Mendham Borough First Aid Squad
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Under pressure

3/22/2016

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As class heads in to our third quarter, the materials and skills shift from understanding medical emergencies and associated Nature of Illness (NOI) to traumatic injuries and their associated Mechanism of Injury (MOI).

Trauma is generally considered the gorier part of EMS, and deals with direct bleeding, fractured bones, and other physical injuries to the body that generally result from the application of an outside force on the patient. As such, there are a wide number of practical skills involved in providing interventions to our patients, including proper techniques for bandaging and tourniquet application.

But trauma isn't always obvious. Car accidents, sports injuries, slips and falls can all cause traumatic injuries to bones, muscles and internal organs, often with no visible external injuries. Some of these internal injuries are treated almost exactly the same as internal bleeding caused by medical issues, such as acute abdominal pain due to appendicitis, or altered mental status due to stroke. .

But the effects of the MOI are supposed to guide us to an index of suspicion that there may be more going on with our patients, concerns that may require more care and a deeper assessment for injuries that just simple pain or confusion would appear to warrant.

So we get a bit more touchy-feely with our fellow students, and start learning to look for DCAP-BTLS. 

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    Author

    Jon Alperin, one of our MFAS volunteers, shares his journey to becoming an NJ certified EMT.

    Picture

    from the Start

    Here is Jon's journey, presented in time order:
    • T-30 & counting
    • A look back at my first year with this squad
    • 1500 pages of EMT know-how
    • Class is in Session!
    • We pick things up, we put things down
    • The head bone is connected to the neck bone...
    • Questions? We've got a million of them...
    • Practice is vital, and vitals take practice
    • Getting ready for the 1st test
    • Taking a breather
    • Be still my beating heart
    • Gearing up for mid-term exams
    • A peak inside a PSAP
    • Urgency, not emergency
    • Paramedics - Our partners in success
    • Under pressure
    • Around the bend, the end is in sight
    • From beginning to end
    • A grim way to learn
    • The toughest lesson
    • One behind, one ahead
    • Tom Petty had it right...
    • Just gonna let this speak for itself
    • The end of the beginning

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