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Tuesday, November 8, 2011
Dose Of Humility
After one of our medical aids last tour I was getting some restock from our ambulance provider. As I leaned in to grab an IV catheter I cracked my dome on the ambulance. @#$%!!! So much for the smooth fireman to the rescue.
Not my actual skull
Two days later, it still hurts.
Dose Of Humility
2011-11-08T07:46:00-08:00
Firefighter/Paramedic
Humility|
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A Picture Is Worth....
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Matt Waller, Cause: CVA
Jeremy Tighe, Cause: Trauma
Zachary Whitacre, Cause: Trauma
David M. Flint, Cause: Trauma
Doug Haase, Sr., Cause: Unknown
Terminology
2-PAM
(
Pralidoxime Chloride
):
Used in organophosphate poisonings
ABC's:
Airway
,
Breathing
and
Circulation
ACLS:
Advanced Cardiac Life Support
Adenosine:
When administered intravenously, it causes transient heart block
in the
AV node
AED
:
Automatic External Defibrillator
AEIOU TIPS:
medical mnemonic designed to (remind you or jog your memory) of potential reasons why your patient may be unconscious
Agonal Respirations:
Irregular breathing pattern just before death occurs
Albuterol:
A short-acting β
2
-adrenergic receptor agonist
used for the relief of
bronchospasm
ALOC
:
Altered Level of Consciousness
ALS
:
Advanced Life Support
Amiodarone:
An antiarrhythmic agent
used for various types of tachyarrhythmias
AMLS:
Advanced Medical Life Support
AMR
:
American Medical Response
(ALS Unit)
Anaphylaxis:
Is an acute multi-system severe allergic
reaction.
Angiogram:
A
medical imaging
technique used to visualize the inside, or
lumen
, of blood vessels and organs of the body, with particular interest in the
arteries
,
veins
and the
heart chambers
Angioplasty
:
The technique of mechanically widening a narrowed or obstructed blood vessel
Antecubital (AC):
The "elbow pit." Common place for an IV's
Apnea:
Suspension of external breathing
ASA (Aspirin):
Has an antiplatelet
effect by inhibiting the production of
thromboxane
Asystole
:
Absence of cardiac electrical activity. Commonly referred to as flatline.
Atropine:
Used in the treatment of
bradycardia
,
asystole
and
pulseless electrical activity
(PEA) in
cardiac arrest
-
also serves as a treatment for poisoning by organophosphate
insecticides
and
nerve gases
Atrovent
(
Ipratropium
):
Opens the bronchi, and provides relief in chronic obstructive pulmonary disease and acute
asthma
Attack Line:
Flexible hose used to bring water from the fire engine to the nozzle.
AutoPulse
:
Machine made by Zoll that does compressions during CPR.
Avulsion:
The removal of all the layers of skin from abrasion
BA (SCBA)
:
Self contained breathing apparatus or simply breathing apparatus
BP:
Blood Pressure
Bagging
:
Breathing for a patient through a BVM
Bariatric:
Branch of medicine
that deals with the causes, prevention, and treatment of
obesity
BC:
Battalion Chief
Benadryl (Diphenhydramine):
A first generation antihistamine
mainly used to treat
allergies
Big Sick
:
Someone seriously sick or about to crump
Biological Death:
Death of brain. Irreversible.
Black Cloud
:
Gets all the good calls
BLEVE:
Boiling Liquid Expanding Vapor Explosion
Blood Pressure (BP):
The
pressure
exerted by circulating
blood
upon the walls of
blood vessels
Blood Sugar
:
Glucose levels in the blood
, sometimes called checking a sugar
BLS
:
Basic Life Support
Booster Line:
A rubber-covered, thick-walled, flexible hose used to fight small fires.
Bradycardia:
Slow heart rate
Breathing treatment
:
Albuterol
(and sometimes
Atrovent
)
administered by nebulizer with oxygen
BRT:
Big Red Truck
Burns:
A type of injury
to
flesh
caused by
heat
,
electricity
,
chemicals
,
light
,
radiation
or
friction
● First Degree:
Epidermis
is burned
● Second Degree:
Extends into the
dermis
● Third Degree:
Extends through entire dermis
● Fourth Degree:
Extends through skin,
subcutaneous tissue
and into underlying muscle and bone
BVM
:
Bag Valve Mask
C-Spine:
Patients are immobilized at the scene of the injury until it is clear that there is no damage to the spine
CABG, Coronary Artery Bypass Graft (pronounced
cabbage
) surgery:
A surgical procedure
performed to relieve
angina
and reduce the risk of death from
coronary artery disease
Calcium Chloride:
Can be injected as IV therapy
for the treatment of
hypocalcaemia
,
hyperkalemia, and Calcium Channel Blocker toxicity
Capnography
:
The monitoring of the concentration or partial pressure of carbon dioxide (CO
2
) in the respiratory gases.
Charcoal:
Used to treat poisonings
and
overdoses following oral
ingestion
CHF
:
Congestive Heart Failure
Circular saw
(
K-12
):
A machine using a toothed metal
cutting
disc
or
blade.
CISD
:
Critical Incident Stress Debriefing
CNA (
Certified Nursing Assistant
):
Persons who assists individuals with healthcare needs
CODE 3
:
Mode of response for an emergency vehicle responding to a call. Commonly used to mean "use lights and siren."
COPD
:
Chronic obstructive pulmonary disease
CPAP:
Continuous Positive Airway Pressure, machine used for the treatment of
congestive heart failure
and acute exacerbation of
obstructive airway disease
, most notably exacerbations of
COPD
and
asthma
Crepitus:
T
erm to describe the grating, crackling or popping sounds associated with broken bones
Cross Lay:
Method of storing hose is designed for rapid deployment of a hose line to attack a fire.
Cyanosis
:
Blue skin color because of a lack of oxygen in the blood
D50/D50W/Dextrose:
50% dextrose in water- Sugar used to correct hypoglycemia
Defibrillation:
The definitive treatment for the life-threatening cardiac arrhythmias
Deluge:
Monitor, master stream, or deck gun is an aimable controllable high-capacity water jet used for
firefighting.
DFO
:
Done Fell Out
DNR
:
Do Not Resuscitate
Dopamine:
An intravenous medication
acting on the
sympathetic
nervous system
, producing effects such as increased
heart rate
and
blood pressure
.
Electrocardiography:
A transthoracic interpretation of the electrical
activity of the
heart
Epinephrine:
Increases heart rate, contracts blood vessels, dilates air passages
EJ
:
External Jugular
EMT:
Emergency medical technician
Engine
:
Apparatus that holds water and hose and has a pump.
Engine Company
:
3 or 4 crew members on an engine
ETOH
:
Alcohol
FDC:
The Fire Department Connection is used by the fire department to add to the water supply of the sprinklers
Fibrinolytics:
Drugs are used in
medicine
to dissolve
blood clots
Firescope:
Abbreviation which stands for "FIrefighting REsources of Southern California Organized for Potential Emergencies."
First Alarm Assignment:
At my department this consists of 3 engines, a truck, a heavy rescue and a BC.
Flash Over:
The near simultaneous ignition of all combustible
material in an enclosed area.
Fog Nozzle:
A firefighting
hose
nozzle
that breaks the water that flows through it into tiny droplets of water.
FNG
:
F-ing New Guy
Frequent Flyer
:
Someone that repeatedly calls 911 (often for bull sh*t).
FUBAR
:
F-ed up beyond all recognition
GCS
(Glasgow Coma Scale):
A neurological
scale
that aims to give a reliable, objective way of recording the conscious state of a person
Glucagon:
A
hormone
, secreted by the
pancreas
, that raises blood glucose levels
Glucose Paste:
A
medication
, consisting primarily of
dextrose
and
water
, that is frequently used by
diabetics
GSW
:
Gun Shot Wound
Guppy Breathing:
Another name for agonal respirations. Picture a guppy trying to breath out of water.
H's and T's
:
Mnemonic used to aid in remembering the possible causes of cardiac arrest.
Halligan Tool
:
Forcible entry tool with a pointed pick and a wedge at right angles on one end of a shaft and a fork or cat's paw at the opposite end.
Hard Suction Hose:
A rubber-covered, semi-rigid hose with internal metal reinforcements used to suck water out of unpressurized sources
Hose Lays:
Any one of various ways to lay out hose from or to an apparatus
Hydrant:
A source of water provided in most urban, suburban and rural areas with municipal water service
Hypoglycemia:
Medical term for a state produced by a lower than normal level of blood glucose
IC:
Incident Commander is the person responsible for all aspects of an emergency response
ICS:
Incident Command System- a set of personnel, policies, procedures, facilities, and equipment, integrated into a common organizational structure designed to improve emergency response operations of all types and complexities
IO
:
Process of
injection
directly into the
marrow
of the bone (sounds fun huh)
IRB:
Inflatable Rescue Boats
"Irons":
Pairing of a flat-head axe and a Halligan tool
. A common combination used in forcible entry operations to gain access for search and rescue
K-12 (
circular saw
):
A machine using a toothed metal
cutting
disc
or
blade.
Ladder/Truck
:
The apparatus that has a huge ladder on top. Responsible for extrication, search and rescue and forcible entry
LDH:
Large Diameter Hose
Little Sick
:
You shouldn't be wasting my time...it's a stubbed toe
Lividity
:
One of the signs of death. Blood settles to the lower portions of the body causing a purplish red discoloration of the skin
LODD
:
Line of Duty Death
LVN (
licensed vocational nurse)
:
Often found working under the supervision of physicians in clinics and hospitals, or in long term care facilities.
LZ
:
Landing zone
Mandatoried (Mandoed, Forced):
This is when we as sworn civil servants are forced to work when we really don't want to be there.
Meth:
Methamphetamine
Morphine Sulfate (MS):
Gold standard of analgesics used to relieve severe pain
N/V
:
Nausea/Vomiting
Narcan
(
Nalaxone
):
A drug
used to counter the effects of
opiate
overdose
Nasal Cannula
:
Device for the administration of oxygen
Nitroglycerine Spray (NTG):
Used as a
heart medication for
angina pectoris
Normal Saline:
A general term referring to a sterile solution of
sodium chloride
in water
NRB:
A non-rebreather mask is a device used in
medical emergencies
that require
oxygen therapy
NSR
:
Normal sinus rhythm
Obvious Signs of Death
:
● Decomposition of body tissues**
● Total decapitation**
● Total incineration**
● Total separation or destruction of the heart or brain**
● Any degree of rigor
● Lividity
OES
:
Governers Office of Emergency Services exists to enhance safety and preparedness in California
OPA
:
Oropharyngeal airway. Medical device used to maintain a patent
airway
.
Oxygen:
Treatment increases oxygen levels in the patient's blood.
PALS:
Pediatric Advanced Life Support
Paramedic
:
A medical professional specializing in emergency medical
care.
PERL
:
Pupils equal, reactive to light
PHTLS:
PreHospital Trauma Life Support
PIV:
Post Indicator Valve
Plymovent:
Exhaust removal system in the app bay
PNT
:
Paramedic nap time
Postictal State:
is the altered state of consciousness
that a person enters after experiencing a
seizure
PPE
:
Personal Protective Equipment
Such as turnouts, gloves, and respirators
Pulse Oximetry:
A medical device
that indirectly monitors the oxygen saturation of a patient's
blood, normally 95 to 100%
Quint
:
Combined engine and ladder
Rales:
Clicking, rattling, or crackling noises that may be made by one or both lungs
of a
person
with a
respiratory disease
during
inhalation
ResQPod:
Designed to aid rescuers in enhancing circulation for patients receiving assisted ventilation during CPR
Retractions
:
visible sinking in of the chest wall with inspiration
Rhonchi:
A coarse rattling sound somewhat like snoring, usually caused by secretion in bronchial airways
RIC
:
Rapid Intervention Crew
(sometimes called RIT)
Rigor Mortis
:
One of the recognizable sign of death. The limbs become stiff
RN (
Registered Nurse)
:
A nurse who has graduated from a college's nursing program or from a school of nursing and has passed a national licensing exam.
ROSC:
Return of spontaneous circulation
RP:
Reporting Party. Person on the phone with 911
Rubbish Hook:
Hook was developed to find hidden fire in deep seated smoldering fires normally
found in dumps or in dumpsters.
SCBA (BA)
:
Self contained breathing apparatus or simply breathing apparatus
Scotted Up:
Getting your SCBA on ready to enter a structure fire.
Term comes from using Scott air packs.
Scuttle Hole
:
A scuttle hole is usually a 2’ x 2’ entrance hole to the attic, covered by a panel.
SIDS:
Sudden Infant Death Syndrome
SOB
:
Shortness of Breath
Sodium Bicarbonate:
An aqueous solution is sometimes administered
intravenously
for cases of
acidosis
Sodium Thiosulfate:
It is used as an antidote to
cyanide poisoning.
Squad
:
The apparatus that responds to all calls that may require additional manpower
Staging:
Waiting out of sight until it is safe for us to proceed.
Stand Pipe:
A type of rigid water piping which is built into multi-story buildings in a vertical position, to which fire hoses can be connected.
Status Epilepticus:
life-threatening condition in which the
brain is in a persistent state of
seizure
Strike Team:
5 apparatus of the same type with the ability to communicate with one another. Usually accompanied my a command unit.
Supply Line:
Used when a
hose
lay is made from the water supply source to the fire scene.
SVT
:
SupraVentricular Tachycardia
Syncope
:
Temporary loss of consciousness
Tachycardia:
Heart rate above 100 beats per minute
Tanker
:
Aircraft that carries water to fight fire
TC
:
Traffic collision
Tender
:
The apparatus that delivers water to the fireground where there are no fire hydrants
Thermal Imager
:
Thermal imaging cameras
detect
radiation
in the
infrared
range of the
electromagnetic spectrum
and produce images of that radiation, called thermograms.
Therapeutic hypothermia:
medical treatment that lowers
a patient's
body temperature
in order to help reduce the risk of the
ischemic injury
TIC
:
Thermal Imaging Camera
Tones:
Sounds played at the station to signify there is a call.
Torsades de pointes:
A specific, rare variety of ventricular tachycardia
that exhibits distinct characteristics on the
electrocardiogram
UTL:
Unable to Locate
Valsalva Maneuver
:
Performed by forcible exhalation against a closed airway
V-Fib
:
Ventricular fibrillation
. Lethal, heart rhythm in which the heart muscle simply quivers. Shockable
V-Tach
:
Ventricular tachycardia
. Potential lethal heart rhythm (patient may or may not have a pulse) where the heart is beating too fast to pump blood. Shockable
Versed
(
Midazolam
):
A short-acting drug in the benzodiazepine
class that is used for treatment of acute seizures, moderate to severe
insomnia
, and for inducing sedation and amnesia before medical procedures.
Wheeze:
A continuous, coarse, whistling sound produced in the respiratory airways
during breathing
White Cloud
:
gets no calls or all BS calls in a shift
WNL
:
Within normal limits
Zofran
(
Ondansetron
):
Used mainly as an antiemetic
to treat
nausea
and
vomiting.
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