Airway

Richard  Trierweiler

http://www.webmd.com/sleep-­‐disorders/sleep-­‐apnea/normal-­‐upper-­‐airway-­‐during-­‐sleep

http://www.merckmanuals.com/home/injuries_and_poisoning/first_aid/cardiac_arrest.html

http://www.charlydmiller.com/LIB02/2003jemstricksreview.html

http://trialx.com/curetalk/wp-­‐content/blogs.dir/7/files/2011/05/diseases/Airway_Management-­‐3.jpg

http://little-­‐medic.blogspot.com/

http://www.itstactical.com/medcom/medical/developing-­‐a-­‐blow-­‐out-­‐kit/

http://theopsdeck.com/MEDKIT%20CONTENTS/PROD%20-­‐%20AWY.King%20LTD.PMI.htm

Poisons/Toxins

Amanita  muscaria

• Psychoactive:  hallucinogenic  (Dose  

dependent)

• About  1  cap  needed

• Rarely  fatal  (none  documented  in  recent  

history)

Amanita  muscaria

• S/S:  Low:  Nausea,  ataxia,  euphoria,  altered  

sensations,  low  BP,  salivation,  diaphoresis

• High  doses:  agitation,  hallucinations,  

confusion,  irritability

• Tx:  calm,  reassure,  supportive,  benzos

http://en.wikipedia.org/wiki/File:Amanita_muscaria_UK.JPG

Spice

• Synthetic  marijuana

• Often  laced  

• S/S:  Agitation

• Tx.:  

http://www.guardian.co.uk/society/2009/may/07/spice-­‐gold-­‐herbal-­‐high-­‐drugs

Bath  Salts

• Route:  ingested,  injected,  snorted  or  smoked

• Is  a  synthetic  cathinone (sort  of  like  

amphetamine)

• 47%  have  co-­‐ingestion

• S/S:  excited  delirium  (quiet  to  crazy)

• Calm,  supportive,  benzos,  fluids

http://en.wikipedia.org/wiki/File:Bath_salts_(drug).jpg

Baneberry

• White  or  red  (or  mixed)  berries  with  black  

spot  on  the  end

• Cardiotoxic – can  cause  cardiac  arrest  and  

death

http://en.wikipedia.org/wiki/File:Actaea-­‐pachypoda.jpg

Large  Animal  Attacks

http://www.myspace.com/canderell/photos/27708509

http://www.freedomwriter.com/issue35/ak34.htm

http://www.freedomwriter.com/issue35/ak34.htm

Basics

• Remember  ABCs!

http://medicpatriot.blogspot.com/2012/06/now-­‐i-­‐will-­‐go-­‐over-­‐how-­‐to-­‐control.html

http://firstaid.about.com/od/bleedingcontrol/ss/bleedingsteps_4.htm

http://www.primary-­‐surgery.org/ps/vol2/html/sect0255.html

http://www.sharecare.com/question/how-­‐care-­‐sucking-­‐chest-­‐wound

Case

• 62  year  old  female  with  history  of  high  BP  and  

cholesterol  has  chest  pain  after  starting  a  

hike.    She  states  that  it  is  a  pressure  in  the  

center  of  her  chest  which  radiates  into  his  

right  shoulder.  

Case

• 35  yo male  caught  a  front  point  on  his  pant  leg  

while  on  a  glacier  tour,  stumbled  and  slid  into  

15’  crevasse.    He  is  now  complaining  of  

moderate  back  pain.    No  neurological  deficits.  

Case

• 15  yo male  twisted  his  ankle  while  hiking  with  

his  parents.  Although  he  has  moderate  pain,  

swelling  and  bruising  over  his  left  lateral  

ankle,  he  is  becoming  increasingly  agitated,  

short  of  breath  and  is  now  wheezing  on  

expiration.