Pre Hospital Care Hospital Pulau Pinang

13/07/2025

10/07/2025

https://rebelem.com/pre-charging-the-defibrillator-before-rhythm-checks-in-cardiac-arrest/

Does pre-charging the defibrillator prior to rhythm checks reduce the hands-off time during chest compressions in cardiac arrest?

18/04/2023

PEDIATRIC PRE HOSPITAL LIFE SUPPORT 2023👶👼

17/04/2023

Emergency Medicine
Emergency Medical Technician

*PENMAN (Scene Size Up)*
Personal/personnel Safety
Environmental Hazards
Number of Patients
MOI/NOI
——Mechanism of Injury
——Nature of Illness
Additional Resources?
Need for Extrication?

*DCAP-BTLS (Tissue Assessment)*
Deformities: Is there an abnormality in the shape of a body part or organ?

Contusions: Do you notice bruising? In extreme cases, this can cause blood to seep, hemorrhage or extravasate into surrounding tissues.

Abrasions: How severe is the abrasion? Your treatment will vary depending on the severity, but be sure to always clean and remove any debris.

Punctures/penetrations: Penetrating trauma suggests an object didn't pass through, while perforating trauma is associated with an entrance and exit wound.

Burns: Treatment depends on the severity of the burn.

Tenderness: This shouldn't be confused with pain. Tenderness is triggered by discomfort when an affected area is touched.

Lacerations: Treatment depends on the type, cause and depth of the wound. Minor wounds heal on their own, while puncture wounds are more prone to infection.

Swelling: This is an abnormal enlargement of a body part or area. Swelling may occur in response to infection, injury or disease.

*TIC (Feel for)*
Tenderness
Instability
Crepitus (Sound of grinding bones)

*OPQRST (Pain Assessment)*
Onset- Did the pain start gradually or all of a sudden?

Provocation- Does anything make the pain feel better or worse?

Quality- Can you describe the pain?

Region/Radiate- Where is your pain? Does it go anywhere else in your body?

Severity- How would you rate your pain on a scale of 1-10?

Time- How long ago did you start feeling the pain?

*AVPU (Responsiveness)*
Alert ?
Voice
Pain
Unresponsive

*BSI (Precautions)*
BODY
SUBSTANCE
ISOLATION

*PPPT (Alert/Oriented)*
Person
Place
Purpose
Time

*SAMPLE (Patient History)*
Symptoms- What seems to be bothering you the most?

Allergies- Are you allergic to anything?

Medications- Do you currently take any medications?

Past medical history- Do you have any current medical conditions?

Last oral intake- When was the last time you ate or drank something? What was it?

Events preceding- What were you doing when you started having these symptoms?

*PMSC*
Pulse
Motor
Sensory
Capillary Refill

*DR GERM (Abdominal Assessment)*
DISTENTION
RIGIDITY
GUARDING
EVISCERATION
REBOUND TENDERNESS
MASSES (pulsating?)

*AMA (Refuses Treatment)*
Against
Medical
Advice

*PPE (Safety)*
Personal
Protective
Equipment

01/04/2023

RVI

26/03/2023

A: Airway
Keep the airway open to allow the body to take in oxygen and expel carbon dioxide. Use the head-tilt chin-lift technique to open the airway. Check or and remove obstructions. A blocked airway can lead to respiratory or cardiac arrest.

B: Breathing
Once the airway is open, check for normal breathing, make use of the look, listen, and feel techniques.
Look at the chest and observe the rising and falling for normal respiration. Listen for air movement. Feel for air coming through the mouth or nose. If there is no breathing or abnormal breathing, CPR must be initiated with 2 breaths.

C: Circulation
Oxygen-rich blood cannot be circulated without breathing. Hence, it’s unnecessary to check for pulse to determine whether CPR is needed; commence immediately if no breathing is detected.

D: Disability
Check the patient’s neurological status and for obvious deformities or disabilities.

E: Expose & Examine
Remove clothing to properly assess patient; be sure to keep the patient warm.

F: Full set of vital signs
Note any changes in the following signs: pulse (carotid, brachial, radial), pupils, breathing, level of consciousness, blood pressure, and skin color and temperature.

G: Give comfort measures
Continue to rest and reassure. Provide comfort measures and prevent further injury.

H: History and Head-To-Toe Assessment
Use the mnemonic SAMPLE to obtain health history and do a head-to-toe assessment after.

I: Inspect Posterior Surface
Inspect for wounds, deformities, discolorations, etc.

18/01/2023

Waddell's Triad & Pediatric Trauma👶

Waddell's Triad is used to predict injury patterns in pediatrics when struck by a vehicle🚗

TRIAD:
☝️Bumper of vehicle hits pelvis/ femur
☝️Grille of vehicle hits chest & abdomen
☝️Head strikes vehicle and then ground

⛔️ WHAT TO EXPECT ⛔️

🦴Mid-shaft femur fracture
💥Intra-abdominal hemorrhage
🧠Contralateral Head Injuries

🧠Test Tip: Use the photo provided to help remind you of where the car would hit a child.
The tests will likely ask what injury pattern to expect (Femur, Abd/Chest, & Head
Trauma)

15/01/2023

CALL FOR ABSTRACTS‼️‼️
Happy Weekend peeps!
As you sit and sip your coffee and catch up on netflix, think back on the interesting, rare, unusual or challenging cases that you faced over the last few months... Or those pesky neverending statistics you have been analysing at work... Or that research you have been working hard on... Or that little piece of innovation for your ambulance that you've been working on to make things a little better at work....

We want to hear about it at !!
Share your experience and your stories!
Jom!!

16/10/2022

First half of the 4th National Pre Hospital Care Championship …
Do share and invite your friends to like and support our page!
Stay tune for next Update

15/10/2022

Sneak Peak of 4th Pre Hospital Care Championship