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  • Publication Name: New Braunfels Herald Zeitung
  • Location: New Braunfels, Texas
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View Sample Pages : New Braunfels Herald Zeitung, March 22, 1987

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New Braunfels Herald Zeitung (Newspaper) - March 22, 1987, New Braunfels, Texas Insight Sunday, March 22.1987_Hacakfr^aHung    Maw    Bfaunfata,    Taxaa_ Raga    SA Guest Column EMS By DR. JOHN R. FLANAGAN EMS Medical Director A call is received at central dispatch for a patient with "possible MI ” A telephone number and address are received and EMS is dispatched and ames at the scene two and a half minutes after the call They find a 62 year-old male lying on the floor extremely short of breath, pale and sweating He is clut ching his chest and hardly seems aware of the paramdeics arrival The paramedic immediately assesses the patient and finds out that after playing 18 holes of golf he had come home and complained of not feeling well ( hest discomfort nausea sweating and left arm pain had started around 20 minutes prior to the EMS arrival He has no history of heart attacks but had occasional bouts of indigestion KMS puts the patient on oxygen hooks up leads to an electrocar diogram monitor that will tell EMS the electrical activity of the patient " heart Th** EMJ monitor shows the patient has mg multifocal PA C's ab normal tieats of the hert at an alar ming rate V ital signs show a blood pressure of IOO 60 with a highly lr regular pulse of ho and respiratory rate of Jo KMs immediately starts an 1\ and through a phone patch back to McKenna Emergency Department the patient s EK*, rhythm is relayed to an emergency medical physician He orders !<■» milligrams of Lido came stat and the paramedics prepare to push this potentially life threatening medication Just prior to getting this mettle a turn the patient arches his back his eyes roll bat k and the EKG monitor shows a th ret* second opiate of ven truular tachycardia that rapidly deteriorates into ventricular fibrilla Hon rapid lethal rhythm This is seen by the emergens y physician through the Eh', telemetry and a defibrillation at Jo jiKiies is ordered stat Paramedics apply the gel anti then the paddles to the patient s chest The buttons are pushed The patient s txnfy jerks and. The mini hospital the monitor again shows the normal sinus rhythm with multifocal PVCS Lidocame is pushed intravenously while another paramedic intubates the patient and breathes for him The patient is prepared for transport and brought to the McKenna Emergency !K*partment saved from certain death Every paramedic in our New Braunfels EMS has experienced the above situation and others I don t know of any other field rn medicine that is more rapidly expanding than the Emergency Medicine field The amount of things that are done by paramedics for stabilization at the scene has increased both in number and complexity requiring higher and higher levels of triamng and more devotion from the individual About I i to 20 years ago EMS meant pick up the patient and take him to the hospital as soon as possible This is the throw and go philosophy However many patients died on transport or were in such serious condition by the time they got to the hospital that they had signifi cant morbidity or mortality The golden hour as in any pre hospital situation is the time when the patient is first seen by health car** providers and is at the patient s more vulnerable period This iv where the lifesaving measures have their greatest effect such av electro* ar diversion of the patient out of a rapidly lethal rhythm into a life sustaining rhythm or 1\ fluids and M AST trousers for a * ar wreck vie tim who was bleeding internally (nim a lacerated liver Obviously the amount of training that is required to diagnose and treat the above cond! Hons is immense arni net essitatev lev ut ion to h M s Three years ago New Braunfels h Ms was still in a throw and go situation Since then, with the help of dedicated men. New Braunfels EMS has become a first-class prehospital emergency care delivery system Paramedics have been trained, monitor defibrillators have been acquired. advanced life support medications and IV fluids have been stocked and continuing medical education done keeping paramedics current on new developments The New Braunfels EMS truly now is a ’ mini hospital" capable of handl mg prehospital medical and trauma emergencies Paramedics with two years of training in EMS and multi pie years experience ride on each of the Advance Life vupport units Each of the AlJv units has a monitor defibrillator and is capable of monitoring the patient s electical activity of the heart as well as transmit ting that information to McKenna Memorial Emergency department The monitor defibrillator is also capable of cardioversio. which is capable of delivering a specif I type of electrical shock that will change a life threatening dysrrythmia to a functional rhythm Multiple medica turns are carried by the EMS capable of handling most crash situations — from cardiac arrest to extremely high or low blood pressures, to malignant rhythms of the heart and stabilization measures for trauma These and many more activities and measures are taken on a routine basis by New Braunels EMS to save lives and lessen illness Yet. imperfections exist There are occasions when all the advanced life support units have been sent out in response to emergencies and yet another call for ALS capabilities comes in These calls have to be made by a basic life support ambulance with the advance skills During the summer, with the visitors to the Guadalupe River and Canyon Lake EMS is running many times without the backup ALS units Obviously more paramedics, as well as ALS units are necessary Finances have been and will be a strong limiting factor IUnderstanding the importance of our EMS can help correct this situation The many people whose lives have been saved and illensses lessenedcan testify to the importance of a highly skilled ALS mmi-hospital EMS N B City Council to meet New Braunfels City Council will meet in regular session Monday night at New Braunfels I t ll it les board room at 7 to p rn The agenda includes the public hearing and first reading of an or dinanie to rezone a portion of 4*m I S 81 VS NCB 407.1 lx>t < from K 3 multi family district to C l commercial district Council also will appoint one member to the Harks and Recreation Advisory Board for a term ending ikt Ll !-*87 and one member to the River" Board for a term ending 1*87 The agenda als** include" Consider tirst reading of an or dinance amending the wrecker or dinance and "effing forth a kl day late filing period and establishing a penalty for late filing ,-*1 - Advisory June SU Consider a resolution authorizing the city attorney to file suit against Southwest Inns Ltd and any other responsible parties for collection of delinquet hotel occupancy tax Consider scheduling a workshop with the Drainage Advisory Committee to discuss the proposals for the development of a watershed management program and related ordinance documents Consider proposals for the operation of the Prince Solms Park Tube Chute Consider rejecting the bids for the construction and remodeling of the ( entral Eire Station complex and construction of County Line Road fire "ubstation and authorizing the city manager to advertise for new bids Entire Stock LADIES' DRESS SHOES 25% Reg. I anion* name *|iring lire** • hoe* for women qtecial group of ext King *tv ie* from a collection bv I lf*- Mride, I a I leo and Mi** Jennifer Some with mid or higher heel* Grand color ^election hut *tv Ie* will varv bv More* V I OM Calico \ / *lteall* I barge I ani *\ i*a •Ma*teH ani •l)i*r«ter • American E\|»r**»» Nbw Braunfels Courtyard Cantar 10 a m. to 9 p.m., Mon. Sat. 12:30 p m. to 5:00 p.m.. SundaySts. Peter and Paul Second grade students receive first sacrament Twenty-two second graders received the sacrament of Penance for the first time last month. They will be receiving the sacrament of Holy Eucharist for the first time in May Judy Biome is their catechist and teacher CT BS testing Last week was set aside for the Comprehensive Testing of Basic Skills The students of ail archdiocesan Catholic schools are required to take the tests Western dress-up day Sponsored by the Student Council. the Sts Peter and Paul students dressed Western style March 19 Prizes will be given on three levels — primary, intermediate and junior high Dental checks Dentists Joe Kuehler and Ed Sciantarelli will perform dental checks of all students March 23 This testing is performed annually as are hearing, vision and scoliosis testing I ** I VV Sa I. X Mi..lit.. NI ;