Sunday, January 29, 2017

52 pounds in 52 weeks! Week 4

I made a pact with several Fire Fighters as one of the first responders who is severely out of shape. Sadly fires are not the number one cause of deaths with first responders. They are mental health and physical health issues. Sadly a first responder gets so wrapped up in life and the career that they forget to take care of their healthy.

This person right here is a prime example. Many many hours of overtime as a security guard and first responder. Bad meal planning. Eating too many gifts from clients and donors at the job. Drinking to many sugary sodas to stay awake during the night shift. When your the night watchman for a campus of 500+ citizens and 5 other partners, it's important to stay on your toes.

Even with all this going on, I'm here to exclaim that anyone can have success. A person just has to plan ahead. A person just has to want it bad enough. A person just has to think on their toes and get activity in as much as possible.

What drives me down my weight loss journey? For one it's to never take insulin shots again. Secondly, it's to put on a navy blue uniform with a patch that says "Texas State of Public Health EMT/Paramedic" Thirdly, to show anyone who is trying to change their health that if I can do it, then they can do it. I'm here to show them how.

So what is my success this time? I am finally on the right medications and I am losing the excess water weight. As of this week I am down 8 pounds with a total weight loss of 127 lbs. I have a long way to go before I am 80% organs and 20% body fat. I have a goal of getting down to 140 lbs. It's going to be a long weight loss and health journey but it is going to be worth it.

Friday, January 27, 2017

What an EMT Should Know About Dialysis

With the rise of Diabetes and other illnesses, Emergency Medical Technicians will see a rise of people who are on Dialysis. What is Dialysis? How does it work? How should an EMT take care of someone who has Dialysis treatments?

Dialysis is an artificial process used to remove water and waste substances from the blood. Dialysis works through osmosis and filtration of fluid through a semipermeable membrane. Blood containing waste passes one side of the membrane while the dialysate passes through the other side.

An EMT dealing with someone on Dialysis should not take blood pressure on the side where the Dialysis access site is located.

EMT assessment and care for genitourinary illness

As an EMT, you arrive on the scene where a male patient complains of abdominal pain and other pains. After questioning the patient a couple of times, you come to the conclusion that as an EMT you will have to provide medical care for a trauma, illness, and/or both. Some patients may fall or suffer other traumas due to gastro/renal illness. First rule of thumb as an Emergency Medical Technician is to make sure that the scene is safe for you, your partner, and by standards.

Determine the patients mental status
Determine if the patient is adequately breathing
If breathing is adequate then apply oxygen based on SpO2 reading
If inadequate provide bag valve ventilation at 10-12 times a minute with high oxygen concentration
Check skin condition and color
Control any major bleeding

As an EMT you should priority transport if the patient has:
Poor general appearance
Is Unresponsive
Responsive but not following commands
Is in severe pain
Shows signs of shock

The EMT abdominal cavity game

Hey new EMT student! It’s time to play the EMT Abdominal cavity puzzle game. What organs belong in the Abdominal cavity?

Stomach
Duodenum
Small Intestines
Large Intestines
Liver
Gallbladder
Spleen
Pancreas
Kidneys
Bladder

What an EMT should know about acute abdominal pain

There are two types of pain associated with acute abdominal pain. An EMT should know about Visceral and parietal (somatic) pain. Visceral pain is produced by ischemia, inflammation, infection, or a mechanical obstruction of an organ. Stimulation of visceral nerve fibers in a n organ typically produces pain that is aching, dull, less severe, intermittent and poorly localized. Parietal (somatic pain) is associated with irritation and inflammation of the peritoneal lining of the abdomen. Parietal nerve fiber stimulation typically produces sharp, knifelike, intense, and constant pain that is highly localized.

Illnesses include:
Peritonitis
Appendicitis
Pancreatitis
Cholecystitis
Gastrointestinal Bleeding
Ulcerative Diseases
Intestinal Obstruction
Hernia
Abdominal aortic aneurysm

Peritonitis
Abdominal pain or tenderness
A patient will tell the EMT that they are experiencing nausea, vomiting or diarrhea, fever, chills, lack of appetite.
If an EMT performs a Markle test (heel drop or heel jar) it will show up positive

Appendicitis
EMT will notice patient to have abdominal pain and cramping
Nausea and vomiting
Low grade fever and chills
Lack of appititie
Abdominal guarding
Positive Markle

Pancreatitis
Patient will tell the EMT that the pain is severe and located in the middle of the upper quadrants
Tenderness up palpation of right upper quadrant
Belching or heartburn
Nausea and vomiting

Gastrointestinal Bleeding
Abdominal pain and tenderness
Hematemesis (vomiting blood that looks like coffee grounds)
Hematochezia (bright red blood in stools)
Melena (Dark tarry stools)
Altered mental status, weakness or syncope
Tachycardia
Sighs of shock

Esophageal Varices
Common to heavy alcohol drinkers
Common of Patients with liver disease
Vomiting large amounts of bright red hematemesis blood
Absence of pain or tenderness
Rapid Pulse
Breathing difficulty
Pale, cool, clammy skin
Other signs and symptoms of shock
Jaundice

Gastroenteritis
Abdominal pain and cramping
Nausea, vomiting and diarrhea
Abnormal tenderness
Fever and dehydration
Shock
Hemorrhage

Ulcers
Sudden onset of burning or knawing pain in the abdominal area left upper quadrant. Epigastric area
Nausea and vomiting
Hematemesis, Hematochezia or Melina
Signs and symptoms of shock
Peritonitis with rigid abdomen

Intestinal Obstruction
Abdominal pain, moderate to severe
Nausea and vomiting
Constipation
Abdominal distention and tenderness
High pitched bowel sound

Hernia
Sudden onset of abdominal pain
Fever
Rapid Pulse
Tender mass at point of hernia
Nausea and vomiting
Constipation
High Pitched bowel sound

Abdominal Aortic Aneurysm
Gradual onset of pain in the lower lumbar
Groin and abdominal pain
Rupture associated with sudden onset of severe abdominal pain (tearing pain)


How should an EMT deal with acute abdominal pain

When a person first becomes an Emergency Medical Technician (EMT) they will realize that there are guidelines for everything. We are taught to think out of the box when we can but every situation has some kind of protocol to follow while on scene of a trauma or illness. What are the general guidelines for conduction a physical exam on an acute abdominal pain patient.

Start transport
Obtain patient history
If patient is unresponsive  perform a physical exam and obtain vitals. Information can be collected from a family member or someone nearby
Ask OPQRST questions (onset, provocation, quality, radiation, severity, time)
Allergies
Any known medications
Past history of medical pain in abdomen
Did they eat or drink anything
Has the patients appetite changed
Has the patient been nauseated
Did the patient vomit (coffee ground, color)
Color of last stool
Does the patient have difficulty urinating
Did anything happen prior  to the onst of the pain or distress

It is important for the EMT to transport the patient immediately if:
The patient is Elderly
The patient is pediatric
The patient is having trouble breathing
The patient is vomiting blood
The patient is having internal bleeding
The patient is unresponsive
The patient is showing signs of shock

What emergency medical care should an EMT provide?
An EMT should keep the patients airway open
Place patient in the most comfortable position
If adequate breathing then base oxygen need on patients SpO2 signs and symptoms
If SpO2 is less than 95% then put patient on nonbreather mask at 15 lpm
Never give anything orally
Calm, reassure and give patient support
If patient is hypo perfusion then treat for shock
Quick transport. Be efficient. Consider ALS



What an EMT should know about female reproductive injuries

An Emergency Medical Technician (EMT) should know that the female reproductive system is made up of five different organs in the female human body. Those organs are the Fallopian tubes, cervix, ovaries, corpus of uterus and the vagina. There are different types of trauma/illnesses that can cause pain and bleeding in the female reproductive organs.

Gynecological conditions that can cause abdominal pain or bleeding are:
Sexual assaults
Vaginal Bleeding
Menstrual pain
Ovarian Cyst
Endometritis
Endometriosis
Pelvic Inflammatory Disease
Sexually transmitted Disease

Dealing with sexual assault patients as an EMT

As an Emergency Medical Technician (EMT) you are required to report sexual assault cases to the proper authorities. What is an EMT to do while the authorities show up and afterwards? Should the patient be allowed to change clothes? Should the receive a full physical exam?

An EMT should not allow the patient to change clothes, bathe, comb, or clean any part of her/his body. Evidence can be found in clothes, under the finger nails, on the skin, in the hair, or in the sexual organs.

If clothes were changed before you arrived then collect the clothing, bag each clothing item separately, and bring it with you.

Do not cut through any holes or tears in the patients clothing. Handle the clothing as little as possible. This will keep the clothing from being cross contaminated with the DNA of the EMT and keep from possibly losing DNS from excessive handling.

Do not touch or change anything at the crime scene unless it impedes from providing emergency care.
Do not clean would if possible. Treat wounds as you would any other soft tissue injury.

Do not examine the genital area unless there is life threatening hemorrhage. Make sure all bloody articles are collected and transported with the patient.

EMT Environmental Emergency Keywords

Along with illnesses and traumas, Emergency Medical Technicians (EMT) will have to deal with Environmental Emergencies. These are emergencies that are caused by illness and the natural elements. Environmental Emergencies can just be caused by a natural environmental element such as lightening.

Thermoreceptor
A sensory receptor that is stimulated by temperature

Hypothermia
Abnormality low core body temperature

Radiation
Transfer of heat from one surface to another without physical contact

Convection
Loss of body heat to the atmosphere when air passes over the body

Wind Chill
Combined cooling effect of wind speed and environmental temperature.

Conduction
Transfer of heat through direct physical touch with nearby objects

Water Chill
Increase in rate of cooling in the presence of water or wet clothing

Evaporation
Conversion of a liquid or solid into a gas

Respiration
The exchange of gases between an organism and its environment

Hyperthermia
Abnormally high core body temperature

Generalized hypothermia
An overall reduction in body temperature affecting the entire body

Urban hypothermia
Hypothermia precipitated by a too cool indoor or outdoor environment

Myxedema Coma
A life threatening late complication of hypothyroidism

Local cold injury
Damage from cold exposure to tissue ona specific part of the body

Active Rewarming
Technique of aggressively applying external sources of heat to a patient to rewarm the body

Passive rewarming
The use of the patients own body heat production and conservation mechanism to rewarm the partient

Wednesday, January 18, 2017

EMT do you know your Circulatory System?

While going to school to become an EMT it amazed how much of the body an Emergency Medical Technician had to learn. I knew that we took care of the human body but I honestly thought being an EMT was making sure that they were still breathing and there wasn't blood squirting from anywhere. 

Along with every other part of the human body, an Emergency Medical Technician needs to know about the Circulatory System. Here are some keywords that EMT's and Medics will be using on the job.


Circulatory System
System compose of the heart and blood vessels

Cardiac conduction system
Contractile and conductive tissue of the heart that generates electrical impulses and causes the heart to beat

Automaticity
The ability of cells within the cardiac conduction system to generate impulse of their own

Heart
The muscular organ that contracts to force blood into circulation of the body

Atria
The two upper chambers of the heart

Ventricles
The two lower chambers of the heart

Venae Cavae
The two major veins that carry oxygen depleted blood back to the heart

Pulmonary Artery
Vessel carrying oxygen depleted blood from the lungs to the right atrium of the heart

Pulmonary Vein
Vessel carrying oxygen rich blood from the lungs to the left atrium of the heart

Aorta
The major artery from the heart

Artery
Blood vessels that carries blood away from the heart

Arteriole
The smallest branch of the artery

Capillary
A tiny blood vessel connecting arterioles to venules

Vein
Vessel that carries blood toward the heart

Venule
Smallest vein

Coronary arteries
Arteries supplying the heart with blood

Blood Pressure
The force exerted by the blood on the interior walls of the blood vessels

Perfusion
Delivery of oxygen and other nutrients to the cells resulting from the constant adequate circulation of blood through the capillaries

Cardiac Compromise
Reduced heart function caused by any condition, disease or injury affecting the heart.

Acute Coronary Sydrome (ACS)
Signs and symptoms resulting from conditions in which the coronary arteries are narrowed or occluded

Nitroglycerin
Medication that dilates the blood vessels. Increasing blood flow and decreasing the workload of the heart.

The electrocardiogram is a graphic representation of the hearts electrical activity

Agina pectoris is a symptom of inadequate oxygen supply to the heart muscle or myocardium

Diabetics, the elderly and women are more prone to an aty0pical presentation of symptoms when suffering a heart attack

Coronary heart disease is now the single largest cause of death of females in the United States

Patients suffering heart failure will say tha they are taking “water pills” or diuretics

Some patients have chronically elevated blood pressures. The EMT should only elevate a PT. current blood pressure in light of what “normal” blood pressure is for that patient


The primary risk factor for cardiac arrest is coronary artery disease. However, cardiac arrest can result from many other conditions including trauma, overdose, stroke and seizure.

Tuesday, January 17, 2017

As an EMT can you see early signs of inadequate breathing in an infant or child

While going to school to become an Emergency Medical Technician, there are signs and symptoms that are drilled into the memory. It's important to recognize them as an EMT. The faster that a medic does recognize them, the quicker he or she can provide help. So what are the early signs of inadequate breathing in an infant or child?

  • Increased use of accessory muscles to breath
  • Sternal and intercostal retractions
  • Tachypnea (fast breathing rate)
  • Tachycardia (Increased heart rate)
  • Nasal flaring
  • Prolonged exhalation
  • Frequent coughing
  • Cyanous to the extremities
  • Anxiety
  • Altered mental state – Inadequate tidal volume
  • Bradycardia (slow heart rate)
  • Hypotension
  • Extreme breathing patterns
  • Cyanous to extremities
  • Loss of muscle tone
  • Diminished breathing sounds
  • Head Bobbing
  • Seesaw breathing
  • Decreased response to pain

Monday, January 16, 2017

Munching on Kroger's snack packs

When a person is working EMS is always good to have snacks on hand. So our team was at Kroger’s grocery store when we found these Kroger snack packs. They are a two sided pack of a mixture of nuts and a couple ounces of cheese. One would think that this would be a great protean snack in the middle of their shift. What did our team think of the snack packs.

Thankfully most EMT’s and Security Officers have sissors nearby. No one could get into the small snack pack without cutting into it. Kroger forgot to put a pull lip on the package. No one could tear open the package with their hands. This package was definitely made for adult safety and to starve a person.

How about the taste. Everyone on the team liked the picture. Of course the guys wish that there was a little more food in the pack. There is enough cheese in the snack pack but not enough nuts. There could have been some more cranberries too.

Would our team recommend Kroger snack packs to friends and family. Yes and No. Most of our friends and family members work in EMS. We have healthy hearty appetites. The Kroger snack pack is a great price for under a dollar. We all just think that people may want to have more than one per snack time.

Day 15 of 52 pounds in 52 weeks

I can't believe that it's week two on the 52 week challenge. My personal goal is still 52 pounds in 52 weeks but I am hoping for a greater weight loss success. I was speaking with a client who was also Diabetic. He went on a low carb program. He ended up losing 150 pounds in 25 weeks. 

The man looks good too. Though I would want a little more muscle tone though and a lot more stamina. As Jim and Dan say as firefighters we must push it, pull it, lift it, drag it, carry it. As First Responder, I have to do the same. My worse fear is that I will not be able to help someone due to my health and body size. The hell with that, I'm going to do something about it.

Most of the day today was spent reading Firefighters Functional Fitness. I had gotten chinese food from a local restaurant called King Wok in Fort Worth Texas. A couple of hours later I was up sick all night with the stomach flu. I thought I was going to die. I thought I was going to have to call my brothers at station 14 and Medstar to take me to the hospital if I lost any more fluids. A person can't play around with illness and blood sugar levels. 

Today was suppose to be a celebration of my mom's 65th Birthday. This is a day to celebrate a man named Martin Luther King that changed the world. I was unable to do anything because I was sick and storms were brewing. 

So what did I learn on Day 15 of 52 pounds in 52 weeks?
Don't trust anyones cooking but your own. You never know if a cook in the kitchen is sick. You never know if something is cooked properly. Half the time you don't know what a cook is putting into your meal. As a person starts on a health, fitness, and weight loss journey they need to know everything that is going into their body. A person needs to know how much salt is going into the body. A person needs to know how much fat was used to cook a certain meal.

Don't be afraid to ask for things with light or no sauce. Don't be afraid to ask for changes. If the restaurant doesn't want to make those changes then they don't deserve your patronage. Remember that you are in control of your life. Know what is going into your body and make sure that it's the most nutritious food that it can possibly be.

How should an EMT administer a medication by metered dose inhaler and by small volume nebulizer

With many illnesses affecting the lungs, an EMT will eventually have to administer medication through a metered dose inhaler or by a small volume nebulizer. There may be times when an Emergency Medical Technician may just need to stand in waiting while a patient takes a prescribed does of their medication and see what the results are. There is a right way and wrong way for everything. So what is the right way to administer these types of medications?

  • Ensure that it is the right Pt, medication, dose and route.
  • Determine if Pt. s alert enough to use an inhaler.
  • Where any previous doses been given?
  • Obtain an order, either online or offline from the medical directive.

What an EMT should know about cardiac arrest

Contractile cells
Contract in response to the electrical responses. They help eject blood from the heart. The conduction cells and working cells work together for one purpose that is to push blood out of the heart

Right atrium receives deoxygenated blood from the inferior and superior venue cavae
Right Ventricle, deoxygenated blood ejects through the pulmonic semilunar valve and into the pulmonary arteries.

Describe depolarization and repolarize and explain normal ECG waves and intervals and physiological events they represent.
Two distinct components of electrical activity. Depolarization and repolarization. Depolarization is when the electrical charges of the heart muscle change from positive to negative. This causes the heart muscle to contract. Repolarization is when the electrical charges in the heart return to positive charges and cause relaxation

P-Wave
This is the first waveform of the EKG and represents the depolarization (contraction) of the artria

QRS Complex
Second waveform of the EKG. This represents the depolarization of the ventricles and main contraction of the heart.

T-Wave
The third wave form represents the repolarization (relaxation) of the ventricles.

List the signs of adequate positive pressure ventilation and the steps to take if ventilation is inadequate.
If a Pt has adequate positive pressure ventilation, the Pt will be without color change, their pain will lessen,  and their breathing pattern will change, and the heart beat will return to normal. The SpO2 will be above 95%

If SpO2 is below 95% apply positive pressure ventilation with a nonbreather mask

Discuss the relationship between hypoxia, damage to the cardiac conduction system, premature ventricular contractions, ventricular tachycardia and ventricular fibrillation.
Each of these will show up as the EKG a steep peaks close together. Ventricular tachycardia can degenerate into ventricular fibrillation which shows up as smaller uneven disorganized peaks and valleys.

Describe the roles of the heart and blood vessels in maintaining normal blood pressure.
Blood pressure is the amount of pressure exerted against the arterial wall during circulation. Blood vessel size play a major role. A smaller vessel will result in a higher blood pressure. Larger blood pressure will produce a lower blood pressure. Vasodilation (Dilation of vessels) will cause the resistance to decrease and blood pressure to fall.

Explain the importance of early recognition of signs and symptoms and the early treatment of Pt. with cardiac emergencies.
Aggressive management including early recognition and expeditious transport will reduce the death rate of a Pt. improve the pumping function of the heart, reduce the area of the heart muscle that is damaged and reduce heart failure.

Explain the pathophysiological and the appropriate assessment and management of conditions that may be classified as cardiac compromise or acute coronary syndrome.

Atherosclerosia
Also known as hardening of the arteries. Causes the smallest of arterial structures to become stiff and less elastic.

Acute Coronary Syndrome
Coronary arteries are narrowed or they can be filled with plaque, clots, or spasms. Two associated – Unstable angina and myocardial infraction (heart attack)

Angina Pectoris
Inadequate oxygen supply to the heart muscle

Assessment
Steady discomfort in middle of chest
Pressure, tightness, aching, crushing, heavy
Discomfort that radiates to the shoulders, arms, neck, jaw, back or upper center abdomen
Cool clammy skin/anxiety, dyspenia, diaphoresis, nausea, vomiting, complaint of indigestion pain

Explain the typical presentation of myocardial ischemia or infraction in females.
Classic findings such as:
Steady discomfort usually located in the center of the chest.
Pressure tightness, aching, crushing, heavy feeling
Discomfort that radiates to the shoulder, neck, jaw, back and upper center abdomen
Cool clammy skin
Anxiety
Dyspnea (shortness of breath)
Nausea/vomiting
Indigestion pain
Dull substernal chest pain or discomfort
Respiratory distress

Explain the special considerations in assessing and managing pediatric and geriatric Pt. with cardiac emergencies.
The best treatment for cardiac arrest in a pediactric Pt is to prevent it entirely by ensuring an open airway, adequate breathing, and oxygen supplementation. Pediactrics die the most from heart failure because the attack comes after long periods of other illnesses.

Geriatric Pt will represent the highest number of Pt. you treat for some form of acute coronary syndrome.



Explain the assessment based approach to assessment and emergency medical care for cardiac compromise and acute coronary syndrome.
Unresponsive Pt. with no respiration and no pulse.
Responsive Pt. who appear to be in minor, moderate, or severe distress
Perform CPR

With responsive Pt. ensure:
Adequate airway, breathing, oxygenation and circulation.

Apply oxygen if any of these are present
Signs of respitory distress or dyspnea
Signs of hypoxia
Signs or symptoms of heart failure
Signs or symptoms of shock
An altered mental status
An SpO2 reading of <94%

Discuss the indications and contraindications for fibrinolytic therapy in Pt with cardiac emergencies.
History
Onset – What brought the chest pay on
Provocation or palliation – What makes the chest discomfort worse. What makes it better.
Quality – Describe the chest discomfort
Radiation
Severity
Time

Define the cardio vascular system
Also known as the cardiac conduction system. This consists of the heart, blood vessels and blood. The system that delivers blood (oxygen) to every part of the body.

Explain the exchange that takes place between the capillaries and the body’s cells
Blood comes out of the arteries into the bodies capillaries through the arterioles. Blood low in oxygen and high in carbon dioxide leaves the venules, travels through the veins back to the heart.

Define perfusion and shock (thypoperfusion)
Delivery of oxygen and other nutrients to the cells resulting from the constant adequate circulation of blood through the capillaries. Profound compression of cell profusion is Hypoperfusion.

Name the common signs and symptoms of cardiac compromise
Cardiac compromise is reduce heart function caused by any condition, disease, or injury affecting the heart. Signs consist of:
Discomfort substernal or across the chest. Radiation to the neck, jaw, arms, back, shoulders. Dull or heavy discomfort with a pressure or squeezing sensation.
Perspiration
Pale gray color
Nausea
Weakness
Dizziness and lightheadedness
Describe the standard emergency medical treatment for Pt. with signs and symptoms of cardiac compromise.
If Pt is unresponsive with no breathing, quickly assess the carotid pulse. If no pulse apply AED without interruption to chest compressions.
If Pt. is responsive Decrease Anxiety by using calming reassurance and put them in a comfortable position. Begin oxygen to Pt.

List the major signs and symptoms of breathing difficulty
Abnormal breathing sounds such as wheezing, Rhonchi, and crackles
There is trauma to the chest or lungs
Pt membranes are turning blue
Pt. is in tripod sitting position
Pt. mental status is decreasing

Explain the dosage of asprin in a cardiac emergency and how it is administered
The dosage of asprin is 160 to 325 mg as soon as possible with the onset of chest discomfort.
Obtain approval from medical direction
Pt should be alert and oriented
Have Pt. chew and swallow (no water)
Reassess Pt and record vital signs
Reassure Pt.

Explain under what conditions the administration of Nitroglycerin is indicated.
The Pt. exhibits signs and symptoms of chest pain
The Pt has physician prescribed nitroglycerin

The EMT has received approval from medical direction, whether online or offline, to administer medication.

Kill the King...King Wok that is

It has been an on again off again love affair with this nearby restaurant in Fort Worth, Texas. I love the fact that I can get Chinese food delivered in an hour. The food is usually good. The delivery guy at this Chinese restaurant is great. He really makes a person feel like they are part of the family. One of the reasons I usually try to flip him a five dollar bill when I do order. There are a couple of problems though.


  • Totally messed up one order and gave me something else
  • Totally forgot an item in an order
  • Was half hour late with another order...almost two hour late
  • Items were leaking through the bag
This last one was the killer though. Good bye King Wok Fort Worth forever. After eating my usual meal of chicken, ribs, and rice noodles, I woke up early in the morning with the stomach flu. I was fine and chipper until this time. I even joked with my room-mate about having a food baby for the last time. 

So there I was all night long praying to the porcelain god. I would have loved to celebrate King Wok Chinese Restaurant of Fort Worth, Texas more. Now I think I'll take the time to tell as many people as I can how this Chinese Restaurant in Fort Worth made me sick.

About Emergency Medical Technician Refresher

It seems that I have gotten a few nasty messages about putting EMT notes on the web for everyone to read. Some have called me foolish for sharing medical information that only an Emergency Medical Technician should use. Some say that I am putting people in danger by giving then access to this medical information. 

In response, I have to say that these people are being hard headed. I wouldn't be surprised that some of the people who are doing the name calling are people who are making money off of EMT's and First Responders who are trying to keep their knowledge current and refreshed. That is not my point at all. I am not here to earn a buck off of my brother's and sisters.

I write about Emergency Medical Technician patient care because it helps me refresh the information in my own mind. Sure it takes me a little longer to learn stuff but by writing it down, typing it, and putting it on audio, I'm making sure that I learn the information that I need to know.

I don't think that my brothers and sisters should have to pay to refresh on things that they have already paid to learn. Public servants pay to learn the skills that they have. Why should they have to pay again to brush up on past EMT skills. 

Honestly, some of this information can be useful to those who are not in the medical field. For example, I am speaking with local shelters to increase their cold weather shelter regulations to a higher temperature than 32 degrees. I believe that information on wind chill and how the body reacts to cold will enlighten people who run homeless shelters.

What about the ads on the site? It does look like I'm trying to make a profit doesn't it. The truth is that I'm not trying to make a profit off of Emergency Medical Technicians, Paramedics, Firefighters, Police Officers, Correctional Officers and the rest of the family. In truth I am trying to help first responders. All profit that comes from readerships of this blog and other avenues is used to help both two legged and four legged First Responders. 

Thursday, January 5, 2017

Day 5 of 52 pounds in 52 weeks

It’s day 5 of my weight loss journey. It’s also week one 1 of the 52 pounds in 52 weeks challenge. It has not been a good week. I’ve had a lot of weight loss inspiration from other people. It’s just been a stressful week with my state test and overtime at work. I am not expecting a weight loss this week unless it’s from water loss. Sometimes that’s not a good thing because water loss can always come back as water gain. Yes, exercise is important for weight loss but right now I’m trying to focus on eating correctly and adding extra activity in.

What did I eat today on my weight loss journey?
Bowl of oatmeal
1 serving of milk
Serving of trail mix
Apple
Chicken patty that had been microwaved
Chicken breast
Svg of mayonnaise
Lettuce
Tomatoes
Hamburger bun

What did I learn today on my weight loss journey?
Today I am reminded that I am an emotional eater. It is my 2017 New Years Resolution to squash emotional eating. It’s an ugly cycle to deal with. It’s not as strong as someone who has more deadlier coping mechanisms but this is still not healthy. The cycle starts with getting emotionally stressed out or letting the negativity get to me. The second step of this cycle is eating the junk. Then I start beating myself up for eating the junk. Then there is the honeymoon period where everything is good with my weight loss journey.

It’s time to find a better coping mechanism. If you find similar events in your life. I hope that you will find steps to finding a new coping mechanism other than food. I believe that those of us who have struggled with weight loss all of our lives are our own worst enemies. We have been through so much negativity that no else needs to say anything because we do a perfect job throwing negative stuff at ourselves. Stopping the negativity is the first step in changing the way we think about weight loss and health.

Another thing that I learned today on this weight loss journey is that we are all beautiful and handsome. Of course I’m not going to forget the guys that are trying to be healthy and lose weight. I came to work today to a blog post from a friend. She talked about how she did some extra things with her looks. While looking in the mirror she remembered that she was beautiful. She was not talking about the beauty that comes from becoming thinner. My friend was talking about the spirit. The most important thing in this world is the spirit. We are beautiful when we are kind, compassionate, giving, grateful, caring, productive, joyful, loving, and bring laughter into the world.

So what’s our goal for this week on our weight loss journey? Let’s show the world how beautiful and handsome we are.