Transcript February 2017 EMS CE: Infectious Disease

FEBRUARY 2017 EMS CE:
INFECTIOUS DISEASE &
TOXICOLOGY
Prepared By: Teresa Boron BSN, RN, TNS
IDPH Site Code: 107200E-1217
Course Objectives
■ Upon successful completion of this module, the EMS provider will be able to:
■ Describe the difference between an infectious disease and communicable disease
■ Describe the pathophysiology of several infectious diseases.
■ Explain the isolation procedures that should be employed when treating this patient
population.
■ List the signs and symptoms of listed infectious diseases.
■ Discuss the pre-hospital management of the patient with suspected infectious disease.
■ Describe the role of poison control centers in surveillance and management of
toxicological emergencies.
■ Describe the routes by which toxins can enter the body.
■ Explain the specific considerations in the pathophysiology, assessment, and
management of exposure to a variety of toxic substances.
■ Demonstrate appropriate steps to use the MAD device.
■ Demonstrate appropriate steps for Narcan administration.
■ Successfully complete the post-quiz with a score of 80% or better- Makeups only!!!
INFECTIOUS DISEASE
For the Prehospital Provider
Infectious Disease Vs. Communicable
Disease
■ Infectious Disease: Illness resulting from the presence of a pathogenic biological
organism in a host organism. (Bacteria, Virus, fungus, parasites etc.)
■ Communicable Disease: An infectious disease that easily spreads from one human
to another. All communicable diseases are infectious diseases, but not all infectious
diseases are communicable.
LET’S GET STARTED
10 Infectious Diseases
Back to Basics
■ Microorganisms
– Bacteria
– Viruses
– Fungi
– Parasites
Contraction and Transmission
■ Bloodborne
■ Airborne
■ Fecal-Oral
■ Sexual
Infection Control- Prehospital
■ Preparation for response
■ Response
■ Patient Contact
■ Recovery
■ Infectious Disease Exposures
Assessment of the Patient
■Past Medical History
■The Physical Examination
A FEW SPECIFICS…
HIV, Pneumonia, Meningitis, Tuberculosis, Gastroenteritis, Scabies/Lice,
Antibiotic Resistant Infections.
HIV
■ Risk to the general public
■ Risk to the health care worker
■ Clinical presentation
■ Post-exposure prophylaxis
Pneumonia
■ History and Assessment
■ Patient Management and PPE
■ Post-exposure Management
Meningitis
■ Transmission Factors
■ Clinical Presentation
■ EMS Response and Post-exposure
Tuberculosis
■ The Basics
■ Clinical Presentation
■ EMS Response
■ Post-exposure Identification and Management
Gastroenteritis
■ Transmission Factors
■ Clinical Presentation
■ EMS Response
Scabies/Lice
■ Transmission Factors
■ Clinical Presentation
■ EMS Response and Post-exposure
Antibiotic Resistant Infections
■ Causes
■ Antibiotic overuse/misuse
■ Problems With Not Following Instructions
■ Consequences
■ Stewardship
Sepsis
■ Sepsis
■ Severe Sepsis
■ Septic Shock
■ Management
EMS TOXICOLOGY
Prehospital Management of Toxicological Emergencies: Carbon
Monoxide, Cyanide, Cardiac Medications, Hydrofluoric Acid, Hydrocarbons
Toxicological Emergencies
■ Poison Control Centers
■ Routes of Toxic Exposure
Carbon Monoxide
■ Sources
■ Pathophysiology
■ Signs and Symptoms
■ Management
Cyanide
■ Signs and Symptoms
■ Management
Cardiac Medications
■ Signs and Symptoms
■ Management
Hydrofluoric Acid
■ Signs and Symptoms
■ Management
Hydrocarbons
■ Signs and Symptoms
■ Management
DID YOU KNOW???
■ In 2015, the Illinois Poison Center handled 79,627 calls!
■ Healthcare professionals called the IPC on 23,183 poisoning cases in 2015!
■ Illinois healthcare professionals contact the IPC at a rate of 40% higher than the
national average!
■ IPC experts managed 90% of the poison exposure calls from the public at the site of
the exposure- eliminating the need for a referral to a health care facility.
■ The IPC saves the people of Illinois $60million annually- by preventing unnecessary
911 calls and visits to a doctor or hospital.
■ The Illinois Poison Center is the nation’s oldest and one of the largest poison centers
in the US
The Top 10
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1. Analgesics
2. Sedative Hypnotics/antipsychotics
3. Cosmetics/Personal care products
4. Cleaning substances
5. Antidepressants
6. Alcohols
7. Cardiovascular drugs
8. Antihistamines
9. Foreign bodies/Toys
10. Topical preparations
DRUG VS. CANDY
GAME
Click Here
SKILLS TIME!!!
MAD DEVICE, NARCAN ADMINISTRATION
Bibliography
■ https://www.cdc.gov/hiv/workplace/healthcareworkers.html
■ http://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/antibiotics/art20045720?pg=2
■ Brady. Paramedic Care: Principles & Practice, 4th ed. Bledsoe. Porter. Cherry. 2013.
■ http://realitypod.com/wp-content/uploads/2011/07/87.jpg
■
http://media3.s-nbcnews.com/i/newscms/2014_18/409436/140429joff_b4a01385edc94aa940b2933c1a779ad8.jpg
■ http://www.moondancejam.com/images/bandspage/06poison.jpg
■ http://vdilab.com/ffiles/49_sepsis%20continum.jpg
■ https://www.cdc.gov/foodsafety/rawmilk/raw-milk-questions-and-answers.html