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, :/
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.
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.
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.
Fritz Vanderhoffen: 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 :)