idkyetdou: The beginning of this video was hilarious! Then it was informative and really helped me! Thanks! :D
rrickrude: You may know of it as PMS
greatdane009: Hey BlueJFilms This video and others really are helping me get ready for my Medical First Response course with St.John Ambulance in Ontario Canada. We are like EMS but we are volunteers. The videos are the best ones on here to learn from and are funny too. Keep making videos they really help a lot.
lessedu: its so stupid, you trying to be funny but dont try so hard, :/
KrystalKirkpatrick: This has really helped a lot for my EMR class. Way better explaining than my teacher. x)
BlueJFilms: Glad I could help. Keep in mind, in the real world, many of these steps happen in a couple of seconds. It feels like it takes forever to get to the vitals because everything needs to be verbalized.
hqi1321: Thanks for the response! It makes a lot more sense now, knowing that the stuff after ABC's don't have to be exactly in the same order. The one they gave me had us doing vitals almost at the end.
Zion Marley: thanks to this video I failed my exam for not having used the scoop stretcher
BlueJFilms: The scene size up and primary assessment are mandatory first steps. After that, not everything needs to be in exact order. If the EMT determines the patient is a priority, transport may be initiated after patient is moved to backboard. And always check the posterior if moving a patient to a backboard.
hqi1321: Are you guys talking about the primary assessment/rapid scan or during the secondary assessment? I ask because the patient assessment sheet they gave us listed checking the posterior during the 2ndary assessment, but they should already be on a backboard, so how do we do that? Apologies if this is a repeat, and thanks for the videos!
BlueJFilms: A secondary injury is a non-life-threatening injury that can wait to be treated. Always treat life-threatening injuries before moving to the next problem. If you have any other questions, please feel free to message me.
Ben Asack: Do you treat conditions and injuries as you find them? What does a "secondary injury" mean?
Ben Asack: I understand now. Thank You. What are some signs of a priority patient? Signs of Shock, Difficulty Breathing, Chest Pain?
BlueJFilms: Before you place the collar, you need to check everything in the neck area. This includes the c-spine, TD and JVD. And before you place the patient on the board, you will assess their back. The patient needs to be log-rolled onto the board. This creates a perfect opportunity to check their posterior.
Ben Asack: If the patient is strapped to the board, isn't it going to be hard to check the lumbar and thorax area? The same with a C-Collar? Can you completely palpate the neck and look for tracheal deviation and JVD?
BlueJFilms: This scenario is non-threatening and follows the NYS Pt Trauma Assessment exactly in order. If you have a life-threatening issue that necessitates getting off scene quickly, protect the c-spine and cover your ABCs. After that, you may finish assessments and vitals in the ambulance.
Ben Asack: But during your RTA, you C-Spined after checking/palpating the neck and backboarded after checking the lumbar area. So If my patient is a priority based on the ABCs, I should check the neck, then C-Spine, check the lumbar, then backboard, strap and load onto a gurney and into the ambulance. Then I can complete the rest inside as well as a focused physical assessment. Im about to be a noob EMR student (:
BlueJFilms: Absolutely. You need to finish the initial assessment and ABCs on scene, but you can complete the assessment in the back of an ambulance. For example, think of a skier in a cold environment. You don't want to expose them to the elements if it is not necessary.
Ben Asack: Sorry, ill remove that comment. Can you do a rapid trauma assessment in back of ambulance enroute to hospital? I ask because they say make your transport decision based on the ABCs. Thx BlueJ (;
blueeyedgirls2010: forgot- all that starts after scene size up- scene safe bsi # of PT's, MOI/NOI, additional resources etc. lol
blueeyedgirls2010: Im an EMT in Maryland, and its crazy how different things are! Here after establishing ABC'S c-spine stabilization and AVPU we move right into a rapid trauma assessment before vitals, breath sounds, body sweep (thats included in our RTA for DCAP-BTLS). just commenting on how different things are in different states :)
blueeyedgirls2010: are you an EMT or a Paramedic? if so then that shouldn't bug you. its a national thing to ask if they know their name where they are and what time (or day really) it is. its to check alertness and establish mental status. if you are not an EMT or Medic then you shouldn't comment that.
JoshRodas: Is that uncomfortable? Yes. Can you breath good? Yes. Perfect.
kittywaymo: Very well done!
BlueJFilms: This is not the NREMT skills station. This follows the NYS DOH skills station. They are not comparable...NYS does not include everything that is in the NREMT station.
monkadelic13: is this how you fail registry?
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
fall4daeyez: Great vid !! Thanks... Very helpful ;)
firecode13: So is this EMT basic?
BlueJFilms: 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.
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.
bumblebeethatsmeobv: omg thank you, so helpful!
Adam Shutt: "Jesus will ya... I'm on the phone!!!" xD
cyanotic_cyanide: -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!
yastasha: ok this is hilarius and sooo wrong
canadachic: 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
lolnoobscakes: This video is amazing i am taking an emt-b course atm and this video helped alot
tr3mblay69: except u missed your neck to knees to check for life threatening injuries smartie pants
Tim W: 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.
linclanc: 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 :)
Safari Johnson: why put on BSI if you are going to pull back your glove to touch the skin? silly, you fail!
Brian Levy: 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.
richdad360: Thanks for uploading this video I appreciate it. I wish I would've found it befor today. My test is tonight.
It stands for Tenderness!
Tobi Mebude: what does "T" stand for in DCAP-BTLS? because in school I only learnt DCAP-BLS
kmed88714: 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: @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
Cert: Building stuff is always in my family gene. My dad is a new york auto technician and taught me everything I need to know about cars. Now I sell car parts online to suppliment my income. So it does help when there's good guidance.