Browsed by
Category: Emergency

Learn F.A.S.T.

Learn F.A.S.T.

Learn F-A-S-T: Save a Life.

According to American Heart Association studies, speed can save lives. The first thing you learn when researching stokes is speed directly proportional to the rate of recovery.   A stroke occurs when the blood supply to part of your brain is interrupted or reduced, preventing brain tissue from getting oxygen and nutrients.  Here are some scary statistics.

Everything about a stroke demands speed. The diagnosis must be prompt, and the treatment should be immediate. For every minute a stroke is untreated, a person can lose around 1.9 million neurons, according to the National Stroke Association. Do Not Drive anyone to the hospital, if a stroke is suspected, call 911 immediately.

“We know ‘time is the brain,’” says Carolyn Brockington, MD, a neurologist at Mount Sinai Hospital in New York City. “That means that the longer the brain isn’t getting enough blood flow, the more likely there’s going to be a permanent injury.”

In a 2010 study of more than 3,600 stroke patients, researchers found that the odds of a favorable outcome increased as the time between stroke onset and medical treatment decreased.

F-A-S-T: What Does It Stand For?

Perhaps no acronym is more fitting for stroke detection and treatment than F-A-S-T.  This acronym can help remind you to “act fast” when a stroke is happening—to you, a loved one, or even a stranger on the street.

F is for Face: A classic stroke symptom is a drooping face, usually only affecting one side. The person may be unable to smile or show other facial expressions as usual.

A is for Arms: Weakness in one or both arms may indicate a stroke. If the person is drooping an arm or unable to lift it, it may be a stroke.

S is for Speech: Someone having a stroke may have garbled speech that almost sounds like they’re intoxicated. They may struggle to communicate or to understand your words. You can ask the person to repeat a simple phrase; if they are unable to repeat it clearly, they might be having a stroke.

T is for Time: Once you’ve noticed a drooping face, weak arms, and garbled speech, it’s time to take action quickly. “Time is so important with the brain so we want people to know: dial 911,” says Dr. Brockington. “That means it’s an emergency situation [and] they’ll be taken to the closest stroke center for rapid treatment.”

Of course, the best treatment for stroke is preventing one from happening in the first place. That meanS taking control of your everyday choices. You can start anytime to make good lifestyle choices that keep your blood vessels strong and unclogged. Take control and do whatever you can every day to lead a healthy lifestyle.

If you want to learn more, here are a few websites you may find helpful 



1Keep calm, don’t panic.

2DIAL 9-1-1. Don’t hang up, until EMS arrives.

Try and keep calm. You are going to be asked a few questions, speak clearly. Realize usually within 2 minutes help is being dispatched, while you are on call.        

3 – Be prepared for the following questions:

Where is the emergency? The emergency is not always located where you’re calling from. Always be aware of your surroundings, to be as specific as you can.

Nature of the emergency: Do you require assistance from law enforcement, medical professionals, and/or fire?  Location. Give the dispatcher your name and address.  The phone number of the phone you are using. If you are disconnected, for some reason they can call you back. Are you alone? What happened? How many details do you know? In a medical emergency name as many symptoms as you can.  Stay on the phone.

5 – Keep Calm

6 – Listen to the dispatcher. Follow orders. The better and faster you follow orders, the higher everyone’s rate of survival will be. Even in a non-lethal situation (broken bones), this is of vital importance. Have strict, unwavering faith in the dispatcher. And remember that even if the dispatcher is still asking questions or giving instructions, help is on the way.

7 – Don’t hang up until help arrives or instructed too so. Anything can happen, and the emergency services need to know your situation at all times until help is there.

8 – When the responders arrive – tell them:

  1. location of the patient’s Vial of Life information, have insurance available but will go to the hospital with family if available.

      b. The location of the patient’s Living Will or Do Not Resuscitate order.

  • Decide the hospital you want to go to. There may be times in medical situations that EMS may take you to the closest hospital, however.

9. Do not attempt to follow the ambulance. Family members should gather necessary items like insurance information, friends and family contact information, and PHONE CHARGER. Then carefully drive to the hospital chosen. Realize that you may not be able to see the patient in the hospital until initial treatment has been given.

Be Prepared!

Be Prepared!

Seriously, be prepared!  Maintenance of a personal updated health history is one of the most important steps to improve your quality of healthcare. A good medical history can literally be a life saver. During the pandemic, having current information completed crucial. Having documented your health information becomes more important, if a family member or HCPOA, needs to step in at a time of crisis.

You really do not want to have to come up with all this information, if you start feeling sick! Your providers’ time is limited, the more efficient you can make your visit, the better outcome you will receive. You should arrive prepared with the following information:

  • Name, age, height, weight and chief complaint or complaints specific to that healthcare provider.
  • Explain your chief complaint or complaints. In particular specify anything that has changed from previous visit.
  • Give specific numbers for things: like how long had the symptoms or how much pain, on a scale of 0 to 10. Document any of information you have; daily b/p, daily weight or change in medication administration.                 
  • Give any associated symptoms, as they often the key to making a correct    diagnosis. Have you had similar symptoms previously? Bring copies of past medical test, lab work, EKG’s, scans.
  • Make sure to review symptoms. This is when reading from your healthcare notebook is helpful. You should always have the following information documented:
  • Allergies and drug reactions
  • Current medications, including over-the-counter drugs, any CBD use.
  • Current and past medical or psychiatric illnesses or conditions
  • Past hospitalizations
  • Immunization status
  • Give truthful use of tobacco, alcohol, CBD or recreational drugs
  • Family status, including whether the patient is married, who the patient lives with and other relationships. Include questions about the patient’s current sexual activity and history.

 So, Get TO IT! Be Prepared.



This Notebook will be your guide in creating and developing all the information necessary and become, your best advocacy tool.

Once completed you HealthCare Notebook will improve your communication and care across all medial services .

When your documentation is completed in advance of any MD appointment, therapy, or hospital stay you will receive better outcome, guaranteed.

click here to see online version

free hard copies are available email for details

Crisis & Perception Mid-Year Review

Crisis & Perception Mid-Year Review

We are half way through a year, like we have never had before. Time to check our approach for the remaining half.  Is your glass half full or half empty? Check your perception and see if it is time to get a smaller glass? Control your life with what you can do, what you must and recognize your gifts, you can give to the world to fill our personal glass.

A definition of crisis is “a difficult or dangerous time in which an immediate solution is needed”. Crisis has been written more, spoken more and read more than any year in memory. 

Perception is “the state of being or process of becoming aware of something through our senses.” Our perception is 100% accurate to US.  However, our perception of a crisis can be similar to our glass half empty or full concept. If we feel are always running on ½ empty, look for a smaller glass.  A smaller glass my be appropriate way to handle our perception of this year of crisis. The following approach is a guideline to handle a crisis.  See if your perception of what you CAN DO to fill your glass is enough.

Steps to handling crisis:

Assess. First, take a step back; take a few deep breaths; whatever it takes to restore your calm, so you can think clearly.  Best to STOP the media overload. Fill the glass with a plan and recognition of what is good in your life. See if a smaller glass is what is best for you to be able to control or change your perception of your life just for now.

Engage. Engage all your key persons. Involve your key insiders, so those with a vested interest won’t feel like they were kept out of the loop.  Be open to all with your concerns.  Fill your glass by seeking solutions from those you trust.

Plan. Once you have a clear picture of what maybe a worst-case scenario, plan. You know, if you do get sick what are your plans? Pre-planning enables you to act quickly, confidently, and effectively when the time comes to act. Living a healthy life is 75% preparation and 25% implementation. Make your plan with that in mind.

Act. Take a step back and see if you are being proactive, not reactive–obvious in theory but difficult in practice.  Are you keeping up with your medications, doing what exercise you are able, eating correctly and getting sleep, as well as connecting with others daily? Objective planning leads to a calm and confident approach.

Communicate. Communicate transparently and honestly. Perception is everything. Staying in touch with others is most important. A call to check on a friend “How are you doing” will benefit both parties.

So, your glass may not be ½ empty, it may be your, perception that is faulty. In this time of crisis, we need to step up our recognition of our perception of our daily lives. Fill your glass each day, with your “CAN DO’S” or reset your perception to a smaller glass to overfill!

Telehealth is here to stay.

Telehealth is here to stay.

Telemedicine is one of the long-lasting legacies of COVID 19. It has changed the face of healthcare. Can I use telemedicine? When should I use telemedicine?  How does it work?

Prior to March 2020 only 11% of Americans had been seen by a doctor via video. By May 20020 3 of 10 consumers were being seen by video.  Telemedicine uses video cameras and monitors to connect you to health care providers. You will be able to see, hear, and talk to a doctor or any health care professionals through video-conferencing. You may have a family member; care provider be on the call with you.

Preparation is vital. You need to be prepared for the information being asked of you and have your questions written down, so nothing gets missed. These appointments are also called virtual visits. Your health care team will ask you questions and work with you to develop a plan of care, in response to the symptoms you share. In the past these visits have been used for urgent but non-emergent symptoms.  Now telehealth has expanded into physician, nurse practitioner, mental health provider, pre and post op visits. Often expanded with the use of wearable monitoring applications now available. These include monitoring of vital signs by finger EKG, glucose levels and both physical and occupational applications. Online visits leave the clinician with additional time to see more serious patients in an office, urgent care or emergency setting.

How do I get started? You will need access to a computer with a webcam, or a smartphone or tablet. This gives you the ability to stay in your home, reduces stress from the cost and time spent traveling and reduced absence from work/school.

Telehealth is being supported by the medical community, as there are few missed appointments. The insurance providers see a huge potential in cost savings. So be prepared for your next point of care, as is may be in your own living room.

When is Yes Wrong?

When is Yes Wrong?

Giving is good, but giving yourself away isn’t. How many of us find it just easier to say Yes!  Is my Yes enabling the other person(s) to not do for themselves? Reason out when my saying Yes is an impediment to another’s growth and development. This will take practice. Rewards are a better personal life ahead for you.

TOOLS TO HELP YOU SAY NO: Giving is good, but giving yourself away isn’t. 1. Remember NO is said out of self-love and protection.

2. Don’t answer right away. Give yourself time to evaluate the situation. Breathe in for the count of 4 and breath out the count of 8. Do that 3 times.

3. Evaluate their need and yours. Do they need help specifically from you or are they calling because they know you always say yes? Do you want to help? Do you have other things planned then?

4. Just because you feel it, doesn’t mean you have to heal it.

5. Ask yourself if you say no, will the person come to serious harm?

6. If you can’t say no on the phone, text it. Sorry I can’t. Keep it short. No story.

7. Be polite and firm. Believe it yourself.

8. Don’t go on and on. A person wanting your help, may be able to talk you out of your own story.

9. Be honest with yourself.

10. Your time in valuable. Protect your down time. You deserve to relax, recharge, and rest. You don’t have to give to others to the point of exhaustion.

Notes from

ER or Urgent Care?

ER or Urgent Care?

Where to go when I am sick or hurt?

It’s important to understand when you should go to an urgent care center. Urgent Care facilities are popping up everywhere it seems. So, when are these the best option for care? These facilities are not appropriate for life threatening illnesses or injuries. It is important to note, if your injury or illness is on the list of most commonly treated symptoms, but is determined to be severe enough you may need be transported to a local emergency room. A trained medical professional will make that decision.

These are the most appropriate reasons to go to an Urgent Care:

  1. Strep throat. Strep throat is highly contagious. An urgent care clinic can usually test, diagnose, and treat the infection immediately.
  2. Minor sprains and breaks. Most urgent care clinics have X-ray on site. If you suffer a sports injury or any type of serious fall, ice and rest the injured area as you head to an urgent care center.
  3. Flu shots and cold treatment. Urgent care centers will treat flu and cold symptoms. There are medications that can reduce the duration and impact of flu, and they work best if taken in the first two days of infection.
  4. Cuts and minor wounds. Stitches for minor cuts can easily be handled by an urgent care clinic. They can also provide tetanus shots and prescribe antibiotics, if needed.
  5. Tick bites. A tick bite is no minor bug bite. These  can be dangerous are best treated with early detection for potential Lyme disease.

In addition to injuries, people go to urgent care facilities to be treated for “feeling sick”. These illnesses usually found to be not life-threatening. They can be treated , most commonly, with antibiotics or other specific medications. Some of the most common illnesses that are treated in an urgent care facility include:  Urinary tract infections, Yeast infections, Pink eye, Mono, Bronchitis, Colds/Flu, Ear Infection.

Sometimes, you may not know exactly what is wrong. In these cases an urgent care facility is a reliable starting point. If you are experiencing any of the following symptoms: Swollen glands, Rash, Sore throat, Diarrhea, Headaches or any unexplained pain or swelling, these can usually be treated as outpatient. Realize, if  it is determined you do not belong in an urgent care, a trained professional will make sure that you are moved to the appropriate facility, by ambulance if necessary.  They will then notify the facility that you are on your way.  This allows the receiving facility to be prepared and saves time and in some cases lives.

Many Urgent cares now take online booking and will let you know how long a wait might be. So, think before you rush into an emergency room and get the bottom of the triage totem pole. Be educated about what kind of facilities are around you, so when you are in need of making that big decision you are ready.



Before Giving CPR

1.Check the scene and the person. Make sure the scene is safe, then rub the person on the shoulder to check for response.

2. Call 911 for assistance. That one person should stay on line until EMS arrives. Remain calm and be able to give clear information on place, person and response at the time. Send someone else to get an AED.

3. With the person lying on his or her back, on hard surface, ground or floor,  tilt the head back to lift the chin.

4.Check for breathing. Listen carefully, for 10 seconds, for sounds of breathing  Check for a pulse, If there is no breathing or pulse begin CPR and maintain until AED Pads are attached.

5. Set the AED to ANALYZE

Place your hands, one on top of the other, in the middle of the chest just at the end of sternum, fingers interlaced.  Use your body weight to help you administer compression’s that are at least 2 inches deep and delivered at a rate of at least 100 compression’s per minute.

2. Pause: Use AED to ANALYZE.

Resume CPR as directed