CaseEMS GB Meeting Minutes
Tuesday, October 4, 2011
Jeff Luk (Dr. Luk) presentation
 Can call him Jeff
 EMS Medical director/University Hospital Emergency Medicine doctor
 We are on his medical license
 He wanted to meet us because he is the new medical director
 Case Study
o 20 yr. old male found in Clarke
o Bottom of the stairs laying down
o Primary survey (ABC’s)
 Airway – if he can talk then airway intact
 Breathing – respiration, quality of respiration, carry stethoscope
 Look, feeling, listen
 Listen for breath sounds on both sides of lungs
 Cardio – pulse, cap refill (less than 2 sec.), look at skin (blue is
bad)
 If any of these are not in order then call ALS
o Check mental status (AAO x 4)
 Awake
 Aroused/Aware
 Oriented (x4)
 Place
 Person
 Time (possible questions: day of week, month, current
president, year)
 Event
o Rapid trauma assessment
 Abrasions
 Deformities
 Contusions
 Punctures, penetrations
 Lacerations
 Burns
 Tenderness/Pain
 Smell odor of alcohol in breath (if can smell means he is not
reliable)
o If smell alcohol then do c spine with backboard
o AMS (altered mental status)
 With alcohol
 Seizure
 Head trauma (brain bleed)
 Diabetes – sugar
 Low blood pressure
 Stroke (CVA)



Shifts





 Infection
 Sodium, potassium abnormality
2001 Rosenberg case
o Washington DC EMS dispatched to Rosenberg
o Messed up there assessment and EMS took to regular hospital
o The doctors messed up and Rosenberg died
Moral of story: DO NOT MINIMIZE DRUNK PATIENTS
It’s important to contact Dr. Luk if not sure – err on the side of caution
o Once contact Dr. Luk then it is all on him – it is how to protect yourself
Shift officer for Friday is leaving
Patrick is looking for shift officer on Friday
If interested see him
Can foresee a shuffling of times
Still need to keep standard of a shift officer on every shift
Standbye
 Contact Hiroko if interested
 5K, Amazing Race
 Standbye for events to provide medical care in case they need it
 October 15 – Homecoming 5K
 Need to have 2 EMT-b certified and then any CPR certified can do
CPR classes
 Look for information to come soon
MCI






October 29
RTA bus crashing into a bus stop
Can participate whether certified or not
EMT’s and First Responders can act as responders
If not certified can be participant, volunteer, bystander
Cleveland, Cleveland Heights, UH, etc. all participated last year – hopefully same
for this year