While the EKG is mostly objective, assessing the cardiac patient’s pain and “anginal equivalents” are mostly subjective.
Henry J. L. Marriott is considered to be the one of the best EKG educators of all time. His sagely wisdom is to:
- accurately read the EKG and,
- “ask the patient how they feel and listen intently without interruption for 5 minutes – you will get everything you need for the correct diagnosis.”
Here are some tips:
- Make eye contact.
- Don’t interrupt.
- Practice “Active Listening.”
- Show you understand.
- Listen without thinking ahead or making knee-jerk diagnoses.
- Listen without judgement.
- Watch non-verbal communication.
- Be still and quiet – no fidgeting, cells phones or other distractions.
- Don’t be preoccupied with charting – you can do that later.
And I would add, ask “is there anything else I need to know to help you?” Practice the same active listening skills with the patient’s primary family member or caretaker.
Let’s up our empathy and improve our patient care by listening well!
My family thinks I’m crazy. They make faces at me when I give them a 1st Aid kit, One-Way CPR mask, flashlight, wool blanket or set of emergency reflectors for the trunk of their car for a birthday gift or stocking stuffer. I’ve even been called a “prepper!”
However, having worked in the field as a Paramedic and Trauma Flight Nurse, I’ve seen the difference that training, planning and the proper equipment can make to assure the best possible outcome for the victim(s) of an emergency.
Promise me……you won't put it off for another day! Cindy Tait, Training Specialist - Center for Healthcare Education.
The National Safety Council recommends the following general precautions that apply to many disaster situations:
- Make sure to have a family communication planin place; all members of the family should review and practice the plan
- Have all family members' and other important phone numbers written down or memorized
- Have an emergency kit in your carand at least three days of food and water at home
- Be sure to store all important documents – birth certificates, insurance policies, etc. – in a fire-proof safe or safety deposit box
- Assign one family member the responsibility of learning first aid and CPR
- Know how to shut off utilities
The National Safety Council offers safety tips specific to each of the following emergencies:
Did you know that PEEPs are not even cooked? Peeps are made of sugar, corn syrup, gelatin (ground up pig parts!), carnuba wax (yes, the same that makes your car shiny!) and food dye all poured into a mold. Eyes are lasered on right after the color dye spray bath and then packaged.
Of greater concern is that 10’s of millions of the sugary treats are given to small children at Easter who don’t follow their Grandma’s instructions to “sit down and chew your food 30 times before you swallow” before wolfing down a PEEP chick or bunny. With the consistency of marshmallows, a child could bite off an ear, beak or chunk of the midsection of a gooey Peep only to have it get stuck in his/her little throat.
A registered nurse in our office last week reported that her 13 month old daughter severely choked on a pizza crust that she was mouthing at dinner. Thank God that she was trained in CPR and was able to get it out!
If you still decide to give your kids PEEPs please watch them closely and make sure that you and everyone who cares for your children are certified in CPR. Contact Center for Healthcare Education today 1-888-834-8700 or go to our website Course Calendar to sign up for a class www.healthcareeducation.org
Ask for our family discounts. Happy Easter!
Manual displacement of the gravid uterus to the left. What?! Who’s been in emergency medicine since dirt and never heard that terminology? The technique has been around for centuries but has recently been brought to the forefront with the new 2015 AHA guidelines for resuscitation. Contact our office for a full PDF of the AHA Guidelines Highlights (see excerpt below page 20)
Cardiac Arrest in Pregnancy: Provision of CPR