Paramedic National Registry Bleeding Control

[327bran]

elavating really doesnt help much, in fact isnt even required. but you should be able to stop the bleeding, even if it means you have to hold his arm all the way to the hospital.

[colb4130]

We've got a bunch of ALS assholes who can't stfu about putting a blanket on the guy. Tourniquet that shit and hand him off to the

medics

[10Jesse14]

As per nremt standards, if bleeding is not controlled by direct pressure, apply tourniquet right away.

[PompousFlea]

This is seriously the paramedic test? This is the same test I'm taking for Emergency First Responder.

[punk88yay]

@PompousFlea The bleeding control is considered a "basic" station at the national registry test. To move on to the ALS side of treatment you have to address the basic components of treatment.

[youz1uglybish]

wow thats all he had to do?? lol no vital signs after the bleeding was controlled you'd think he would atleast check a blood pressure no iv's or fluid replacement wish my paramedic scenarios where this easy lol he didnt even cover the patient afterwards good job!

[wnaburgencesante]

Pressure points are B.S. The tourniquet is the way to go if it still bleeds severly .

[wpence2]

This guy clearly failed... Though he put the cover under the legs for the shock position... He did not mention anything about covering the patient or keeping his warmth.... I don't know why you would show someone who failed.

[Eleazarsc]

Yeah, I also think he failed for not covering the patient.

The National Registry protocols have recently changed for this sim. They are now:

Cover the open wound with a gloved hand. If bleeding persists, skip elevation and pressure point by going strait to a tourniquet. If the patient shows signs of shock, place them in the shock position, administer high flow O2 (15 lpm) and place a blanket over the patient.

This is similar to military bleeding control.

[noonehereification]

@wpence2 im looking at the sheet right now it doesnt say that covering is a fail point but it is a loss of 1 point

[vickiormindyb]

Do you have a video that shows how they handle an allergic reaction that turns into not breathing at all and losing consceiousness?

That happened to me. I've carried an Epi-pen since it did.

I didn't see them put the tube down my throat that the ER doctor removed later.

I want to see the process, b/c I have no memory of how they helped me. I had blurred vision, confusion, a rash and difficulty breathing. Then stopped breathing and passed out.

[codyword]

wha whaaa!? thats it? thats the paramedic version of bleeding and shock? wow......thats the same thing i had to to for my basic haha.

[jritth01]

this station does not fit the new guidlines for bleeding managment...

[nutube68]

what are the new guidelines?

[joshc099]

I love the blanket under the feet instead of on the pt. and stating that he would put the pt. in trendelenburg

[chrossmark]

well trendelenburg is not without use, it automatically dumps an extra 2 liters of blood back into the core.

[ccstud16]

yeah, heat loss is a big one regardless of where you live geographically

[ccstud16]

yeah heat loss is a big one regardless of where you live geographically.

[ccstud16]

how about a pulse ox or starting an IV???

[jchican0]

That's not part of the B/S station. A pulse ox, yes would be put on in the field. But for Nt'l Registry, it's not required. As for IVs, there is a station for that. Just like how you verbalize how you would put the patient on a longboard in the Trauma Assessment. Why? Because there is a station for LSB. But I do agree though, ccstud16.

[Supra204]

should suspect possible fracture depending on mechanism of injury as well...

ie moving the limb while elevating...

[SZit02]

Not preventing heat loss is a fail point.

[Jovan14606]

In New York State, preventing heat loss is only a one pointer.