@DonnaApathy I have never heard of CMS and getting a cap on all four limbs, especially on a neck pain? I don't know what I would do if either a medic or a basic student tried doing that to my patient.
@asriya According to NYS DOH, it is required to check pulse, motor and sensory on all four limbs. You do not have to check a capillary refill though. It has been shown to be a non-reliable assessment on adults. And for neck pain, it is especially critical to check CMS. Neck pain could mean a spinal issue which could affect the limbs.
Just wanted to comment, along her missing auscultating the bases, she also didnt do the c in ABC's which is obviously circulation, as well as in a deadly wet check you want to make sure your checking your hands every time so you know where a deadly bleed is located. Awesome video though, perfect for review material
im currently an emt-b student in nyc, and i found this video very helpful for remembering the basic steps... so thank you very much.
to all the haters... this is clearly meant to show the BASICS in patient assessment. Every situation is different, and all patients are different. Most EMT's come up with their own routine of patient assessment, this video clearly shows the basic skills and routine. stop hatin.
What you are doing now is Standard First Aid.... hahahaha..... EMT is WAY more than this... ex: don bsi, check for hazards, mechanism of injuries, # of patients, # of bystanders, patient need extrication, do i need more help, any significant bleeding, any fractures, skin colour, id yourself and gain consent, take control of c-spine, determine loc using avpu, ABC, load and go decision, start head to toe exam, and so on....................................
the back boarding was a bit off. The help should of grabbed the hip and legs and held them while the emt slid the board in place rather than move her down and up. Then pad any void areas by the knees and lower back. Every state is different. Im testing out in VA very soon.
Continued: some patients will tend to try to change their respiration rates if they know you are observing that. Out in the field, I check pulse rate for 15 seconds and immediately start counting respirations for 15 seconds and after 30 seconds, I have then gathered both pulse & respirations in less than a minute.
@adioafro to check respirations, you count the number of times the chest rises & falls. Each rise & fall together counts as one respiration. We want to know breathes per minute, therefore, same as obtaining a Pulse Rate, you can either time it for 15 seconds and multiple the number by 4, you can count for 30 seconds and mutiply by 2, or count them for a full 60 seconds. We teach our students to pretend to be still checking the patients pulse rate and get your respirations; some patients will te
i got my bsi on do you have your bsi on i got my bsi on do you got your bsi on i don't know do i have my bsi on looks at his bare feet is the scene safe is the scence safe i don't know is the scene safe go make it safe gunna make the scene safe yeaaaaaaaa!!!! best part of my life
It gets serious after the first few moments! I do like your videos so far. The only thing I would recommend about this video is maybe make one or two more on trauma pa but add different elements in such as unconscious patient or the patient has life threats like flail segment.
I am not sure if your state is different, but in my testing spot they do trauma and back boarding together so seeing both together could be helpful
Thanks for uploading though! I understand body sweep vs dcap-btls now.
@BlueJFilms well i didn't watch the whole thing but only two lung fields were auscultated during abc assesment. There could be life threatening injuries that would cause different lung fields to be absent or diminished. Discovery of these conditions should take priority over rapid trauma because it is a "B" step.
@jsin55, you are right. She only auscultated the upper fields during the initial abc's and it would not take much longer to listen to the lower fields. It should have been done. She does listen to all fields later on in the video. Thanks for you input.
I take my Practical Skills exam tomorrow and have used this video as a study guide. I really like how she verbalized just about everything- (I've taken that as a practice as well) making sure the evaluator knew she knew what she was talking about and what she was doing. I would really like to see more come out of your team's creativity. And good job on the beginning, it made me laugh! ;o)
Log rolling on to the board low you would on have to make one upward movement instead of going down then back up. Try putting the board about a foot higher than the pt's head before you log roll them.
@raginghate - Fire fighters are the canaries of the EMS world! When they drop, we stop.
One thing I did notice is she did not place her hand on the shoulder when doing the log role. NREMT will fail you big time for that, especially if you move your hand off.
We are taught to ask three main questions to establish the patient's level of alertness. They are based on the patient's orientation to person, place, and time. You must ask open-ended questions.
i understand that, we are taught the same thing, but we were taught to not ask wat their name is, because like i said before they can say some random name and the FR or EMT or whoever wont know that thats their name or not, i do understand that everyehere does their things differently, i still in the class and it just bugged me a bit from wat we are taught
you can ask their name, but it should not be used to determine level of conciousness, also believe it or not, not everyone knows who the current president is...we are taught not to ask that question. questions used to determine level of conciousness should be questions that you know the answer to...
if your patient can't tell you there name or the date or the president that tells you there's a serious indicator of consciousness which is why you do it.
but asking your patients name is an open ended question, which you usually don't know the answer to...thats why it can't/shouldn't be used as a question in determining AVPU
In a Pt with No significant MOI, during the Focused history you should have done the Focused Trauma assessment before you took baseline vital signs. You take the baseline and sample during transport. And when you were doing circulation you improperly checked the voids. Also OIPASS/IPASSO was done poorly.
In following the NY State practical examination, this is the order which we are to follow. Vitals are taken after the initial assessment (BSI, scene safety, spinal stabilization, ABCs) then we are to proceed with the focused or rapid assessment. Also, we are not taught the acronym OIPASS/IPASSO.
Actually OIPASS/IPASSO is in breathing of the ABC's. (Oxygen, Inspect,Palpate, Auscultate, Secure or Stabilize) Baselines vitals are done after either the rapid or focused trauma/medical exams and sample history (opqrst in medical pts) and Depending on the the fall if it was greater than 20 ft or 3x the persons ht it would be considered a significant MOI
@DThompson1985 If you're removing vitals and appearance from your options, you would have to use your best judgment based on volume loss (Hypovolemic), motor function (neurogenic), Past medical history of illness or injury (septic), allergies (anaphylactic), CHF or other heart cardiovascular complications (Cardiogenic), Mental capacity and/or flexed wrists (psychogenic) those are some of the big ones... hope this helps
I dont know how it is in NY. But ive been trained to take 5 baseline vitals pulse, respiration, bp, pupils, and skin. Also took my practicals and passed and in a trauma assesment your supposed to do the rapid trauma assesment, vitals and then history.
We also assess 5 baseline vitals in NY . We assess skin in the initial assessment, pulse/respirations/BP in the PE, and pupils in the rapid assessment. In trauma assessment, NY requires vitals, SAMPLE, then PE.
when you did the Airway - how come you didnt check her mouth for items that might become potential obstructions,,, lets say loose dentures, broken teeth? or blood in the mouth which might require suction?? :)
When I asked the patient about person, place, and time, she did not slur speech or seem to move anything around in her mouth. Her speech was perfectly clear. In this scenario, I did not feel the need to do a deep assessment of the airway. Now, if she was not speaking clearly, drooling, or seem to be moving things around with her tongue, and she was not alert, I would definitely want look in her mouth for potential problems.
But if you have a gut feeling you need to do a thorough assessment of the airway, by all means, do it. The airway is very important and it is always better to be on the safe side.
i think it's better to check their mouth - you never know wht they got in there:: for example chewing gum - may block the airway if the patient becomes unconsious.. better to remove it before it adds you extra job to do
to establish responsiveness you use the avpu scale.
to establish level of consciousness there are FOUR questions (person, place, time, event). if the patients answers all four, then they are alert and oriented times 4.
i think we ask the the fourth question to rule out amnesia because even dazed people can fork over their name, the time (by the location of the sun), and the place (by looking around them). if they can't tell you what happened, it could indicate serious brain injury.
You know when you ask the patient the 3 main questions, you ask her specifically where she is like " Where are you?" sometimes the patient can just answer your question by saying yes or no. Well thats just how I learned it O.O
Question here!!! When it comes to the vital signs, do you have to actually go forth and take them or can u just say "i will take baseline vital signs, the pulse, bp, temp"? i don't know. anyone?
We have to actually take the vitals signs. If we are off by +/- 10 on BP or pulse and +/- 4 on respirations, then we fail the station. At the actual test, they give you fake vitals that fit the scenario, but only after you give them the real ones.
Follow up question.......how do they know you're taking it correctly? i mean, if they don't check the VS when u do you can just say "oh, bp is 120/80", right? how do they know YOU know how to take vital signs? Hmmmm....
The proctor will take the vital signs before the test taker comes into sight. The test taker must take the vitals and be close to the actual numbers to get full points.
I. Establish and maintain airway control while manually stabilizing the cervical spine.
II. Place the head and neck in a neutral in-line position...
Steps III through VII are initial assessment, level of consciousness, assess ventilatory status, administer O2 and suction as necessary, assess circulatory status, assess PMS.
VIII. Immobilize pt with appropriate immobilization device(s).
This is what the NY State Protocol states and how she was instructed for the practical skills examination.
"manually stabilizing the pt's cervical spine is one of the first steps along with maintaining airway control." So treating her neck is first...so is it first or second?
Pt assessment is the hardest for me. I'm taking EMT-B now. I know how to do everything, just remembering to do it is another story. I just need more practice.
I JUST passed my practicals. Patient Assessment was the only station I lost 1 point on. Just remember to verbalize everything and you will be OK. Even if you think you missed something, they wont take points off for you saying it again. Don't forget BSI and Scene Safe!
I have never heard of such a thing. I am from North Carolina and it isn't in our protocol either. The only time I have heard of checking carotid is if you are checking for a pulse in a cardiac arrest patient.
Hey to the gal was doing this...that was pretty neat ! You seem like you know what your doing as compared to me which is not knowing about any of that but hey you looked pumped and ready to go. Not sure what the deal was whether you were still learning or if you were done with your training but either way good luck to you. I guess the rest of us can learn interesting things on youtube ! Nifty !
Thank you for your caps lock. It has made your opinion very clear. According to the New York State Suspected Spinal Injuries Protocol, manually stabilizing the pt's cervical spine is one of the first steps along with maintaining airway control. There is no immobilization with devices until after initial assessment and vital signs.
is your scene safe? how many patients do you have? MOI/NOI? do you need ALS back up? Do you need cspine precautions? = scene size up
mortonuhv 1 month ago
@ 1:41 he goes from picking his feet to holding c-
spine lol
livefstdieslow 1 month ago
Great vid !! Thanks... Very helpful ;)
fall4daeyez 2 months ago
So is this EMT basic?
firecode13 2 months ago
@DonnaApathy I have never heard of CMS and getting a cap on all four limbs, especially on a neck pain? I don't know what I would do if either a medic or a basic student tried doing that to my patient.
asriya 2 months ago
@asriya According to NYS DOH, it is required to check pulse, motor and sensory on all four limbs. You do not have to check a capillary refill though. It has been shown to be a non-reliable assessment on adults. And for neck pain, it is especially critical to check CMS. Neck pain could mean a spinal issue which could affect the limbs.
BlueJFilms 2 months ago
omg thank you, so helpful!
bumblebeethatsmeobv 2 months ago
"Jesus will ya... I'm on the phone!!!" xD
sk8tradam 3 months ago
-general impression:gender, age, level of distress [mild, moderate, severe]
-person, place, time, dont forget to ask for what happened dont assume chief complaint
-fall/hit head/lose conscience?
-didnt check capillary refill on upper and lower extremities [CMS in general]
-someone should be holding the board so i dont move around
-did not say how far down or up to move patient on long board
-emt closes to head places hands on shoulder and hip, emt at bottom places hand on lower leg&on hip also
-
DonnaApathy 4 months ago
ok this is hilarius and sooo wrong, but very informative!
yastasha 4 months ago
ok this is hilarius and sooo wrong
yastasha 4 months ago
Just wanted to comment, along her missing auscultating the bases, she also didnt do the c in ABC's which is obviously circulation, as well as in a deadly wet check you want to make sure your checking your hands every time so you know where a deadly bleed is located. Awesome video though, perfect for review material
canadachic 5 months ago
This video is amazing i am taking an emt-b course atm and this video helped alot
lolnoobscakes 5 months ago
im currently an emt-b student in nyc, and i found this video very helpful for remembering the basic steps... so thank you very much.
to all the haters... this is clearly meant to show the BASICS in patient assessment. Every situation is different, and all patients are different. Most EMT's come up with their own routine of patient assessment, this video clearly shows the basic skills and routine. stop hatin.
vlcmbrdr2 7 months ago
Holy crap. The girl in the Emt hat is hot!!! Are you single. I'm an Emt looking for a female emt. Lmao You go girl :)
linclanc 7 months ago
why put on BSI if you are going to pull back your glove to touch the skin? silly, you fail!
FariisPrettyBad 8 months ago
What you are doing now is Standard First Aid.... hahahaha..... EMT is WAY more than this... ex: don bsi, check for hazards, mechanism of injuries, # of patients, # of bystanders, patient need extrication, do i need more help, any significant bleeding, any fractures, skin colour, id yourself and gain consent, take control of c-spine, determine loc using avpu, ABC, load and go decision, start head to toe exam, and so on....................................
:)
SPQRnonOmnisMoriar 8 months ago
@SPQRnonOmnisMoriar except u missed your neck to knees to check for life threatening injuries smartie pants
tr3mblay69 7 months ago
the back boarding was a bit off. The help should of grabbed the hip and legs and held them while the emt slid the board in place rather than move her down and up. Then pad any void areas by the knees and lower back. Every state is different. Im testing out in VA very soon.
bleve08 9 months ago
Thanks for uploading this video I appreciate it. I wish I would've found it befor today. My test is tonight.
richdad360 9 months ago
That was good, she nailed it !
TheManiNicole 9 months ago
@911999
It stands for Tenderness!
ChaMoaNboy25 10 months ago
what does "T" stand for in DCAP-BTLS? because in school I only learnt DCAP-BLS
911999 10 months ago
B.S.I.!!! :D
iPodLocK3R 10 months ago
Continued: some patients will tend to try to change their respiration rates if they know you are observing that. Out in the field, I check pulse rate for 15 seconds and immediately start counting respirations for 15 seconds and after 30 seconds, I have then gathered both pulse & respirations in less than a minute.
kmed88714 11 months ago
@adioafro to check respirations, you count the number of times the chest rises & falls. Each rise & fall together counts as one respiration. We want to know breathes per minute, therefore, same as obtaining a Pulse Rate, you can either time it for 15 seconds and multiple the number by 4, you can count for 30 seconds and mutiply by 2, or count them for a full 60 seconds. We teach our students to pretend to be still checking the patients pulse rate and get your respirations; some patients will te
kmed88714 11 months ago
what i didnt understand, how do you check respirations? do you look at number chest rise? is there a better way?
adioafro 11 months ago
The Scene wasn't safe there's a rifle leaning on the wall in the backround haha
greatone1225 1 year ago 2
the thing i like about these videos is that i follow the nys proticals because i live there i take my practicals tomorrow morning
southlinefire10 1 year ago
I think this is a great video. I'm using it to help pass the state exam.
TheYnks39h 1 year ago
i got my bsi on do you have your bsi on i got my bsi on do you got your bsi on i don't know do i have my bsi on looks at his bare feet is the scene safe is the scence safe i don't know is the scene safe go make it safe gunna make the scene safe yeaaaaaaaa!!!! best part of my life
southlinefire10 1 year ago
Gotta show this to the boys at the firehouse. LOL
Forgivefull 1 year ago
I did not enjoy watching the patient maneuvering onto back board.
bneatheskin 1 year ago
It gets serious after the first few moments! I do like your videos so far. The only thing I would recommend about this video is maybe make one or two more on trauma pa but add different elements in such as unconscious patient or the patient has life threats like flail segment.
I am not sure if your state is different, but in my testing spot they do trauma and back boarding together so seeing both together could be helpful
Thanks for uploading though! I understand body sweep vs dcap-btls now.
asriya 1 year ago
This was bad
MrEmt19 1 year ago
GOT TO BE KIDDING ME! This is a joke. My fellow EMTs will love this LOL. Someone needs to go back to school
thejjohnson87 1 year ago
@thejjohnson87, Would you mind telling us why you feel that this assessment is not up to your standards?
BlueJFilms 1 year ago
@BlueJFilms well i didn't watch the whole thing but only two lung fields were auscultated during abc assesment. There could be life threatening injuries that would cause different lung fields to be absent or diminished. Discovery of these conditions should take priority over rapid trauma because it is a "B" step.
jsin55 1 year ago
@jsin55, you are right. She only auscultated the upper fields during the initial abc's and it would not take much longer to listen to the lower fields. It should have been done. She does listen to all fields later on in the video. Thanks for you input.
BlueJFilms 1 year ago
This is TERRIBLE patient assesment!!!
ffighter30 1 year ago
@ffighter30, thank you for commenting, but constructive criticism would be more helpful.
BlueJFilms 1 year ago 5
@ffighter30 haha. Im new at this. I need serious info
1stAidMEDIC 1 year ago
Comment removed
weatherfreak123 9 months ago
omg decembers almost here smhh !!!! so nervousss
MsBronxSAVIOR 1 year ago
you don't wanna ask "yes or no" questions while checking the level of consciousness
imabadassmexican 1 year ago
Your Fireman did not Use RACE (Resistance, Airway compromise, Change in neuroligical deficit, Extreme pain)
When you were putting on the cirvical colar you never sized it up.
When you were checking the chest you should have exposed and examined.
Incorectly checked Pelvis.
When you were assessing the patients CSM you never got her to push on you hand so you only did CS you missed M
Other than those few minors you did a great job thank you for the video :)
decalpha1 1 year ago
this isnt a rapid assessment more like a focused assessment
murta2 1 year ago 3
@murta2 According to NYS, this is a rapid assessment.
BlueJFilms 1 year ago
9:07 lmfao wat the hell was that noise for!?
keyaun 1 year ago
People are forgetting this is done to New York State's protocols.
nyqs81 1 year ago
rapid trauma assessment does not include blood pressure, if they have a radial pulse you're good to go, otherwise load and go
smithtdenison 1 year ago
haha hang on i got another call lol
2704heatherwolf 1 year ago
I take my Practical Skills exam tomorrow and have used this video as a study guide. I really like how she verbalized just about everything- (I've taken that as a practice as well) making sure the evaluator knew she knew what she was talking about and what she was doing. I would really like to see more come out of your team's creativity. And good job on the beginning, it made me laugh! ;o)
kingpunk84 1 year ago
She also shouldn't have run her hands along the extremities when checking for blood... you cant tell where she's bleeding if you do that.
theEmilieMariel 1 year ago
It didn't look like they reassessed PMS after securing the patient to the backboard.
bigfathatter 1 year ago
where is rapid tarnsportation ...?
zzZZzzZZzzooOOooOOoo 1 year ago
Log rolling on to the board low you would on have to make one upward movement instead of going down then back up. Try putting the board about a foot higher than the pt's head before you log roll them.
jewlove1212 1 year ago
duck hunt is kick ass
XavierDuFermier 1 year ago
in two emts one has minimal knowledge who will asign in the head in turning the patient???pls.....thanks for help.
wall69crew 2 years ago
Comment removed
readingleejh 2 years ago
Did not mention abt D in primary assessment.
Head to toe examination was absolutely fantastic.
josejx0m 2 years ago
nice vid very teachable
worldpeace3000 2 years ago
ILL GO GET THE SCENE SAFE
raginghate 2 years ago 9
@raginghate - Fire fighters are the canaries of the EMS world! When they drop, we stop.
One thing I did notice is she did not place her hand on the shoulder when doing the log role. NREMT will fail you big time for that, especially if you move your hand off.
AtlRacerBoyz 1 year ago
the main thing that bugged me were the open ended questions she asked her patient, wats your name
? my name is john smith? not an accurate question to determine if she is alert X 3
ccya2yr 2 years ago
We are taught to ask three main questions to establish the patient's level of alertness. They are based on the patient's orientation to person, place, and time. You must ask open-ended questions.
BlueJFilms 2 years ago 8
i understand that, we are taught the same thing, but we were taught to not ask wat their name is, because like i said before they can say some random name and the FR or EMT or whoever wont know that thats their name or not, i do understand that everyehere does their things differently, i still in the class and it just bugged me a bit from wat we are taught
ccya2yr 2 years ago
Name is part of the glasgow coma scale just like what day it is, who is the current president. Needs to be asked
deekomo 2 years ago
you can ask their name, but it should not be used to determine level of conciousness, also believe it or not, not everyone knows who the current president is...we are taught not to ask that question. questions used to determine level of conciousness should be questions that you know the answer to...
stealthchaser13 2 years ago
if your patient can't tell you there name or the date or the president that tells you there's a serious indicator of consciousness which is why you do it.
vlunney 2 years ago
but asking your patients name is an open ended question, which you usually don't know the answer to...thats why it can't/shouldn't be used as a question in determining AVPU
stealthchaser13 2 years ago
LAWL at lady dying in background. but im sure it happens O_o
1987Challenger3 2 years ago
In a Pt with No significant MOI, during the Focused history you should have done the Focused Trauma assessment before you took baseline vital signs. You take the baseline and sample during transport. And when you were doing circulation you improperly checked the voids. Also OIPASS/IPASSO was done poorly.
drewscottqns 2 years ago
In following the NY State practical examination, this is the order which we are to follow. Vitals are taken after the initial assessment (BSI, scene safety, spinal stabilization, ABCs) then we are to proceed with the focused or rapid assessment. Also, we are not taught the acronym OIPASS/IPASSO.
BlueJFilms 2 years ago
um actually a fall can be a significant MOI
adam022695 2 years ago
Comment removed
drewscottqns 2 years ago
Actually OIPASS/IPASSO is in breathing of the ABC's. (Oxygen, Inspect,Palpate, Auscultate, Secure or Stabilize) Baselines vitals are done after either the rapid or focused trauma/medical exams and sample history (opqrst in medical pts) and Depending on the the fall if it was greater than 20 ft or 3x the persons ht it would be considered a significant MOI
drewscottqns 2 years ago
I didn't say anything about oipass/ipasso. We don't use those in michigan.
adam022695 2 years ago
never heard of that in NYS either...
stealthchaser13 2 years ago
that is, never heard of the oipass/ipasso
stealthchaser13 2 years ago
the same, however the event is different. i use situation. and if they are able to say the situation that would tell me the chief complaint.
5506 2 years ago
@HalfBak3dM0nkey
same
glennkat 2 years ago
in LA county its A&Ox3 name/place/time. and we take vitals on the rig on the way to the hospital
katenorange 2 years ago
How do you determine if they are in shock other than by the way they look if you dont take vitals until you are in the truck. Just asking
DThompson1985 2 years ago
One should never move the patient to the truck until vitals are taken. The EMT in the video took vitals before transport.
pfdrake511 2 years ago
Not true.
drietdorf 2 years ago
Quality/presence of radial pulses, skin signs, capillary refill, level of conciousness... to name a few.
drietdorf 2 years ago
Comment removed
fenway555 2 years ago
@DThompson1985 If you're removing vitals and appearance from your options, you would have to use your best judgment based on volume loss (Hypovolemic), motor function (neurogenic), Past medical history of illness or injury (septic), allergies (anaphylactic), CHF or other heart cardiovascular complications (Cardiogenic), Mental capacity and/or flexed wrists (psychogenic) those are some of the big ones... hope this helps
fenway555 2 years ago
haha i dont agree with most theses comments i think it was good lol
Rreynaertt 2 years ago
This comment has received too many negative votes show
what a load of crap
lllolly 2 years ago
I would appreciate it if comments be kept beneficial to training or at least have constructive criticism.
BlueJFilms 2 years ago
LOL love this video the begining is so funny. Firefighter missing shoes lol. Also love the rescue 911 intro
NREMT-Basic
adam022695 2 years ago
I dont know how it is in NY. But ive been trained to take 5 baseline vitals pulse, respiration, bp, pupils, and skin. Also took my practicals and passed and in a trauma assesment your supposed to do the rapid trauma assesment, vitals and then history.
NikeTraining1 2 years ago
Comment removed
fakecubed 2 years ago
We also assess 5 baseline vitals in NY . We assess skin in the initial assessment, pulse/respirations/BP in the PE, and pupils in the rapid assessment. In trauma assessment, NY requires vitals, SAMPLE, then PE.
pfdrake511 2 years ago
The assessment was fine and helpful.
However, I was disgusted by Mr. Funnyman picking at his feet and then putting his hands on that woman's head. Thanks Mr. Healthcare worker.
Yes, the bare feet was a gag at the start of the video, but why couldn't he have put some shoes on during the assessment? Nasty Ass.
thoomolong 2 years ago
when you did the Airway - how come you didnt check her mouth for items that might become potential obstructions,,, lets say loose dentures, broken teeth? or blood in the mouth which might require suction?? :)
ponytail108 2 years ago
When I asked the patient about person, place, and time, she did not slur speech or seem to move anything around in her mouth. Her speech was perfectly clear. In this scenario, I did not feel the need to do a deep assessment of the airway. Now, if she was not speaking clearly, drooling, or seem to be moving things around with her tongue, and she was not alert, I would definitely want look in her mouth for potential problems.
BlueJFilms 2 years ago
But if you have a gut feeling you need to do a thorough assessment of the airway, by all means, do it. The airway is very important and it is always better to be on the safe side.
BlueJFilms 2 years ago
i think it's better to check their mouth - you never know wht they got in there:: for example chewing gum - may block the airway if the patient becomes unconsious.. better to remove it before it adds you extra job to do
ponytail108 2 years ago
thank you these realy cool and great jop we are in oman doning same
alshizawi 2 years ago
Nice post. Its good to see people posting this stuff. Visuals are helpful to watch now and again.
BlueJayJayWay 2 years ago
Im from uk thank all that is holy that they are not.
henrikcelts 2 years ago
to establish responsiveness you use the avpu scale.
to establish level of consciousness there are FOUR questions (person, place, time, event). if the patients answers all four, then they are alert and oriented times 4.
msiligup 2 years ago
In New York State, there are only three questions for AVPU. Where are you from?
BlueJFilms 2 years ago
california.
i think we ask the the fourth question to rule out amnesia because even dazed people can fork over their name, the time (by the location of the sun), and the place (by looking around them). if they can't tell you what happened, it could indicate serious brain injury.
msiligup 2 years ago
Same in Michigan, we ask 3 questions to determine LOC.
BlueJayJayWay 2 years ago
You know when you ask the patient the 3 main questions, you ask her specifically where she is like " Where are you?" sometimes the patient can just answer your question by saying yes or no. Well thats just how I learned it O.O
EnvyCindy 2 years ago
You always want to ask open ended questions and not simple yes or no questions to avoid that.
BlueJayJayWay 2 years ago
lol, great job
bpludlow 3 years ago
Question here!!! When it comes to the vital signs, do you have to actually go forth and take them or can u just say "i will take baseline vital signs, the pulse, bp, temp"? i don't know. anyone?
JayeLB11 3 years ago
We have to actually take the vitals signs. If we are off by +/- 10 on BP or pulse and +/- 4 on respirations, then we fail the station. At the actual test, they give you fake vitals that fit the scenario, but only after you give them the real ones.
BlueJFilms 3 years ago
oh, ok. Thanks!!
Follow up question.......how do they know you're taking it correctly? i mean, if they don't check the VS when u do you can just say "oh, bp is 120/80", right? how do they know YOU know how to take vital signs? Hmmmm....
JayeLB11 3 years ago
The proctor will take the vital signs before the test taker comes into sight. The test taker must take the vitals and be close to the actual numbers to get full points.
BlueJFilms 3 years ago
great. thanks!
JayeLB11 3 years ago
I love how the fireman is picking and cleaning his toes right before he maintains inline stabilization lol
freddybluewater 3 years ago
The initial part of this video is like the BLS program with Chicago FD!
wnaburgencesante 3 years ago
lmao wtf
jerellem 3 years ago
I. Establish and maintain airway control while manually stabilizing the cervical spine.
II. Place the head and neck in a neutral in-line position...
Steps III through VII are initial assessment, level of consciousness, assess ventilatory status, administer O2 and suction as necessary, assess circulatory status, assess PMS.
VIII. Immobilize pt with appropriate immobilization device(s).
This is what the NY State Protocol states and how she was instructed for the practical skills examination.
BlueJFilms 3 years ago
"manually stabilizing the pt's cervical spine is one of the first steps along with maintaining airway control." So treating her neck is first...so is it first or second?
mariothemario 3 years ago
Pt assessment is the hardest for me. I'm taking EMT-B now. I know how to do everything, just remembering to do it is another story. I just need more practice.
yurriah 3 years ago
I JUST passed my practicals. Patient Assessment was the only station I lost 1 point on. Just remember to verbalize everything and you will be OK. Even if you think you missed something, they wont take points off for you saying it again. Don't forget BSI and Scene Safe!
BRudy87 3 years ago
yeah i missed 1 point verbalize the general impression
yurriah 3 years ago
when you check for circulation on the 1st part you have to check carotid with radial check if insnc
daemtgoofball 3 years ago
You don't need to do that according to New York State's Protocol.
BlueJFilms 3 years ago
oh okay in california we have to check both
daemtgoofball 3 years ago
I have never heard of such a thing. I am from North Carolina and it isn't in our protocol either. The only time I have heard of checking carotid is if you are checking for a pulse in a cardiac arrest patient.
Adrenaline7 3 years ago
Hey to the gal was doing this...that was pretty neat ! You seem like you know what your doing as compared to me which is not knowing about any of that but hey you looked pumped and ready to go. Not sure what the deal was whether you were still learning or if you were done with your training but either way good luck to you. I guess the rest of us can learn interesting things on youtube ! Nifty !
Somethinzfishy 3 years ago
Reall? Patient CC is NECK PAIN!
C-spine her! Why would you take BP/Pulse before treating CC?
mariothemario 3 years ago
Thank you for your caps lock. It has made your opinion very clear. According to the New York State Suspected Spinal Injuries Protocol, manually stabilizing the pt's cervical spine is one of the first steps along with maintaining airway control. There is no immobilization with devices until after initial assessment and vital signs.
BlueJFilms 3 years ago
She didn't palpate the ribs.
Twyrchtwych 3 years ago
You're right, one should palpate the ribs and chest for crepitus or instability
Also:
Look at the chest for symmetrical chest rise
* Look at the chest for paradoxical movement * Indicates a possible flail chest * 3 or more ribs broken in two or more places
Should be the 2nd assessment of lung sounds
RussianAlfonso 3 years ago
You are right. She should have verbalized and palpated the ribs. One hand on each side and asked for another deep breath. Good catch.
BlueJFilms 3 years ago
thank you guys.
abayomi8 3 years ago
interesting and funny
DaughterUnderChrist 3 years ago
the best emt video on youtube it actually will help me for my xam tomorrow
A28langhorne 3 years ago
awesome job!!
tpmbeach 3 years ago
This has been flagged as spam show
wow so lame
worm9100 3 years ago