In the previous post, we talked about the causes and symptoms of hypothermia. But that’s not enough information to help medical air transport paramedics in dealing with patients who suffer from hypothermia. In this post, we’re going to take a closer look at some other important facts about the condition.
How Hypothermia Impacts People
The worst thing about hypothermia is that it can affect every single organ in the body. In the case of mild hypothermia, a patient may experience confusion, amnesia, slurred speech, and impaired judgment. As the condition worsens, a patient that was once lethargic may become comatose and their reflexes may disappear. The central nervous system also becomes unable to regulate the cardiovascular system.
Need for Medical Air Transport Paramedics to be Aware of Special Populations
What’s important for medical air transport paramedics to remember is that there are certain age groups and types of people that are more vulnerable to hypothermia. Interestingly, patients who are either extremely old or extremely young tend to be the most vulnerable age groups. Both of these age groups have less physiologic reserve in addition to a decreased ability to produce heat when needed.
Some elderly patients may be unable to sense ambient temperature, leaving them unable to protect themselves from the cold. So during winters, you may notice that some older patients can become hypothermic even just from staying inside a house that’s slightly too cold for them. Since they have decreased compensatory ability, hypothermia may develop even when the temperature doesn’t seem too cold to you.
In case of neonatal patients, they have almost zero ability to defend themselves against the cold. That is the reason why warming plays such a crucial role in resuscitating patients who fall under this category. Infants that are five days old or more may be able to metabolically compensate, but they are still extremely prone to heat loss.
If you work as an air medical transport paramedic, there’s a good chance you will respond to emergencies in which the patient requires a splint. This will usually be in situations where the patient has undergone some form of physical trauma and fracture. You may think you’re already an expert in splinting but there’s always room for improvement.
Tips for Better Splinting in Air Medical Transport Paramedicine
As a novice paramedic, you may still be nervous when you come across actual patients that require a splint. Here are a few tips that will make it easier for you to make great pre-hospital splints:
- Take your time if the patient is stable – There may be times when you need to splint an extreme fracture when you respond to a call. If the patient’s condition is stable, it’s important that you avoid rushing through the splinting process. Although you may get nervous, there’s no harm in taking a few extra minutes to carefully splint the fracture before taking them for air medical transport.
- Make the most of pillows – Pillows provide good padding when you need to splint a fracture. They also act as effective splints even on their own. So if your patient has a distal fracture, you just need to roll up the injured part in a pillow and tape it firmly. But make sure the toes or fingers are sticking out.
Opt to control the pain beforehand – Although splinting is intended to reduce pain, the splinting process itself can be very painful. If your patient is screaming in pain it may be difficult for you to concentrate on the splinting and you may end up making a mistake. So try to administer some analgesics beforehand if possible.
If you’re working as an air ambulance paramedic, you have to carry out physically straining tasks occasionally. Combined this with a more pedantic lifestyle when you’re off-duty or not on call, you could end up with different types of muscle pains and physical strain. One of the most common types of pains that medical flight paramedics can encounter is knee pain.
Find Out What Causes the Knee Pain
The first thing you need to do when you’re suffering from knee pain is to identify what is the root cause. If it wasn’t caused by physical trauma to the knee area, there’s a good chance you can prevent the issue from reoccurring. It’s easy to get pain in the knee due to a slight mistake in movement while stepping or climbing or even squatting.
In some cases, even if the pain is occurring in your knee the main cause of the problem may be at a completely different part of the body. So it’s important to get to the root of the issue if medical flight paramedics want to gain long-term relief from knee pain.
Knee Pain Solutions for Medical Flight Paramedics
Try stretching your legs by putting them on the table with your knee facing downwards. Your knee should be in line with your hip joint. If you can do this, it means everything is okay with the functionality of your glutes. The stretch might even help in relieving the pain on your knees to some extent.
You should invest in a good foam roller that you can use for 10 minutes every day. Use it on every part of your joints and muscles that are prone to pain such as your inner thigh, calves, hamstrings, and glutes. This not only decreases the pain but also loosens up the muscles to prevent further strain.
Last week, we discussed three common patient statements that should have you concerned. But those are not the only statements that you should be concerned about while you’re serving as a medical flight paramedic. There may be several other statements that sound simple enough but should be taken very seriously so that they don’t result in bigger problems.
When Medical Flight Paramedics Should be Concerned
Here are some more patient statements that you should be wary of and take seriously instead of just dismissing them:
- When a patient doesn’t want to go to a specific hospital – Every now and then you might come across a patient who does not want to be taken to a certain hospital and tells you so. There may be a good reason for this based on their past experiences. In some cases, it may be because they are dissatisfied with the level of care provided.
But in other cases, it may also be because the hospital has records or knowledge of the patient’s medical history, which the patient has been hiding from you. So make sure you ask the reason why they don’t want to go to a specific hospital.
- When a patient is dismissing their problem for a minor one – It’s important to pay close attention when a patient tries to dismiss the pain or problem they’re experiencing as a result of a minor issue. For example, the patient may explain that the discomfort in their chest is probably because of indigestion.
There’s a chance that the patient is in denial and is ignoring the signs of a major health issue. In this instance, it could be a sign of an oncoming heart attack. The patient may be looking to reassure themselves that it’s nothing serious. So it’s important for medical flight paramedics to assess patients more carefully when they’re dismissing their problem for a minor one.
When you’re working as a medical flight paramedic, you might have come across certain statements that make you pay extra attention to the patient. This is likely because you’ve encountered a patient whose condition immediately deteriorated after saying something similar. It may also be because your colleagues have had an experience with such patients.
These experiences may be able to teach you valuable lessons. Even the most subtle phrases and statements could be followed by horrible outcomes.
Statements of Concern for Medical Flight Paramedics
Take a look at some of these patient statements that should get you concerned:
- When a patient has “the worst headache of their life” – When someone is used to getting headaches, they’ll be familiar with the severity and duration of their typical headaches. So when a patient is claiming that their headache is far worse than usual, it’s a cause for concern for paramedics.
Otherwise, it could also be a statement by someone who normally doesn’t have a headache. Even if that’s the case, it could be that they’re experiencing something new and would be a cause for concern for medical flight
- When a patient “feels like they’re going to die” – While there may be instances where someone is being a bit dramatic when they say something like this, it’s always best not to take such statements for granted. Often injured or seriously ill people have some sense that they are going to decompensate, so it’s crucial that you pay attention and take immediate action.
- When a patient’s shoulder is hurting – Pain in the shoulder may be popularly used to describe chest pain and abdominal issues. The pain can be caused by heart conditions or respiratory ailments such as pneumonia and pleurisy. It could also be caused by illness or injury in the liver, gallbladder, spleen, etc.