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#Post#: 102--------------------------------------------------
Re: COLD RELATED EMERGENCIES
DIR By: Michael Candella
Date: January 4, 2012, 5:06 pm
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First on the scene I would bring some blankets. Next I would
evaluate her starting with airway,breathing, and circulation.
Any problems I would address them. Next I would check for
injuries and fi there were any major c-spine problems or hip/
leg injuries I would stabilize. Next i would get her loaded and
into a warm enviromnent. Provide warm O2. and warm her slowly
and handle her gently. I would continue to assess her and check
vitals. Call for AlS if any Cardiac warning signds or alterd
mental status where evident.
#Post#: 105--------------------------------------------------
Re: COLD RELATED EMERGENCIES
DIR By: Leslie Myers
Date: January 5, 2012, 10:19 am
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Great replies...however we seem to have a difference of opinion
on whether to passively or actively rewarm the patient..I bet
you know where you can look to find the answer!
Another question, during your SAMPLE gathering you find that she
is a diabetic and has a history of high blood pressure and is
meds for both. She is on a beta blocker drug (google it if you
do not know what it is). How will these conditions and drugs
affect her ability to maintain her body temperature?
#Post#: 106--------------------------------------------------
Re: COLD RELATED EMERGENCIES
DIR By: Leslie Myers
Date: January 5, 2012, 10:20 am
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Anyone have any thoughts on the 80 year old neighbor?
#Post#: 107--------------------------------------------------
Re: COLD RELATED EMERGENCIES
DIR By: dustin hite
Date: January 5, 2012, 10:48 am
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You should take C - Spine precautions, get her on a backboard
and get her out of the weather as soon as possible. This should
be done with the most amount of comfort as possible. Once into
a warm location back of rescue or ambulance most likely she
needs to get much of her wet clothing off if at all possible.
Continue with O2 therapy and assess for injuries which may have
occurred. Treat for shock if needed and keep the patient as
warm as possible as hypothermia may have already started.
Transport.
#Post#: 110--------------------------------------------------
Re: COLD RELATED EMERGENCIES
DIR By: Lisa White
Date: January 5, 2012, 1:42 pm
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First I would probably take full precautions for c-spine and to
the best of the circumstances get her packaged and into the back
of the rig as soon as possible. In warming her up I'd probably
just use the natural heat of the rig and blankets. As far as
injuries given her age, the way she fell and landed and the
weather conditions she could have anything from scraps and
bruises to broken bones and hips. Worse is she might claim to be
fine but because shes been in the cold so long she may not even
feel an injury if she had one. Also taking into the
circumstances the weather and how long shes been down there is
concerns for frostbite and hypothermia related ailments.
#Post#: 111--------------------------------------------------
Re: COLD RELATED EMERGENCIES
DIR By: Lisa White
Date: January 5, 2012, 1:52 pm
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Well as for the blood pressure and diabetes doesn't that slow
all the systems down? So it would take longer for her to warm
herself, beta blocker lowering the BP and circulation rate and
then diabetic slowing down the sugar process and conversion of
energy/ heat process, right?
As for the 80 year old I'd still take the precautions to cover
my end but the age may affect his perception to how long the
patient was out there really and the circumstances of the event
and weather.
#Post#: 118--------------------------------------------------
Re: COLD RELATED EMERGENCIES
DIR By: anthony larocco
Date: January 7, 2012, 2:48 pm
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I would take c-spine precautions then get her off the ground
as soon as possible and into a warm environment.Remove any
clothing if wet and cover with warm dry blankets. Hot packs or
hot water bottles may be applied to the core areas chest neck
armpit groin if the conditions deem necessary. do not heat
extremities first. She may be allowed to sip warm liquids
slowly. Continue to monitor for shock and taking vitals., I'd
also give o2. also would question what caused the fall? a slip
on ice or another reason which may need to be addressed.
#Post#: 122--------------------------------------------------
Re: COLD RELATED EMERGENCIES
DIR By: mhundt
Date: January 9, 2012, 11:08 pm
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Both beta blockers and diabetes medication will decrease the
pt's ability to maintain her normal body temperature, putting
her at a greater risk for hypothermia.
#Post#: 134--------------------------------------------------
Re: COLD RELATED EMERGENCIES
DIR By: Brendan
Date: January 20, 2012, 12:15 pm
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If the beta blocker works by constricting the blood vessels it
may make re-warming very challenging. This will effect the blood
flow to the periferal points of the body, the patient may
normally have cool hands and feet due to being on the beta
blocker.
If transport time to an emergency room is extended due to travel
time, ALS response may be in order.
#Post#: 150--------------------------------------------------
Re: COLD RELATED EMERGENCIES
DIR By: Michael Candella
Date: January 24, 2012, 5:10 pm
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Beta blockers may make the pt more sensitive to the cold also
they effect the pt diabetes with circulation problems and make
blood sugar levels to high or to low. I would also want to get
the 80 yr old neighbor inside before she goes down.
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