Airway - richardtrierweiler.comrichardtrierweiler.com/wp-content/uploads/2017/04/Airway.pdf · Case...
Transcript of Airway - richardtrierweiler.comrichardtrierweiler.com/wp-content/uploads/2017/04/Airway.pdf · Case...
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Airway
Richard Trierweiler
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http://www.webmd.com/sleep-‐disorders/sleep-‐apnea/normal-‐upper-‐airway-‐during-‐sleep
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http://www.merckmanuals.com/home/injuries_and_poisoning/first_aid/cardiac_arrest.html
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http://www.charlydmiller.com/LIB02/2003jemstricksreview.html
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http://trialx.com/curetalk/wp-‐content/blogs.dir/7/files/2011/05/diseases/Airway_Management-‐3.jpg
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http://little-‐medic.blogspot.com/
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http://www.itstactical.com/medcom/medical/developing-‐a-‐blow-‐out-‐kit/
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http://theopsdeck.com/MEDKIT%20CONTENTS/PROD%20-‐%20AWY.King%20LTD.PMI.htm
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Poisons/Toxins
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Amanita muscaria
• Psychoactive: hallucinogenic (Dose
dependent)
• About 1 cap needed
• Rarely fatal (none documented in recent
history)
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Amanita muscaria
• S/S: Low: Nausea, ataxia, euphoria, altered
sensations, low BP, salivation, diaphoresis
• High doses: agitation, hallucinations,
confusion, irritability
• Tx: calm, reassure, supportive, benzos
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http://en.wikipedia.org/wiki/File:Amanita_muscaria_UK.JPG
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Spice
• Synthetic marijuana
• Often laced
• S/S: Agitation
• Tx.:
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http://www.guardian.co.uk/society/2009/may/07/spice-‐gold-‐herbal-‐high-‐drugs
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Bath Salts
• Route: ingested, injected, snorted or smoked
• Is a synthetic cathinone (sort of like
amphetamine)
• 47% have co-‐ingestion
• S/S: excited delirium (quiet to crazy)
• Calm, supportive, benzos, fluids
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http://en.wikipedia.org/wiki/File:Bath_salts_(drug).jpg
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Baneberry
• White or red (or mixed) berries with black
spot on the end
• Cardiotoxic – can cause cardiac arrest and
death
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http://en.wikipedia.org/wiki/File:Actaea-‐pachypoda.jpg
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Large Animal Attacks
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http://www.myspace.com/canderell/photos/27708509
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http://www.freedomwriter.com/issue35/ak34.htm
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http://www.freedomwriter.com/issue35/ak34.htm
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Basics
• Remember ABCs!
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http://medicpatriot.blogspot.com/2012/06/now-‐i-‐will-‐go-‐over-‐how-‐to-‐control.html
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http://firstaid.about.com/od/bleedingcontrol/ss/bleedingsteps_4.htm
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http://www.primary-‐surgery.org/ps/vol2/html/sect0255.html
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http://www.sharecare.com/question/how-‐care-‐sucking-‐chest-‐wound
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Case
• 62 year old female with history of high BP and
cholesterol has chest pain after starting a
hike. She states that it is a pressure in the
center of her chest which radiates into his
right shoulder.
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Case
• 35 yo male caught a front point on his pant leg
while on a glacier tour, stumbled and slid into
15’ crevasse. He is now complaining of
moderate back pain. No neurological deficits.
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Case
• 15 yo male twisted his ankle while hiking with
his parents. Although he has moderate pain,
swelling and bruising over his left lateral
ankle, he is becoming increasingly agitated,
short of breath and is now wheezing on
expiration.