https://padlet.com/wsccems/cg0oyya661p47s3g Post a picture or meme depicting a cardiac emergency, symptoms, and how you would treat it. en-us 2023-10-06 16:57:33 UTC 2023-11-01 15:34:59 UTC hello@padlet.com hannahknestell https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2749161313 This patient is responsive and awake but having chest pains, my treatment would be to take vitals, checking lung sounds, blood pressure, and oxygen levels. I would then administer oxygen and attempt to obtain health history and ask open ended questions regarding the type of pain, where it is going, how long it's been hurting, etc. I would update ALS and continue to recheck vitals and check in with pt on symptoms, if O2 is helping, if pain in changing, etc. ]]> 2023-10-16 16:19:11 UTC https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2749161313 https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2749169147 My patient is complaining of chest pain and they think they’re having a heart attack I would take my vital signs and go through my SAMPLE and OPQRST and depending on the outcome of that, I would either upgrade or down grade my ALS and put them on some form of oxygen and a position of comfort.

]]> 2023-10-16 16:23:41 UTC https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2749169147 nickolaskoenig02 https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2749550470 If the patient is complaining of chest pain i would take their vitals, whiling doing that i will use OPQRST and SAMPLE to help narrow down why they have chest pain. I would keep ALS Priority 1 still because of the chest pain. I would then give the patient 02 just to help him breathe and stay calm, i would reassess every 5 minutes tel ALS arrives.]]> 2023-10-16 20:43:45 UTC https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2749550470 jmgdfg https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2749561196 This patient is experiencing severe chest pain. First, I would don my PPE, perform a scene size up and determine the scene is safe. I would then perform a primary assessment, check ABC'S. I would then get a sample history to check for any previous issues with chest pain. Next, I would place the patient in a sitting position and try to comfort them. Administer high flow oxygen and get a set of vitals. If possible, assist them with taking nitro. Monitor status of the patients vitals and get a secondary assessment. Be prepared for CPR and have an AED on hand if needed.]]> 2023-10-16 20:54:49 UTC https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2749561196 mattschwemin https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2749658213 Making sure my scene is safe and throwing on some PPE, I would enter the ring and start to evaluate my patient. I would introduce myself and ask him about what is his main complaint, I would make sure to monitor his vitals and begin a basic assessment of his well-being. As I gather more information, based on if his vitals improve or get worse I would advise Central Dispatch. I would relay all important information to the EMT staff when they arrive. If vitals get worse, I would conduct evaluations every 5 minutes, if he gets better every 15. In this case, I would recommend not getting slapped by Rick Flair. WooW! ]]> 2023-10-16 23:15:16 UTC https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2749658213 edeweerd3 https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2749759905 Scene safe: ✔️
PPE On: ✔️
After speaking with a responsive patient, I’ve gathered that they are experiencing labored breathing combined with a shortness of breath and excessive sweating. They described the feeling like, “Someone sitting on their chest while in a sauna.”
I would check vitals and administer a high-flow nonrebreather delivering 10 to 15 L/min of oxygen. 
As long as the patient is stable, I would check vitals every 15 minutes. 
Lastly, I would prepare a handoff report. ]]> 2023-10-17 00:50:03 UTC https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2749759905 ianmnoyes14 https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2749947233 If i had to treat a cardiac event i would ask if i could assist in giving them asprin or their prescribed nitroglycerin. if that doesn't work then i would keep ems coming med one and hope they don't code but if they do i would perform good, quality CPR and ventilations.]]> 2023-10-17 02:53:29 UTC https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2749947233 chrisjmitch12 https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2751370512 If the patient is conscious and complaining of chest pains, is sweaty, and feels like someone is sitting on their chest. I would ensure I have PPE and scene safe. I would then take vitals. If oxygen is low, I would administer heavy flow oxygen, between 8-15 liters, and try getting them as comfortable as possible. I would continue my care by going through my SAMPLE and then reassess and continue to monitor vitals until ALS gets there. I would be prepared if needed to do CPR and have AED ready. ]]> 2023-10-17 18:43:34 UTC https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2751370512 HaileyBlohm https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2751515481 I would start off by confirming my PPE was on and my scene is safe. I would introduce myself and assess the situation that patient was in. If the patient was unresponsive, I would begin CPR, have an AED ready and update ALS. If the patient was responsive, I would begin with a primary assessment, SAMPLE questions, get an idea of what they were feeling and when it started. The patient expressed chest pain and difficulty breathing. I would get oxygen started with a non-rebreather (8-15). Then I would start a secondary assessment and do vitals again. After updating ALS, I would want the patient to try to be calm, find a comfortable spot to try to relax and talk with them. I would be ready to do CPR in case anything changed before ALS got there. ]]> 2023-10-17 20:43:11 UTC https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2751515481 n8zgsxwqvy https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2751517822 Before I start anything I'm gonna make sure upon arrival that I have my PPE on and that the scene is safe. My patient is having chest pain and is having a hard time breathing. I would introduce myself so the patient knows who's helping him and ask what's going on and if he's had any history of cardiac issues. After that I would start my ABC's  and get my vitals. After that is would put the patient on O2 nasal cannula to help with the difficulty breathing making sure ALS is still priority 1. After that I would ask more questions like OPQRST and recheck vitals every 5 minutes.]]> 2023-10-17 20:45:55 UTC https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2751517822 terrienfarm https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2751564438 I’m not sure if we’re supposed to go thru the scene being safe and having our PPE on or if it’s assumed for this. In a cardiac emergency the patient may have a lot of anxiety and feel like they are inconveniencing us. It is important to form a general impression as you’re walking up. Quickly go thru a primary assessment (rapid exam) and identify the life threat. Checking for LOC by simply introducing yourself. Assessing the ABCs…if they speak to you or not. If they do it is a good sign and the continue with B and C. If they are alert then while you’re assessing the patient make sure to talk to them. Touch their arm and reassure them that you are there to help. Get the patient into a comfortable position, typically relaxed sitting. Don’t move them more than absolutely necessary. Ask if they’re allergic to aspirin and then based on that answer ask if they’ve taken any. At this point you should know they’re O2 level and more than likely will need O2 with a non-rebreather mask and 8-15 liters of O2. This will hopefully allow their O2 saturation to come up and help with the anxiety. By this point you should have been working on going thru SAMPLE. Check the vitals again and make sure you’re staying on the correct path. If the vitals are doing good we can start on or secondary assessment. Then reassessment of vital every 5 minutes. If they don’t acknowledge you or speak to you (unconscious) then use CABs.  Check for a carotid pulse for no more than 10 seconds. This will tell you if CPR is required. ]]> 2023-10-17 21:45:34 UTC https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2751564438 https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2751581178 When receiving a call for chest pain, or really anything that could turn into cardiac emergency we have to start with our initial impression, scene size up and leading into our primary assessment. ABC's is our job. We have to be sure their airway is functional, are they are able to talk to us, HOW are they talking to us, that they are breathing, HOW is their breathing and what is their blood pressure, pulse and O2 levels. Those will answer some of what is going on but our SAMPLE questions will help a bit too. OPQRST questions will open up our idea of what is going on with their heart even more. Determining if it is Angina Pectoris, heart attack or even if CHF maybe the cause. As long as they are responsive, breathing and have a pulse it is a good sign that cardiac arrest hasn't happened. ]]> 2023-10-17 22:11:11 UTC https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2751581178 mcdougalljacob https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2751620012 Scene safe.
PPE.

Looking at this patient we see an older man. He has an extreme look of discomfort. He is clutching his chest with his right hand that is supported with his left, perhaps indicating weakness in his left arm. 
Checking vitals and get an SAMPLE history. Assuming history of cardiac issues administer high flow oxygen while arranging for immediate transport. He should be monitored closely and placed in a reclined position. ]]> 2023-10-17 22:56:58 UTC https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2751620012 austinsm3 https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2751627288 check the area for safety as i don PPE.
introduce myself if they are conscious and find out whats going on using OPQRST as I go through ABC. then if symptoms and signs point to a cardiac issue, then i would get vitals and go through SAMPLE. once all that is complete, its reassuring the patient and rechecking vitals every 5 minutes until the ambulance arrives, then update the medics nd help load the patient]]> 2023-10-17 23:08:15 UTC https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2751627288 rphockey15 https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2751673434 This just reminds me of watching the redwings play when i was younger and one of the players collapsed during a hockey game with cardiac arrest. In the situation i would be calling for an AED as i checked the vitals and the signs of the situation before starting cpr until more help arrived to continue cpr and getting him out of the invironment and on his way to the hospital even if that meant me riding in continuing on the trip to the hospital.

]]> 2023-10-18 00:05:29 UTC https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2751673434 https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2751698351 First I would do a scene size up and don appropriate PPE then I would asses the patient for ABC's and take vitals, then I would run through Sample and OPQRST, position them comfortably, prepare for CPR, update ALS and administer O2 if needed. ]]> 2023-10-18 00:25:34 UTC https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2751698351 devrieslauren99 https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2753445837 PPE & Scene Safety
Check Vitals & run through my OPQRST questions and SAMPLE questions and if I have time TACO. check vitals again. 
Depending on the signs and symptoms I would act according to what I see and what the patient describes, weather it be O2 or Aspirin. I would have my AED & CPR skills ready in case of loss of carotid pulse.
 ]]> 2023-10-18 21:50:38 UTC https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2753445837 lgn9099 https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2755429689 Dispatch, scene safety, ppe, I would introduce myself and start ABC, ask what the problem is, start my SAMPLE, check vitals, OPQRST. and follow chest pain protocol, Send dispatch my priority, reassure my patient and continue vitals until ALS arrives.
 ]]> 2023-10-20 01:20:49 UTC https://padlet.com/wsccems/cg0oyya661p47s3g/wish/2755429689