A Time to ACT — Antidote, CPR/AED, Tourniquet

This article will explain the reasons behind the low percentages of citizens being trained and utilized to address critical emergencies in their community, as well as detail a revised first-aid program that was developed based on these findings and current leading threats to modern society. The ACT (i.e., Antidote, CPR/AED, Tourniquet) program provides an evidence-based approach that effectively and efficiently empowers a greater portion of the public to save a life. In an effort to improve cardiac resuscitation results and address multiple other emergency response needs, South County Fire Deputy Chief Shaughn Maxwell, EMT-P, and Medical Director Rich Campbell, MD, along with assistance from department staff, researched currently available citizen emergency response programs on the effectiveness of the programs and derivations that have been proven effective. Maxwell and Campbell subsequently authored a new program and curriculum to address he needs of both their agency and their community of South Snohomish County, Washington. The ACT program consists of a one-hour hands-on course that teaches three vital first-aid skills: Antidote for suspected opiate overdose with hands-on naloxone delivery via training aid and naloxone simulator; CPR/AED delivery with hands-on training; and Tourniquet application and wound packing to stop bleeding. The ACT program is based on evidence-based research, supported by over 30 academic references. The program is:
Source: JEMS Patient Care - Category: Emergency Medicine Authors: Tags: Trauma Exclusive Articles Source Type: news

Related Links:

U.S. suicide rates are at their highest since World War II, according to federal data—and the opioid crisis, widespread social media use and high rates of stress may be among the myriad contributing factors. In 2017, 14 out of every 100,000 Americans died by suicide, according to a new analysis released by the Centers for Disease Control and Prevention’s National Center for Health Statistics. That’s a 33% increase since 1999, and the highest age-adjusted suicide rate recorded in the U.S. since 1942. (Rates were even higher during the Great Depression, hitting a century peak of 21.9 in 1932.) “I do...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized public health Source Type: news
Conclusion: Our findings describe the most reported risk factors for preventability of oral anticoagulant-induced bleedings. These factors may be useful for targeting interventions to improve pharmacovigilance activities in our regional territory and to reduce the burden of medication errors and inappropriate prescription. Introduction Oral anticoagulant therapy is widely used for the prevention of stroke and systemic embolism in patients with atrial fibrillation, or for the prevention and treatment of deep vein thrombosis and pulmonary embolism (Raj et al., 1994; Monaco et al., 2017). Oral anticoagulants can be di...
Source: Frontiers in Pharmacology - Category: Drugs & Pharmacology Source Type: research
Marco Vacante1, Antonio Biondi1, Francesco Basile1, Roberto Ciuni1, Salvatore Luca1, Salomone Di Saverio2, Carola Buscemi3, Enzo Saretto Dante Vicari3 and Antonio Maria Borzì3* 1Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy 2Cambridge Colorectal Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom 3Department of Clinical and Experimental Medicine, Specialization School in Geriatrics, University of Catania, Catania, Italy There is a high prevalence of hypothyroidism in the elderly population, mainly among women. The mo...
Source: Frontiers in Endocrinology - Category: Endocrinology Source Type: research
CONCLUSIONS: Initiation of apixaban versus NOACs was more common among patients with increased age, higher bleeding risk and decreased renal function, whereas initiation of apixaban versus VKAs was more common among patients with lower bleeding risk and better renal function. PMID: 31014991 [PubMed - as supplied by publisher]
Source: Archives of Cardiovascular Diseases - Category: Cardiology Authors: Tags: Arch Cardiovasc Dis Source Type: research
The Splenic infarct is a rare clinical condition seen in the emergency department and can mimic acute abdomen. Hematologic, vascular and thromboembolic events are considered in the etiology. Treatment options are varying between symptomatic treatment and splenectomy. Warfarin is a vitamin K antagonist used for prevention and treatment of the thromboembolic disorders. In overdose situations there is a possibility for bleeding in every part of the body. Prothrombin complex concentrates, vitamin K and fresh frozen plasma (FFP) are used in the treatment of warfarin overdose.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Case Report Source Type: research
Splenic infarction is a rare clinical condition seen in the emergency department and can mimic acute abdomen. Hematologic, vascular, and thromboembolic events are considered in the etiology. Treatment options vary between symptomatic treatment and splenectomy. Warfarin is a vitamin K antagonist used for the prevention and treatment of thromboembolic disorders. In overdose situations, there is a possibility of bleeding in every part of the body. Prothrombin complex concentrates, vitamin K, and fresh-frozen plasma are used in the treatment of warfarin overdose.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Case Report Source Type: research
With the rise in public and professional concern over opioid overdose deaths, a growing emphasis is being placed on using non-opioid analgesics. Nonsteroidal anti-inflammatory drugs, while not new, are garnering new interest as opioid alternatives. Along with demonstrated analgesic efficacy for nociceptive pain, these medications carry significant risks of morbidity and mortality from multiple mechanisms, ranging from hypertension, GI ulcerations, bleeding, kidney injury and cardiovascular acute events.
Source: Pain Management Nursing - Category: Nursing Authors: Source Type: research
The objective of this publication is to make practical suggestions for the perioperative management of NOACs as well as for their handling in overdoses and bleedings.Recommendations: In elective surgery and creatinine clearance ≥ 50 ml/min, a NOAC should be discontinued 24-36 h before the intervention, and even earlier in case of reduced kidney function. In emergency interventions that cannot be delayed, the management is dependent on the NOAC plasma levels. With levels ≤ 30 ng/ml, surgery can be performed. With levels>30 ng/ml, reversal agents should be considered. In low bleeding risk surgery, NOACs can be re-st...
Source: Transfusion Medicine and Hemotherapy - Category: Hematology Source Type: research
Conditions:   Peptic Ulcer Hemorrhage;   Peptic Ulcer, Acute With Hemorrhage;   Peptic Ulcer;   Proton Pump Inhibitor Overdose Intervention:   Drug: intermittent (40mg as a bolus injection daily for 72hours) Sponsor:   Samsung Changwon Hospital Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
This study examined the risks of a range of adverse events in a large cohort of patients prescribed long‐term opioids using the UK Clinical Practice Research Datalink.MethodsPatients with musculoskeletal conditions starting a new long ‐term opioid episode (defined as ≥3 opioid prescriptions within 90 days) between 2002‐2012 were included. Primary outcomes: major trauma and intentional overdose (any). Secondary outcomes: addiction (any), falls, accidental poisoning, attempted suicide/self‐harm, gastrointestinal pathology a nd bleeding, and iron deficiency anaemia. ‘Control’ outcomes (unrelated to opio...
Source: European Journal of Pain - Category: Anesthesiology Authors: Tags: Original Article Source Type: research
More News: Academia | Bleeding | Emergency Medicine | Overdose | Teaching | Training | Universities & Medical Training