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Skillful Responder 0304
United Kingdom
Registrace 18. 10. 2011
Hi All, I’m a paramedic from the UK and I have recently started this channel based around EMS medical education. Although it’s based mainly around prehospital care, available for all healthcare staff of any grade.
It is my aim to provide easy accessible education to medical staff. The videos I provide can be good for generating clinical discussions, including case study’s. There are videos that are associated with subjects including bioscience, pharmacology, medical conditions, medical assessments, exam preparation and revision.
Although I have not long started posting these videos on my channel, I aim to post 2-3 times a week and I am also happy to come up with posts about any subjects people have an interest or need more information on.
I look forward to collaborating with you 👍
It is my aim to provide easy accessible education to medical staff. The videos I provide can be good for generating clinical discussions, including case study’s. There are videos that are associated with subjects including bioscience, pharmacology, medical conditions, medical assessments, exam preparation and revision.
Although I have not long started posting these videos on my channel, I aim to post 2-3 times a week and I am also happy to come up with posts about any subjects people have an interest or need more information on.
I look forward to collaborating with you 👍
Manual Blood Pressure Physiology
A Blood Pressure (BP) measurement in its simplest form is a determinant of individual cardiac output (the volume of blood pumped out of the heart and into the aorta per minute) and the systematic vascular resistance (the diameter of the arterial blood vessels)
Many factors can influence a BP reading, for example, age, sleep, emotions and activity. Consequently, evidence in the literature varies as to what constitutes a normal reading, and optimal parameters are often used instead.
The normal BP at rest has the range of 110-140 mmHg for systolic and 70-80 mmHg for diastolic BP. Hypertension (high BP) refers to measurements that exceed the resting systolic parameters and hypotension (low BP) refers to those that fall below resting systolic parameters.
The manual auscultation technique is considered the gold standard for BP measurement, advances in medical technology have resulted in alternative ways of measuring and monitoring BP.
Moreover, while electronic devices have become the ‘go to method’, it is essential that healthcare professionals maintain the skills and confidence in using the manual method, especially for patients with hypertension, hypotension or pulse irregularities. Pulse irregularities can cause inaccuracies in electronic readings and this can lead to false diagnosis and incorrect treatment.
When taking a blood pressure it’s important to listen for Korotkoff sounds which are generated when a blood pressure cuff changes the flow of blood through the artery. These sounds are heard through either a stethoscope or a doppler that is placed distal to the blood pressure cuff.
Phase 1 is a sharp tapping sound and indicates the systolic blood pressure. Phase 2 is a swishing sound associated with blood flow. Phase 3 transitions to a softer thump, while Phase 4 is a thump that becomes muffled. The diastolic blood pressure is determined when all sound ceases at Phase 5.
#learning #clinical #education #trending #doctor #medical #nursing #paramedics #paramedicstudent #medicalstudent
Many factors can influence a BP reading, for example, age, sleep, emotions and activity. Consequently, evidence in the literature varies as to what constitutes a normal reading, and optimal parameters are often used instead.
The normal BP at rest has the range of 110-140 mmHg for systolic and 70-80 mmHg for diastolic BP. Hypertension (high BP) refers to measurements that exceed the resting systolic parameters and hypotension (low BP) refers to those that fall below resting systolic parameters.
The manual auscultation technique is considered the gold standard for BP measurement, advances in medical technology have resulted in alternative ways of measuring and monitoring BP.
Moreover, while electronic devices have become the ‘go to method’, it is essential that healthcare professionals maintain the skills and confidence in using the manual method, especially for patients with hypertension, hypotension or pulse irregularities. Pulse irregularities can cause inaccuracies in electronic readings and this can lead to false diagnosis and incorrect treatment.
When taking a blood pressure it’s important to listen for Korotkoff sounds which are generated when a blood pressure cuff changes the flow of blood through the artery. These sounds are heard through either a stethoscope or a doppler that is placed distal to the blood pressure cuff.
Phase 1 is a sharp tapping sound and indicates the systolic blood pressure. Phase 2 is a swishing sound associated with blood flow. Phase 3 transitions to a softer thump, while Phase 4 is a thump that becomes muffled. The diastolic blood pressure is determined when all sound ceases at Phase 5.
#learning #clinical #education #trending #doctor #medical #nursing #paramedics #paramedicstudent #medicalstudent
zhlédnutí: 10
Video
The HOTT Principles for Managing Traumatic Cardiac Arrest
zhlédnutí 25Před 21 hodinou
Traumatic cardiac arrest (TCA) is a rare event in the pre-hospital setting and has a varied aetiology. Paramedic management has changed significantly over the past 5 years. A 2016 review of TARN data reported 30-day survival following pre-hospital traumatic cardiac arrest to be approximately 7.5%. Chest compressions have been de-emphasised in guidelines, and the 'HOTT' principles have been adop...
Cervical Lymph Node
zhlédnutí 240Před 14 dny
The lymphatic system is a network of organs and tissues that helps support immunity. The lymph nodes are tiny, kidney-shaped structures that act as filters in this system. They trap and kill viruses, bacteria, and fungi before these pathogens can return to the bloodstream. There are approximately 800 lymph nodes in the human body with around 300 nodes cervical region. The classification of the ...
The Renin-Angiotensin-Aldosterone System (RAAS)
zhlédnutí 20Před 14 dny
The Renin-Angiotensin-Aldosterone System (RAAS) is a hormone system within the body that is essential for the regulation of blood pressure and fluid balance. The system is mainly comprised of the three hormones renin, angiotensin II, and aldosterone. Primarily it is regulated by the rate of renal blood flow. The main physiological functions of the RAAS plays a significant role in the pathophysi...
Endotracheal Tube (ETT) Intubation
zhlédnutí 1KPřed 21 dnem
Endotracheal intubation is an essential skill performed by multiple medical specialists to secure a patient’s airway as well as provide oxygenation and ventilation. It is a fexible plastic tube with a cuff on the end which sits inside the trachea (fully secures airway - the gold standard of airway management) Generally a size 7mm diameter is used for females, size 8mm diameter is used for males...
Existing barriers with EMS Workers from Low to Middle-Income Countries Accessing Affordable CME.
zhlédnutí 13Před 21 dnem
I was honoured to attend the 12th Edition UCG Health and Safety Nursing Conference as a speaker which is part of the Utilitarian Conferences Gathering, where I was given the opportunity to speak about the short commentary I published in March 2023 titled "Existing Barriers with Healthcare Workers who Work in the Emergency Medical Services from Low-Income to Middle-Income Countries Accessing Aff...
Abdominal Sounds
zhlédnutí 12KPřed 28 dny
Auscultation of the abdomen is performed for detection of altered bowel sounds, rubs, or vascular bruits. Normal peristalsis creates bowel sounds that may be altered or absent by disease. The stethoscope is used to listen over several areas of the abdomen for a up to two minutes for the presence of bowel sounds. The diaphragm of the stethoscope should be applied to the abdominal wall with firm ...
World Health Organisation Analgesic Ladder
zhlédnutí 69Před měsícem
In 1986, the World Health Organization (WHO) proposed the WHO analgesic ladder to provide adequate pain relief for cancer patients. Over the years the analgesic path, developed following the recommendations of an international group of experts where it underwent several modifications over the years and is currently applied for managing cancer pain but also acute and chronic non-cancer painful c...
Needle Decompression for Tension Pneumothorax
zhlédnutí 2,1KPřed měsícem
Tension pneumothorax is a critical condition that can occur with chest trauma when air is trapped in the pleural cavity leading to rapid deterioration of a patient’s ability to maintain oxygenation. Treatment may include thoracic decompression, often called needle thoracostomy or needle decompression. As more air enters the pleural space, the pressure in the space increases and begins to collap...
Zoll E-Series Self Test
zhlédnutí 63Před měsícem
The manufacturer recommends 30 J (Joules) self-test as the daily test procedure for Zoll E series defibrillator.For regular maintenance and to ensure patient safety. It’s vital at the start of each shift to carry out a daily test procedure 30 J self-test which will be a low energy test to check the charging circuits, the integrity of cables, along with other circuits that are not tested during ...
Major Incident: Role of the Ambulance Service
zhlédnutí 96Před měsícem
A major incident is an event or situation with a range of serious consequences, which requires an immediate response from one or more of the emergency services. It is an occurrence that presents serious threat to the health of the community or causes such numbers or types of casualties, as to require special arrangements to be implemented. NHS Englands Clinical Guidelines for Major Incidents an...
Principles of Pulse Oximetry
zhlédnutí 3,9KPřed měsícem
Pulse oximetry is a noninvasive spectroscopic technique that estimates arterial oxygen saturation. The device enables the use of the pulse oximeter in more challenging situations with low perfusion or hypoxemia, and analysis of the plethysmographic waveform may lead to more clinical information in the future. It helps measure hemoglobin saturation, not ventilation and is not a complete measure ...
International Paramedics Day 2024
zhlédnutí 19Před měsícem
International Paramedics Day is a day that allows the opportunity for people to build a better understanding as to what the different roles that are carried out by paramedics around the world. It’s also important to be aware that the role of a paramedic is ever growing in multiple fields where it will continue to evolve. In 1971 when the first paramedic syllabus was introduced to the United Kin...
Reversible Causes of Cardiac Arrest: 4T’s
zhlédnutí 30Před měsícem
Reversible Causes of Cardiac Arrest: 4T’s
The Role of Alpha Cells and Beta Cells in Diabetes
zhlédnutí 39Před 2 měsíci
The Role of Alpha Cells and Beta Cells in Diabetes
Reversible Causes of Cardiac Arrest: 4 H’s (Hypoxia, Hypothermia, Hypovolaemia, Hyper/Hypokolaemia)
zhlédnutí 40Před 2 měsíci
Reversible Causes of Cardiac Arrest: 4 H’s (Hypoxia, Hypothermia, Hypovolaemia, Hyper/Hypokolaemia)
Well done, fantastic 👍
This is absolutely fascinating, I always use a large bore?
Fascinating
Well done , we all have your colleagues, to thank?!
Brilliant post
Fascinating
Well done keep going 👍
Great work, well done 👍
first🎉🎉🎉
Wonderful, I can’t get enough of these pods👍
Fascinating, please post more, well done
I was glued to my seat 👍
Very interesting, keep them coming, well done 👍
Yet another well informed item, learning all the time, please post more
Brill , very good
Great info, really helpful for my students, please post more
Love these , very helpful, please do more 👍
Very interesting, looking forward to more, helped with my uni studies 😬
Very good, I’ve learned something 👍
Very interesting, please post more
Nicely done
Keep going, very interesting, well done
Great job
Fantastic work well done 👍
From my understanding I think the patient has had an exacerbation of asthma caused potentially by an anxiety /panic attack which may have caused change in breathing… etc Administer nebulised bronchodilators and monitor to see if wheeze has cleared and if oxygen saturations are within normal range. If no change continue to administer nebulised bronchodilators and reassess.. considering transport to A&E for further examination.
Strong hypothesis and i can say that your management definitely helps to treat certain symptoms, as her condition has exacerbated her asthma, what sort of bronchodilators would you give considering her present symptoms ? We also need to think about the presenting complaint which includes increased weakness in limbs, headaches and neck stiffness, what could be causing those symptoms ? Also think about the history of presenting complaint with her just getting over Covid, could that be causing something more sinister, more neurological in nature ?
@@SkillfulResponder0304 I would administer nebulised ipratropium to help with their wheeze on 6-8lpm, and that due to the nature of the medical emergency with the limb weakness, neck stiffness, and headache transport to the nearest care facility could be beneficial. Queering some sort of post covid inflammatory syndrome which is having an impact on the patients nervous system with the differential being a transient ischaemic attack stroke
Nebulised Ipatropium is good call with the patient already using their nebuliser at home and it not having much effect and although there are no contraindications in giving salbutamol in an emergency situation, it’s always good to be cautious giving salbutamol when a patient is tachycardic and hypertensive and this could qualify as a severe case of their asthma. The ipatropium helps ease the bilateral expiratory wheeze,and you load the patient on to the ambulance, and the patient is now on 91% saturations with nebulised oxygen, the nebuliser has now finished completing its medication. What else can be used to provide a more efficient amount of oxygen delivery ?
@@SkillfulResponder0304 Non rebreather mask is better for this patient on 15 litres to maintain good oxygen saturation whilst on the way to hospital
@@SkillfulResponder0304 Non rebreather mask is better for this patient on 15 litres to maintain normal oxygen saturation
I like how you have explained each step! Makes it feel less scary. Thank you
Really informative video! Thanks for sharing