Скачать или смотреть Medical Emergencies for the Paramedic Part 1

This video covers critical patient presentations that require careful and swift action, including anaphylaxis, toxicological emergencies, and altered mental status. These situations can deteriorate rapidly, and a solid understanding of the underlying pathophysiology and appropriate prehospital treatment is vital for your exam and patient outcomes.

What You'll Learn/Key Takeaways:

Anaphylaxis: Learn the pathophysiology of an anaphylactic reaction, including the release of histamine, widespread vasodilation, and increased cellular permeability leading to edema. We'll differentiate between mild, moderate, and severe symptoms.

Anaphylaxis Treatment: Understand the priority of early intervention. Learn the appropriate use of medications like epinephrine (IM, and when to consider an infusion), Benadryl (diphenhydramine) to block histamine, and corticosteroids like Solu-Medrol to reduce inflammation. We'll also cover the use of albuterol for wheezing.

Distributive Shock: Anaphylaxis and sepsis are both forms of distributive shock. You'll learn the importance of fluid administration and the need for continuous monitoring of lung sounds to prevent fluid overload.

Sepsis: Identify key signs of sepsis, including a change in body temperature, increased heart rate, and altered mental status. Learn how to recognize and manage patients with septic shock.

Alcohol Intoxication: Understand how to approach an unresponsive patient who may be intoxicated. We'll discuss the importance of a focused physical exam to rule out other emergencies like head trauma or hypoglycemia. Learn the appropriate use of Thiamine for alcohol intoxication.

Delirium Tremens (DTs) & Seizures: Recognize the signs of alcohol withdrawal and delirium tremens. We'll cover the use of benzodiazepines (like midazolam or versed) to manage active seizures and violent behavior.

Stimulant Abuse: Learn to identify a patient on stimulants by their vital signs and physical presentation (fast heart rate, dilated pupils, hyperthermia). We'll cover the use of benzodiazepines to counteract the effects of stimulants and the importance of aggressive cooling. This section also highlights the risk of rhabdomyolysis and the need for fluid therapy.

Toxicology Medications: You'll learn the function of Flumazenil (Romazicon) as a benzodiazepine antagonist, emphasizing its dangerous side effects. We'll also discuss the proper use of Haldol for excited delirium and the importance of co-administering Benadryl to prevent a dystonic reaction.

Opioid Overdose: Review the treatment for opioid overdose, focusing on the careful administration of naloxone (Narcan). You'll understand why slow titration is important to avoid precipitating automatic withdrawal, combativeness, or flash pulmonary edema.

Timestamps:
0:00 - Introduction to Anaphylaxis
0:26 - Benadryl & Histamine Release
1:23 - The Pathophysiology of Anaphylaxis
2:25 - Anaphylaxis Treatment & Priorities
3:04 - Mild, Moderate, and Severe Symptoms
4:27 - Airway Compromise & Epinephrine
5:47 - The Role of an Epinephrine Infusion
6:33 - Vasoconstriction & Bronchodilation
7:45 - Fluid Administration & Dosages
8:28 - Pharmacological Therapies: Corticosteroids
9:43 - Solu-Medrol Onset Time
10:13 - Albuterol for Wheezing
10:56 - Sepsis & Distributive Shock
12:57 - Alcohol Intoxication
14:30 - Thiamine for Alcoholism
14:55 - Alcohol Withdrawal Seizures & Delirium Tremens
16:17 - Stimulant Abuse & Overdose
17:05 - Treating Cocaine Overdose
18:38 - Ketamine Dosing
19:12 - ACS and Stimulant Use
22:26 - Haldol and Dystonic Reactions
24:20 - Neuromuscular Blockade
25:30 - Barbiturates & Sodium Bicarb
26:10 - Benzodiazepines & Flumazenil
27:55 - Narcotics & Opioids
28:08 - Naloxone (Narcan) Administration
29:43 - The Dangers of Giving Too Much Narcan
30:54 - When to Consider Naloxone
33:02 - Opioid Overdose Algorithm

Call to Action:
Mastering these complex topics will make you a more confident and effective provider. 👍 Like this video if this deep dive into these emergencies was helpful. 🔔 Subscribe to Rescue_Academy_ for more advanced study material! 💬 What's your go-to protocol for a patient with excited delirium? Share your thoughts below!