Diabetes
What is Glucose
-Form of sugar
-Body's basic source of energy
-Body cells require glucose to remain alive and create energy
What is Low blood sugar called?
hypoglycemia
What is the phase immediately following a seizure called?
Postictal Phase
Should a stroke victim be going to OER?
.......No.
What side is our remote pressure gauge on?
Right Side
How does glucose get into our cells?
Insulin
List at least 2 causes of hypoglycemia
•Diabetic takes too much insulin
•Diabetic does not eat
•Diabetic overexercises or overexerts
•Diabetic vomits
•Diabetic increases metabolic rate (fever or shivering)
What can we do for a seizure per our protocols?
-Airway management and appropriate oxygen therapy (May involve suctioning)
- Protect the patient from harm
-Check a blood glucose level, if equipped.
- Ongoing assessment of the effectiveness of breathing
What is the most important question to ask on a stroke call
"Last Known Well"
When does the vibra-alert start activating?
1/3
What is Type 1 Diabetes?
"Born With It"
Insulin is not properly created
When can we give glucose?
When BG is known or suspected to be below 60 mg/dL
What is the "hint" some pts may get that there is an impending seizure called?
Aura
What Syracuse Hospitals are stroke centers?
Crouse, Upstate, *St. Joes
Crouse and Upstate are comprehensive stroke centers, meaning they have every clot busting technology currently available (Including endovascular capabilities). St. Joes only is a Primary Stroke Center, meaning they can only image the stroke and use clot-busting drugs.
What does 1 green light mean on your HUD?
Between 1/2 - 3/4 full
What is Type 2 Diabetes?
Cells have become insulin resistant, no longer can utilize insulin properly
Adult-Onset
What are signs of hyperglycemia (at least 3)
Fruity/acetone breath
Frequent urination
Altered mental status
Excessive thirst.
Feeling tired.
Frequent hunger.
Dry mouth.
Weight loss.
Why is it important to let Menters know you still have active seizures when they get on scene?
So that they can bring in the narcs. It involves getting in the back of the ambulance and unlocking them from a safe, so as we all know they will avoid this at all costs to be lazy
What is a Transient Ischemic Attack
•Small clots temporarily block circulation to part of brain.
•Causes stroke-like symptoms
•Symptoms resolve when clots break up.
•Complete resolution of symptoms without treatment within 24 hours, but usually much sooner
STILL TREAT AS EMERGENCY, WE DO NOT DIAGNOSE AND WE CAN'T TELL THE DIFFERENCE IN THE FIELD
Is the RIT Pack equipped with a low air alarm?
Yes, a very high pitched annoying whistle
Where is Insulin created?
Pancreas
What is Kussmaul respirations and when do we expect to see them?
Abnormal breathing pattern characterized by rapid, deep breathing at a consistent pace
Body attempting to blow off CO2 to lower blood acidity due to diabetic ketoacidosis and hyperglycemia
What is Status epilepticus
SE is defined as a continuous seizure lasting more than 30 min, or two or more seizures without full recovery of consciousness between any of them.
This is bad, these need anti-seizure medications and diesel
Perform Full Cincinnati Stroke Scale
-Have the patient repeat, “You can’t teach an old dog new tricks" (Assess for correct use of words and lack of slurring)
-Have the patient smile (Assess for facial droop)
- Have the patient close eyes and hold arms straight out for 10 seconds (Assess for arm drift or unequal movement of one side)
What does it mean if the vibra-alert is activating despite showing adequate pressure on both gauges?
Primary air-path of the pressure reducer is blocked. Currently running on redundant, backup path. Pack should be immediately removed from service.