Investing in prevention
May 27, 2009 | Steve | Leave a Comment
With Memorial Day in the books, the season turns to high school graduations and proms. Every year in the news, tragic reports of young adults killed because of poor choices. To me, this is a failure of our ability to teach them about choices and consequences.
In our area, each year the local emergency services in conjunction with one of the local high school SADD chapters presents a “mock dwi accident”.
These are scripted accidents based on a real event. Several months in advance, the student actors begin to prepare for their role. They ride with patrols, fire departments and EMS. We require them to research the effects of alcohol and drugs, traumatic injuries, legal issues and several other items. These items are presented to their student body, prior to the “accident”.
The event starts with a 911 call from one of the actors, followed by actual dispatch of agencies that would be involved. Usually the stadium scoreboard clock is set at 60 minutes, with the concept of the “golden hour” explained.
The arrival of police,fire and ems begin the actual extrication. Depending on the weather, we can usually get a medflight to land, just as a lasting impression.
Finally, the intoxicated driver gets interviewed, tested and placed in custody.
Prior to the beginning of the event, one of the students was picked out of the crowd to hide some cannibus in the DWI car.
Without fail as usual, the K-9 finds the stash.
By the time the event is over, it’s so quiet in the stadium, its eerie.
The other program we host is call “Let’s not meet by accident”. It is a no holds barred look at what happens when poor choices are made and the student is involved in an accident. It explains all of the medical procedures used in EMS, emergency room and OR. It also explains the legal concepts of being a minor or being unconscious and losing the ability to express your choices.
Want to get the attention of an 17 year old girl; show them the “paramedic scissors” and explain they can cut through any underwire bra. And yes if you have serious injuries, I will be cutting off your clothes.
Want the attention of that big burley 17 year old football player? Show him a foley catheter, explain what it is, where it goes and the fact because of his choice, he no longer has a choice about these issues. And yes the nurse will be inserting this!
The time invested to host these programs can be immense. The aren’t cheap. If your area has events such as these, ask what your agency or you can do to support them. If your area doesn’t have these kind of prevention programs start one….imagine what it would be like to make one young adult think twice about drinking and driving…..
Priceless!
I got your back
I know you’ve got mine!
Steve
Researchers at the University of Illinois medical school released the results of a small study involving CPR and the Bee Gee’s 1977 hit “Stayin’ Alive“. The study examined the effects the song had on practitioners performing chest compressions during CPR. With 103 beats per minute, the song’s rhythm is close to the recommended pace of 100 compressions per minute for CPR.
The 2008-2009 Winter Pathways highlighted the study and is available direct as a PDF download from UIC Peoria.
Study participants included doctors and medical students who received a CPR refresher. During the first phase of the study, participants listened to “Stayin’ Alive” and were instructed to perform chest compressions on mannequins to the song’s beat. The study results indicated that listening to “Stayin’ Alive” helped the study participants maintain the recommended rate of compressions. Participants stated that they felt more confident and believed their CPR was better while listening to music.
The music-CPR relationship was originally identified in 2005 by Dr. Alson Inaba, a pediatric emergency specialist at the University of Hawaii. While many popular songs have a suitable beat, an official list of CPR- appropriate songs has not been compiled for release.
It has been noted that Queen’s “Another One Bites the Dust” has the correct beat. However, due to the not-so-optimistic tone the song conveys, it’s not anticipated that “Another One Bites the Dust” will be frequently used, at least not by physicians or civilians; EMS may heartily adopt it.
Burn your 100BPM CPR CD/MP3 tracks to play in the back of the ambulance on your next code.
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