonary disease, you should be carpeted of the fact that they can lose their respiratory drive within minutes. These individuals have the ability or the potential to be a cardiac arrest as well.

Patients that have diabetes are also at risk of respiratory arrest due to the process of diabetic ketoacidosis. Medications such as amiodarone can help these particular individuals decrease their respiratory infection and as a result helps save lives. We must do our due diligence when assessing each and every patient for the possibility of respiratory insufficiency. Last but not least, epinephrine given subcutaneously can actually save the life of the severe asthmatic patient.

0 Categories : respiratory arrest

personal protective equipment has been around since the early 1970s. However, there were very few people who wore gloves or goggles. Getting blood all over your hands arms neck and face was almost like a badge of honor showing that you had ran a very important automatic call. Today we know that hepatitis and HIV is transmitted through blood. No longer is it cool to have blood all over your hands and arms bag back because we understand that you can catch a disease that could potentially kill you. The Atlanta Medical Academy teaches pediatric advanced life support we also teach each and every person to use their personal protective equipment.

In addition, when we teach CPR class we also emphasized the need for you to utilize a one-way valve to deliver ventillations to the cardiac arrest victim. Do not ever attempt to work on a patient without your personal protective equipment.To work on a patient without any protection is ignorant. The American Heart Association has advocated that we protect ourselves any time that we come in contact with any body fluids in any way shape or form.

The Georgia Health System is struggling through these difficult economical times. There have been many hospitals who have been cutting back on staff and medical procedures. The Atlanta Medical Academy has been instrumental in helping to keep cost down as well. There are many other companies who have gone out of business due to the new Georgia Health System. With the changes that have been made in the new Medicaid Laws it is very difficult for anyone to succeed in this poor economy. Last but not least, the Georgia Paramedic society is here to help anyone who desires to work in the Georgia Health System.

0 Categories : Georgia Health System

Cor Pulmonale

by jeff

People that have high blood pressure for a long time may be diagnosed with Right Sided Heart Failure or Cor Pulmonale.  Cor Pulmonale is caused from high blood pressure in the pulmonary arteries including the right ventricle.  Thus causing right sided heart failure.  Healthcare Professionals should consider taking an ACLS class to enhance their knowledge of the heart and the algorithms to treat the many types of heart arrhythmias.

Symptoms:
* Anterior Chest Pain (Angina)
* Unable to tolerate Exercises
* Difficulty Breathing (hypoxia)
* Edema of the feet and ankles
* Manifestation of symptoms of underlying conditions (coughing, wheezing)

After diagnosis of Cor Pulmonale the physician will provide treatment to the condition that may be causing Cor Pulmonale.  Such as supplemental oxygen, medications may include Sildenafil by mouth, Calcium channel blockers, Prostacyclin via injection or inhalation, anti-coagulants, or surgery to hopefully correct the defect of the heart if indicated.  Physicians, nurses and paramedics that are in direct patient care of critically ill patients are required to take an ACLS class and become certified in ACLS, Advanced Cardiac Life Support.  The class focuses on CPR and medications used to treat heart arrhythmias and other causes of life threatening conditions.

Some causes of Cor Pulmonale include Pulmonary Hypertension (high blood pressure in the arteries of the lungs, leaving the right ventricle unable to pump blood against the high pressure that is created.  Under normal circumstances the left side of the heart has a higher blood pressure in order to pump blood to the body.  The right side of the heart that pumps blood to the lungs has a lower blood pressure.  People that have lung diseases that causes an excessive amount of low oxygen levels are at high risk of developing Cor Pulmonale.  The ACLS class provides the medical professional with an extensive amount of knowledge about intervening in life threatening situations in hopes of providing a healthier outcome.

There are a few tests that will help the physician diagnose a person with Cor Pulmonale.  The physician will start with an exam and listen for abnormal heart sounds, inspect the abdomen for any fluid that may be accumulating, inspect the neck veins for distention, inspect the feet and ankles for any swelling (edema), or palpate the abdomen and check for enlargement of the liver.  The tests that are used may include blood tests (antibody, BNP), chest x-ray, CT scan of the chest, lung biopsy, echocardiogram, blood gas test (ABG), pulmonary function exam, heart catheterization of the right side of the heart, or VQ scan of the lungs.  The nurses in the Intensive Care Unit setting are required to attend an ACLS class and are certified in providing care to critically ill patients.

The outcome and prognosis of Cor Pulmonale depends upon the condition and seeking early treatment.  The most common things to do to prevent Cor Pulmonale include cessation of cigarette smoking, examinations from physicians on a regular basis, and having children checked early for heart defects that may lead to Cor Pulmonale.  In any event, when having shortness of breath or chest discomfort always call 911, as these professionals have taken an ACLS class and are well qualified and well equipped to handle medical emergencies.

0 Categories : COPD

There has never been so many people involved in emergency medical services as they are today. So many of us want to become paramedics and emergency medical technicians. There are many schools and opportunities for new students. The Atlanta medical Academy as many courses to offer new paramedics and emergency medical technicians. Some of the courses are no as advanced cardiac life support. All of these courses are certified by the American heart Association. In addition, the Atlanta medical Academy offers pediatric advanced life support which is also accredited by the American Heart Association. There has been many changes in the ACLS certification algorithm. For all of those individuals who desire to become a ACLS certified should consider attending the Atlanta medical Academy. Also, you can earn 18 continuing education units. This will help you to renew your registered nursing license or your paramedic certification. So do not become complacent and choose a second rate training facility. If you should require ACLS certification, please consider the allow medical Academy.

Bronchitis in children usually occurs after a cold and is characterized by a dry cough and typically lasts about 4-6 weeks.  If you are a health care professional providing treatment to the pediatric population, consider taking a PALS certification that will increase your knowledge about respiratory emergencies and how to approach these emergency situations and provide a healthier outcome.

Bronchitis is not contagious.  Some children will require antibiotics, steroids or neutralizer treatments.  To help a child with bronchitis breathe better, you may use a humidifier at night time and keep the child away from cigarette smoke.  Provide an atmosphere without any irritants such as perfumes, sprays of any kind or extreme hot or cold temperatures.  If at any time a child has any difficulty breathing, call 911 immediately.  The paramedics have taken a PALS course and have been certified in providing emergency treatment to the pediatric population.



saving lives

by jeff

Today more than ever there are medical shows on television that are actual people that are severely ill, injured and have died.  CPR is cardio (heart), pulmonary (lungs), resuscitation (restoring to previous condition).  CPR is not just for medical professionals anymore.  The medical community would be thrilled to know that people are taking interest in learning this simple life saving technique.  A CPR class offers valuable information and instructions on the correct techniques that are needed when a person’s heart has stopped and they are no longer able to breath on their own.

It may be the neighbor across the street, a spouse, a child or infant.  No one ever knows what they will be faced with, and the worst thing is an with an emergency where a life is in jeopardy and you are helpless in providing life saving measures until emergency medical assistance arrives. Time is of the essence in an emergency.  Consider a CPR class today and make a difference in a person’s life as well as your own.

Study Smart | Stemi Protocol | Medical Training | Medical Terminology
 Cardiology | Cardiac Arrest | Asystole | Amiodarne  | Chest Pain
0 Categories : CPR Certification

PEA Protocol

by jeff

PEA stands for Pulse less Electrical Activity and is a severe cardiac problem requiring immediate intervention or the patient will die. There are several reasons for this cardiac arrhythmia and the PALS class discuss in depth what they are and what is required of the medical professional to quickly intervene in a timely manner. During this algorithm of PEA/Asystole, always consider causes that can be reversible in order to change this Heart rhythm. Here are some causes to consider with recommended intervention:
* Hypovolemia- fluid boluses
* Hypoxia- re-assess airway and ventilate with high flow O2
* Tension Pneumonia- pleural decompression
* Hypothermia- Warming body with fluids orally or IV and warm blankets
* Hyperkalemia- physician may order Kayexalate to lower the potassium level

Medication used during the PEA/Asystole algorithm for PALS class is:
*Epinephrine-usually given IV, IO or via ET tube if no IV/IO route available

The medical professionals that provide medical treatment to the pediatric population are required to attend a PALS class and become certified. The certification lasts for a period of 2 years. During the PEA algorithm, always re-assess after every intervention to ensure that they are effective and if the appropriate treatment is being provided. Continue CPR for 2 minutes as recommended by the American Heart Association. In the pediatric population, the cardiac problems that are occur are almost always due to respiratory compromise that precipitated the event. Take a good patient history and what led up to the event.

0 Categories : PALS Certification, PEA

Child Safety

by jeff

How To Keep Your Child Safe At The Beach

If you plan to make a trip to the beach with your kids, you want to make sure to keep them safe. There are only a few important things to remember in order to keep your children safe at the beach.  First, you want to remember to always have adequate sunscreen. Apply the sunscreen to your child before he or she gets wet. And re-apply throughout the day. Second, you want to have age appropriate floating devices. Whether it be a life jacket or arm floats. Third, but not at all the least important, water. You want to make sure that your child stays hydrated. Being outside in the heat can drain you and your child of  hydration, fast. So make sure to take plenty of water and have your child drink some at least every 30 to 45 minutes. So, as long as you remember to have these 3 things, your trip to the beach should be safe as well as fun.

Hand Washing

by jeff

For C.diff, ALL health care providers and family members are required to practice the correct hand washing technique, which is 20 seconds of hand washing using antibacterial soap, rinse and dry hands thoroughly and turn the faucet off with a clean paper towel. The Alcohol Gel based hand cleaners are NOT accepted to use for patients with C.diff, the alcohol has no effect on the organism  Hand washing reduces the amount of numbers on the hands.  Providing great friction rub when washing the hands removes the organisms off, therefore decreasing there numbers.  Just know that it is the FRICTION that causes the germs to leave the hands, causing it to be extremely hard to transfer germs from person to person or place to place.

Especially during the flu and cold seasons wash hands frequently.  Avoid shaking hands, as this can pass germs from person to persons.  Do not share beverages or use the same utensils.  Cover the mouth when coughing or sneezing.  It is also a good idea to stay away from crowded places during the holiday season.  Drink plenty of fluids, and get adequate rest.