Simon Townsend Northland

Simon Townsend Northland A dedicated team of experienced Paramedics, first responders available . Do you need an onsite Medic or First Aid training?
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Look into it today, tomorrow could be too late. 021478655

16/01/2026

A new video series launches this January (2026) featuring Far Northerners from Pawarenga, Te P**i and Te Hāpua raising awareness about the importance of mobi...

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15/01/2026

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🫁 Adventitious Lung Sounds

Adventitious lung sounds are abnormal breath sounds heard on auscultation.
They usually indicate an underlying lung or airway pathology.

πŸ”Ή Crackles (Rales)

β†’ Discontinuous, high-pitched popping sounds
β†’ Heard mostly during inspiration

β†’ Why they occur
β†’ Air moving through fluid-filled alveoli
β†’ Sudden reopening of collapsed alveoli

β†’ Types
β†’ Fine crackles β†’ Soft, hair-rubbing sound
β†’ Coarse crackles β†’ Louder, bubbling / gurgling sound

β†’ Common causes
β†’ Pneumonia
β†’ Pulmonary edema
β†’ ARDS (Acute Respiratory Distress Syndrome)
β†’ Heart failure

πŸ”Ή Wheeze

β†’ Musical, high-pitched whistling sound
β†’ Predominantly expiratory
β†’ May be inspiratory in severe airway obstruction

β†’ Why it occurs
β†’ Narrowing of airways due to
β†’ Bronchospasm
β†’ Mucosal edema
β†’ Airway inflammation

β†’ Common causes
β†’ Asthma
β†’ Bronchospasm
β†’ COPD

πŸ”Ή Rhonchi

β†’ Low-pitched, continuous, snoring-like sound

β†’ Why it occurs
β†’ Airflow through thick secretions
β†’ Obstruction in large airways

β†’ Key feature
β†’ Often clears or changes after coughing

β†’ Common causes
β†’ Chronic bronchitis
β†’ COPD

πŸ”Ή Pleural Friction Rub

β†’ Harsh, grating, creaking sound
β†’ Heard during both inspiration and expiration

β†’ Why it occurs
β†’ Inflamed parietal and visceral pleura rubbing together

β†’ Clinical clues
β†’ Often painful
β†’ Pain worsens with deep breathing

β†’ Common causes
β†’ Pleuritis
β†’ Pneumonia with pleural involvement
β†’ Pulmonary embolism
β†’ Early pleural effusion (before significant fluid accumulation)

πŸ”Ή Stridor 🚨

β†’ High-pitched, harsh sound
β†’ Usually inspiratory
β†’ May be biphasic depending on level of obstruction

β†’ Why it occurs
β†’ Upper airway obstruction at or above vocal cords

β†’ Medical emergency sign

β†’ Common causes
β†’ Croup
β†’ Epiglottitis
β†’ Foreign body aspiration
β†’ Laryngeal edema (e.g., anaphylaxis)

⭐ High-Yield Clinical Tip

β†’ Crackles β†’ Think alveoli + fluid
β†’ Wheeze β†’ Think narrowed airways
β†’ Rhonchi β†’ Think secretions in large airways
β†’ Pleural rub β†’ Think inflamed pleura
β†’ Stridor β†’ Think upper airway emergency

Need a first aid course soon?? NZQA 6400,6401,6402.Jorja Van Den Broek is running the following :-20,21Jan, 10,11 Feb, 5...
14/01/2026

Need a first aid course soon?? NZQA 6400,6401,6402.
Jorja Van Den Broek is running the following :-
20,21Jan, 10,11 Feb, 5,6 March Whangarei.
12,13 Feb Warkworth
17 Feb Mangawhai
18,19 Feb Kerikeri
11 March Maungaturoto
www.promed.ac.nz
Investment :- $170 +gst (Foundation first aid) or $240+gst (New Zealand first aid) and refreshers $154+gst
Book :- Simon. Townsend@promed.ac.nz 021 478 655
Reviews click on the following link:-
https://www.google.com/search?sca_esv=aebc663c531febdd&rlz=1C1CHBF_enNZ1043NZ1043&si=APYL9bs7Hg2KMLB-4tSoTdxuOx8BdRvHbByC_AuVpNyh0x2KzZMjbet65gpb3dmRZ6awvP8ksrl59FoOFMcW3Zf-f-FJ4pH-TJaY3jiCNF7ePMeDOIMWfxrgCpKzR8HEQy6bFqH3f05I0DucFCKf_sUQ0CiCTirX9g%3D%3D&q=ProMed+-Northland+Reviews&sa=X&ved=2ahUKEwja2YL7iPSLAxXIUGwGHYgKLRMQ0bkNegQIJRAE&biw=1276&bih=841&dpr=1&sei=wvtmaZDeNJKPnesPkoLYqQE

We're back, Jorja Van Den Broek has already started with an outdoor first aid course for Omamari Logging. Sing out if yo...
10/01/2026

We're back, Jorja Van Den Broek has already started with an outdoor first aid course for Omamari Logging. Sing out if you need a refresher or a new course.Hands on and fun!! Simon.townsend@promed.ac.nz 021478655
Www.promed.ac.nz

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Whangarei
0171

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