Wow…take a vacation and come back to something good…on an off week, even.
Medic Trommashere came over to talk to us about PCP, Head Injuries, and a few other things.
How can we manage a PCP overdose? Basically supportive care–protect ourselves FIRST! Make sure to watch the ABC’s and hyperthermia (hypothermia in the cold areas). The agitation can be taken care of with Haldol. PCP is a RARE drug…last seen in the 60s and 70s (before I was born).
RED DANES is the mnemonic for S/S of PCP use.
- Erythema (redness of skin)
- Dilated Pupils
- Nystagmus (oscillation of the eyeball when moving laterally)
- Skin Dryness
A moderate amount of PCP often causes users to feel detached, distant, and estranged from their surroundings. Numbness of the extremities, slurred speech, and loss of coordination may be accompanied by a sense of strength and invulnerability. A blank stare, rapid and involuntary eye movements, and an exaggerated gait are among the more observable effects. Auditory hallucinations, image distortion, severe mood disorders, and amnesia may also occur. In some users, PCP may cause acute anxiety and a feeling of impending doom; in others, paranoia and violent hostility, and in some, it may produce a psychoses indistinguishable from schizophrenia. Many believe PCP to be one of the most dangerous drugs of abuse.
PCP can also act the same way as acid (aka LSD) and can stay in your system up to a decade.
Now for the “headache” of the evening…HEAD INJURIES
She’s giving a presentation on this at EMSToday in February.
We talked a little about Tracy Morgan and his fatal automobile accident. A helluva job was done despite the vilification of Fire and EMS by the media.
we also spent a few minutes on “Double Sequential Defibrillation”
This is done after 5 minutes of refractory V-Fib–by hooking a patient up to 2 different defib units AT THE SAME TIME, delivering 400J-720J of “HOLY SHIT” at the same time. This started in Wake County, NC. I found an article on it here and here It’s being used in both Wake County and in New Orleans, LA.