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lunes, 5 de junio de 2017

EMS Photos Star of Life "Estrella de la Vida" by Daniel Sandahl / FOTOS MEDICINA PREHOSPITALARIA

A great first day at the 41st annual EMS Rendezvous Conference in North Dakota. Here's a shot I took today of one of the coolest paint jobs I've seen on a medi Heli. This one is from AMRG, Air Medical Resource Group. Dansun Photos

I create emotional and authentic images that are a result of my experiences. If I have an emotional connection to an image than I consider that artwork. When I get commissioned to create something that's what I'm trying to achieve for my client.

I was born in 1967 and raised in Canada. Being Canadian automatically makes be super nice and very apologetic, even when I don’t need to be. I’ve been a full time firefighter and paramedic for 13 years and that’s where I get all my motivation for my emergency services artwork. I have a real passion for raising mental health and PTSD awareness for my profession. You can’t do this job and not get a little crazy.

In my previous career I was an English teacher. This gave me the opportunity to travel the world and live in many countries. While living in Japan I even played in a Japanese blues band, one of the strangest experiences I’ve had. Living in other countries really shaped my personality and perspective on the world, travel continues to be my biggest teacher.

I first picked up a ‘real’ camera about 5 years ago. I love the technical side of photography, it appeals to my geeky side. I also love the artistic side of photography; it’s great for my left and right sides of my brain. I continue to travel, learn about photography and work full time as a firefighter/paramedic. I’m truly humbled by all the attention my work has received and I’m sure I’ll keep creating until I’m old and cranky.

Thank you for visiting my page, feel free to email me through the ‘contact me’ link above.

Daniel Sundahl

DanSun Photo Art

Album en Facebook

Tactical Emergency Tactical Care TECC España

EMS "Ambulance" / Ambulancia

Another Routine Day
About a week ago I went for a “routine” procedure. When I arrived in the specialist’s office I followed my directions, I stripped naked from the waist down, laid on the table and left my baby maker out in the open for the world to see. I wasn’t uncomfortable with the procedure until this very moment. About 10 minutes later 2 women entered, the one who was going to perform the procedure was a student. For the next 30 min I was handled, squeezed and examined. All of a sudden this routine procedure turned very invasive.

I started thinking of all the times I’ve had patients in the back of my ambulance whom I started 12 leads, IVs or intubated, all routine procedures. When most of us go to work we’re going to start more IVs than people will have cups of coffee that day. My point is what seems routine to us may be a terrifying experience for our patients. I think it’s important to maintain a level of compassion for our patients. It may be the 5th IV you’ve started that day but the first ever for your patient.

I’ve been wanting to do a Flight Nurse and Medic piece for a long time and this image illustrates my point very well. Imagine on top of the IV, 12 lead, medications and the initial injury or medical condition you will now be flying in a helicopter or small plane. Flying alone can be terrifying for many people.

Thank you everyone for your continued support. Be safe and take care of each other.



A teenage army medic has become the first woman to be awarded the Military Cross, one of the highest honours for gallantry in combat. Private Michelle Norris, 19, braved a hail of sniper and machine-gun fire from 200 insurgents during a pitched battle in southern Iraq in order to give lifesaving treatment to a wounded comrade.

Congratulations Michelle, you are one badass medic!! I hope you like what I did with your portriat.


Ambulance Drivers
I was at 7-11 the other day while at work and the clerk asked me if I was an Ambulance Driver. The conversation went kinda like this:
"Are you an Ambulance Driver?"
"Yes, I am"
"Wow, you must see some crazy things"
"Yes, it's a very exciting job"
"How long does it take to learn how to drive an ambulance"
"3 or 4 years, it depends where you go to school"
....paused look of surprise on the clerk's face...
"I didn't realize it took that long"
"Ambulances are sometimes very complicated to operate"

and then I walked out. I don't blame him, he just doesn't know.

People really don't know what we can do in the back of our ambulances. I don't know how many times people have opened the doors of my rig asking why we're not moving while my partner and I are stabilizing our patient. Of course in some cases we scoop and run, stabilizing enroute but I think some people really think we just put the patients in the back and drive to the hospital.

I hope this image gives them a clue as to what we do. Have a good weekend my fellow Ambulance Drivers and drive safe!

REAL HEROES "Seach and Rescue K-9"
More preHospital and Medical EMS Art
More in the link http://goo.gl/uZIRvp

Teamwork Photos By Daniel Sundahl

I don't know what it's like in other EMS schools around the world but where I'm from we are tested and trained as individuals. I understand this is how it needs to be done but I remember going through school thinking that I would have to be dealing with all these calls by myself, I was terrified. The reality is quite different. My partner and I always work as a team and we are both attending the calls. When we need back up it is always there, I know we're lucky in our service to have this as I've worked in some places that backup wasn't ever available.

This image shows the teamwork that is involved in most serious calls in my area. Thank you Stettler EMS for staging this image for me. Often once we get our patients into the trauma room we'll stay and help the ER staff with resuscitation efforts. There's alot of people involved in patient care, right from the dispatcher to rehabilitation therapists. Sometimes we only think of our part but we're just a piece of the big puzzle.

Stay Safe everyone


(All images are copyright protected. Feel free to share, just don't claim as your own.)

The Last Voice Photos By Daniel Sundahl

Since I posted 'First Contact' a few weeks ago I've been receiving hundreds of emails from 911 operators all around the world. Some of the stories have made my toes curl. One thing that has stuck in my mind is the amount of times dispatchers hear a caller end their life while on the phone. They are 'The Last Voice' many people hear. Often they don't know what happens after the emergency crews arrive. Sometimes their only indication is when they are asked to call the Coroner.

Another terrifying situation is being on the phone with a victim that is being attacked and listening to them plead for help as they are being murdered. For dispatchers, they often are The Last Voice.

This is for all my Brothers and Sisters who dispatch us to our calls, you are one of us, you suffer the same emotional torment and celebrate with us when we have a save. You are not forgotten or unsung in my books. Thank you for what you do. DanSun

Harris County Emergency Corps Nº 2 EMS Photos By Daniel Sundahl

Our friend at Dansun Photos knocked it out of the park once again with this start to his dispatch/communications PTSD series.
Dispatch is the frequently forgotten aspect of public safety, but you are the piece that keeps us together. While the street providers and officers know well how crippling it is to stand there, unable to do something, to know it is too late for what someone needed, you dispatchers have to weed through anguished cries and voices to get the information it takes to get the boots on the ground where they need to go. That, plus a vivid imagination, and we are well aware that the job takes just as much of a toll on you. By Daniel Sundahl More Arts in the link http://goo.gl/uZIRvp

Harris County Emergency Corps Nº 1 EMS Photos By Daniel Sundahl


Rage Possessed By Daniel Sundahl

EMS Prehospital and Ambulance

I created this shot for The Code Green Campaign They are an organization raising mental health awareness of First Resonders. Please take time to visit their FB page and website www.codegreencampaign.org. ‪#‎savingpublicsafety‬
The Code Green Campaign Art by Daniel Sundahl

EMS Art by Daniel Sundahl

Vanderbilt Life Flight by Daniel Sundahl 

"Our bad day at the office" Photo By Daniel Sundahl 

"Our bad day at the office" Photo By Daniel Sundahl 

EMS Photo By Daniel Sundahl more,,, http://goo.gl/uZIRvp

Photo By Daniel Sundahl  Paramedic, Medic, Paramedico, EMT, TUM, EMS, 911, Prehospitalaria

Trauma By Daniel Sundahl

Photo By Daniel Sundahl  Paramedic, Medic, Paramedico, EMT, TUM, EMS, 911, Prehospitalaria

Photo By Daniel Sundahl "Comprimiré tu pecho tan fuerte como mi cuerpo me lo permita, tan rápido que el tiempo se detendrá, no descansaré, no descansaré y lo intentaré tantas veces como me quede la ultima esperanza, tendrán que venir y decirme vasta varias veces antes de dejarte ir, lo siento pero he nacido y he sido entrenado para ello, para dar y llegar hasta el final sin importarme quien eres, que has hecho, sin tan ni siquiera conocerte y si fracaso en el intento quedaras en mi memoria el resto de mi vida" Así es nuestro corazón, así pensamos los profesionales de la medicina de calle. By Dr. Ramón Reyes es que soy "SOCORRISTA" http://goo.gl/N3r8l4

Photo By Daniel Sundahl "No tengo el corazón de hierro, no soy superman, no soy inhumano, sufro en silencio más de lo que te imaginas cuando he perdido a ese ser inocente" By Dr. Ramon Reyes 

"Pese haberte perdido, se que eres consciente que he dado hasta mi ultimo suspiro por salvarte, tu mismo eres testigo de ello" By Dr. Ramon Reyes
"SAD" EMS Art by Daniel Sundahl

This poster features artwork by firefighter Daniel Sundahl of the Leduc Fire Services. The original work was chosen as the front cover for the EMS Expo conference in Nashville in November 2014, and will also be on all banners at the conference. Artwork/Daniel Sundahl

  • PreHospital and Medical EMS Art, Ambulance By Daniel Sundahl
    More in the link http://goo.gl/uZIRvp
  • PreHospital and Medical EMS Art, Ambulance By Daniel Sundahl
    More in the link http://goo.gl/uZIRvp

    PreHospital and Medical EMS Art, Ambulance By Daniel Sundahl
    More in the link http://goo.gl/uZIRvp


Leduc paramedic’s art goes viral

Pamela Roth

Yesterday at 7:14 PM

Daniel Sundahl never goes anywhere without his camera, even when he's on the job as a paramedic/firefighter for the City of Leduc.
Since picking up his camera five years ago, Sundahl has captured many images of what first responders go through in the field. Now the 47-year-old's digital artwork is capturing the attention of first responders world wide.
On one particular night, Sundahl and his partner were exhausted working a night shift that was full of nasty calls. Around 4 a.m., his partner was sitting on the back of the ambulance, his face buried in his hands. Sundahl grabbed his camera and captured the moment.
Through digital editing using multiple software programs, the image was transformed to look like a drawing. Now it's gone viral, and will appear on the front cover of the EMS World magazine November issue, along with the banners of the EMS Expo Conference in Nashville.
"It continues to just blow my mind the response that I'm getting. It's amazing," said Sundahl, who's gone from 300 followers on his Facebook page to nearly 16,000 in three months. As soon as he began posting the images four months ago, Sundahl was contacted by people all over the world, letting him know his artwork really hits home. A new image is posted every couple of weeks.
"It's gone way bigger than I ever imagined. I think it's just proof that it really strikes a nerve with first responders and non first responders."
Sundahl's images are emotional, showing the exhaustion emergency crews deal with, along with some of the trauma. His motivation for his artwork is to bring awareness to Post Traumatic Stress Disorder (PTSD), which many first responders have experienced from one time to another.
With 13 years working in the field, Sundahl is no exception. It wasn't until a specialist came to speak to his colleagues about PTSD that Sundahl realized he had some of the symptoms. He sought help by speaking with a therapist, who diagnosed him with mild PTSD.
"It's a normal response to what we're exposed to over a long period of time," said Sundahl, who finds posting the images therapeutic.
"It really brings it out there so people can talk about it and it makes them feel better. Normally (with) PTSD you suffer alone and you don't want people to know about it, but when it's out there and people talk about it, then it's more comforting."
Sundahl's work can be viewed at www.dansunphotos.com

EMS art EMT Ambulance photo EMT PARAMEDIC


 Star of Life / Estrella de la Vida MEXICO

Si piensas que tu trabajo es difícil, te invito a mi oficina "MEDICINA PRE-HOSPITALARIA, No todos tienen la capacidad de arrodillarse par para dar una segunda oportunidad"  By Dr. Ramon Reyes

"Sacrificas Familia, Amigos, Vida Social, Tu salud y aun así se atreven a cuestionar lo que hacemos" Viva la Medicina Critica By Dr. Ramón Reyes
"Piensas, que no sentimos frió, hambre, sueño, cansancio, que no tenemos esposa, hijos, padres, pues si tenemos. Apartamos todo esto por salir a buscarte y salvar tu vida. Por eso nuestros corazones y lo que hacemos no tiene comparación alguna en esta tierra" By Dr. Ramón Reyes 
¡Hacemos hasta la más difícil de las medicinas!!! "Medicina Tactica".
"No tengo el corazón de hierro, no soy superman, no soy inhumano, sufro en silencio más de lo que te imaginas cuando he perdido a ese ser inocente" By Dr. Ramon Reyes

For me as Seaman They are Angels / Para mi como hombre de Mar "Ellos son Angeles"

"VIVO O MUERTO TE VIENES CON NOSOTROS" Nadadores de Rescate Armada Española 
ems EMT paramedic photo
Paramedico EMT PreHospitalaria
TUM Cruz Roja Mexicana Prehospitalaria
PHTLS-TCCC Prehospital Medicine, Military Medicine, Tactical Medicine

"SILENT HEROES" By Mark Manwaring 




+1 809 849 9295 Rep. Dominicana

+34 640 220 306 (Numero Internacional en España)


Skype: drtolete

Facebook: @drramonreyesdiaz

LinkeIn https://es.linkedin.com/in/drramonreyes

Twitter: @DrtoleteMD

Instagram: https://www.instagram.com/drtolete/

¿Por qué el Desfibrilador TELEFUNKEN?

El DESFIBRILADOR de Telefunken es un DESFIBRILADOR AUTOMÁTICO sumamente avanzado y muy fácil de manejar.

Fruto de más de 10 años de desarrollo, y avalado por TELEFUNKEN, fabricante con más de 80 años de historia en la fabricación de dispositivos electrónicos.

El desfibrilador TELEFUNKEN cuenta con las más exigentes certificaciones.

Realiza automáticamente autodiagnósticos diarios y mensuales.

Incluye bolsa y accesorios.

Dispone de electrodos de "ADULTO" y "PEDIÁTRICOS".
Tiene 6 años de garantía.
Componentes kit de emergencias
Máscarilla de respiración con conexión de oxígeno.
Tijeras para cortar la ropa
Guantes desechables.

¿ Qué es una Parada Cardíaca?

Cada año solo en paises como España mueren más de 25.000 personas por muerte súbita.

La mayoría en entornos extrahospitalarios, y casi el 80-90 % ocasionadas por un trastorno eléctrico del corazón llamado"FIBRILACIÓN VENTRICULAR"

El único tratamiento efectivo en estos casos es la "Desfibrilación precoz".

"Por cada minuto de retraso en realizar la desfibrilación, las posibilidades de supervivencia disminuyen en más de un 10%".

¿ Qué es un desfibrilador ?

El desfibrilador semiautomático (DESA) es un pequeño aparato que se conecta a la víctima que supuestamente ha sufrido una parada cardíaca por medio de parches (electrodos adhesivos).

¿ Cómo funciona ?


El DESA "Desfibrilador" analiza automáticamente el ritmo del corazón. Si identifica un ritmo de parada cardíaca tratable mediante la desfibrilación ( fibrilación ventricular), recomendará una descarga y deberá realizarse la misma pulsando un botón.


El desfibrilador va guiando al reanimador durante todo el proceso, por medio de mensajes de voz, realizando las órdenes paso a paso.


Únicamente si detecta este ritmo de parada desfibrilable (FV) y (Taquicardia Ventricular sin Pulso) permite la aplicación de la descarga. (Si por ejemplo nos encontrásemos ante una víctima inconsciente que únicamente ha sufrido un desmayo, el desfibrilador no permitiría nunca aplicar una descarga).

¿Quién puede usar un desfibrilador TELEFUNKEN?

No es necesario que el reanimador sea médico, Enfermero o Tecnico en Emergencias Sanitarias para poder utilizar el desfibrilador.

Cualquier persona (no médico) que haya superado un curso de formación específico impartido por un centro homologado y acreditado estará capacitado y legalmente autorizado para utilizar el DESFIBRILADOR (En nuestro caso la certificacion es de validez mundial por seguir los protolos internacionales del ILCOR International Liaison Committee on Resuscitation. y Una institucion de prestigio internacional que avale que se han seguido los procedimientos tanto de formacion, ademas de los lineamientos del fabricante como es el caso de eeii.edu

TELEFUNKEN en Rep. Dominicana es parte de Emergency Educational Institute International de Florida. Estados Unidos, siendo Centro de Entrenamiento Autorizado por la American Heart Association y American Safety and Health Institute (Por lo que podemos certificar ILCOR) Acreditacion con validez en todo el mundo y al mismo tiempo certificar el lugar en donde son colocados nuestros Desfibriladores como Centros Cardioprotegidos que cumplen con todos los estanderes tanto Europeos CE como de Estados Unidos y Canada


Dimensiones: 220 x 275 x 85mm

Peso: 2,6 Kg.

Clase de equipo: IIb


Temperatura: 0° C – + 50° C (sin electrodos)

Presión: 800 – 1060 hPa

Humedad: 0% – 95%

Máximo Grado de protección contra la humedad: IP 55

Máximo grado de protección contra golpes:IEC 601-1:1988+A1:1991+A2:1995

Tiempo en espera de las baterías: 3 años (Deben de ser cambiadas para garantizar un servicio optimo del aparato a los 3 años de uso)

Tiempo en espera de los electrodos: 3 años (Recomendamos sustitucion para mantener estandares internacionales de calidad)

Número de choques: >200

Capacidad de monitorización: > 20 horas (Significa que con una sola bateria tienes 20 horas de monitorizacion continua del paciente en caso de desastre, es optimo por el tiempo que podemos permanecer en monitorizacion del paciente posterior a la reanimacion)

Tiempo análisis ECG: < 10 segundos (En menos de 10 seg. TELEFUNKEN AED, ha hecho el diagnostico y estara listo para suministrar tratamiento de forma automatica)

Ciclo análisis + preparación del shock: < 15 segundos

Botón información: Informa sobre el tiempo de uso y el número de descargas administradas durante el evento con sólo pulsar un botón

Claras señales acústicas y visuales: guía por voz y mediante señales luminosas al reanimador durante todo el proceso de reanimación.

Metrónomo: que indica la frecuencia correcta para las compresiones torácicas. con las Guias 2015-2020, esto garantiza que al seguir el ritmo pautado de compresiones que nos indica el aparato de forma acustica y visual, podremos dar RCP de ALTA calidad con un aparato extremadamente moderno, pero economico.

Normas aplicadas: EN 60601-1:2006, EN 60601-1-4:1996, EN 60601-1:2007, EN 60601-2-4:2003

Sensibilidad y precisión:

Sensibilidad > 90%, tip. 98%,

Especificidad > 95%, tip. 96%,

Asistolia umbral < ±80μV

Protocolo de reanimación: ILCOR 2015-2020

Análisis ECG: Ritmos cardiacos tratables (VF, VT rápida), Ritmos cardiacos no tratables (asistolia, NSR, etc.)

Control de impedancia: Medición9 de la impedancia continua, detección de movimiento, detección de respiración

Control de los electrodos : Calidad del contacto

Identificación de ritmo normal de marcapasos

Lenguas: Holandés, inglés, alemán, francés, español, sueco, danés, noruega, italiano, ruso, chino

Comunicación-interfaz: USB 2.0 (El mas simple y economico del mercado)

Usuarios-interfaz: Operación de tres botones (botón de encendido/apagado , botón de choque/información.

Indicación LED: para el estado del proceso de reanimación. (Para ambientes ruidosos y en caso de personas con limitaciones acusticas)

Impulso-desfibrilación: Bifásico (Bajo Nivel de Energia, pero mayor calidad que causa menos daño al musculo cardiaco), tensión controlada

Energía de choque máxima: Energía Alta 300J (impedancia de paciente 75Ω), Energía Baja 200J

(impedancia de paciente 100Ω)