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
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
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.
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.
bigfathatter: It didn't look like they reassessed PMS after securing the patient to the
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 -
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.
BlueJFilms: @thejjohnson87, Would you mind telling us why you feel that this assessment
is not up to your standards?