ems assessme tip #1141:

the diaphragm, which separates the thoracic and abdominal cavities,  is located approximately at the level of the nipple line during exhalation, lower during inhalation.  injuries below the nipple line are likely abdominal and not thoracic, depending on the phase of respiration when the injury occurred.

ems assessment tip #929

fractures to the extremities are often referred to as distracting injuries because the pain and possi le deformity might distract the patient and keep him from complaining of wounds and injuries to other areas of the body. this is why it is necessary to completely expose the trauma patient and inspect for wounds.

ems assessment tip - seizures

the duration of the postictal state will vary from patient to patient and from seizure to seizure in the same patient. the signs of recovery may also vary.

ems assessment tip - patient assessment

pale, cool, clammy skin is an early sign of hypoxia. cyanosis is a late sign.

ems assessment tip - patient assessment

it is crucial to determine the exact time of onset of the first sign of weakness, slurred speech, numbness, paralyssis, facial droop, or other signs of stroke and report it to the emeegency deparrment. you may be the only person who can collect this vital information at the scene from relatives, friends, or bystander. it may make a critical differen e in stroke and cardiac treatment once at the hospital.

ems assessment tip - airway management

when using a jaw-thrust maneuver in a patient with suspected spinal injury, if you are unable to ventilate the patient after several attempts, you can slightly extend the head until a decrease in airflow resistance is felt and the chest rises adequately with each ventilation.

ems assessment tip - airway management

the best method to assess for tidal volume is to look for adequate chest rise and to feel and listen for air movement from the nose and mouth.

ems assessment tip - airway management

an already rapid heart rate that continues to increase may be an indication of worsening hypoxia from inadequate ventilation. conversely, a rapid heart rate that begins to decrease may indicate an improvement in the oxygenation and ventilation status; however, if the decrease in rate continues to bradycardia, it may be an indication of inadequate ventilation and oxygenation and worsening hypoxia.

ems assessment tip - pediatrics

if a child becomes cyanotic, he/she has experienced profound hypoxia and is in significant trouble.

ems assessment tip - chest trauma

a sudden deop in the systolic blood pressure by greater than 10 mmHg  during inhalation may be another sign of a tension pneumothorax or pericardial tamponade. the drop in systolic blood pressure during inhalation is referred to as pulsus paradoxus.

ems assessment tip

narcotics like morphine, heroin, and codeine will typically cause the pupils to constrict and become pinpoint in size. however, the narcotics meperidine (Demerol), propoxyphene (Darvon), pentazocine (Talwin),and some others may not cause the typical constriction of the pupils.

ems assessment tip: hypotension is a rare...

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Google Voice Free Domestic Calls Extended through 2012 (Web Only) Google has extended their offer free domestic calls within the US and Canada through 2012, a kind holiday gesture to Google Voice users in North America (excluding Mexico). The catch? You will have to ... View or comment on scott ackerman's post »

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Skype update offers better video calling, file sharing Skype has been a mainstay on many an Android device since it was released on the Market last year, and today's update brings it more in line with the VOIP service's desktop client. Those who aren't regular... View or comment on scott ackerman's post »

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