Don’t Push Me ‘Cause I’m Close to the Edge

Resistance against new programs is very common, because it is just natural for people not to like new things. It happens and there is no real way to change that. But it is possible to make the change easier and when it is easier, people are going to go along with the change without too much hesitation. New Lancer Days has to change slightly every year to accommodate the growing number of students that attend New Lancer Days every year.

Resistance is expected with every new program that is put into affect, and I expect resistance for the Basic Medical Awareness seminar. I believe the most resistance is going to come from the students who do not want to attend yet another seminar during their first weekend at college. This is why it is important to do this seminar during New Lancer Days because there is going to be a massive number of students who won’t attend a weekend or after-class seminar. While this seminar will be more exciting than sitting through the reading of the Student Handbook, it will not be a rage party by any means. New freshman want to explore everything that Farmville has to offer, and that is going to cause their attention span to be virtually non-existent. The important thing is to keep the seminar short, sweet, and to the point so student’s minds don’t wander.

Other than student resistance, I do not expect other kinds of resistance to occur. There might be some institutional resistance in the beginning because it will require the schedule to change for New Lancer Days, but the purpose of the seminar is to educate students and begin the process of creating citizen leaders. With the end goal being so positive for both students and the University as a whole, there shouldn’t be too much resistance from Longwood.

Longwood University prides itself in making students Citizen Leaders

Over all, this proposal is meant to better the lives of those students who chose to come to Longwood. This is not supposed to make every Longwood students an EMT or a paramedic. This seminar is supposed to teach students how to react in an emergency situation. Swift and calm reactions to a variety of medical emergencies is going to make the difference in the health of a patient. The important of proper reaction to an emergency can prove lifesaving for some emergencies. By knowing how to react, and the proper way to treat medical emergencies, Longwood University is going to become a safer place for everyone who comes to campus.

Like the Song Says… How to Save a Life

As it had been made clear, there is a severe lack is basic medical knowledge within Longwood University students. This is a problem because accidents and emergencies happen all the time, especially on college campuses. Longwood is no exception: major events like Oktoberfest and Spring Weekend are breeding grounds for a variety of medical emergencies to happen. The solution is simple; Longwood students need to be prepared for the medical emergencies that are most likely to occur on campus. This training would be best taught at the beginning of every year during New Lancer Days. All freshmen will be required to attend the seminar where basic bleeding control, CPR compressions, and treatment of alcohol poisoning will be taught.

The first step is to figure out when during New Lancer Days will this seminar be taught. Training would take approximately two hours to complete and will be interactive. The best time to include this training would be during the seminar “Lancer Safety” given by Chief Bob Beach. Information can be combined and integrated so that students can learn how to be safe on campus and how to help other students. It would add another hour to the seminar, but it would be beneficial for students. By adding it to another seminar that has already been worked into the schedule, there won’t be any major changes that will need to occur.

The second step is to specifically define what would be included in the training seminar. Bleeding control would include how to identify the different types of wounds and how to apply direct pressure to the wound itself. Instead of making students sit through an entire CPR certification meeting, students would instead be taught how to properly administer chest compressions to a patient who is suffering from a heart problem. Compressions have become much more important in the CRP chain because circulating the blood within a body is more life sustaining than breathing for the patient. As for alcohol poising, students will be taught how to deal with others who are vomiting because of the amount of alcohol they have ingested. Simply strap a book bag filled with clothes or jackets to the person’s back and make it tight enough so they cannot get out of it. Put the individual on their side in the shower or bathroom floor and leave them be. By placing the victim on their side, they will not breathe in their own vomit and suffocate on it. The book bag makes it impossible for that person to roll over. These simple techniques can help people, and make treatment easier for EMS professionals when they arrive on scene. It will be important to stress that 911 still needs to be called, but by training bystanders to act when an emergency first happens, the situation will become under control much faster.

This poster gives directions on how to help someone who is the victim of alcohol poisoning

The third step will be measuring the success of the program. This will be the most difficult part of the program because success would mean that students respond in the case of an emergency. This information can be gathered through interviews or surveys. While the 911 call rate should not change drastically, there may be less calls to accidental overdosing or vomiting due to alcohol poisoning. What would be important to remember is that this seminar is not meant to be and EMT class. This training is meant to simply begin the proper treatment that needs to be administered to a victim on an emergency. This training seminar will not only make Longwood a safer place, it will also overflow into every town, city, and county that Longwood students call home.

Longwood Students Save the World

The issue of a lack of basic medical knowledge in college students is prevalent in every state but I really want to focus on Longwood University. One of the great things about our campus is the fact that it is small and everyone knows everyone. You can be walking down Brock Commons and see someone that was in your LSEM class three years ago and still know their name. The sense of community among Longwood students is already there, and adding a way for people to help one another when they need it most will only encourage a closer feeling to other students. Medical emergencies can happen any time of any day, which is why it is important for students to have some basic knowledge of how to help someone.

The most common types of injuries on Longwood’s campus are cuts and lacerations, overdoses on alcohol and drugs, and falls. These specific problems have very simple solutions to them that anyone can do. In 2013, Longwood welcomed 1,064 freshman students to campus. Longwood also plans on expanding campus and doubling the amount of students by 2020. This mass increase in students is going to drive accident and injury rates way up, but those numbers can be reduced if those incoming freshman learn during New Lancer Days how to react in an emergency situation. Not only can they help students on campus, this training will follow them wherever they go in life. Simple training will save lives, no matter where people are. The American Heart Association did a study where they found that heart attack patients have a great chance of survival if bystanders initiated CPR early, before health professionals can get on scene.

I want to offer this program first to incoming freshman because they are the easiest to get to. They are required to go to parts of New Lancer Days for a grade and Peer Mentors are going to be with those students for a majority of the time during New Lancer Days. If this program proves to be successful, I want to expand this to include transfer students who come to Longwood as sophomores or juniors. Success of this program can be measure by the number of calls to Prince Edward Volunteer Rescue Squad to Longwood’s campus. If students know how to help someone who is vomiting from drinking too much alcohol, they won’t need to call the Rescue Squad every time someone drinks too much. Now, there are going to be times where the Rescue Squad is still going to need to take someone to the hospital, but the training that students will receive would aid first responders so the patient can be treated and transported quicker and in more comfort.

By providing this basic first responder training to incoming freshman at Longwood University, I believe that only great things will follow. Students are going to feel safer on campus knowing that anyone around them can help in the case of an emergency. There will be a commonplace of knowledge for all students, and it may help students figure out what they want to do for a career. If it wasn’t for the EMT class I took last year, I would never have realized I wanted to be a nurse. There may be numerous other students who are in the same boat I was in. By requiring this training, Longwood is going to create leaders and pillars of the community because this training will follow students where ever they go in life.

Once a Lancer, Always a Lancer

Basic emergency medicine is easy to understand and practice. I am proposing that Longwood needs to create a mandatory seminar for freshman to attend during New Lancer Days that will teach them the basics of what to do in an emergency situation. Part of the seminar with include CPR certification, training on how to control bleeding, administer the Heimlich maneuver on a chocking victim, and what the signs and symptoms are of alcohol and drug overdose.  By learning these simple responses to an emergency situation, lives can be saved. Students become the first line of defense in protecting fellow students, faculty, and guests. Knowing the basics of how to control bleeding, how to stay calm in an emergency, and how to help in an overdose situation, campus will become a safer place for all visitors.

Students are the most important people on this campus. Without students, there would be no professors and there would be no Longwood University. The major stakeholders in this situation are students at Longwood University. They would be the ones receiving the training and would be the ones to act in the event of a medical emergency. I’m not saying that all students should become EMTs. But if they knew how to control bleeding, what do to in the event of drug or alcohol overdose, and how to do CPR, the students at Longwood are going to be able to help one another and those in the community. Longwood prides itself in creating citizen leaders and this is a new aspect in becoming a citizen leader.

There is a limited history of collegiate EMS because a majority of schools do not require students to know basic medical information. Most large Universities like Virginia Tech and James Madison offer on-campus rescue squads, but that is hard for smaller schools like Longwood because there is typically a county rescue squad close by. I do believe that life on campus can be improved if students have a basic medical understanding and how to act in certain emergency situations.

Emergencies happen on college campuses all the time and Longwood is no exception. The most common emergencies that happen at Longwood are those influenced by drugs and alcohol, followed by falls and bleeding. If students can learn to attend to the needs of others before professional EMS providers can get on scene, students will feel closer to other students at Longwood and campus will be a safer place to be. This proposal is not meant to sway people to become paramedics or emergency room doctors. People go to school for years to learn how to treat every manner of illness. This proposal instead focuses on basic medical understanding that students would be most likely to use on a college campus. The training would include CPR, bleeding control, and alcohol/drug overdose treatment. This training would not take the place of a Rescue Squad but would instead focus on providing assistance to a patient before EMS gets on scene. Measures can be taken to help preserve the quality of life of patients and provide comfort to those patients as well.

By teaching students how to respond in the event of a medical emergency, there will be a greater sense of community on Longwood’s campus while also making it a safer place. This training can extend from Longwood into student’s hometowns where they can help in the event of an emergency there.

Taking our Knowledge Home

It is crucial for people to understand basic medical knowledge. I am an EMT and I was working this past week with the rest of my crew when we received a call to Longwood University for a student who was having a seizure. When we got on scene, the patient had disappeared. One of the other students has told this young lady that she should just drive herself to the hospital instead of waiting for the rescue squad. Seizures are very dangerous and can re-appear even after the first one subsides. Driving to the hospital is a very bad idea when someone has had a seizure and is alone. This incident just proves that there is a lack in basic medical understanding that could end up causing someone great harm.

This is the logo for the American Heart Association, and their motto is “Learn and Live”. They are the organization who did the research on survival rate in comparison to bystander-iniaitiated CPR.

This incident has made me want to work harder at getting something implemented where Longwood students receive basic medical training. The problem is that there is nothing currently in place that teaches students how to respond to certain medical emergencies. By implementing a two-hour seminar during New Lancer Days, students will learn how to react in emergencies, and how to provide assistance in the event of a medical emergency.  Some people may see this as an unnecessary aspect of New Lancer Days for students, but there is research that shows there is a significant increase in survival rate in the event of a heart attack if CPR is started early. The American Heart Association did a study that investigated the survival rate of people who had heart attacks who had CPR started earlier by bystanders. The research showed that there was a significantly higher survival rate of people who had heart attacks if CPR was started by bystanders right after the incident, instead of waiting for EMS personal to arrive on scene.

Another reason why people can feel like this is not an important thing to be teaching to students is the fact that there is a local rescue squad that is only a few minutes away from campus. The problem with this is that the rescue squad near Longwood deals with all of Prince Edward County. They are not just there for Longwood University. There are only two crews at the squad house at a time and they may be out dealing with another call. If that happens, a ambulance will come from a neighboring county but it will take a long time. By teaching students how to deal with medical emergencies, they will be able provide assistance until the rescue squad can arrive and take over treating the patient.

This map shows all the counties in the state of Virginia. Students from all over Virginia attend Longwood University and they will take their knowledge back to where-ever they call home.

The logic to this is simple- by teaching students how to help others in a medical emergency, they can end up saving someone life. And it doesn’t have to just be in Prince Edward County. This idea extends to where all Longwood students call home. They become citizen leaders in there own county and can make a difference anywhere they go.

 

Critical Source:

Copley, D. P. , J. A. Mantle, W. J. Rogers, R. O. Russell Jr. , and C. E. Rackley. “Improved

Outcome For Prehospital Cardiopulmonary Collapse With Resuscitation By Bystanders.” Journal of the American College of Emergency Physicians 7.5 (1978): 223-223. Print.

I chose this article as my critical source because it is an example of how important it is for everyone to know CPR. The American Heart Association did a study on the effects of bystander-initiated CPR and if there was an improvement in survival rates. What they discovered is that there is a very significant increase in survival rate if CPR was started sooner, rather than later.

Students, and teachers, and visitors… Oh my!

Stakeholders. According to Merriam-Webster Dictionary, stakeholders are any person with an interest or concern in something. Because of it’s broad interpretation and definition, there can be a variety of different stakeholders for one specific issue. By proposing a campus wide instillation of basic medical training for incoming freshman, there are a lot of stakeholders that are apart of this decision. According to the US Census taken in 2010, there were 8,216 people living in the town of Farmville. According to the Fact Sheet provided by Longwood, there were 4,831 students enrolled at Longwood University in 2010. What these numbers show that roughly 50% of the town of Farmville is made up of students.

This table shows the number of students enrolled at Longwood University between the years of 2005 and 2010. This breaks down the numbers into undergraduate, graduate, full time and part time.

Now these numbers are meant to show you that Farmville is dependent on students and their interactions with town members. Both of these populations are the main stakeholders because they are going to be the ones that are directly affected by the proposition. Students will be the ones receiving direct training on how to react and treat a variety of medical emergencies. While the program will be primarily focused on students helping fellow students, it is not necessarily restricted to that. By having a basic understanding of how to react to a medical emergency, students can provide aid to anyone that encounter. This could be at Walmart, Cookout, or at a public event like Rock The Block.

Prince Edward Volunteer Rescue Squad is the main provider of prehospital emergency care. Headquarters is located on Doswell Street, which is right off of Second Street and answers approximately 2500 calls to service a year.

These are not the only stakeholders. Some other groups include the faculty and staff that are employed through Longwood. These individuals may find themselves in need of emergency medical assistance, and their students will be able to provide that to them. Visitors to campus can feel safer knowing that the students around them can provide assistance if necessary. EMS providers, like those at Prince Edward Volunteer Rescue Squad or Hampton Sydney Fire and EMS can find peace in the fact that Longwood students can provide initial aid to a situation before they arrive. All these people are connected by the fact that students are receiving basic first aid training, which can save lives in the grand scheme of things.

Another large factor in even getting this idea off the ground are the instructors that will need to come in and train these students. These will need to be trained EMS personal who have the time and energy to commit to training these students in basic first aid and how to respond to certain situations. Without their help, this proposal will never be able to come full circle. They are the biggest and most important stakeholders, because without them, this idea isn’t feasible.

Stakeholders are the reason why projects can be completed. Without their input or agreement to try something new, there would never be new developments. They play an important role in getting things done right the first time around and will also be the reason why some proposals will be implemented in the Longwood community.

 

References:

http://www.merriam-webster.com/dictionary/stakeholder

http://quickfacts.census.gov/qfd/states/51/5127440.html

 

Critical Source Summary (MLA):

“Fact Book 2010-2011.” Longwood Fact Book. Longwood University Department of Assessment and Institutional Research , n.d. Web. 24 Sept. 2013. http://www.longwood.edu/assets/assessment/factbook_2010_2011_final.pdf.

I chose this as my critical source summary because it provided the most information that is usable for my definition of the stakeholders for my proposal. The information that I was able to gather from this report allowed me to create an image of the exact number of students that were enrolled at Longwood over a period of time. It also gives me the breakdown of the demographics of those students, and gives statistics on student activities. I can use this information in the future as I define my problem and propose a solution. This will also be very beneficial to use with I look at institutional resistance to my idea of basic medical training for incoming freshman.

 

The History of Collegiate EMS

Colleges that provide emergency medical services to its students is a somewhat new phenomenon. There has always been some kind of medical personal that was in charge of taking care of their community. Multiple colleges in Virginia offer on campus rescue squads as a service to its students. Virginia Tech has one of the most well known on campus, student run rescue squads. The history of VTRS dates back to the late 1960’s. It was founded and is the second oldest collegiate rescue squad in the state of Virginia, and is the first to founded in the Commonwealth of Virginia (Wen, 2013). Currently, the station answers about 1200 calls a year and provides standby for many of the University’s sporting events.

This is the patch worn by all Virginia Tech Rescue Squad members.

Many other colleges and universities has modeled their own version of an on-campus rescue squad. Hampton-Sydney College, right here in Farmville, has a First Responders Team that provides early intervention for someone who has unfortunately become a victim of an accident. This early intervention is crucial in saving lives and providing the best treatment. It may take a county rescue squad 10 minutes to get onto the scene of an accident, but if that accident happens on Hampton-Sydney’s campus, those victims will have a higher survival rate because of the early interventions done by the first responders. By no means is it a complete replacement for a county rescue squad, but it does help bridge the gap in response time.

Longwood doesn’t have a very long history of teaching medical services to students. Longwood’s nursing program started in 2008 with it’s very first graduating class being the class of 2013. Before then, the only medical classes that were offered through Longwood and was recognized as credit classes are the Emergency Care and First Aid class, and the Basic Emergency Care and First Aid class. Both of these classes have been offered to students for the past 6 years, but the class size itself was small. As you can see in the table below, there was never more than 48 students enrolled in that class per semester. When you have a campus of 5,000 students, it simply isn’t a big enough class size. In the earlier years, it was even restricted by major. For example, if you add together the total class numbers from both classes for the Fall of 2013, there was only 55 students on a campus who could provide some basic emergency medical intervention. That’s 9% of the student body (if we use the average of 5,000 total students). The other 90.9% of the student body doesn’t have the training to react in the correct way in an emergency situation. That is a very dangerous situation, but it can be very easy rectified.

This table shows the break down of the number of individuals who have taken some kind of emergency medical training class. This list breaks down into year, semester, the number of sections and then compares both the classes side by side.

Longwood does offer a new program that is trying to get up off the ground. The Longwood University Campus Emergency Response Team is a group on campus with the main goal of providing medical assistance in the case of an emergency. The problem is that the group is very small and relatively new. They also lack funding from the University, which makes it hard for them to do much on campus. Without proper staffing and proper funding, the organization will die off. By making it mandatory for all incoming freshman attend a 2 hour seminar where they learn the basics of first aid, there will be much more of a possible interest in the medical field, while making the campus safer at the same time. More students can become interested in organizations like the CERT team or the rescue squad if they want to peruse more knowledge and more training in that field.

I am not advocating that Longwood needs to create an on-campus rescue squad. The campus is just too small right now, and the county rescue squad is only a few miles away. Instead, it is important to being teaching preventive measures to help fellow students in the case of an emergency. After more experienced and highly trained individuals like EMTs and Paramedics get on scene, they can take over providing treatment. By providing some very basic training to incoming freshman on how to handle various emergency situations. In four years, that means almost 100% of the student body will be able t provide assistance to a victim who may be in a life threatening situation. This makes Longwood a safer campus for everyone: students, professors, visitors, and everyone that student encounters outside of campus. It’s a win-win situation.

–Here is the link to Longwood’s Emergency Response Team if you have any interest in joining: http://longwoodert.wix.com/home

 

Work Cited (MLA):

Wen, Johnny. “Virginia Tech Rescue Squad- VTRS.” Virginia Tech Rescue Squad. Virginia

Tech, n.d. Web. 18 Sept. 2013. <http://www.rescue.vt.edu/>.

 

Critical Source Summary:

I chose this website as my critical source summary because it is very important to a lot of my information. Virginia Tech Rescue Squad is one of the oldest collegiate rescue squads in the country so a lot of other on campus rescue organizations have modeled their bylaws, procedures, applications, and overall operating system to look like VTRS. Without VTRS’s history, there would be very few collegiate rescue organizations today. This website offers history, statistics, events, membership information, and much more to answer questions that anyone could have.

Peanut butter is made of peanuts? (Blog #1)

“Man, I can’t have crunchy peanut butter; I’m allergic to peanuts! I can only have regular peanut butter.”

I actually had someone say this to me in D-Hall one day. As someone with a medical background, it’s needless to say I was astounded. The lack of basic medical knowledge within the Longwood Community is frightening. If someone is allergic to peanuts, then wouldn’t they already know to avoid peanuts? And if they did ingest peanuts and suffered an allergic reaction, what would people around them to? Would they know to call 911 or administer an epi-pen? I asked around to my friends and classmates that in the case of an emergency, what would they do? The most popular response was “freeze”. EMS and first responders are trained to react because they have received years of specialized training. The common factor of all EMS personal is basic training.

Basic emergency medicine is easy to understand and practice. What I am proposing is a seminar that is mandatory for freshman to attend during New Lancer Days that will teach them the basics of what to do in an emergency situation. Part of the seminar with include CPR certification, and training on how to control bleeding, how to administer the Heimlich maneuver on a chocking victim, and what the signs and symptoms are of alcohol and drug overdose.  By learning these simple responses to an emergency situation, lives can be saved.

Longwood prides itself in making Citizen Leaders out of its students. By teaching students basic first aid, they are now the first line of defense in protecting fellow classmates.  By knowing the basics of first aid, students will be ready if anything where to happen to another student, faculty member, or guest. I’m not saying they should be able to read an EKG or tell the difference between a normal sinus rhythm and a myocardial infarction nor do they need to know how to backboard a patient or apply an air splint. By knowing how to control bleeding, how to work an AED, how to perform CPR, and how to deal with someone if they have had a bit too much to drink, students will be leaders in their communities here at Longwood and at home.

On April 16th, 2007, a shooter entered the Engineering department of Virginia Tech and killed 32 students and faculty members. This will forever be a tragedy in the eyes of American people. It took only minutes for police to arrive on scene, but much longer for any kind of EMS personal to get to the victims because there was still an active shooter on campus. They key is being prepared for something like this to happen on any college campus. If incoming freshman at Longwood University were to receive basic medical training, lives could be saved in the event of another school shooting.

After this tragedy, many colleges and universities instituted on campus rescue squads. Large schools like Virginia Tech, University of Richmond, and University of Virginia have an organization on campus that provides emergency medicine to its students. According to the National Collegiate Emergency Medical Services Foundation, there are 21 schools in the Mid Atlantic Region (DC, DE, MD, VA, WV) that have on campus rescue squads (National 2013). Longwood is a small school with a rescue squad only 3 minutes from campus, but the idea is still the same. If a large amount of students on campus had some very basic medical training, the response time for initial medical intervention will be cut drastically.

New Lancer Days are designed to help new freshman become accustomed to life as a college student. While these days are already busy, it would be possible for an hour seminar on how to do CPR and how to recognize alcohol and drug overdose.  Simple training over the course of an hour can be affective in everyday life once the semester starts. Having this required seminar for all incoming freshman, Longwood will promote citizen leaders and create sense of trust and community among its students.

 

 

Critical Summary:

This link will take you to the NCEMSF page of the Mid Atlantic Region:

http://www.ncemsf.org/resources/ems-organization-database/groups-listed-by-region/united-states-ems-organizations/mid-atlantic-region

The National Collegiate Emergency Medical Services Foundation is a non-profit professional organization that is designed to connect collegiate EMS companies across the country. It is currently run by George J. Koenig, Jr. and has a variety of conferences that EMS members can attend to help refine skills and promote unity. The main point of this website is to provide a bridge between different EMS organizations that are separated by geographical barriers. I have looked at the statistics that this organization offers on how many collegiate EMS organizations are currently providing care to their students. These statists show that there are campuses that focus on their student’s safety after the Student Health Clinic closes. By providing solid numbers of campuses in the Mid-Atlantic Region that provide emergency health services to it students, other colleges and universities can create their own, similar, organization.

Work Cited (MLA):

“National Collegiate Emergency Medical Services Foundation.” NCEMSF. Buchan Consulting LLC, n.d. Web. 10 Sept. 2013. <www.ncemsf.org/resources/ems-organization-database/groups-listed-by-region/united-states-ems-organizations/mid-atlantic-region >.