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Emergencies on the Magic School Bus! Robert S. Cole Ada County Paramedics [email protected]

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Page 1: Emergencies on the Magic School Bus! - iapt.weebly.comiapt.weebly.com/uploads/1/6/8/8/16883952/2015_emergencies_on_the_magic...When will you call for help? Call EMS if: Mental Status:

Emergencies on the Magic School Bus!

Robert S. Cole

Ada County Paramedics

[email protected]

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Some of this stuff is simple, until you need it!

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#1: Take a class

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#2: know when you should call for help!

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When will you call for help? Call EMS if:

Mental Status:

• The child is unconscious, semi-conscious or unusually confused/agitated.

• The child has a seizure for the first time or a seizure that lasts more than five minutes.

Airway

• The child’s airway is blocked.

• The child is making funny sounds while breathing

Breathing

• The child is not breathing.

• The child is having difficulty breathing, shortness of breath or is choking.

• The child is coughing up or vomiting blood.

Circulation

• The child has no pulse.

• The child has bleeding that won’t stop with simple measures.

Other Emergencies

• The child has been poisoned (any type).

• The Child is having an Allergic Reaction (any type)

• The child has injuries to the neck or back.

• The child’s condition is limb-threatening (for example, severe eye injuries,

• amputations or other injuries that may leave the child permanently disabled

• unless he/she receives immediate care).

• The child has low blood sugar and cannot feed himself.

• The child’s condition could worsen or become life-threatening on the way to the hospital.

• Moving the child could cause further injury.

• The child needs the skills or equipment of paramedics or emergency medical technicians.

If any of the above conditions exist, or if you are not sure, it is best to call

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Mental Status:

Mental Status:

• The child is unconscious, semi-conscious or unusually confused/agitated.

• The child has a seizure for the first time or a seizure that lasts more than five minutes.

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Airway

Airway

• The child’s airway is blocked.

• The child is making funny sounds while breathing

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Circulation

Circulation

• The child has no pulse.

• The child has bleeding that won’t stop with simple measures.

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Circulation

• The child has no pulse. –> CPR and AED!

• The child has bleeding that won’t stop with simple measures.

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Big Pitfalls!

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Don’t be afraid to….

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Don’t be afraid to….

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Don’t be afraid to….

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Don’t be afraid to….

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Do not…

Don’t be afraid to let a child eat or drink on his own, but don’t try to feed him. If he cant do it himself, he may choke.

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Do not…

Never attempt to give a child his insulin. Most diabetic “emergencies” encountered by a bus driver are actually sugar (hypoglycemic) problems, not insulin (hyperglycemic) issues.

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Don’t be afraid to HELP!

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#3: Have a plan

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Plan: How will you communicate?

What is your back up method?

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Plan: How will you communicate?

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Plan: WHAT will you communicate?

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Plan: WHO will you communicate too?

Contact State-Comm at 208-846-7610

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Plan: Be careful when communicating

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Plan: Student Information

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Privacy laws do not apply in a medical emergency

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#4: Pull over somewhere safe

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Think about patient access…

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#5: Know your location

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#6: Be safe

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Be Safe: Vest

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Be Safe: Gloves

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Be Safe: Mask

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