Christi Budy

Elite Data Tip-Height of Fall

From  VAOEMS—Ground level falls should be reported as zero (0) feet. This includes falling over, falls from standing, etc.  If the patient falls from furniture or a ladder, use the distance from lowest part of their body to the ground/surface they fell on.  Here are some examples: If standing...

Widespread Flu-What do I do? Winter 2018

The best prevention for flu and other viruses like colds and flu is WASH YOUR HANDS!  And it is not too late to get a flu vaccine if you didn’t get one this season.    If you are 65 or older, consider the high dose trivalent flu shot.  Cleaning up...

STROKE—What is new?

The American Heart Association has just published their newest Acute Ischemic Stroke (AIS) Guidelines.  Highlights can be found here:  http://professional.heart.org/idc/groups/ahamah-public/@wcm/@sop/@smd/documents/downloadable/ucm_498645.pdf Strokes are the second leading cause of death worldwide.  The disabling effects and cost associated with stroke victims is staggering.  While tPA is still the gold standard for ischemic...

Getting Supplies at the ED…

We are still having numerous issues with restocking supplies from the hospital vending machines.  Please take a minute to see what the major issues continue to be: Stations/Fire are responsible to restock the nasal cannula end tidals. Hospitals only restock intubated versions. You can only restock what you truly...

The Importance of Doing a Report

While doing some research for a little project, I discovered that EMR reports aren’t being completed.  The project included looking at all of the helo crew and patient transfers between the VBGH pad and the hospital.  Some of these cases had a crew out of service for over one...

Protected Health Information (PHI)

PHI is defined as any information collected from an individual that is: created or received by a health care provider, relates to the past, present, or future condition of an individual, and which can reasonably used to identify an individual. The following items are considered PHI.  This list is...

What is Kratom?

A “new” substance is out there and you may run into someone using something called Kratom.  It grows as an evergreen tree in the wild in Southeast Asia and is a member of the coffee family.  The locals have been chewing the leaf or a powder to increase energy...

LVAD-What is it?

We have numerous patients with an LVAD (Left Ventricular Assist Device) that live in our city/region.  More and more patients are receiving one as a bridge to transplant or destination therapy.  As you can imagine, the bridge is temporary until they can get a heart transplant.  For those that...

Diabetic Patients with Low Blood Glucose-Should They Refuse?

There is no perfect yes/no answer to this question.  Each patient and event has specific circumstances that will lead you to the best answer. Patients with low blood glucose (less than 60 mg/dL) require treatment of some sort.  This might include food, orange juice, oral glucose, glucagon or dextrose. ...

Elite Data Tip-Height of Fall

From  VAOEMS—Ground level falls should be reported as zero (0) feet. This includes falling over, falls from standing, etc.  If the patient falls from furniture or a ladder, use the distance from lowest part of their body to the ground/surface they fell on.  Here are some examples: If standing...

Widespread Flu-What do I do? Winter 2018

The best prevention for flu and other viruses like colds and flu is WASH YOUR HANDS!  And it is not too late to get a flu vaccine if you didn’t get one this season.    If you are 65 or older, consider the high dose trivalent flu shot.  Cleaning up...

STROKE—What is new?

The American Heart Association has just published their newest Acute Ischemic Stroke (AIS) Guidelines.  Highlights can be found here:  http://professional.heart.org/idc/groups/ahamah-public/@wcm/@sop/@smd/documents/downloadable/ucm_498645.pdf Strokes are the second leading cause of death worldwide.  The disabling effects and cost associated with stroke victims is staggering.  While tPA is still the gold standard for ischemic...

Getting Supplies at the ED…

We are still having numerous issues with restocking supplies from the hospital vending machines.  Please take a minute to see what the major issues continue to be: Stations/Fire are responsible to restock the nasal cannula end tidals. Hospitals only restock intubated versions. You can only restock what you truly...

The Importance of Doing a Report

While doing some research for a little project, I discovered that EMR reports aren’t being completed.  The project included looking at all of the helo crew and patient transfers between the VBGH pad and the hospital.  Some of these cases had a crew out of service for over one...

Protected Health Information (PHI)

PHI is defined as any information collected from an individual that is: created or received by a health care provider, relates to the past, present, or future condition of an individual, and which can reasonably used to identify an individual. The following items are considered PHI.  This list is...

What is Kratom?

A “new” substance is out there and you may run into someone using something called Kratom.  It grows as an evergreen tree in the wild in Southeast Asia and is a member of the coffee family.  The locals have been chewing the leaf or a powder to increase energy...

LVAD-What is it?

We have numerous patients with an LVAD (Left Ventricular Assist Device) that live in our city/region.  More and more patients are receiving one as a bridge to transplant or destination therapy.  As you can imagine, the bridge is temporary until they can get a heart transplant.  For those that...

Diabetic Patients with Low Blood Glucose-Should They Refuse?

There is no perfect yes/no answer to this question.  Each patient and event has specific circumstances that will lead you to the best answer. Patients with low blood glucose (less than 60 mg/dL) require treatment of some sort.  This might include food, orange juice, oral glucose, glucagon or dextrose. ...