Being a paramedic is a physically demanding job especially if you work for an air ambulance. You’ll have to regularly lift and move patients every time you respond to a call. And as a result of this, you’re at high risk of getting injured during this lifting and moving process. So as a medical flight paramedic, you need to take some helpful measures that will prevent these injuries and ensure you efficiently carry out your duties without any issues.
Preparing Your Body to Carry Out Your Medical Flight Paramedic Duties
As mentioned earlier, being a medical flight paramedic is a physically demanding job and involved plenty of activity and heavy lifting. At times, you may even have to perform some strenuous physical activity right after a state of rest. And as a result of this quick transition, your body may become strained and more susceptible to injuries.
That’s why you need to get involved in as many warm-up activities as possible before you respond to a call. You can start warming up at the start of your shift so you’re prepared to take on any physically-demanding task that comes your way. 20-30 minutes of warm-up would be perfect to get your body acquainted to the possible strain it needs to endure for the rest of your shift.
And you should also consider warming up after you’ve been inactive for a while. You can perform static stretching and simple cardiovascular exercises for your warm-up sessions. You can also use tennis balls and foam rollers to help stretch your stiff muscles and prepare it for strenuous physical activities.
In addition to this, you should regularly train to lift heavy objects. This will prepare your body to handle the task of lifting and moving patients of all sizes.
In between patients who’ve been in a serious accident and terminally ill patients who need hospital-to-hospital transportation, medical flight paramedics may occasionally encounter patients who complain of feeling weak and generally ill. While it may be difficult to pinpoint what the issue might be in such cases, it’s important to take thorough assessments to ensure the condition isn’t caused by a life-threatening disease.
Possible Causes of General Illness Medical Flight Paramedics should Look Out for
If you respond to a patient who complains of feeling lethargic in general, try to assess them for the following conditions:
- Sepsis – Sepsis is caused by an infection and can lead to a significant dysfunction of the organs. But when you’re a first responder, you might face some issues as sepsis assessment usually requires lab results.
In a pre-hospital setting, you can still make some assessments that will rule out sepsis. There are three elements you need to look out for and if at least two of them are positive you need to consider that the patient is suffering from sepsis.
These elements are: If the respiratory rate is more than or equal to 22/min, if they have altered mentation with GCS less than or equal to 13, and/or if their systolic blood pressure is less than or equal to 100 mm Hg.
- Systemic inflammatory response syndrome – Medical flight paramedics should also make assessments for SIRS, which fairly easier for them to do than with sepsis. In this case you will look at a few criteria, out of which the patient might have SIRS if at least two of them are true.
The criteria are: if the heart rate is more than 90/min, if the respiratory rate is more than 20/min, if the white cell count is more than 12,000/mm³, if their temperature is higher than 38 degrees Celsius or less than 36 degrees Celsius, and/or if their PaCO2 is less than 32 mm Hg.
Accurately measuring the vitals of your patients is crucial when you’re working as a medical flight paramedic, an EMT, a nurse, or any medical professional for the matter. That means you’ll need to properly monitor and record the patient’s blood pressure. While it may be fairly easy for you, it’s important to remember that there are certain factors that could result in wrong BP readings.
Factors that Often Mislead Medical Flight Paramedics
By understand what could impact the BP reading on your equipment, you will be able to take precautions and make more accurate readings. Here are some of the reasons why your BP monitor could give you inaccurate readings:
- Incorrectly-sized cuffs – If the BP cuff on the monitor is too large, you’ll get readings that are much lower than the actual rate. And in case the cuff is too small, the BP readings will be a lot higher than the correct rate. Make sure the bladder length is 80% and width is 40% of the arm circumference.
- Incorrect positioning of patient’s body – How the patient’s body is positioned will also have a huge impact on the accuracy of your reading. Eliminate any influence of gravity to make sure you get a more accurate reading. The arm or leg you’re using for the reading should be placed at mid-heart level.
In addition to this, you need to make sure the patient isn’t talking while you’re taking the reading. And it would be ideal if you could take the reading when the patient is sitting with their legs uncrossed. In case of unconscious patients, taking a reading may be a bit more challenging for medical flight paramedics. But you can still follow the rules of proper positioning and correct cuff sizes to take accurate BP measurement.