You Are the Emergency Medical Responder by alicejenny

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									  Chapter 2b : The Well-Being of the Emergency Medical Responder
                             (Text Pg.30)

               You Are the
       Emergency Medical Responder
 Your police unit responds to a call for a medical
 emergency involving a man who has collapsed in front of
 a school building. When you and your partner arrive, you
 see that the man is bleeding from the mouth and face.
 Vomit and blood are on the ground around him. “His
 face hit the ground when he fell,” a bystander says. The
 victim does not appear to be breathing.



Emergency Medical Response
            Stressful Situations




Emergency Medical Response
                   Stressful Situations
   Dangerous situations
   Physical and psychological demands
   Critically injured or ill people
   Death and dying patients
   Overpowering sights, smells and sounds
   Multiple-patient situations
   Angry or upset patients, family and bystanders




    Emergency Medical Response
Emergency Medical Response
Emergency Medical Response
           Exceptions to Resuscitation

 Valid Do Not Resuscitate (DNR) order present at the
  scene
 Patient with obvious signs of death
   • Tissue decay
   • Rigor mortis
   • Obvious mortal wounds
   • Dependent lividity
 Situation endangering to EMR’s life



 Emergency Medical Response
                  Stages of Grief

    Denial
    Anger
    Bargaining
    Depression
    Acceptance




Emergency Medical Response
Emergency Medical Response
Emergency Medical Response
               Warning Signs of Stress
    Sleep problems
    Irritability
    Sadness, anxiety or guilt
    Indecisiveness or lack of concentration
    Loss of appetite or interest in sexual activity or work
    Isolation or hopelessness
    Alcohol or drug misuse/abuse




Emergency Medical Response
      Critical Incident Stress Reactions

  Confusion, shortened attention span or poor
   concentration
  Denial, guilt, depression or anger
  Change in interactions with others
  Increased or decreased eating
  Uncharacteristic or excessive humor or silence
  Any other unusual behavior




Emergency Medical Response
                         Activity
  You are the first to arrive on the scene of a multi-
  vehicle collision involving a tractor trailer and several
  cars. The driver of the tractor trailer is severely injured
  with a portion of his hand partially severed. A person
  in one of the cars, a young teenager, has been thrown
  through the windshield and is lying in a contorted
  position on the side of the road. Another person is
  trapped in the car and unable to move her leg.




Emergency Medical Response
               Steps to Relieve Stress
                  After an Incident
    Quick relaxation techniques
    Healthy meal
    No caffeinated beverages
    Avoidance of alcohol and drugs
    Event review
    Rest
    Involvement in physical activity
    Debriefing/defusing


Emergency Medical Response
       You Are the Emergency Medical
                 Responder
 After emergency medical services (EMS) personnel
 assumed the care of your patient, you note that, in
 addition to the blood and vomit on the ground there is
 some blood on your disposable gloves and the mask of
 your BVM.




Emergency Medical Response
              Health of the
       Emergency Medical Responder
  Physical well-being
    • Physical fitness, nutrition and sleep
    • Prevention of disease transmission
    • Safety, including protection from the sun
  Mental well-being
    • Stress management techniques
    • Balance of work and life demands
    • Avoid alcohol or drug use or misuse


Emergency Medical Response

								
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