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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 New PigiSA Guest Column EMS mini hospital By JOHN EMS Medical Director A call is received at central dispatch for a patient with possible A telephone number and dress are received and EMS Is dispatched and arrles at the scene two and a half minutes after the They find a 62yearold male lying on the floor extremely short of pale and He is clut ching his chest and hardly seems aware of the paramdelcs Thel paramedic immediately assesses the patient and finds out that after playing 18 holes of he had come home and complained of nolr feeling Chest sweating and left arm pain had started around 20 minutes prior tothe EMS He has no history of Heart but had occasional bouts of EMS puts the patient on hooks up leads to an electrocar diogram monitor that will tell EMS the electrical activity of the patients The EKG monitor shows the patient having mullifocal PVCs ab normal beats of the hert at an alar ming Vital signs show a blood pressure of with a highly ir regular pulse o 80 and respiratory rate of EMS Immediately starts an IV and through a phone patch back to McKenna Emergency the patients EKG rhythm is relayed to an emergency medical He orders 100 milligrams of Lido caine slat and the paramedics prepare to push this potentially llfe Ihreatenlng medication Just prior to getting this medica the patient arches his his eyes roll back and the EKG monitor shows a threesecond episode of ven tricular tachycardia that rapidly deteriorates Into ventricular fibrilla tion i rapid lethal rhythm This is seen by the emergency physician through the EKG telemetry and a defibrlllalion at 200 Joules Is ordered slal Paramedics apply the gel and then the paddles to the patients The buttons are pushed The patients body jerks and the monitor again shows the normal sinus rhythm with multifocal Lidocaine is pushed intravenously while another paramedic intubates the patient and breathes for The patient is prepared for transport and brought to the McKenna Emergency Department saved from certain Every paramedic in our New Braunfels EMS has experienced the above situation and I dont know of any other field in medicine that is more rapidly expanding than the Emergency Medicine The amount of things that are done by paramedics for stabilization at the scene has increased both in number and requiring higher and higher levels of trlanlng and more devotion from the About 15 to 20 years EMS meant pick up the patient and take him to the hospital as soon as This is the throw and go 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 The golden hour as in any prehospital situation Is the time when the patient is first seen by health care providers and Is at the patients more vulnerable This is where the lifesavlng measures have their greatest such as electrocar dioversion of the patient out of a rapidly lethal rhythm Into a life sustaining or IV fluids and MAST trousers for a car wreck vic tim who was bleeding internally from a lacerated liver the amount of training that is required to diagnose and treat the above condi tions is immense and necessitates devotion to EMS Three years New Braunfels EMS was still In a throw and go Since with the help of dedicated New Braunfels EMS has become a firstclass prehospital emergency care delivery Paramedics have been monitor defibrillators have been ac advanced life support medications and IV fluids have been stocked and continuing medical education keeping paramedics current on new The New Braunfels EMS truly now Is a mini hospital capable of handl ing prehospital medical and trauma Paramedics with two years of training in EMS and multi ple years experience ride on each of the Advance Life support Each of the ALS units has a monitor defibrlllator and is capable of monitoring the patients electical ac tivity of the heart as well as transmit ting that information to McKenna Memorial Emergency The monitor defibrillator is also capable of which is capable of delivering a specifi type of electrical shock that will change a life threatening dysrrythmia to a functional Multiple medica tions are carried by the EMS capable of handling most crash situations from cardiac arrest to extremely high or low blood to malig nant rhythms of the heart and stabilization measures for These and many more activities and measures are taken on a routine basis by New Braunels EMS to save lives and lessen imperfections 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 These calls have to be made by a basic life support am bulance with the advance Dur ing the with the visitors to the Guadalupe River and Canyon EMS is running many times without the backup ALS Ob more as well as ALS units are Finances have been and will be a strong limiting Understanding the importance of our EMS can help correct this situa The many people whose lives have been saved and illensses lessenedcan testify to the importance of a highly skilled ALS minihospital NB City Council to meet New Braunfels City Council will meet in regular session Monday night at New Braunfels Utilities board room at The agenda includes the public hearing and first reading of an or dinance to rezone a portion of 490 81 Lot 3 from R3 multifamily district to C3 commercial Council also will appoint one member to the Parks and Recreation Advisory Board for a term ending Oct and one member to the Rivers Advisory Board lor a term ending June 1987 The agenda also includes Consider first reading of an or dinance amending the wrecker or dinance and setting forth a 30 day late filing period and establishing a penalty for late filing Consider a resolution authoriz ing the city attorney to file suit against Southwest and any other responsible parties for col lection of delinquet hotel occupancy Consider scheduling a workshop with the Drainage Advisory Commit tee to discuss the proposals for the development of a watershed manage ment program and related ordinance Consider proposals for the operation of the Prince Solms Park Tube Consider rejecting the bids for the construction and remodeling of the Central Fire Station complex and construction of County Line Road fire substation and authorizing the city manager to advertise for new Entire Stock LADIES DRESS SHOES 25 mmms iiuimspring fur sjecisl group of exciting styles from a collection Life Calico Miss Some vith mid or higher Grand color selection but st les will ary b Calico t tharge Card t Visa 10 181 ManSot gm Peter and Paul Second grade students receive first sacra ment fwenty4wo second graders received the sacrament of Penance for the first time last they will be receiving the sacrament of Holy Eucharist for the first time in Judy Blome is their cathechist and CTBS testing Last week was set aside for the Comprehensive Testing of Basic The students of all ar chdiocesan Catholic schools are required to take the Western dressup day Sponsored by the Student Coun the Peter arid Paul students dressed Western style March Prizes will be given on three levels in termediate and junior Dental checks Dentists Joe Kuehler and Ed Sciantarelli will perform dental checks of all students March This testing is performed annual ly as are vision and scoliosis ItemoftheWeek Dresses Dresses Assortment of designer famous maker dresses of the most gorgeous Sies 620 half sizes too You just cant pass this event Playtex ;