OK back on a “real” computer......Man that was some kind of night at the fire station.... got to lay down about 0615 this morning.... still 20 more hours to go in this shift UGH!
@HUD Good suggestion but I’d like to add changing the location to the foot instead of the chest. If any sort of intervention is required to the chest area (CPR?), the bag will be removed and possibly lost
@Zee.... Yes. hydration is almost always a good idea unless there is impaired consciousness and the patient cannot control their gag reflex.... OR the patient is already in fluid overload (remember the swollen lower extremities written above) But YOU know that ;-)
INSURANCE! there’s a notable point.... Outside the more developed countries, often med-evac is private and costs huge! I always buy a policy to cover medical
evacuation back to the USA when I travel. Same goes for SAR insurance
To simplify a cardiac event treatment to the extreme, the pump (heart) is running out of oxygen. The goal is to increase the oxygen (blood flow) and decrease the workload. Morphine is a great tool that is both a vasodilator (makes the blood vessels relax and get larger) and a sedative which will calm the patient, reducing their anxiety (which lessens cardiac demand). BUT Morphine is a controlled substance in most places and might wind
you up in a 3rd world prison!
100% Oxygen by non-rebreather is a GREAT tool aboard, as it can also be used for diving
(hyperbaric) injuries, and other breathing problems unrelated to cardiac issues. Oxygen is “relatively” inexpensive and easily sourced. Down side is carrying a supply which lasts more than 20 minutes is difficult as the equipment
is bulky and heavy. Oxygen is not a panacea though. Normal blood oxygen saturation is 95-100% on room air... even breathing 100% oxygen will not improve on 100%! Obviously patients with respiratory systems compromised by pain or disease, who are NOT at 95-100%, will benefit by increasing the supply, which WILL increase the saturation in the blood.