Trauma Patient Assessment




What do you think about this video?

Malik Akbar: Thanks for this. You make application of these skills clear and memorable.

newls1: fantastic job... i love the gun in background.. LOL

Patrick McGoff: Aced my trauma patient assessment yesterday! Thanks for the help!

lessedu: its so stupid, you trying to be funny but dont try so hard, :/

dsemt54: ILL GO GET THE SCENE SAFE

BlueJFilms: Thank you for your caps lock. It has made your opinion very clear. According to the New York State Suspected Spinal Injuries Protocol, manually stabilizing the pt's cervical spine is one of the first steps along with maintaining airway control. There is no immobilization with devices until after initial assessment and vital signs.

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.

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.

deekomo: Name is part of the glasgow coma scale just like what day it is, who is the current president. Needs to be asked

lllolly: what a load of crap

glennkat: @HalfBak3dM0nkey same

drietdorf: Not true.

BlueJFilms: In New York State, there are only three questions for AVPU. Where are you from?

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. yours truly, an EMT

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

BlueJFilms: You are right. She should have verbalized and palpated the ribs. One hand on each side and asked for another deep breath. Good catch.

wall69crew: in two emts one has minimal knowledge who will asign in the head in turning the patient???pls.....thanks for help.

A28langhorne: the best emt video on youtube it actually will help me for my xam tomorrow

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.

BlueJFilms: I would appreciate it if comments be kept beneficial to training or at least have constructive criticism.

firecode13: So is this EMT basic?

nyqs81: People are forgetting this is done to New York State's protocols.

fall4daeyez: Great vid !! Thanks... Very helpful ;)

BlueJFilms: @murta2 According to NYS, this is a rapid assessment.

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

MsBronxSAVIOR: omg decembers almost here smhh !!!! so nervousss

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.

BlueJFilms: You don't need to do that according to New York State's Protocol.

XavierDuFermier: duck hunt is kick ass

BRudy87: I JUST passed my practicals. Patient Assessment was the only station I lost 1 point on. Just remember to verbalize everything and you will be OK. Even if you think you missed something, they wont take points off for you saying it again. Don't forget BSI and Scene Safe!

Adrenaline7: I have never heard of such a thing. I am from North Carolina and it isn't in our protocol either. The only time I have heard of checking carotid is if you are checking for a pulse in a cardiac arrest patient.

pfdrake511: One should never move the patient to the truck until vitals are taken. The EMT in the video took vitals before transport.

bumblebeethatsmeobv: omg thank you, so helpful!

BlueJFilms: But if you have a gut feeling you need to do a thorough assessment of the airway, by all means, do it. The airway is very important and it is always better to be on the safe side.

jerellem: lmao wtf

BlueJayJayWay: You always want to ask open ended questions and not simple yes or no questions to avoid that.

pfdrake511: We also assess 5 baseline vitals in NY . We assess skin in the initial assessment, pulse/respirations/BP in the PE, and pupils in the rapid assessment. In trauma assessment, NY requires vitals, SAMPLE, then PE.

Fritz Vanderhoffen: 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.

bigfathatter: It didn't look like they reassessed PMS after securing the patient to the backboard.

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

katenorange: in LA county its A&Ox3 name/place/time. and we take vitals on the rig on the way to the hospital

Ben Asack: Do you treat conditions and injuries as you find them? What does a "secondary injury" mean? Thx

southlinefire10: i got my bsi on do you have your bsi on i got my bsi on do you got your bsi on i don't know do i have my bsi on looks at his bare feet is the scene safe is the scence safe i don't know is the scene safe go make it safe gunna make the scene safe yeaaaaaaaa!!!! best part of my life

ccya2yr: i understand that, we are taught the same thing, but we were taught to not ask wat their name is, because like i said before they can say some random name and the FR or EMT or whoever wont know that thats their name or not, i do understand that everyehere does their things differently, i still in the class and it just bugged me a bit from wat we are taught

DThompson1985: How do you determine if they are in shock other than by the way they look if you dont take vitals until you are in the truck. Just asking

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.

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.

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 :)

bpludlow: lol, great job

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 -

Rating:
Trauma Patient Assessment 4.3 out of 5

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