Central Valley Medical

@nardoctor on Pediatric vs. Adult BVM What BVM is right for your patient? Let’s take a look at BVM size and Tidal Volume delivered. Goal: Lung protective venti...lation(shown to reduce morbidity and mortality)= 560ml for a 70kg adult (5-8ml/kg of ideal body weight). Higher volumes may result in volutrauma (inflammation) and barotrauma (pneumothorax). . Adult BVMs have a reservoir size of 1500-2000ml with an average Tidal Volume delivered of 808ml, Pediatric BVMs have a reservoir size of 500-1000ml with an average Tidal Volume delivered of 631ml (study by cMarques-Baptiste et al- WJEM May 2020 using Physicians, PAs, EMTs, RNs). . @jeffrey.siegler did a great article (2016 Prehospital Emergency Care) and @somstaff SOMA 2018 presentation looking at EMS providers ability to deliver appropriate volumes with Peds BVMs. Results= With oropharyngeal (avg 570ml), supraglottic(avg 664ml) and ET tube(avg 663ml), providers did far better with Peds BVMs. . How about changing grips with an adult BVM? @jeffrey.siegler did that (2018 Prehospital Emergency Care). Results= Adult BVM/Peds BVM- Thumb plus 3 fingers (836ml/576ml), thumb plus 2 fingers (835ml/572ml), thumb plus 1 finger (794ml/547ml). . Switch to Peds BVM for appropriate Tidal Volumes. If you do use an adult BVM, use one finger technique and stop when you see the chest rise. Use a PEEP valve. Do not hyperventilate (common when bagging a patient), consider using a rate timer. PRACTICE under realistic and stressful conditions (video your medics during an airway procedure and continue to record ventilation for feedback on rate and volume). #emergencymedicine #paramedicine #ems #emt #paramedic #medic #68whiskey #corpsman #socm #sarc #pj #18delta #physicianassistant #nardoctor See more

Employee Snapshot- Robert Quijano Robert has an AA in English. He is a BLS, CPR, First Aid instructor who is also a English Major at Fresno State University. When he is not teaching students for BLS (CPR) or First aid he spends most of his time in the kitchen cooking his favorite foods, such as buffalo wings and ranch dressing; while prepping for the next football, basketball, or baseball game. Robert loves watching and studying critically acclaimed films like Pulp Fiction, Reservoir Dogs, Fight Club, Moonlight, Seven, and The Big Lebowski. He absolutely loves spending time outdoors for hiking or running. When he is on his runs he loves listening to Travis Scott, Freddie Gibbs, Kendrick Lamar or a good podcast.

Join Our Safe Sitter Class!! Designed to prepare students in grades 6th-9th to be safe when they’re home alone, watching younger siblings, or babysitting. The instructor-led class is filled with fun games and role-playing exercises. Students even get to use manikins to practice rescue skills such as CPR! Course Fee: $65.00 Course Date: March 20th @ 9am-3pm... Contact Information Phone Number: 559-765-0306 Email: [email protected] Website: www.morethancpr.com Location: 2000 N. Schnoor Ave Ste. 102 Madera, CA. 93637 Enroll Now at https://morethancpr.enrollware.com/enroll?id=4634820

Central Valley Medical has awesome instructors and awesome classes. Enroll now and save! Call (559) 765-0306 and mention promo code"Heartsaver" and 10% any course. #supportsmallbusiness #smallbusiness #familyowned #americanheartcourses

Come and Let Kevin or Claude teach you how to care for Pediatric patients. Pediatric Advanced Life Support (PALS) will improve your skills with ped patients. Enroll Today at https://morethancpr.com/pals/ #pediatrics #pediatricnurse #pals #palscertification

All of us here at Central Valley Medical would like to wish everyone a Happy New Year! Stay Safe!

Congratulations to Michael, Keegan, Gabriel, Lucil, Alexa, Jami, Georgianna, Nichole, and Johanna. Excellent Job!! We are very proud of you!!

The ENA has just released two new versions of TNCC 8.0. There is a 1-Day Fast Track and an RN Only Challenge format. The Fast Track is a 1 day class and we have reduced prices to make it more affordable. The RN only Challenge is skills testing and written test only; No in-class work. Lesrn more at:... https://www.morethancpr.com/tncc to learn more about these 2 new options. #emergencynurses #tncc #traumanursesdoitbetter See more

Congratulations to Antonia, Kendra, Ruby, Timi, Jose, Mary, Diana M., Diana L., Victoria, Frank, and Eevoy. Job well Done

Congratulations to all the students who attended our recent IVBW certification class. Job well Done! We are very proud of each and everyone of you! Nurse On!

Vote for your favorite Pumpkin Decoration and help one of our employees win$100

In the Neonatal Resuscitation Program (NRP) you will learn about the PPV with Flow Inflating Bag. The NRP provider must learn and understand that It’s important to remember that the starting peak inspiratory pressure (PIP)the highest level of pressure applied to the lungs during inhalationshould be 20 centimeters of water pressure (cmH2O) and positive end-expiratory pressure (PEEP) resistance on expiration should be 5 cmH2O to prevent lung damage and to open airways respec...tively. The Flow-inflating bags feature a soft bag and are very effective in skilled hands. Most clinicians, including respiratory therapists, find ventilating with a flow-inflating bag to be difficult if they don’t have neonatal ICU experience. However, in the hands of experienced providers, the flow-inflating bag gives a better feel for lung compliance and can be used to provide CPAP. Click on the link below to watch a video of how to properly use the Flow-Inflating bag. https://youtu.be/FiL2nXOz3GY Sign up for NRP today and improve your skills with Neonatal patients. https://morethancpr.com/neonatal-resuscitation-program-nrp/

Some of the 2020 AHA GUIDELINES pVTACH... VFIB PEA/ASYSTOLE Bradycardia BLS : emphasis placed on when to administer based on the rhythm. Still give 1 mg every 3-5 minutes. / - Give Epi as soon a possible. Survivability & ROSC is greater if given in less than 5 minutes of cardiac arrest. pVTACH/VFIB - Give after 2nd shock : pH/: there is no emphasis on one over the other. Either is acceptable. : 300mg 1st dose. 150mg 2nd dose). : 1.0-1.5 mg/kg 1st dose. 0.5-0.75 mg/kg 2nd dose). : Pulse & BP PETCO: Abrupt, sustained increase in PETCO. Usually greater than 40. ART LINE: spontaneous arterial pressure waves. : shock delivered by 2 defibrillators nearly simultaneouslyhas emerged as an approach to manage patients who are in refractory VTAC/VFIB. AHA states... "The usefulness of double sequential defibrillation for refractory shockable rhythm has not been established" (Highlights 2020). Bradycardia Algorithm- Atropine 1mg IVP up to 3 mg BLS --CPR Coach added as a new role --Rescue Breathing: Adults-1 breath every six seconds Child/Infant- 1 breath every 2-3 seconds

Posted @withregram @advanced.perio.endo.experts Our whole team is doing CPR training tonight with the great trainers at @centralvalleymedical. They are the best in the business. We are having fun and learning lots tonight! #cpr #cprtraining #fresnobusinesses #savinglives

Respiratory Care Week October 25-31 2020 Central Valley Medical would like to thank all of our Respiratory Care Providers for all they do! #rtsrock #respiratorytherapist #acls #pals #bls

Central Valley Medical would like your feedback on the new American heart guidelines and the new class option that they are now pushing. Please take the time to fill out a form and you will be put in for a drawing to win $30 in Apple Itune Cards http://bit.ly/AHA2020-guidelines No information will be shared or sold to 3rd Parties.

The American Academy of Pediatrics (AAP) and The American Heart Association came out with new NRP guidelines yesterday. The Top Ten Messages are what you should review and keep in mind with Resuscitating Neonates. NRP version 8.0 will be released in June of 2021. TOP 10 TAKE-HOME MESSAGES FOR NEONATAL LIFE SUPPORT 1. Newborn resuscitation requires anticipation and preparation by providers... who train individually and as teams. 2. Most newly born infants do not require immediate cord clamping or resuscitation and can be evaluated and monitored during skin-to-skin contact with their mothers after birth. 3. Inflation and ventilation of the lungs are the priority in newly born infants who need support after birth. 4. A rise in heart rate is the most important indicator of effective ventilation and response to resuscitative interventions. 5. Pulse oximetry is used to guide oxygen therapy and meet oxygen saturation goals. 6. Chest compressions are provided if there is a poor heart rate response to ventilation after appropriate ventilation corrective steps, which preferably include endotracheal intubation. 7. The heart rate response to chest compressions and medications should be monitored electrocardiographically. 8. If the response to chest compressions is poor, it may be reasonable to provide epinephrine, preferably via the intravenous route. 9. Failure to respond to epinephrine in a newborn with history or examination consistent with blood loss may require volume expansion. 10. If all these steps of resuscitation are effectively completed and there is no heart rate response by 20 minutes, redirection of care should be discussed with the team and family. Join one of our NRP classes today at www.morethancpr.com/nrp

The Official 2020 American Heart Association Guidelines CPR and ECC is Releasing October 21, 2020 Stay tuned tomorrow for the New Changes! Learn CPR and Save a Life! www.morethancpr.com/cpr #cprsaveslives #cprsaveslives #bls #blscertification #blstraining #cprtraining

Join Us for a TNCC 8.0 class. Every second counts when stabilizing life-threatening trauma cases. This course, taught by qualified emergency nurses, prepares you with the knowledge, critical thinking skills and hands-on training needed to provide high-quality, trauma nursing care. After completing this course, you will be able to properly assess and implement evidence-based interventions to improve outcomes for your patients. Enroll Now at https://www.morethancpr.com/tncc/ #tncc #emergrncynurses #traumanurse

In this installation of the Handtevy Minute Dr. Antevy discusses the recently released NAEMSP Joint Position Paper titled "Medication Dosing Safety for Pediatric Patients: Recognizing Gaps, Safety Threats, and Best Practices in the Emergency Medical Services Setting. A Position Statement and Resource Document from NAEMSP"... This document takes a deep dive into the issues with pediatric medication dosing in EMS and provides insight for agencies to improve their practice and ultimately provide safer care for the critically ill and injured child. https://youtu.be/1wERlvJhn1Y