Training simulations have been used by various industries including the military, entertainment, aviation, and medicine. Aviation was the leading industry of modern simulators. In 1929, Edwin Link developed the first Link Trainer, or the “Blue Box”, for aviation training. The Link Trainer had a cockpit, controls, and motions simulating that of a real airplane. In 1934 pilots used the Link Trainer for flight simulations after twelve Army Air Corp pilots were killed in fewer than 3 months trying to deliver air mail. Army Air Corp bought six Link Trainers in order for pilots to become familiar with airplane controls and flying conditions. The Link Trainers gained popularity during World War II, when more than 10,000 Trainers were sold to combatant nations. Blue Boxes trained more than 500,000 US pilots. Today, flight simulators with advanced software and computer screens have become required components in aviation pilot training in the US.
Cerebrovascular accidents, commonly known as stokes, are the fifth leading cause of death in the United States. The latest statistics from the Centers for Disease Control(CDC) put the number of stroke deaths at more than 140,000 per year. That is just the number of deaths. The number of those disabled from a stroke is much higher.
I began my medical career as a first responder within the US Army. I was a US Army Special Forces Medical Sergeant or Green Beret Medic (18D). We received the civilian NREMT Emergency Medical Technician and Paramedic Training curriculums augmented with 3rd world-centric medicine and military trauma management training. The training provided to me was thorough and detailed. We were held to a high-performance standard, and patient care mistakes or oversights were unacceptable as our next patients would be in a combat zone.
Infantile hypotonia presents significant challenges in the pre-hospital setting. As a paramedic or EMT you will likely respond to calls involving both acutely and chronically ill children. The skill of accurately and rapidly assessing a pediatric patient’s tone is essential in the first moments of an encounter. Developing an approach to handling severe abnormalities comes with training and experience. In general, preparing for these encounters both in thought and in practice is a must to do your best out there. This article will explore hypotonia and provide background on the topic, as well as a few cases, that may aide pre-hospital professionals in further improving their preparedness in this arena.
Partum and peri-partum calls don’t happen all that often, but as an EMS professional you can expect to respond to the type of case described above at least few times in your career.
In 1986 the CDC began tracking pregnancy-related deaths and since collecting this data rates have more than doubled. Although we may not realize it, the United States has the highest maternal mortality rate of any highly developed nation, according to the Alliance for Innovation on Maternal Health (AIM). Few nations beside the USA have a rising maternal mortality rate, amongst them are Afghanistan and Sudan.
The tones drop, you get to the rig, lights and siren scream out. You are on your way to a 5-month-old baby. Dispatcher says its an “unknown medical” call.
You get on scene and are met by frantic family members. You and your partner get into the house and the mother is crying. In between her sobs she’s begging you to save her baby. When you finally get to the child, you see that it is seizing. Then it stops. There is nothing. No movement and no breathing.
This is the first time you’ve ever handled a call like this.
You’ve only been an EMT for two weeks.
Training wasn’t like this. It wasn’t this real.
We’ve all been there — that patient whose circumstance, behavior or personality really makes us question our career choice. Perhaps it is a belligerent intoxicated homeless person or a very demanding, loud and aggressive person with a seemingly minor complaint. I’ll admit, there are times that I just want to walk away. It is easy to get angry. Expeditious to be dismissive. The challenge for me is to find a way forward and not react to a seemingly “bad” patient.
As we were about to deliver a PerSim system to Austin Community College the other day, I was reminded of the possibilities of how this company can transform the landscape of healthcare training. Last week while we were visiting some fire stations a voice rose from the corner of the room. I could not see his face, but his voice gently boomed across all other noises and sidebar conversations. It was immediately evident in the body language of the other firefighters in the room that this was the voice of someone respected and well regarded. The question, “So, you are going to take 15 years of experience and compress it into this medical simulator?”
The time for harvesting the benefits of augmented reality (AR) has arrived after decades of development in research labs. The confluence of affordable hardware and powerful software has made the possibilities as limitless as the human imagination.
Medical practice isn't just the regurgitation knowledge and doing procedures. The critical component is having the understanding, judgement and cognitive skill to apply the knowledge and motor skills in the appropriate context. Metacognition is the knowledge and awareness of one's own thought processes. The more aware a medical provider is of their thought processes, their limitations and strengths, the more effective that medical provider can be.