Thank you for posting this. I am having the worst time memorizing the trauma assessment in class. I totally Crashed and burned last time I did this in class.
people i understand everything u r saying ... remember that this is an old video that was posted in 2009.. and we are learning or have learned the 2010 standard
@noonehereification I wasn't talking about skills, I was referring to real life. Also this is a *Scenario* not a Skill if you're using NREMT standards. And all "skills" are certainly not all rapid transport.
Manual traction takes a while to perform. With an unstable patient it's probably not worth it. Especially when a femur fraction usually results in 1.5 liters of blood loss internally I believe. He needs surgery and blood fast.
at around 3:14 where he didn't feel a dorsalis pedis pulse in the right foot, and where he (about 5 seconds earlier) noted a deformity, shouldn't he have asked for what type of deformity? and if it was something that could have been fixed using manual traction then shouldn't that have been done to revive circulation in that extremity?
Femur is part of the kill zone and should be managed before placing the patient on an ambulance/transporting -- but only if the patient is conscious. In this case, since the patient is unconscious, rapid transportation is called for.
Nope! It was an open wound, and TS is contraindicated for an "open femur fx". Plus with a high priotiry patient you wouldn't waste time applying a traction splint. In this case it is life over limb. You would be more concerned with his airway, breathing, and circulation, and preventing the patient from going into further shock, if he loses a leg and comes out with his life, he is lucky. If you spend 5 minutes on the leg, and he goes into shock and dies, the leg isn't going to help him much!
I think that applying a TS to an open femur fx may differ depending on your protocols. Here in San Diego, we CAN apply TS on open femur fx. I do agree that in this case though, rapid transport is key. What good is a leg if yer dead?
I've studied, and studied this. I won't stop until I can do it like this. This is awesome.
Idiopathogen 5 months ago 3
this guy has no order what so ever his all over the place
darkbubba1226 5 months ago
@darkbubba1226 actually it is the trauma assessment. he is going right down the line.
The91efcivic 4 months ago
@darkbubba1226 your talkin out your ass you know that right?
mortonuhv 1 month ago
Great Job!!
214Keisha 5 months ago
Excelllent. Great for review. THANKS!
teknoeast 5 months ago
I thought you did not reach over the person?? Am I wrong I am learning.
stacybiby38 7 months ago
Can wait to start my EMT class =)
LordOfSandbox 8 months ago
It's called a rapid head to toe! what happened? no good
FariisPrettyBad 8 months ago
@FariisPrettyBad assesment has to be done within 10 mins. lol. thats pretty damn rapid
The91efcivic 4 months ago
They have sooo much equipment compared to the school I'm going to, to take this class... we suck.
wtfnicolew 9 months ago
I like the pile of babies under the table.... LOL
WitchesPuzzle 10 months ago 9
Thank you for posting this. I am having the worst time memorizing the trauma assessment in class. I totally Crashed and burned last time I did this in class.
dreamer110480 11 months ago
Thank you for posting this. I am having the worst time memorizing the trauma assessment in class.
dreamer110480 11 months ago
Steven Simon, you nailed this. Good Job
jpurra2 11 months ago
Priapism is a condition that is caused by spinal trauma causing an erection. it can be used as a symptom of severe lumbar spinal injury.
jpurra2 11 months ago
people i understand everything u r saying ... remember that this is an old video that was posted in 2009.. and we are learning or have learned the 2010 standard
worldsgreatest2010 1 year ago
Bottom line, beast. its rapid.
Adhesiveputty 1 year ago
@noonehereification I wasn't talking about skills, I was referring to real life. Also this is a *Scenario* not a Skill if you're using NREMT standards. And all "skills" are certainly not all rapid transport.
ToxicWombat 1 year ago
Manual traction takes a while to perform. With an unstable patient it's probably not worth it. Especially when a femur fraction usually results in 1.5 liters of blood loss internally I believe. He needs surgery and blood fast.
Rcoleman51 1 year ago
@Rcoleman51 this is just an assessment manual traction is a whole different skill
noonehereification 1 year ago
i was taught to take pulses bilaterally
fafinaf 1 year ago
at around 3:14 where he didn't feel a dorsalis pedis pulse in the right foot, and where he (about 5 seconds earlier) noted a deformity, shouldn't he have asked for what type of deformity? and if it was something that could have been fixed using manual traction then shouldn't that have been done to revive circulation in that extremity?
arawatbituin 1 year ago
@arawatbituin this is just a trauma assessment just assess not treat
noonehereification 1 year ago
Before log rolling your patient you should check for an unstable pelvis.
michaelewis100 1 year ago
He didnt verbalize the genital sweep!
holtking07 1 year ago
@holtking07 he mentioned the priapism, you bonerhead.
edarriola23 1 year ago
@holtking07 I beg to differ, but he did.
jesusfreak123123 1 year ago
@holtking07 he noted he would sweep for priapism.
kyelena2 1 year ago 5
@holtking07
You Do Know What "Priapism" Is?
TheManiNicole 11 months ago
haha bsi for my battle n i...in other words wrap ur wacker before u attackr
driftfanatic03 1 year ago
Job well done it depends on the region state and local protocals but overall a job well done........ R.V / FF I - EMT
EMT0880 1 year ago
Femur is part of the kill zone and should be managed before placing the patient on an ambulance/transporting -- but only if the patient is conscious. In this case, since the patient is unconscious, rapid transportation is called for.
ToxicWombat 1 year ago
@ToxicWombat it is always rapid transport in every skill
noonehereification 1 year ago
a job well done!
WireTapScars22 1 year ago
I don't think you would apply a TS either way since the patient is unresponsive.
mksp33 1 year ago
Yes. that needs immediate repositioning into the neutral in line position and assessed for return of pulse.
polarjack 2 years ago
With no pulse in the right leg and a deformity on the right thigh wouldnt he put on a traction splint?
DThompson1985 2 years ago
I think that is covered in managing all secondary injuries.
ChloeVilar 2 years ago
Nope! It was an open wound, and TS is contraindicated for an "open femur fx". Plus with a high priotiry patient you wouldn't waste time applying a traction splint. In this case it is life over limb. You would be more concerned with his airway, breathing, and circulation, and preventing the patient from going into further shock, if he loses a leg and comes out with his life, he is lucky. If you spend 5 minutes on the leg, and he goes into shock and dies, the leg isn't going to help him much!
legacex34 2 years ago
I think that applying a TS to an open femur fx may differ depending on your protocols. Here in San Diego, we CAN apply TS on open femur fx. I do agree that in this case though, rapid transport is key. What good is a leg if yer dead?
suhperman 2 years ago
Go Steven !!! making us proud!!!
Guitardrmr57 2 years ago