If anyone may be confused on what he was saying during his assessment, DCAP BTLS Crepitation means. D=Deformity C=Contusion A=Abrasion P=Punctures/Penetrations B=Burns T=Tenderness L=Lacerations S=Swelling
He mentioned treating any secondary wounds, I assume that meant splinting the open tibia fracture. He had the equipment but didn't do it. I also assume given the patient's instability this would be done during transport if time.
When it comes to treating secondary treatments, that would be en route to hospital. Anything non life threatening is always treated en route, &/ or at the hospital depending on the GCS & the trauma they’ve sustained, if they’re going down the drain or if they’re stabilizing. This is just what I learned via ride times & class time.
We always go by high vs low priority for transport vs our scene size up. High priority is address life threats and go, low priority allows for more time on scene for stuff like splinting broken bones, etc.
It has been several years and I am now becoming recertified. My initial certification was 2004. I am testing on Saturday and I have a question. After the decision to transport, the order is to do rapid head to toe, log roll, onto long board while checking the posterior side, get in the ambulance, then start the secondary assessment, then treat secondary injuries after that assessment. Then continue to re-evaluate until at the hospital?
Hey! I am 16 and I am a junior in highschool! I am just finishing up my EMT class and I will hopefully be getting certified within the next couple of months. I highly recommend taking it if you are interesting in going into the medical field one day!
This is at a basic life support level, so no needle decompression. SpO2 is not considered a vital sign so it isn't included under the NREMT assessment.
SP02 yes. The consideration for needle decompression would be done at the paramedic level assuming his condition was consistent with a tension pneumothorax.
When would u treat the tension pneumo via needle decompress? Since he had JVD and absent lung sounds even after treating the sucking chest wound in LT. Would u tx it en route or during "manage secondary injuries"?
I would think because it compromises breathing, you would manage the pneumo after ensuring control of major bleeding, during the B of ABC's assessment, I could be wrong.
No tourniquet regarding the fact that the patient doesn't have a pulse in the foot and an open fracture? Seeing how the patient is in shock, blood may not be going to it, but the need for a turniquet seems necessary
This is done per NREMT standard which could be taught differently in Canada. Because of that some states don’t recognize EMT training from there to challenge to take the NREMT tests. The only thing he treated while assessing ABC’s or prior to is was the life threat of a sucking chest wound which would compromise the ABC’s.
No he wouldn't lol, you treat any immediate life threats first (in this case a sucking chest wound) if he bleeds out or builds too much pressure in his pleural cavity securing the airway wont matter cuz he wont be able to breathe.
Didn’t check PMS in all 4 before applying the c-collar. My instructors failed me for that during skills practice
notice how many times he touched his face, nose, & mouth with his gloved hands...
My God can i finally comment on what piece of shit the national registry for ems providers really is???
ABC for conscious. CAB for unconscious. Other than that. The best I’ve seen so far. Great job.
If anyone may be confused on what he was saying during his assessment, DCAP BTLS Crepitation means.
D=Deformity
C=Contusion
A=Abrasion
P=Punctures/Penetrations
B=Burns
T=Tenderness
L=Lacerations
S=Swelling
You left out crepitation, which is the sound or sensation of bones rubbing together, discovered through palpation
He didn’t check for a exit wound
He mentioned treating any secondary wounds, I assume that meant splinting the open tibia fracture. He had the equipment but didn't do it. I also assume given the patient's instability this would be done during transport if time.
tescher1
When it comes to treating secondary treatments, that would be en route to hospital. Anything non life threatening is always treated en route, &/ or at the hospital depending on the GCS & the trauma they’ve sustained, if they’re going down the drain or if they’re stabilizing.
This is just what I learned via ride times & class time.
We always go by high vs low priority for transport vs our scene size up. High priority is address life threats and go, low priority allows for more time on scene for stuff like splinting broken bones, etc.
Treat on way to hospital minor injuries. Broken bones, lacs, etc
It has been several years and I am now becoming recertified. My initial certification was 2004. I am testing on Saturday and I have a question. After the decision to transport, the order is to do rapid head to toe, log roll, onto long board while checking the posterior side, get in the ambulance, then start the secondary assessment, then treat secondary injuries after that assessment. Then continue to re-evaluate until at the hospital?
Yes
How do you remember to do all of this and the words and phrases to use? What do you recommend to watch or read
Please make a medical assessment skill! NOI, Stroke please!
He never treated the open fracture
Airway, airway, airway
I don't understand why he assessed the wound first than A, someone can explain that to me. thanks
Toda herida en el tórax se debe sellar cuanto antes, para evitar la entrada de aire a la cavidad y reducir el riesgo de neumotórax a tensión.
Entiendo.
Wound can be fatal, it’s a sucking chest wound. the airway can wait ;)
You must treat all life threatening injuries first before starting your primary
should check for an exit wound immediately on a gsw.
I am 13 years old in 8th grade watching how to do injury treatment if I ever am needed to love that
Hey! I am 16 and I am a junior in highschool! I am just finishing up my EMT class and I will hopefully be getting certified within the next couple of months. I highly recommend taking it if you are interesting in going into the medical field one day!
SAMEEEEEEE
Should you get a full set of vitals before the head to toe exam?
If you follow the skills sheet, it’s in that order. They’re just trying to not failz
would there be consideration towards needle chest decompression and checking spo2?
This is at a basic life support level, so no needle decompression. SpO2 is not considered a vital sign so it isn't included under the NREMT assessment.
SP02 yes. The consideration for needle decompression would be done at the paramedic level assuming his condition was consistent with a tension pneumothorax.
So nervous! I have my exam tomorrow!
How'd it go?
Update ??
When would u treat the tension pneumo via needle decompress? Since he had JVD and absent lung sounds even after treating the sucking chest wound in LT. Would u tx it en route or during "manage secondary injuries"?
Unless you’re a paramedic (this is an EMT evaluation) you can’t needle-D.
I would think because it compromises breathing, you would manage the pneumo after ensuring control of major bleeding, during the B of ABC's assessment, I could be wrong.
no opa?
addc 01 this is a basic EMT assessment. OPA's are used by advanced/paramedics
Not where I'm from, I'm an EMR and we can use OPA's
I am in EMT school in Oklahoma, we are aloud to use OPA,NPA, and Kings Airway.
Jeff_EMS24 71863 san Diego we can use opa/npa
VA opa & npa used as EMTs.
So you would treat any life threatening injuries in the primary assessment?
Yes bc the assessments won’t matter if u do not take care of immediate life threats.
haven't been in this school in a while.
maybe I should go back
No tourniquet regarding the fact that the patient doesn't have a pulse in the foot and an open fracture? Seeing how the patient is in shock, blood may not be going to it, but the need for a turniquet seems necessary
Why did he do a rapid body survey and start treating wounds before even checking the airway. This would be considered an epic fail in Canada
You treat any life-threats first.
This is done per NREMT standard which could be taught differently in Canada. Because of that some states don’t recognize EMT training from there to challenge to take the NREMT tests. The only thing he treated while assessing ABC’s or prior to is was the life threat of a sucking chest wound which would compromise the ABC’s.
If he bleeds out, and if an artery it will be rapid, airway won’t matter. Airway can wait, severe bleeding cannot.
No he wouldn't lol, you treat any immediate life threats first (in this case a sucking chest wound) if he bleeds out or builds too much pressure in his pleural cavity securing the airway wont matter cuz he wont be able to breathe.
,,,