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.
When you’re working as part of a medical flight crew, you will encounter many incidents and a wide variety of patients. And sometimes, you might even come across a patient that’s accompanied by a service animal. You may not know exactly how to handle the situation as you’re not too familiar with it. In this post, you’ll find out a few important tips to follow when you encounter patients with service animals.
What to do When Your Medical Flight Patient has a Service Animal
According to the U.S. Department of Justice, only dogs are considered as service animals. And that’s the first information you should be aware of. But in regards to whether or not you should allow a service dog to accompany your patient in flight, you will also have to remember a few things.
First of all, the ADA requires that businesses, nonprofit organizations, and state and local governments that serve the public should allow service animals in their facilities if they’re accompanying people with disabilities.
If you’re not too certain what kind of service the service dog provides, however, you may only carry out limited inquiries. These two questions are the only ones you’re legally allowed to ask:
- Is the dog a service dog that the patient requires because of a disability?
- What kind of tasks or work has the dog been trained to do?
Medical flight and ground ambulance crews alike cannot ask about what disability the patient has or request medical documentation. They can’t request for a demonstration of the dog’s ability either. And you can only deny transport for the service dog because of the following reasons:
- If your ability to provide lifesaving care will be fundamentally altered by the service dog
- If the service dog isn’t housebroken
- If the dog is out of control and the patient cannot take any effective action to control it
When you’re working as a paramedic for an air ambulance, you will get a wide variety of medical flight cases. While a majority of the cases may be related to critical accidents, you may even encounter patients who have overdosed on opioids every once in a while. Since these are time-sensitive cases, it’s crucial that you immediately start looking for signs and begin your treatment.
Common Signs of Opioid Overdose
Some of the most common signs that a patient has overdosed on opioids are:
- The patient will have a hard time waking up; they will be extremely sleepy
- The patient might take shallow breaths
- The patient’s lips and fingernails may become bluish
- The patient’s pupils may become extremely small
- The patient’s heart rate may be slow
- The patient’s blood pressure will be low
Since opioids can cause patients to stop breathing, it’s crucial that medical flight paramedics or other first responders also check for the “death rattle” sound. This is normally recognized by an exhaled breath and has a very distinct and labored sound in the throat.
Essential Actions for Medical Flight Paramedics
If you happen to be the first responders to the scene and you’ve determined that the patient is overdosing on opioids, you need to first make the patients gets enough oxygen. In some cases such as when the patient cannot breathe, you will need to perform mouth-to-mouth resuscitation. But if they’re breathing make sure you position them in a way that the airway doesn’t get blocked.
And to reverse the effects of opioid overdose, you will need to administer a naloxone injection intravenously. The effects will last for anywhere between 20 and 90 minutes, giving patient some ability to breathe until you can transport them to a hospital for further care.
You underwent extensive training to become an EMS provider. And now you’re working in an air ambulance as part of the medical flight crew. You already know that patient assessment is one of the first and most critical steps you should take before you even begin your treatment. But there’s still a chance you could make mistakes. In this post, you’ll learn some useful tips to help you make more accurate assessments.
Useful Patient Assessment Tips for Medical Flight Paramedics
Here are some simple and critical steps you should take when assessing your patients:
- Make sure the thermometer has the right temperature – Most of the equipment you use in the air ambulance may function perfectly well under any kind of temperature. But in the case of your thermometer, it’s crucial that you check to make sure it has the right temperature. If the thermometer is too cold, you may be unable to read the patient’s temperature accurately.
Ideally, you should be using your thermometer at a temperature between 60-degree and 104-degree F. But there may be times when the temperature inside your medical flight helicopter is much lower than those ideal temperatures. Try to keep the thermometer and other crucial equipment at storage temperature range before using them for patient assessment.
- Avoid using pain scale to compare patients’ pain – The pain scale can be quite subjective. So make sure you avoid using it to compare the pain your patients are suffering. Instead, the pain scale should be use as a basis to determine any changes in the patient’s pain after a certain treatment or movement.
These are two crucial points to consider when assessing your medical flight patients. There may be several other things to consider in addition to these, depending on your role and the equipment you use.
When you’re part of an air ambulance transport crew, experiencing fatigue is next to impossible. In a previous post, we discussed some of the basic methods of reducing the impact of fatigue. While those steps are important, you can also further improve your health if you can prevent fatigue altogether. Although it’s not completely avoidable, there are still several steps you can take to prevent fatigue to a significant extent.
Ideas to Prevent Fatigue for Air Ambulance Transport Crew Members
So how exactly can you prevent fatigue? Although fatigue isn’t preventable at all times, you can still perform some basic steps and prevent it to a significant extent. Here are some ideas to help you out:
Being in the medical flight industry is stressful. And it’s particularly stressful when you’re just starting out as a paramedic in the field. Sure you’ve gone through thorough training and certification but when it comes to dealing with real-life patients, you get cold feet. It’s not because you don’t know what to do but more because you’re afraid of doing something wrong.
Being anxious about treating your patients is only natural. But it gets troubling when your anxiety prevents you from fulfilling your duties. So you’ll need to develop more confidence to provide correct and effective pre-hospital care.
How to Build Confidence as a Medical Flight Paramedic
So how exactly will you build confidence to do your job more effectively? Here are a few tips to help you out:
- Don’t forget the basics – Every medical scenario has a basic set of rules paramedics need to follow when assessing their patients and administering care. In your nervousness you may be prepared for the worst and your mind may be muddled with complicated steps and ideas. But instead of this, you need to focus on remembering the ABCs – the basic steps you should carry out for each scenario.
- Don’t focus on yourself – Of course your first few calls as a medical flight paramedic may make you reconsider your skills and competence. And an inner reflection of this may overwhelm you and only increase your nervousness about carrying out the task at hand. But you need to remember that this isn’t about you but about the patient.
Your focus should be only on the patient and what you can do to help them in each instance. What’s going on with them? What’s the possible reason for this issue? And what can you do to relieve some of the symptoms they’re displaying right now. Once you think of this, your mind will focus on taking action instead of just reflecting on your own abilities.
The life of paramedic, nurse, doctor, or pilot is hectic especially if you’re working for an air ambulance. You run the risk of fatigue and you may be unable to balance your work and life efficiently. And if you work in shifts, you’re also at risk of developing a disorder known as shift work disorder. This could impair your ability to carry out your medical flight duties efficiently.
Shift Work Disorder Could Pose Threats to Medical Flight Workers
When you’re in the air ambulance industry, your physical and mental health is crucial because you have other people depending on you. So if you suspect that you have developed shift work disorder, it would be wise to seek treatment immediately. Here are some of the common symptoms to help you assess yourself:
- Being sleepy excessively at times when you need to stay awake
- Being unable to fall asleep when you need to or waking up before getting sufficient sleep
- Constantly getting insufficient sleep or being unable to get restful sleep
- Lack of energy
- Lack of concentration
- Irritability and depressive moods
Due to all these issues, you may even face problems maintaining healthy personal relationships – whether it’s with your partner, colleagues, or family members.
Causes of Shift Work Disorder
Shift work disorder, as the name suggests, is common in people who work shifts. And that’s why people who work in a medical flight run a high risk of developing the disorder. Night shifts and rotating shifts as well as early morning shifts can result in shift work disorder.
And due to shift work disorder, you may eventually experience chronic sleep deprivation, which can seriously ruin your health, safety, and productivity. You’ll normally find yourself struggling to stay awake when you need to and restless when you should be asleep.
Whether you’re a pilot, a paramedic, a nurse, or a doctor; working in a medical flight crew means one thing – shift work. And shift work can bring with it several issues and can particularly affect your sleeping pattern. And lack of proper sleep can take its toll on your physical and mental health. In this post, you will learn how to overcome sleep issues that result from working in shifts.
How to get Better Sleep – Medical Flight Crews
Lack of sleep can make you lethargic. This could in turn impact your ability to carry out your duties as a medical flight crew member as it impacts your attention, concentration, and reaction time. Here are a few things you can do to overcome your sleep issues:
- Naps – Naps can refresh your mind and give you more alertness to carry out your duties. If you’re working the night shift, try to take a quick nap before you head to work.
- Proper meals – Regardless of your schedule, try to maintain regular eating hours and have at least three proper meals a day. By having a regular meal time, you signal your body clock and makes sure it knows when to induce sleepiness.
- Prepare for shift changes – Your crew may have rotating shifts, which makes it difficult to maintain a regular sleep schedule. But before your shift schedule changes, you could try adjusting your sleep time gradually so your body can adapt to the change. Instead of subjecting your body to a sudden change, you’ll be easing it into the new shift schedule so you won’t face too many sleep issues.
In some cases, you may even need medications to help you fall asleep after shift changes. But you should never use them as a long-term solution.
In a previous post, we talked about some of the specific guidelines you need to follow when treating patients who have fainted. Also known as syncope, fainting is a common occurrence and as a medical flight paramedic, you may encounter a few patients in this situation. In this post, you’ll get more details about the guidelines released by the American College of Cardiology so you can get a thorough understanding of what to do.
More tips on handling medical flight patients with syncope
The previous post talked about the initial steps you need to take when you encounter a patient who has fainted. And those steps can be used by medical flight paramedics. According to the American College of Cardiology, health care professionals can follow the guidelines below when they have to treat a patient who faints:
- Some patients may have fainted because of irregular heartbeats, which can even be life-threatening. To determine whether your patient is facing this issue, doctors can use an implantable cardioverter-defibrillator to regulate the heartbeats.
- For syncope patients who have heart conditions, beta-blockers can be a good option.
- Health care providers should advise fainting patients to restrict their exercise in the future.
- Patients with recurring fainting spells resulting from very low heart rate might require pacemakers. In case of patients with common faints, drugs may be enough to control the situation.
- In case of unexplained fainting, heart rhythm monitoring is a good option to determine whether or not the patient has intermittent heart rhythm issues resulting in fainting.
The American College of Cardiology also advises athletes with fainting issues to visit an experienced health care provider for a heart assessment. These are some of the basic guidelines that can help in providing the right level of care for people who faint.
When you’re a medical care provider, there’s no knowing when your help might suddenly be required even on your off day. And your intervention can make all the difference for someone who needs immediate medical care. That’s why medical flight paramedics, doctors, nurses, and EMS paramedics alike should take it upon themselves to carry individual first aid kits.
What Medical Flight Paramedics Need in a Personal First Aid Kit
Before you prepare your individual first aid kit, you need to be sure about what you should expect out of the kit. Of course you can’t carry around every type of medical equipment that you normally work on. But the kit should contain some basic items that can help you provide care in common emergency situations.
Your personal first aid kit should be easy to carry around inside your bag or pockets. You should be able to access it easily but make sure you keep it protected from the elements. Although there may be several pre-stocked personal first aid kits available at your local pharmacy, it doesn’t hurt to prepare one on your own.
Content Ideas for Personal First Aid Kits
When considering which items to include in the kit, think of what you would normally use to treat minor injuries or aches. Band aids, cotton balls, and over-the-counter pain meds are a few examples. In addition to this, medical flight paramedics can include items like bandages, antibiotic ointments, gauze pads, etc. in their personal first aid kits.
You can customize the contents as needed. Every once in a while, you might even want to revise what you include in the kit. If you hardly need a certain item, for instance, you could switch it out with something else that you normally need but hadn’t included yet.