Trauma Patient Assessment Part 1

Here is a video of the New York State's trauma patient assessment. There are two parts to this video, so do not miss part 2 (it is much more exciting). Please keep comments respectful and we appreciate any constructive criticism.

Things to remember:
Even firemen need gloves
Remember to verbalize exposing areas of pt when checking body
All stethoscopes are cold
Remember to recheck PMS in all extremities after securing pt to backboard

Category:

Education

Tags:

• EMT
• Emergency
• Medical
• Technician
• Patient
• Assessment
• Trauma
• New
• York
• Department
• of
• Health
• Exam

[asriya]

@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.

[BlueJFilms]

@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.

[thejjohnson87]

GOT TO BE KIDDING ME! This is a joke. My fellow EMTs will love this LOL. Someone needs to go back to school

[BlueJFilms]

@thejjohnson87, Would you mind telling us why you feel that this assessment is not up to your standards?

[jsin55]

@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.

[BlueJFilms]

@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]

@ffighter30, thank you for commenting, but constructive criticism would be more helpful.

[murta2]

this isnt a rapid assessment more like a focused assessment

[mortonuhv]

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

[livefstdieslow]

@ 1:41 he goes from picking his feet to holding c-

spine lol

[fall4daeyez]

Great vid !! Thanks... Very helpful ;)

[firecode13]

So is this EMT basic?

[bumblebeethatsmeobv]

omg thank you, so helpful!

[sk8tradam]

"Jesus will ya... I'm on the phone!!!" xD

[DonnaApathy]

-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

-

[yastasha]

ok this is hilarius and sooo wrong, but very informative!