Event Medical Cover – Sepsis

Sepsis

Sepsis, also known as blood poisoning, is the immune system’s overreaction to an infection or injury.  Normally our immune system fights infection very well – but sometimes, for reasons unknown, it attacks our body’s own organs and tissues. If not treated rapidly it can result in organ failure and death, however with early diagnosis, it can be treated with antibiotics.

Event Medical Cover - Sepsis

Sepsis symptoms in babies and children

Go straight to A&E or call 999 if your child has any of these symptoms:

  • looks mottled, bluish or pale
  • is very lethargic or difficult to wake
  • feels abnormally cold to touch
  • is breathing very fast
  • has a rash that does not fade when you press it
  • has a fit or convulsion

Get medical advice urgently from NHS 111

If your child has any of the symptoms listed below, is getting worse or is sicker than you’d expect (even if their temperature falls), trust your instincts and seek medical advice urgently from NHS 111.

Temperature

  • a temperature over 38C in babies under 3 months
  • a temperature over 39C in babies aged 3 to 6 months
  • any high temperature in a child who cannot be encouraged to show interest in anything
  • a low temperature (below 36C – check 3 times in a 10-minute period)

Breathing

  • finding it much harder to breathe than normal – looks like hard work
  • making “grunting” noises with every breath
  • cannot say more than a few words at once (for older children who normally talk)
  • breathing that obviously “pauses”

Toilet/nappies

  • not had a wee or wet nappy for 12 hours

Eating and drinking

  • new baby under 1 month old with no interest in feeding
  • not drinking for more than 8 hours (when awake)
  • bile-stained (green), bloody or black vomit/sick

Activity and body

  • soft spot on a baby’s head is bulging
  • eyes look “sunken”
  • child cannot be encouraged to show interest in anything
  • baby is floppy
  • weak, “whining” or continuous crying in a younger child
  • older child who’s confused
  • not responding or very irritable
  • stiff neck, especially when trying to look up and down

 

Sepsis symptoms in older children and adults

Early symptoms

Early symptoms of sepsis may include:

  • a high temperature or a low body temperature
  • chills and shivering
  • a fast heartbeat
  • problems or changes to your breathing
  • feeling or acting differently from normal – you do not seem your usual self

Many of the symptoms of sepsis are also associated with meningitis.

The first symptoms of meningitis are often fever, vomiting, a headache and feeling unwell.

Septic shock

In some cases, symptoms of more severe sepsis or septic shock, when your blood pressure drops to a dangerously low level, develop soon after.

These can include:

  • feeling dizzy or faint
  • a change in mental state, such as confusion or disorientation
  • diarrhoea
  • nausea and vomiting
  • slurred speech
  • severe muscle pain
  • severe breathlessness
  • less urine production than normal – for example, not urinating for a day
  • cold, clammy and pale or mottled skin
  • loss of consciousness

When to get medical help

Seek medical advice urgently from NHS 111 if you have recently had an infection or injury and have possible early signs of sepsis.

If sepsis is suspected, you’ll usually be referred to hospital for further diagnosis and treatment.

Severe sepsis and septic shock are medical emergencies. If you think you or someone in your care has one of these conditions, go straight to A&E or call 999.

 

Tests to diagnose sepsis

Sepsis is often diagnosed based on simple measurements such as your temperature, heart rate and breathing rate. You may need to have a blood test.

Other tests can help determine the type of infection, where it’s located and which body functions have been affected.

These include:

  • urine or stool samples
  • a small sample of tissue, skin or fluid being taken from the affected area for testing (a wound culture)
  • taking a sample of saliva, phlegm or mucus (respiratory secretion testing)
  • blood pressure tests
  • imaging studies, such as an X-rayultrasound scan or CT scan

 

Treatments for sepsis

If sepsis is detected early and has not affected vital organs yet, it may be possible to treat the infection at home with antibiotics.

Most people who have sepsis detected at this stage make a full recovery.

Almost all people with severe sepsis and septic shock require admission to hospital. Some people may require admission to an intensive care unit (ICU).

Because of problems with vital organs, people with severe sepsis are likely to be very ill and the condition can be fatal.

But sepsis is treatable if it’s identified and treated quickly, and in most cases leads to a full recovery with no lasting problems.

Find out more about treating sepsis

 

Recovering from sepsis

Some people make a full recovery fairly quickly.

The amount of time it takes to fully recover from sepsis varies, depending on:

  • the severity of the sepsis
  • the person’s overall health
  • how much time was spent in hospital
  • whether treatment was needed in an ICU

Some people experience long-term physical or psychological problems during their recovery period, such as:

  • feeling lethargic or excessively tired
  • muscle weakness
  • swollen limbs or joint pain
  • chest pain or breathlessness

These long-term problems are known as post-sepsis syndrome. Not everyone experiences these problems.

 

Who’s at risk

There are around 250,000 cases of sepsis a year in the UK according to the UK Sepsis Trust . At least 46,000 people die every year as a result of the condition.

Anyone can develop sepsis after an injury or minor infection, although some people are more at risk of sepsis.

This includes:

  • babies and elderly people
  • people who are frail or have a weakened immune system
  • people who have recently had surgery or a serious illness

Find out more about the causes of sepsis

Sepsis, septicaemia and blood poisoning

Although sepsis is often referred to as either blood poisoning or septicaemia, these terms refer to the invasion of bacteria into the bloodstream.

Sepsis can affect multiple organs or the entire body, even without blood poisoning or septicaemia.

Sepsis can also be caused by viral or fungal infections, although bacterial infections are by far the most common cause.

Click here for more information including videos.

Information provided by NHS.UK

Citizen Aid Event Medical Support

Citizen Aid and Event Medical Support

Event Medical Support

 

 

 

 

RTC Medical Solutions provides Event Medical Support as a CQC Registered Ambulance Service.

As a provider of Event Medical Support we recommend that all event staff are made aware of the citizenAID App and website. CitizenAID is a UK registered charity with a focused mission to prepare individuals, communities and organisations to help themselves and each other when there are multiple casualties, particularly from deliberate attacks.

CitizenAID recognise that this system is fully transferable to any situation where there are multiple casualties.

Why do we need citizenAID ?

Many know what to do when someone collapses with a heart attack. But being able to act effectively after a deliberate attack requires different knowledge and skills.  In the minutes following an attack, before emergency services arrive, simple actions like opening an airway or stopping bleeding are vital in saving people’s lives.  citizenAID helps the general public to stay safe and improvise effective treatment before emergency services are available to provide professional medical support.

How can citizenAID help you ?

citizenAID is a simple system comprising of an award winning free App, online familiarisation videos, a Pocket Guide, and educational material for both adults and children.  citizenAID has a network of volunteers across the country who share the charity’s teaching material.  There are also ambassadors who support our charitable aims and provide a geographical focus to lead the public preparation effort.

​Click Here if you wish to join the citizenAID group

 

Contact us for more information on our Event Medical Support

First Response Emergency Care (FREC)

First Response Emergency Care (FREC)

FREC

 

 

 

 

RTC Medical Solutions Ltd offers CQC Registered Ambulance Services and Events Medical Cover nationwide.

As a CQC registered provider we constantly strive to provide an excellent level of care in the pre-hospital setting.  Where better to improve care than at the core with initial training.  Some providers have a sole aim of profit, RTC is different, we are aiming to provide our lerners with knowledge, experience and the confidence to fulfill their role as a pre-hospital care provider.

Our courses are structured to ensure that you get everything you can for as little as possible.  Our First Response Emergency Care Course (FREC) levels 3 & 4  provides learners with the confidence and knowledge to deal with a vast range of pre-hospital emergencies.  This includes but not limited to: Traumatic Injuries, airway management and catastophic bleeding.

The qualification meets the requirements for anyone looking for a career in the event medical sector.  It also is suitable as an enhanced alternative to the HSE First Aid at Work qualification in higher risk working environments.

The qualification is approved by Qualsafe Awards and runs over 5 days, this can be over sucessive days or in blocks.  The entry Level 3 Certificate meets the FPHC criteria for descriptor ‘D’ provider on the PHEM Skills Framework.

So, what included in the course:
  1. Responding to life threatening medical conditions
  2. Adult, Child and Infant Basic Life Support (BLS) and Automated External Defibrillation (AED)
  3. Emergency oxygen administration including use of Bag Valve Mask (BVM)
  4. Internal and external bleeding
  5. Airway management including OPA, NPA and suction
  6. Traumatic injuries and catastrophic bleeding
  7. Hypovolemic shock and coagulopathy
  8. Poisoning and intoxicating substances
  9. Assessment and treatment of burns and scalds
  10. Circulatory and respiratory systems
  11. Burns and scalds
  12. Neck, spine and pelvic immobilisation
  13. Helmet removal
  14. Environmental exposure
  15. Patient assessments
  16. Incident reporting

How do I book a course?

Simply complete the form on out Contact Us page or call us on 01782 776110

Events Medical Cover – What you need to know!

Event Medical Cover

RTC Medical Solutions Ltd offers CQC Registered Ambulance Services and Events Medical Cover nationwide.

Did you know that only a CQC registered ambulance provider can legally provide both Blue Light Ambulances and Healthcare Professionals (such as Paramedics and Nurses) to events in England?

Providers offering these services who are not registered with the CQC could be using loopholes or blurring the lines to avoid registering. The Health and Safety Executives opinion is that it is an Event Planners responsibility to ensure that they employ a competent medical provider?

Let’s throw an example out there… You are running an event with 4000 people and your risk assessment says you need a Paramedic or Nurse led cover with Emergency Ambulance and 4 First Aiders. You ring around a few companies for Events Medical Cover and bingo… you find a company who will provide you with just that. So you’re all covered right? Wrong!

Did you check that:

  • Ambulances are CQC registered (England only) & insured as some providers ambulances are not registered?
  • Can they provide evidence of insurances?
  • Do they have contingencies, policies and procedures to ensure your events medical support will run safely?
  • First Aiders are trained in safeguarding and manual handling?
  • Medical equipment is serviced and calibrated?

These are just a few of the due diligence checks you should perform to ensure that your medical support is adequate. As the event organiser you are responsible for ensuring that the medical support you contract is competent.

Always ask yourself ‘should the worst happen did I do enough to select a competent medical provider?’

RTC Medical Solutions is different, we are owned and managed by Healthcare Professionals and Health and Safety Officers.  We also guarantee your medical cover as our services and medical teams are:

  • Registered with the CQC to NHS standards
  • Up-to-date with NHS standard mandatory training packages
  • Fully insured
  • Overseen by our Health and Safety Officer and Healthcare Professionals.

Don’t take the risk, after all the book stops with you as the event planner!

Let us take the stress away from your Event Medical Cover… we will work along side the Ambulance Service, SAG and provide adequate cover with guidance from the Purple Guide to ensure visitors to your event receive the best possible care.

Whether your event is a small fete or concert or major music festival we can help with your Events Medical Cover.  Contact us now for more information on the services we can offer.

Click here for our online contact form.

01782 776110

Event Medical Services – Diabetes Type 1 or 2, do you know the difference?

Event Medical Services – Diabetes Type 1 or 2, do you know the difference?

Event Medical Services - Diabetes Type 1 or 2, do you know the difference?

Event Medical Services – Diabetes Type 1 or 2, do you know the difference?

Type 1 and type 2 diabetes have different causes.  Whilst both type 1 and type 2 diabetes are characterised by having higher than normal blood sugar levels, the cause and development of the conditions are different.  Event Medical Services – Diabetes Type 1 or 2, do you know the difference?

It’s not always clear what type of diabetes someone has, despite what many people think.  For instance, the typical assumption is that people with type 2 diabetes will be overweight and not inject insulin, while people with type 1 diabetes will be, if anything, underweight.  But these perceptions just aren’t always true. Around 20% of people with type 2 diabetes are of a healthy weight when diagnosed, and many of them are dependent on insulin.  Similarly, people with type 1 diabetes will in some cases be overweight.

Because both types of diabetes can be so varied and unpredictable, it’s often difficult to know which type of diabetes someone has.

If someone is overweight have they got Diabetes?

It’s not safe to assume that an overweight person with high blood glucose levels has type 2 diabetes, because the cause of their condition might in fact be attributable to type 1.  In some cases, when the type of diabetes is in doubt, your health team may need to carry out specialised tests to work out which type of diabetes you have. This way, they can recommend the most appropriate treatment for your diabetes.
Common differences between type 1 and type 2 diabetes.  Despite the uncertainty that often surrounds a diagnosis of diabetes, there are a few common characteristics of each diabetes type.

These differences are based on generalisations – exceptions are common. For instance, the perception of type 1 diabetes isn’t strictly true: many cases are diagnosed in adulthood.

This information should be seen as a rough guide to the differences between type 1 and type 2 diabetes, rather than hard and fast rules.

Common differences between type 1 and type 2 diabetes Type 1 Diabetes Type 2 Diabetes

Type 1:
Often diagnosed in childhood
Not associated with excess body weight
Often associated with higher than normal ketone levels at diagnosis
Treated with insulin injections or insulin pump
Cannot be controlled without taking insulin

Type 2
Usually diagnosed in over 30 year olds
Often associated with excess body weight
Often associated with high blood pressure and/or cholesterol levels at diagnosis
Is usually treated initially without medication or with tablets
Sometimes possible to come off diabetes medication

How type 1 diabetes develops

Type 1 diabetes is an autoimmune disease, which means it results from the immune system mistakenly attacking parts of the body. In the case of type 1 diabetes, the immune system incorrectly targets insulin-producing beta cells in the pancreas. Nobody knows why this occurs, or how to stop it. The immune systems of people with type 1 diabetes continue to attack beta cells until the pancreas is incapable of producing insulin.

People with type 1 diabetes need to inject themselves with insulin to compensate for the death of their beta cells. Everyone with type 1 diabetes is insulin-dependent.

How type 2 diabetes develops

Type 2 diabetes is different. The autoimmune systems of people with type 2 diabetes don’t attack beta cells. Instead, type 2 diabetes is characterised by the body losing its ability to respond to insulin. This is known as insulin resistance.

The body compensates for the ineffectiveness of its insulin by producing more, but it can’t always produce enough. Over time, the strain placed on the beta cells by this level of insulin production can destroy them, diminishing insulin production.
Type 2 diabetes and insulin injections

People with type 2 diabetes may need to take insulin injections, usually for one of two main reasons:

Low sensitivity to insulin: The more excess body weight we carry, the less sensitive we are to insulin. Being insensitive to insulin means insulin doesn’t reduce blood glucose levels as much as it should. People with low insulin sensitivity often need to be injected with insulin to avoid hyperglycemia.
Beta cell failure: If you develop insulin resistance, you need more of it to keep your blood glucose levels stable. More insulin production means more work for the pancreas. Over time, the beta cells can become burnt out by the constant strain, and stop producing insulin altogether. Eventually, you can get to a similar situation as someone with type 1 diabetes, in which your body is incapable of producing the amount of insulin you need to keep blood glucose levels under control. Insulin injections are necessary in these situations.

Click Here for a short video on Diabetes

Event Medical Services – Diabetes Type 1 or 2, do you know the difference?

Information from Diabetes UK

Event Medical Services – Drug Awareness

Event Medical Services – Drug Awareness

Event Medical Services – Drug Awareness is commited to ensuring a safe drug free environment at all events we cover.  We always aim to ensure we give the most up to date and relevant information.

Event Medical Services - Drug Awareness

Event Medical Services – Drug Awareness and the effects of MDMA

Acute Effects

A person may experience the intoxicating effects of MDMA between 20 and 60 after taking a single dose. Those effects include an enhanced sense of well-being, increased extroversion,27,53 emotional warmth, empathy toward others,54 and a willingness to discuss emotionally-charged memories.55 In addition, people report enhanced sensory perception as a hallmark of the MDMA experience.27,28

Use of even moderate doses of MDMA in crowded, warm environments—or during periods of vigorous, extended physical activity—can dramatically increase body temperature, with potential deadly consequences.

However, MDMA can also cause a number of acute adverse health effects. For example, while fatal overdoses on MDMA are rare, they can potentially be life threatening—with symptoms including high blood pressure (hypertension), faintness,8,56 panic attacks,57 and in severe cases, a loss of consciousness and seizures.58

Because of its stimulant properties and the situations in which it is often taken, MDMA is associated with vigorous physical activity for extended periods in warm environments. This can lead to one of the most significant, although rare, acute adverse effects—a marked rise in body temperature (hyperthermia).59–61 Research in rats shows that even moderate doses of MDMA interfere with the body’s ability to regulate temperature, potentially leading to deadly consequences in warm environments.6 Treatment of hyperthermia requires prompt medical attention, as it can rapidly lead to muscle breakdown or an electrolyte (sodium) imbalance, which can in turn produce kidney failure9 or fatal swelling of the brain, especially in women.62 MDMA use in combination with vigorous exercise causes dehydration,56,57 leading some people to drink large amounts of liquids. However, this could increase the risk of electrolyte imbalance or brain swelling because MDMA causes the body to retain water.63,64 One modest dose of MDMA can also reduce the pumping efficiency of the heart in people who use regularly,65 which is of particular concern during periods of increased physical activity.

MDMA can also produce other adverse health effects, including involuntary jaw clenching,53 lack of appetite,28,53mild detachment from oneself (depersonalization), illogical or disorganized thoughts, restless legs,28 nausea,56,57,66hot flashes or chills,8,56 headache, sweating,8,57 and muscle or joint stiffness.66

In the hours after taking the drug, MDMA produces significant reductions in perceiving and predicting motion—for example, the ability to judge whether a driver is in danger of colliding with another car. This emphasizes the potential dangers of performing complex or skilled activities, such as driving a car, while under the influence of this drug.67

Once MDMA is metabolized, or broken down in the body, its byproducts interfere with the body’s ability to metabolize MDMA.68 As a result, additional doses of MDMA can produce unexpectedly high blood levels, which could worsen the toxic effects of this drug.69 In addition, combining MDMA with other substances, such as caffeine,70amphetamines,71 the amphetamine-like mephedrone,72marijuana,73 or alcohol,74,75 may increase the risk of adverse health effects associated with MDMA.29

Sub-acute Effects

Recreational use of MDMA is often characterized by repeated drug taking over a number of days (binges), followed by periods of no drug taking. In one animal study, this pattern of use produced irregular heartbeat (arrhythmia) and heart damage.76 In the week following use of the drug, many people report depression, impaired attention and memory,77–79 anxiety, aggression,80 and irritability.78

Effects of Regular MDMA Use

Sleep disturbances, lack of appetite, concentration difficulties, depression,79 heart disease,81,82 and impulsivity83 have been associated with regular use of MDMA. In addition, heavy MDMA use over a 2-year period of time is associated with decreased cognitive function.84Some of these disturbances may not be directly attributable to MDMA, but may be related to some of the other drugs often used in combination with MDMA, such as cocaine, alcohol, or marijuana, or to adulterants commonly found in MDMA tablets. More research is needed to understand the specific effects of regular MDMA use.

For more information on Event Medical Services – Drug Awareness and  Drug Addiction click here

National Institute for Drug Abuse

Event Medical Services – Heat Exhaustion

Event Medical Services – Heat Exhaustion

Event Medical Services - Heat Exhaustion

Event Medical Services – Heat Exhaustion

With the hot weather gripping the Nation, our advice on Event Medical Services – Heat Exhaustion will help you avoid Heat Exhaustion allowing you to make the most of this amazing weather.

Heat exhaustion is not serious and usually gets better when you cool down. If it turns into heat stroke it needs to be treated as an emergency.

Check for signs of heat exhaustion

The signs of heat exhaustion include:

  • headache
  • dizziness and confusion
  • loss of appetite and feeling sick
  • excessive sweating and pale, clammy skin
  • cramps in the arms, legs and stomach
  • fast breathing or pulse
  • temperature of 38C or above
  • intense thirst

The symptoms are often the same in adults and children, although children may become floppy and sleepy.

If someone is showing signs of heat exhaustion they need to be cooled down.

Things you can do to cool someone down

Follow these 4 steps:

  1. Move them to a cool place.
  2. Get them to lie down and raise their feet slightly.
  3. Get them to drink plenty of water. Sports or rehydration drinks are OK.
  4. Cool their skin – spray or sponge them with cool water and fan them. Cold packs around the armpits or neck are good too.

Stay with them until they are better.

They should start to cool down and feel better within 30 minutes.

Call 999 if the person:

  • is no better after 30 minutes
  • feels hot and dry
  • is not sweating even though they are too hot
  • has a temperature that’s risen to 40C or above
  • has rapid or shortness of breath
  • is confused
  • has a fit (seizure)
  • loses consciousness
  • is unresponsive

These can be signs of heat stroke.

While you wait for help, keep giving first aid and put them in the recovery position if they lose consciousness.

Preventing heat exhaustion and heat stroke

There is a high risk of heat exhaustion or heat stroke during hot weather or exercise.

To help prevent heat exhaustion or heat stroke:

  • drink plenty of cold drinks, especially when exercising
  • take cool baths or showers
  • wear light-coloured, loose clothing
  • sprinkle water over skin or clothes
  • avoid the sun between 11am and 3pm
  • avoid excess alcohol
  • avoid extreme exercise

This will also prevent dehydration and help your body keep itself cool.

CQC Registered Ambulance Services

CQC Registered Ambulance Services

CQC Registered Ambulance Services

RTC Medical Solutions Ltd offers CQC Registered Ambulance Services nationwide.

Did you know that only a CQC registered ambulance provider can legally provide both Blue Light Ambulances and Healthcare Professionals (such as Paramedics and Nurses) to events in England?

Providers offering these services who are not registered with the CQC could be using loopholes to avoid registering.

Don’t take the risk, after all the book stops with you as the event planner!

Why not book your event with the professionals.

Our Healthcare Professional and Heath & Safety Management team ensure the adequate level of medical staff at your event. Following discussions with the Health and Safety Executive, event planners are responsible for both adequate and appropriate levels of medical cover at any event they manage.

Let us take the stress away… we will work along side the Ambulance Service, SAG and provide adequate cover with guidance from the Purple Guide to ensure visitors to your event receive the best possible care.

Whether your event is a small fete or concert or major music festival we can help.

Contact us now for more information on the services we can offer.

Click here for our online contact form.

01782 776110