I looked at it again.......the Trauma First Response is an 8 hour version of the PHTLS course, now called PHTLS For First Responders. It is still offered according to the NAEMT website.
The TCC-LEFR has been around for a few years.......according to the NAEMT website a new version is in development, called TECC-LEO. I know for a fact the LEFR class is still being taught.
Either should be good 8 hour courses, the latter focusing on emergency care under fire as opposed to traditional pre-hospital care.
"Are you ready? Okay. Let's roll."- Last words of Todd Beamer
Thanks, man.
From Older Offspring after a discussion of coffee:
"If it doesn't come from the Kaffa province of Ethiopia, it's just hot roasted-bean juice."
Also dont put your cart before the horse - basic CPR is something you should feel you have 100% mastered before you worry about trauma care
Fuck yeah dude great work!
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Bringing this back up because North American Rescue has a screaming deal on a basic medical kit available until May 1.
https://www.narescue.com/national-st...ng-control-kit
CAT Gen 7 TQ, flat-packed 4" ETD bandage, gloves, 3" x 4 yd QuikClot gauze, and instructions to go with it all. Not as tacticool as some of us would like, but more than sufficient to have kicking around in the trunk or glove compartment in case of emergency.
10% unless you're in Rialto, then it's around 70%
http://www.jems.com/articles/print/v...lto-calif.html
Yes, it's always worth doing CPR in the field, unless you think they are dead and do not want to continue care. CPR is designed to help the patient's heart and lungs perfuse and oxygenate their body when they are in cardiac and/or respiratory arrest. If you stop CPR, you have essentially pronounced your patient.
Why bother applying a tourniquet if you've already decided to stop CPR? "Basic trauma care" is 100% unhelpful if your patient's heart has stopped beating. Your heart and brain begin to die after mere minutes without blood - CPR is the only thing you can do in the field to prevent that from happening, if it isn't already too late.
If you watch a patient code being run in the hospital, you'll notice that we are always doing CPR and it takes priority over basically everything except cardioversion. CPR continues without interruption until we get return of spontaneous circulation or until we've decided to pronounce.
As for your statistics, this depends on the study you've read.Overall pre-hospital survival rates for CPR is usually very low for a couple reasons:
1. The patient is often "found down" and could have been in circulatory collapse for 30+ minutes. These patients uniformly do very poorly
2. Some forms of cardiac arrest - i.e. traumatic cardiac arrest - have very low survival at baseline
3. A lot of bystanders do not know how to deliver effective compressions or do proper CPR
Patients do much better if they have a witnessed event and bystanders intiate CPR immediately. This study shows a 70% survival rate or patients who had a witnessed event and got immediate CPR from bystanders. In the group that did not get immediate CPR from bystanders, survival was closer to 30%, largely for reason #1. Here is a very recent article on the subject with more stats that show the stratification of survivors.
Yes, doing CPR on dead people is very unsatisfying and kind of depressing, but it's part of your duty as a first responder to deliver the best care in the field that you can, and the cornerstone of good pre-hospital care is CPR. Cardiovascular disease is the #1 killer worldwide and you are far more likely to need CPR that you will a TQ or chest seal, and even if it doesn't feel like it, is far more likely to save someone as well.
Last edited by Nephrology; 04-12-2018 at 08:11 AM.
Apparently there is an initiative to provide small trauma kits in the Georgia schools for fast response to events with bleeding. New article discussed recent situation where one of the kits was used the day after delivery when a child fell on a playground and suffered an injury (compound fracture?) that had extensive bleeding - the school nurse grabbed the trauma kit and applied a tourniquet that made a big difference until emergency help arrived.