Trauma Season
and Warm Weather Dangers
It’s that time
of year. People getting out, doing more high risk activity like
boating, riding horses, ATVs and many other fun and exciting things.
Sadly, many people seem to drive faster too. We in EMS call this
“trauma season.” At the Pulaski County Ambulance District (PCAD) we
stock up on extra trauma supplies, splints, and IV solutions. We
know trauma season is coming.
Trauma is the
primary cause of death and disability in people from 1 to 44 years
of age. Heart disease and cancer do not catch up with trauma as the
leading cause of death until the person’s fifth decade of life.
Trauma is the seventh leading cause of death in the elderly and
about 80 % of teenage deaths are from trauma. Every ten years more
Americans die of trauma than have died from all U.S. military
conflicts combined. Pretty astounding statistics aren’t they?
Before going
into some of the less common, but interesting emergencies that spark
a lot of questions and concerns--the deadliest of them all to try
and prevent: The Motor Vehicle Crash (MVC). Most of the death,
dismemberment, and permanent disability we see this trauma season
will be as a result of the motor vehicle. Sadly, we have already
seen several of these heartbreaking tragedies early this year.
Hopefully there will be no further; however we fear more are to
come.
Prevention
strategies regarding MVC fatalities and disabilities: 1) Slow
down. It is unbelievable how fast people are driving on the highways
and gravel roads. 2) Pay attention. Inattentiveness is frequently a
primary cause of crash. Beware of talking on the cell phone or other
distractions while driving. 3) Use the appropriate safety devices,
seat belts and child safety seats. Remember this statistic: one of
every 13 victims ejected from the vehicle sustains major and
permanent cervical spine damage. Restrained victims “ride down” the
deceleration with belt elasticity and crush time of the car, with
nearly a 45 % reduction in fatalities. All arguments against
seatbelt use are unfounded. 4) Stop drunk drivers. Do not drink and
drive. Nationwide 50 to 55 % of fatal crashes involve alcohol.
Beware: here
in Pulaski County, Missouri you can get Lyme disease from a tick.
The most frequent patient is one from living in, or being around
heavily wooded areas. The most common carrier is the Deer Tick. The
deer tick usually gets on humans in the nymphal stage which is very
small and hard to see. Deer are the preferred host for the adult
tick Dogs can be incidental host and can develop Lyme disease as
well. This disease can cause neurologic, cardiac or joint
abnormalities.
The common
signs and symptoms are: a rash starting with a spot of a
discoloration or raised area called a macule or papule. It usually
forms part of a rash. The area expands with a clearing in the center
(central clearing up to 50 cm). This is followed by flu-like
syndrome—chills, fever, headache, stiff neck and malaise
(general feeling of “feeling bad”).
Prevention
strategies for Lyme disease: 1) Use appropriate and safe tick
repellants. Check frequently and thoroughly for ticks after being
outdoors. 2) Prompt removal of ticks. The transmission of the
spirochete (spiral shaped bacteria ) causing this illness does not
usually occur until the infected tick has been in place for at least
36 to 48 h, therefore checking for ticks and early removal can
certainly help prevent the infection. 3) See a physician if you
suffer the above mentioned signs and symptoms after a tick bite and
be sure you tell the doctor that you had a recent tick bite.
Snakes—not a
really great danger in our county, but people ask a lot of questions
about snakebite and what to do; and snakes can sure scare the heck
out of you. The exception would be a bad run-in with a cottonmouth
or rattlesnake, but these are rare. Most people will see or come
into contact with the copperhead. All three are from the family
Crotalidae (Pit Vipers) and are venomous. The fer-de-lance and
bushmaster of Central and South Americas are cousins of sorts to
these three Pit Vipers.
A little over
8000 people are bitten by venomous snakes each year in the U.S.,
however fewer than six deaths per year occur. Rattlesnakes account
for nearly all of these. The Eastern or Western diamondbacks cause
most of the deaths.
If bitten
there are actually more “DO NOTs” anymore, because myth and
treatments usually cause more harm than the snakebite does. DO NOT
apply tourniquets, ice, cut, or apply electric shock. These things
cause far more harm than the snake.
What should
you do: 1) Avoid exertion. 2) Give a lot of reassurance 3) Keep warm
and call 911. 4) Remove any constrictive clothing and jewelry. 5)
The paramedics will administer oxygen and establish an IV.
Prevention strategies: 1) Look before
reaching down to pick up or move objects. 2) If cleaning up old
lumber and things use a tool to turn them over first. 3) Look before
sitting down on logs or rocks.
The Sheriff’s View

By Sheriff J.B. King
Week of May 7 to 11, 2008
Welcome aboard one more time for
another column full of thrills and chills. I shall try my best to
rant and rave and produce a column full of information for you to
read. I may even be able to inform and entertain you at the same
time. Yes, it’s going to be a column where I have little to write
about so be prepared for anything.
The case number/ calls for service count stands at 3,370 this
morning. As usual most of those numbers did not require a lot of
effort but some of them required a lot of effort. But in one respect
it does not matter because we had to take action on all of them and
each accounts for a chunk of Deputy time.
As I write this column on Sunday morning we have a small problem. We
had two Deputies scheduled to work today. One called in sick and the
other one is working. I think we all know that one Deputy is not
going to cover Pulaski County very well by himself on a day shift.
Due to the latest shooting incident we again have the evening shifts
beefed up at the expense of the day shift. We are currently looking
for a reserve Deputy who can come in for the rest of the day. If we
cannot find one then I will forfeit another day off and hit the
road. Hopefully I can finish the column first.
We had another major shooting incident last week. This incident
resulted in one-man shot and one man on the run from us. This is
getting to be a tired old routine for us. We once again called out
as many Deputies as we could to help in the neighborhood of the
shooting. Since there was no known vehicle for him to leave the area
in we tried to get Deputies out there quick. We had problems with
the crime scene as the crime scene just continued to move down the
block away from the residence where it happened.
The victim was taken to the Ft. Wood Hospital by private vehicle so
we had to hustle to get a Deputy there and Ft. Wood soon transferred
him to a Springfield area hospital. So we lost immediate contact
with the victim. But despite the setbacks the alleged suspect was
identified and charged within 15 hours or so and the manhunt
continues at this time.
This latest shooting incident did produce a comment that I should
pass on to you. We had some agents from the Greene County area here
for another matter and they told us we have Springfield beat for the
number of shooting victims so far this year. I hope they were
twisting the truth because I do not want us to be in first place in
this event. But the entire issue does remind me that we are a big
city urban area with our law enforcement problems and small town
Mayberry with our budget.
These two concepts do not mix very well. The number of Deputies we
paged out for this one event was more than our entire road force
number of Deputies. Once again we put a massive number of overtime
hours on the books for the Deputies. But I fail to see how we have
any other choice. We cannot ignore a shooting incident.
Many of you probably noticed that I said we “paged” out the
Deputies. A few weeks ago I made the decision that we needed a
department wide pager system and I used my civil fee money to
implement such a system. We can now page everybody at once or any
selected Deputies that we might need. The pagers will nail them
anywhere. But this does not mean we shall get all of them every
time. The simple fact of life is that the Deputies do get time off
just like regular people who have a job and they might do something
like a beer and BBQ evening with friends and family. In this latest
incident one of the Deputies we wanted had done just that and he did
not respond to the page. He came to see me the next day to apologize
for missing the call. Since we do not pay them to be on standby all
the time my response was thank you for NOT responding to this
incident with beer breath.
In other news we continue to haul inmates to area hospital emergency
rooms right and left. I took one Friday evening to Lebanon for
several hours. He was treated and released. It would be nice if we
could get an inmate medical care company in our jail to triage the
inmates and determine who does and who does not need to go to the
ER. It makes no sense to me to have jail staff trying to make
medical decisions. I can think of a few hundred reasons why this is
a bad idea but so far my attempts to get a contract for a medical
company to take over the jail have failed to convince the Pulaski
County Commissioners that we need such a contract. I will try again
this year.
We did have one interesting traffic stop last week or maybe it was
the week before. Our Deputy stopped a car with three people in it
for a traffic violation and it turned out that all three people had
active warrants. So we had to call in extra Deputies to assist with
the prisoner transports. You just never know what you will find
next.
Once again I seem to have hit the suggested word count and once
again I shall close out this column. I would ask all of you to drive
careful and to keep your actions legal. We do not have room for you
in the jail and we do not want your jail business. If you must go to
jail please go to some other County. I am sure they will have the
light on!