Newsletter

Rockdoc Consulting Inc. | 110-916 W Broadway | Vancouver, BC V5Z 1K7T. 1-888-761-4001 | E. info@rockdocinc.com | F. 1-888-316-5569 | www.rockdocinc.com

Follow us on Facebook: Rockdoc Consulting Inc. | Twitter: @rockdoconline | Instagram: Rockdoconline

Rockdoc is the leading provider of:

Medical Services for Events & Mass Gatherings Health Management Consulting

Healthcare Innovation

2015

Mar. 2015

March

A Fictitious Case Based on Recent News Stories

A 36 year old male attended an outdoor music festival featuring a range of eclectic acts ranging from classic rock to EDM. He was with several acquaintances that he worked with at his old job. He had recently quit his job and was now working at funeral home.

The doors of the show opened at 1300 and the weather was 27 degrees C with moderate humidity. There was plenty of fresh drinking water available, for no charge.

Several hours into the show, he began to complain of nausea, weak-

ness and dizziness. A friend escort-ed him to a shady area to lie down. He soon was unresponsive and his friend flagged down a passing security guard. They called dispatch to send a first aid team.

You are a first aid team member. On your arrival his friends tell you they were with him the whole time, and witnessed him drinking only 2 beers over the whole day and a moderate amount of water. They all ate at The Burrito Stand but no one else was experiencing any symp-toms.

You find the patient to be very sleepy and difficult to arouse and he is making snoring sounds when you listen.

Q1- What is likely going on with this patient?a) Food poisoning from the super-hot green salsa that only he put on his burrito.b) He is actually just really drunk, as he was sneaking shots of tequila out of the wine skin he snuck into the show…jerk did not share it with his friends!c) He worked a night shift last night and came directly to the show and is super tired and just needs to chill out for a bit.d) He took a bit too much “E” and is wig-ging out.e) None of the above

2015

Mar. 2015

Mar. 2015

March

A Fictitious Case Based on Recent News Stories

You start your primary assessment and find him to be pale and a bit cool and clammy to touch, he is tachycardic at 124 with a regular rhythm, BP is 210/110, and his respiratory rate is about 6 breaths per minute. He is poorly responsive to voice and withdraws a little to sternal rub.

Q2 – Now what do think is going on?

a) Intracranial bleed from getting elbowed in the temple in the mosh pitb) C-spine injury from landing on his head after a stage divec) Mixed intoxication d) Heat strokee) None of the above

While you think about it and try to figure out what to do next, his resp rate is now about 2/min and he is becoming cyanotic. You pull out your pocket mask and try to help his resps after calling dispatch for help. After a few breaths, you check his pulse and can’t find it. Just then the Rovers arrive and they start CPR and call for an ALS response…He is appropriately resuscitated and transported to the main medical tent and eventually to hospital, but all efforts are not successful and he expires.

Q3 – Now what do you think happened to this patient?

a) Poor guy had a bad ticker and it was his timeb) Water intoxication secondary to MDMA overdosec) Heat stroked) Aspiration post seizure from Cocaine usee) None of the above

If you answered e to Q3, c to Q2, or e to Q1… you are correct

The correct answer is intoxication…so what do you think he took?

a) Killer Bud’s Cannabis butter from the dispensary on the corner next the funeral home he works atb) A dozen of his mom’s sleeping pills – he lives at home still! c) A cocktail of Robitussin DM, Red Bull and 100 proof Screech from Newfoundlandd) Some kind of Narcotice) 3 tabs of the “Brown Acid” left over from Woodstock

The Answer: (d) some kind of nar-cotic

Autopsy did not show any natu-ral cause of death nor any signs of trauma. Toxicology studies, how-ever, found fentanyl at 15 ng/ml plus small amounts of several other drugs. Death was attributed to a

fentanyl overdose.

Investigation in to the origin of the fentanyl in this case revealed that the decedent had a history of drug abuse and was currently em-ployed at the Shady Pines funeral home. Further it was discovered that he had been involved in the handling of the body of a woman who recently died of cancer. That woman was known to have two fentanyl patches on her body at the time her remains were trans-ferred to the funeral home from the nursing home. The patches were never located and are be-lieved to have been removed and used abusively by the funeral parlor employee to get high at the music show. Bad choice!

Fentanyl (also known as fentanil, brand names Sublimaze,[3] Actiq, Durogesic, Duragesic, Fentora, Matrifen, Haldid, Onsolis,[4] Instanyl,[5] Abstral,[6] Lazan-da[7] and others[8]) is a potent, synthetic opioid analgesic with a rapid onset and short duration of action.[9] It is a strong agonist at the μ-opioid receptors. Historical-ly, it has been used to treat break-through pain and is commonly used in pre-procedures as a pain reliever as well as ananesthetic in combination with a benzodiazepine. Fentanyl is approximately 80 to 100 times more potent than mor-phine and roughly 15 to 20 times more potent than heroin.[10][11]In the mid-1990s, fentanyl was first introduced for widespread palliative use with the clinical introduction of theDuragesic patch, followed in the next decade by the introduction of the first

2015

Mar. 2015

March

Train with only the Best

Sign up for OHM Medical Education courses Email Edward at: info@ohmmedical.com or visit: www.OHMmedical.com

quick-acting prescription formulations of fentanyl for personal use, the Actiq lollipop and Fentora buccal tablets. Through the delivery method oftransdermal patches, as of 2012 fentanyl was the most widely used synthetic opioid in clinical practice,[citation needed] with several new delivery methods now available, including a sublingual spray for cancer patients.[15][16]Fentanyl and its derivatives are used recreationally. Deaths have result-ed from both recreational and improper medical use.[17]In 2009, the former guitarist for the band Wilco, Jay Bennett, died in his sleep of an overdose of the drug via Duragesic time-release patch-es prescribed for him.[39] In 2010, band Slipknot’s bassist Paul Gray overdosed and died after using a mixture of fentanyl and morphine, for which there was no evidence of a prescription.[40]

http://en.wikipedia.org/wiki/Fentanyl

Recent high profile thefts have involved Fentanyl in Vancouver.

http://www.vancouversun.com/Fentanyl+theft+prompts+Van-couver+Police+warning+over+drug+that+caused+rash+overdos-es/10402795/story.html

2015

Mar. 2015

Mar. 2015

March

Meet our new GHQ Equipment Manager!

Meet Howard

1. How did you find out about Rockdoc and what do you enjoy most about it?

I found out about Rockdoc over a year ago. I was taking my EMR course and I noticed one of my classmates wearing a Rockdoc t-shirt. One question led to another, and I was soon interested. Each Rockdoc event I attended then added a layer of perspective into the organization, its service levels, its people and most importantly, it’s culture. Rockdoc is all about professional medical services delivered by enthusiastic, motivated and skilled people in a fun environment.

2. Tell us a little bit about your professional background.

I am semi-retired now. My background is a Bachelor of Commerce from UBC and a Chartered Accountant, CPA-CA. My career has taken me to executive leadership levels at several companies, including Great Cana-dian Gaming/Casinos, Raute Wood and Deloitte Canada. I now enjoy working part-time for Canada West Universities Athletic Association, Volleyball Canada (as a Director) and now Rockdoc

3. Which event(s) are you most excited for this summer and why?

The Pemberton Music Festival! I have not been to this event and have heard some incredible stories of adventure. I think we are all some-what adrenaline junkies at heart and this event seem to provide no shortage of challenges.

4. If you could have one superpower to use on the job, what would it be and why?

This one is a toughie. On one hand, I’d like the power of healing. Given what we do, that would seem a logical wish. That said, while driving around town yesterday amongst all the crazies on the road, I did wish to have Superman’s heat vision to blow up cars.

GHQ Equipment Manager

2015

Mar. 2015

March

ShiftBoard

As we continue to update our new online scheduling system, Shiftboard, we wanted to send out a reminder to individuals who have not yet com-pleted their profile and are interested in signing up for events this sum-mer.

1. If you have a profile already: please ensure that you have a PDF of your current certificate uploaded to the ‘resume/cv’ section of your profile. Once you have done this, email crew@rockdocinc.com to let Kathryn know. She will verify your credentials and then add you to teams. Once you are added to teams, you can pick up shifts from the calendar that are available to you. NURSES: please upload a copy of your resume, and your license will be verified through CRNBC

2. If you do not have a profile: please register here https://www.shiftboard.com/rockdoc/register.html

3. A note on ‘teams’: you will be added to teams depending on your level of certification. For example, as an EMR you will be added to the EMR, FR, OFA 1-3, and SFA teams. This does not mean that you have all of these certificates, but you are qualified to pick up these shifts because you are above or reach that level of certification.

2015

Mar. 2015

Mar. 2015

March

Spring is in the Air!

Save The Date

TED Conference - March 17-21TED Active Conference - March 16-21

Kin Games - March 20 -21, 2015 Modo Spring Run Off- March 22, 2015 Vancouver Sun Run - April 19, 2015

BMO Vancouver International Marathon - May 3, 2015 Scotia Half Marathon - June 28, 2015 City Music Festival - July 3-4, 2015

Pemberton Music Festival - July 15-20, 2015 Ironman Canada - July 26, 2015

Seawheeze Half Marathon - August 15, 2015Eastside 10k - September 19, 2015

2015

Mar. 2015

March