preview of emt/emr neurology training presentation
TRANSCRIPT
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PREVIEW OF
EMT/EMR NEUROLOGYPOWERPOINT TRAINING
PRESENTATION
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BRAIN
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SPINAL CORD
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CAUSES OF ALTERED LEVEL OF CONSCIOUSNESS
A-AlcoholE-Epilepsy with seizure activityI-InfectionO-OverdoseU-Uremia (Kidney failure)-UnderdoseT-TraumaI-Insulin-related (Diabetes)-InfectionP-Psychosis-PoisoningS-Stroke
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SEIZURE INCIDENCE
4th most common neurological disorderEstimated 48 per 100,000 people or 150,000 in
the USIncidence is higher in young children & older
adults1 in 26 people develop epilepsy in their lifetime
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PARTIAL SEIZURE(FOCAL or LOCALIZED)
Affect one hemisphere of the brainSymptoms may include
Frontal lobe-a wave-like sensation in the head
Temporal lobe-a feeling of déjà vuParietal lobe-a numbness or tinglingOccipital lobe- visual disturbance or
hallucination
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ASSESSMENT FINDINGS
Spasms, muscle contractionsBiting tongue, increased secretionsSweatingCyanosisUnconscious gradually increasing level of consciousnessShaking or tremors and no loss of consciousnessIncontinentAmnesia of event
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MANAGEMENT
Safety of patient/positionABCs, consider nasopharyngeal airwayOral airway probably will not workOxygen/suctionAssist ventilation if indicatedEmotional support
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NO NOT
Restrain patientAttempt to put anything in the mouth
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DOCCUMENATION OF HEADACHE
Description of painTime of onsetAssociated symptomsPast history of headacheFrequency & changes
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STROKE(CVA)
Failure of the blood flow in the brain either by a clot or hemorrhage of a vein or artery in
the brainCommon in geriatric patients but can be seen in
patients of all ages
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STROKE TYPES
Ischemic stroke (85%) Thrombolic (90%)Embolic (10%)
Caused by an interruption of the blood flow either by a blockage of blood flow or hypoperfusion
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STROKE ALERT CRITERIA
Cincinnati Prehospital Stroke ScaleOther stroke scales
National Institute of HealthFASTLos Angeles Prehospital Stroke Screen
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CINCINNATTI PREHOSPITALSTROKE SCALE
Is a system used to diagnose the presence of a stroke in a patient
It tests three signs for abnormal findings which may indicate that the patient is having a stroke
If any one of the three tests shows abnormal findings, the patient may be having a stroke and should be transported to a hospital as soon as possible
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TRANSIENT ISCHEMIC ATTACK
Signs & SymptomsS & S similar to actual stroke
Often resolved before EMS arrival Most times symptoms resolve in > 24
hours Patient has potential for actual stroke
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COMMUNICATIONS
Receiving facility should be notified of potential stroke patients to allow for rapid definitive evaluation of type of stroke and treatment
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TRANSPORT
Rapid transport to appropriate facilityMany facilities are accredited by the American
Stroke Association ALS Intercept
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