• 2010 Outreach Education Flyer
• Map to Chesterfield Training Office
• Hospital Transfer Packet

Ever wonder what it is like to take care of a patient in the back of a helicopter? Our Ride Along class will give you the opportunity to observe critical care in the air.  The class is an hour and a half long.  We introduce you to our helicopter service, give you a brief history of air EMS, a safety briefing, and an overview of what goes into a transport with the different types of patients. We have classes scheduled twice a year.  Or you can have the class brought to you at your convenience.  We ask for a minimum of 10 participants. CEUs are given.Ride Alongs are not available at every base.

4/14/2010 and 9/21/2010 – Start at 1300 at ARCH St. Louis Headquarters

• Aircraft Utilization and Safety (Inter-facility)

Discuss briefly the history of air medical transportation. Understand when to utilize air medical transportation. Understand when to utilize air medical transportation. Discuss various situations when air medical transportation is necessary. Discuss patient preparation and what paperwork requested to be completed upon flight crewmembers arrival.

• Street Drug Usage, Club Drugs

Define GHB and its chemical make-up. Identify and describe the patient’s clinical presentation. Verbalize the testing for GHB recognition and appropriate treatment modalities. Discuss other common club drugs and the potential side effects. Participant will be able to describe treatment of the patient with the clinical presentation of the drug ingestion.

• Electrocution Injuries

Familiarize attendees with incidence of electrocution injuries. Define certain terms relating to electrocution injuries. Understand the mechanism of injury and pathophysiology seen with lightening injuries. Verbalize pre-hospital considerations relative to electrocution injuries.

• Geriatric Emergencies

Discuss statistics on aging and the geriatric population. Discuss the general age-related organ system decline as it relates to the respiratory system, cardiovascular system, renal system, nervous system, musculoskeletal and GI system. List the four factors that complicate the clinical evaluation of the geriatric patient. Discuss why the elderly are more susceptible to trauma. Discuss the impact of the environment to the elderly.

• Multi-Organ Dysfunction Syndrome

The participant will be able to differentiate the difference between the definitions of MODS, MOF & MSOF. The participant will identify etiologies and risk factors of MODS. The participant will discuss and recognize the pathophysiology associated with MODS. The participant will recognize the clinical manifestations of MODS. The participant will identify the nursing implications when caring for a patient with MODS.

• Obstetrical Emergencies

Review common types of emergencies associated with the obstetrical patient. The obstetrical patient is unique and volatile and requires highly educated and trained personnel participating in the care. The learner will be able to identify such disease processes as Pregnancy Induced Hypertension, Pre-eclampsia, Eclampsia, HELLP and Disseminated Intravascular Coagulation.

• Emergencies of the Pediatric Patient

Identify the general goals of the management of the pediatric patient. Identify normal age related vital signs in the pediatric patient. List the appropriate developmental milestones for each group of children and relate the appropriate approach to patient assessment. Discuss the pathophysiology, assessment and prehospital management of specific disease processes.

• Respiratory Emergencies

The participant will be able to review structures of the upper and lower airway. The participant will discuss the process by which respiration occurs. The participant will review the principles of lung volumes and capacities. The participant will review the respiratory assessment techniques.

• Thoracic Trauma, “I Can’t Breathe”

The participant will be able to identify something old, something new and something borrowed in regards to chest trauma. The participant will verbalize the key points to thoracic physiology. The participant will be able to identify specific thoracic injuries and treatment required based on extent of injury.

• Latex Allergy

Participant will describe where natural rubber latex is found. The participant will identify the types of reactions to latex and the clinical presentation of each reaction. Discuss the treatment of anaphylaxis and how to avoid a latex reaction. The participant will discuss some current testing for the protein and some legalities involved with latex.

• Airway Management and RSI

The participant will review anatomy of the upper airway. Discuss the problems involved with the intubation process and maintaining the airway. The participant will review common drugs used in the RSI procedure and the side effects of the drugs.

• Brain Injuries, “I think I need a Bigger Box”

The participant will discuss the basic science of brain injuries. The participant will discuss and recognize the most common brain injuries. The participant will define and employ treatment options. The participant identifying the new 1998 recommendations of the brain injury foundation.

• Behavioral Emergencies

Discuss the general adaptation syndrome and stages involved with physical changes/psychological changes. Discuss the anxiety disorders and how to approach the patients. Verbalize the appropriateness of using medications for the psychiatric patient. (Avoid use of medication if at all possible).

• Burn Management

The participant will determine the assessment parameters of the burn victim. The participant will identify the extent and degree of burns. The participant will demonstrate airway management in burn victims. The participant will calculate the appropriate BSA and burn degrees for a patient scenario.

• Diabetic Emergencies

Define Diabetes Mellitus-Type I and Type II. State the clinical presentation for altered mental status, hypoglycemia, DKA and HHNS. Discuss transport considerations for Altered mental status, hypoglycemia, DKA and HHNS.

• Pediatric Trauma

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• Aircraft Utilization & Safety (Scene Response)

Discuss history of ARCH. Discuss various situations for which air medical transportation from scenes may be appropriate. Discuss how to request service provided by ARCH. Discuss proper landing zone selection, preparation and safety procedures.

• Do I Need a Helicopter?

Understand mechanism of injury and forces involved. Identify common types of forces that effect common injuries. Verbalize important assessment components associated with the following incidents: MVC, fall, MCA, Ped vs. car, blunt trauma and penetrating trauma. Identify the process on how to call for a helicopter. Information needed when a helicopter is requested.

• Environmental Emergencies

List and describe the four mechanisms by which the body loses heat. Describe the mechanisms the body uses to maintain body temperature in warm and cold environments. Define the receptive pathologies for the three great disorders that affect the human system. List the predisposing factors for the common heat disorders.

• Mangled Extremities

The participant will identify assessment skills necessary to care for orthopedic patients. The participant will verbalize complications related to specific injuries. The participant will be able to implement the appropriate interventions necessary to improve patient outcomes.

• Assessment (Tips and Strategies)

The participant will develop a systematic approach to an assessment. The participant will verbalize the components of the primary and secondary surveys. The participant will verbalize life threats and treat accordingly. The participant will perform a return demonstration of a trauma assessment.

• Ocular Emergencies

Review the anatomy of the eye. Discuss the specific injuries associated with ocular trauma. Verbalize appropriate nursing interventions for the specific ocular injuries.

• Pharmacological Updates in EMS (The use of herbal remedies)

The participant will define phytomedicine. The student will be able to discuss the lack of standardization of the herb industry. The participate will be able to state at least three herbal remedies and classifications for each herb. The student will be able to state the clinical presentation of each herb and the appropriate treatment of each one.

• Shock

Define Shock, Recognize compensatory mechanisms to maintain perfusion. Describe pathophysiological effects of shock. Identify four types of shock. Identify classifications of shock.

• Trauma Case Studies

Review specific injuries associated with trauma patients. Review mechanism of injury. Discuss treatment for trauma patients specific to their injuries.

• Cerebral Vascular Accidents

The participant will discuss current information on the numbers and types of patients experiencing acute cerebrovascular accident. The participant will discuss and recognize the preventable causes and effects of acute CVA. The participant will describe new and emerging therapies in the diagnosis and care of acute CVA.

• Crash Recovery

Discuss the initiation of affected EMS/Fire Departments in the area of the crash site. Discuss how to approach an aircraft down. Verbalize the importance of retaining the scene of the crash. Verbalize the appropriate landing zone for helicopter transport.

• Sick Hearts

The participant will review anatomy of the heart. The participant will discuss the location of the coronary arteries, what are of the heart it supplies and anticipated problems. The participant will verbalize the etiologies considered in the differential diagnosis of chest pain.

• Rural Farm Trauma

Identify differences between rural and urban incidences. List major types of farm incidence. Identify common types of equipment. Discuss associated injuries and treatment with various types of mechanisms of injury related to rural trauma. Verbalize priorities of patient care via case studies.

• SIADH/DI

The participant will define SIADH and DI and state the conditions that may precipitate the conditions. The participate will verbalize the signs and symptoms displayed by each condition. The student will state the treatment modalities of each condition.

• Childbirth Emergencies

Discuss the physiological changes the patient experiences when pregnant and why the changes occur. The learner will review the stages of labor and management of the newborn. Hands- On delivery and fetal resuscitation will occur after the didactic component.

• Hypothermia

• Workplace First Aid

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