You have a great comment. We specifically filmed lower placement to demonstrate how one would need to move the patient again…since so many people need to move the patient again. If you can place the patient correctly the first time, it is absolutely safer for the patient.
Also funny, being a Ski Patroller, to see a spine board being used as a sled. Because, yes, they do make good sleds. It's a good idea to keep plenty of hands on the board at all times! haha.
Yes. I think I need a video to demonstrate what i'm talking about. Placing perfect is a challenge. My suggestion is to set the backboard high on the patient so that their head is 10 (or so) below where they will end up. This allows for one slide rather than two. But I totally get the skill, and no argument, that is how it's done. But, like I said, it's possible to do the same thing with one slide by intentionally placing the pt lower on the board then sliding up one time. Hope that made sense.
This is not a trauma assessment review...many assessment tips are left out. It is specifically the step-by-step NYS supine immobilization station. But, you have a good comment. One should always assess the neck before placing the collar. You never know if you are covering up an injury.
You can reduce the number of drags to one by intentionally placing the backboard high. This leaves enough space between the patients head and top of the board to make one, safe, move. I'm not an EMT, but an OEC Technician (Ski Patrol). (Someone could correct me if placement is a critical point for evaluation). Simple is smooth, and smooth is fast. :)
Palpation of the spine is not included in the NYS practical skills exam sheet. This skill station is focuses on application of the collar and backboard.
Good while positioning patient on the backboard. I did notice that C-Spine was held wrong according to my training, there was to much movement while putting on the C- collar, and there was to much spinal movement while log rolling. That is my observation. The positioning was good though.
I really enjoyed the spinal video. The one question I have is, why wait until the patient is strapped to the LSB before checking to pad voids? We were taught to pad voids before any strapping.
this video attaches hip strap first , another I just watched attached the feet first. Why doesn't the head supporting person have thier arms stabilized? What do you and your cohorts think of the X-collar?
SO, are you guys not required to palpitate patients back checking for DCAP-BTLS and any crepitation, and rectal bleeding a patient might have!? Before log rolling patient back onto the back board!? As a critical precaution???
This is a skills station only and is not a full assessment station required in NYS. In a real patient assessment situation, you should assess a patient's back.
our skill requirements require the head person to be stabilized at the elbows before head support, is there a reasoning that the NYS doesn't require this. Still like the vids. Cheers
I'll keep my mouth quiet this time ;) Any chance you guys plan to do one with a standing patient? I remember being "volunteered" to get strapped and lowered. both time I was dropped half way down. (I needed that c-collar after that!)
C-spine was not properly maintained while you were log-rolling the patient. Look at how much the head goes down to the side. I've seen people failed at state exams because of that.
i wish we could use buckles for this.....we have to actually web them down....right now i think i'm about 6:32 with the entire skill....if i could use buckles i'm sure that would take a good 2-3min off my time...lol
He he he--great back boarding demonstration and the film at the end was so funny!
You have a great comment. We specifically filmed lower placement to demonstrate how one would need to move the patient again…since so many people need to move the patient again. If you can place the patient correctly the first time, it is absolutely safer for the patient.
It would probably be in the best interest of the emt to put the straps on the board after the patient is rolled on. Just makes things easier.
Also funny, being a Ski Patroller, to see a spine board being used as a sled. Because, yes, they do make good sleds. It's a good idea to keep plenty of hands on the board at all times! haha.
Yes. I think I need a video to demonstrate what i'm talking about. Placing perfect is a challenge. My suggestion is to set the backboard high on the patient so that their head is 10 (or so) below where they will end up. This allows for one slide rather than two. But I totally get the skill, and no argument, that is how it's done. But, like I said, it's possible to do the same thing with one slide by intentionally placing the pt lower on the board then sliding up one time. Hope that made sense.
This is not a trauma assessment review...many assessment tips are left out. It is specifically the step-by-step NYS supine immobilization station. But, you have a good comment. One should always assess the neck before placing the collar. You never know if you are covering up an injury.
In our test we have to expose the feet when checking for pulse. Also would be cool if you showed how to properly measure the neck? But good video!
The EMT is very pretty
You can reduce the number of drags to one by intentionally placing the backboard high. This leaves enough space between the patients head and top of the board to make one, safe, move. I'm not an EMT, but an OEC Technician (Ski Patrol). (Someone could correct me if placement is a critical point for evaluation). Simple is smooth, and smooth is fast. :)
Palpation of the spine is not included in the NYS practical skills exam sheet. This skill station is focuses on application of the collar and backboard.
Good while positioning patient on the backboard. I did notice that C-Spine was held wrong according to my training, there was to much movement while putting on the C- collar, and there was to much spinal movement while log rolling. That is my observation. The positioning was good though.
I really enjoyed the spinal video. The one question I have is, why wait until the patient is strapped to the LSB before checking to pad voids? We were taught to pad voids before any strapping.
You make a good observation. She should have kept the c-spine in better alignment.
this video attaches hip strap first , another I just watched attached the feet first.
Why doesn't the head supporting person have thier arms stabilized?
What do you and your cohorts think of the X-collar?
very informative
Thanks! Very helpful
SO, are you guys not required to palpitate patients back checking for DCAP-BTLS and any crepitation, and rectal bleeding a patient might have!? Before log rolling patient back onto the back board!? As a critical precaution???
This is a skills station only and is not a full assessment station required in NYS. In a real patient assessment situation, you should assess a patient's back.
Well first let's check the back for DCAPBTLS, immobilize the torso first, then the pelvic, 2 finger width above the knee then the head.
@KyprosNighthawk No need to keep quiet, your comments are good. And yes, we do plan on doing a standing takedown.
our skill requirements require the head person to be stabilized at the elbows before head support, is there a reasoning that the NYS doesn't require this.
Still like the vids. Cheers
I'll keep my mouth quiet this time ;)
Any chance you guys plan to do one with a standing patient?
I remember being "volunteered" to get strapped and lowered. both time I was dropped half way down. (I needed that c-collar after that!)
C-spine was not properly maintained while you were log-rolling the patient. Look at how much the head goes down to the side. I've seen people failed at state exams because of that.
good one thanks
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Keef halk
تمام
what did you say at the begining
how can i download this video?
decent video clip quality
i wish we could use buckles for this.....we have to actually web them down....right now i think i'm about 6:32 with the entire skill....if i could use buckles i'm sure that would take a good 2-3min off my time...lol
the first blue strap applied should be right on the chin
its good 1
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