COMING
COMING UP
COMING UP IN A BIT. +@ >> KYLE, THE TIME NOW IS 902.
>> WITH DANGEROUS HEAT OFTEN
TIMES A TREAT TO THE HOSPITAL.
JOINING US IS MATTHEW
TRABOYSKY.
TRABOYSKY. THE CHIEF OF+@FICER FOR MED STA
GO MORNING.
GO MORNING. >> GOOD MORNING, CLEO.
HOW ARE YOU?
+@
HOW ARE YOU? >> DOING GOOD.
THANKS FOR JOINING US.
HOW MANY HEAT CALLS HAS MED
CALL RESPONDED TO SINCE THE
TEMPERATURES HAVE SOARED?
>> SINCE WEDNESDAY WE HAVE HAD
48 PATIENTS WITH PRIMARY OR
HEAT RELATED ILLNESS.
OF THAT, 32 OF THEM WERE
SERIOUS ENOUGH TO BE REQUIRED
TO HAVE TRANSPORT TO THE
HOSPITAL AND SIX WERE ACTUALLY
IN SERIOUS CONDITIONS.
SO IT IS A VERY DANGEROUS TIME
RIGHT NOW IN NORTH TEXAS AS
KYLE MENTIONED.
KYLE MENTIONED. >> I AM LEARNING THAT YOU
IMPLEMENTED YOUR EXTREME
WEATHER RESPONSE PROCEDURE.
WHAT DOES+@ THAT TRULY MEAN?
>> WHEN IT GETS +@HOT OUTSIDE W
ARE CONCERNED ABOUT PATIENTS
THAT MAY HAVE MINOR MEDICAL
ISSUES TH+@AT BECOME A HEAT
+@
+@ RELATED ILLNESS.
RELATED ILLNESS. LET'S SAY YOU ARE ON THE
TRINITY TRAIL OR DOING AND
TWIST YOUR ANKLE.
IF YOU ARE OUTSIDE FOR THAT
TYPE OF RESPONSE WE WOULD
+@
TYPE OF RESPONSE WE WOULD RESPOND NONLIGHTS AND SIRENS
MAY TAKE US 15 MINUTES TO+@ GET
THERE.
THERE.
THERE. IF
THERE. IF YOU ARE OUTSIDE AND THE HEAT
INDEX+@ IS 105 OR HIGHER WE WIL
RESPOND WITH YOU +@LIGHTS AND
SIRENS TO GET YOU OUT O+@F THE
HOT ENVIRONMENT TO AN AMBULANCE
TO PREVENT A HEAT RELATED
I+@LLNE+@SS ON TOP OF YOUR OTHE
INJURY.
INJURY.
INJURY. >> IT IS GOOD TO REMIND PEOPLE
ABOUT HEAT RELATED ILLNESSES
AND THERE IS BASICALLY THREE
ACCORDING TO+@ YOU AND WHAT ARE
HEAT CRAMPS AND HOW DO WE TREAT
THEM?
THEM?
THEM? >>
THEM? >> HEAT CRAMPS IS THE FIRST IN
THE PROGRESSION OF HEAT RELATED
ILLNESSES AND THEY OCCUR WHEN
YOU ARE EXERTING YOURSELF IN
HOT WEATHER AND YOUR BODY HAS
BEEN SWEATING, YOU LOSE FLUIDS
AND ELECTROLYTES PRIMARILY
SODIUM.
SODIUM.
SODIUM. IF YOU HAVE LOST THAT THE
MUSCLES WILL BEGIN TO CRAMP.
THAT'S THE FIRST STAGE OF HEAT
RELATED ILLNESS.
RELATED ILLNESS. THAT SHOULD BE AN INDICATION TO
STOP DOING WHATEVER IT IS THAT
YOU ARE DO+@ING AND GET IN A CO
ENVIRONMENT.
ENVIRONMENT. IF THAT HAPPENS SIPS OF WATER
AND SPORTS DRINKS ARE GREAT AND
A LOT OF PEOPLE WILL USE SALT
TABLETS TO REPLACE THE SODIUM
TO HELP THE HEAT CRAMPS.
+@
TO HELP THE HEAT CRAMPS. +@>> HOW DO WE KNOW IF WE ARE
SUFFERING FOR SOME SORT OF HEAT
EX+@HAUSTION AND WHAT +@DO WE D
>> HEAT EXHAUSTION IS THE NEXT
PHASE OF THE HEAT RELATED
ILLNESS.
ILLNESS.
ILLNESS. THESE FOLKS WILL BE ASSESSABLY
SWEATING AND GET DIZZY AND WEEK
AND MAY HAVE ANATOMICAL
CRAMPING BECAUSE OF THE
DIGESTIVE ISSUES AND THE HEART
RATE WILL INCREASE WITH A FAST
PULSE AND GOING TO THE NEXT
PHASE OF HEAT RELATED ILLNESS.
GET THEM IN A COOL LOCATION.
LOOSEN YOUR CLOTHING IF YOU
CAN.
CAN.
CAN. IF
CAN. IF THE PERSO+@N IS AWAKE ENO+@U
GIVE THEM SIPS OF WATER, IN
THIS CASE WATER IS THE BEST
THING, YOU WANT TO REPL+@ACE TH
FLUID AND IF YOU NEED TO YOU
MAY WANT TO WET THE CLOTHES OR
GIVE THEM A COOL CLOTH TO LOWER
THEIR BODY TEMPERATURE.
>> WHAT ABOUT THE MOST SERIOUS
LIKE HEAT STROKE?
>> YEAH, HEAT STROKE IS A
+@
+@ SERIOUS MEDICAL EMERGENCY.
AND THAT IS SORT OF THE THIRD
STAGE OF A HEAT RELATED
ILLNESS.
ILLNESS.
ILLNESS. THESE FOLKS HAVE LOST THEIR
ABILITY TO SWEAT.
THEY HAVE SWEATED OUT
EVERYTHING THAT THEY CAN.
INSTEAD OF BEING WET AND COOL
LIKE A HEAT EXHAUSTION PERSON
MIGHT BE, THESE PEOPLE ARE
GOING TO BE VERY DRY AND VERY
HOT TO THE TOUCH.
THEY MAY ACTUALLY HAVE SEIZURES
BECAUSE THAT IS A SIGNIFICANT
MEDICAL ISSUE AND MAY COMPLAIN
OF A HEADACHE.
MOVE THEM TO A COOL ENVIRONMENT
RIGHT AWAY AND THESE FOLKS NEED
ACTIVE COOLING.
ACTIVE COOLING. YOU WILL LITERALLY PUT ICE ON
THEM AND WATER ON THEM TO CO+@O
THEM DOWN RI+@GHT AWAY.
WE HAVE HAD P+@ATIENTS WITH BOD
TEMPERATURES AS HIGH AS 10-7
AND 108 DEGREES AND THEY
TYPICALLY DON'T DO WELL.
>> WHAT TREATMENTS DO MED STAR
CREWS ADMINISTER WHEN THEY ARE
CALLED OUT TO A HEAT CALL?
>> IT IS HEAT EXHAUSTION IT IS
FLUIDS AND START AN IV.
WE HAVE GREAT AMBULANCES FOR
THE HEAT.
THE HEAT.
THE HEAT. WE HAVE THREE AIR-CONDITIONERS
IN THEM.
IN THEM.
IN THEM. SO WE WILL GET THEM INTO THAT
AMBULANCE +@AS QUICKLY AS
POSSIBLE AND BEGIN +@TO COOL TH
DOWN.
DOWN.
DOWN. IF
DOWN. IF THEY HAVE ACTUALLY GONE INTO
THE HEAT STROKE PHASE, WE ARE
GOING TO START DOING ACTIVE
COOLING SO WE ARE GOING TO
START AN IV AND COOL THAT IV. +@
WE HAVE REFRIGERATORS IN THE
AMBULANCES AND WE WILL START TO
ADMINISTER COOL WATER TO LOWER
THAT BODY TEMPERATURE AND PUT
ICEPACKS UNDER THE ARMS AND
NECK WHERE THE BIG BLOOD
VESSELS ARE TO COOL THAT PERSON
AS QUICKLY AS POSSIBLE.
>> THANK YOU FOR JOINING US