EMT-B Trauma Assessment Demo (no longer the DCMT performance standard)

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EMT-B Trauma Assessment Demo (no longer the DCMT performance standard)

Student demonstrates how to perform the skill. Refer to the DCMT videos for the current interpretation of the way it should be performed if you are a 68W AIT student. Thanks

Author: go4broek
Length: 09:48
Uploaded: 5.9.2007
Viewed: 66994×
Rating (73×):
4.64383554.64383554.64383554.64383554.6438355


Video Category: Howto
Tags: trauma assessment skill, NREMT, EMT-B
The question was ...   (go4broek)23.1.2010
The question was about whether the C-collar should be applied before it was on the video. Perhaps in your state an EMT can wait until it is time to secure the patient to the spine board, but in most other places you could be found liable for possible injury to the patient for waiting that long. Do it this way and no one can question it because you applied it as soon as practicable. Do it your way and there is room for doubt. Some medics take unnecessary risks and do fine. For a while.
@go4broek false... ...   (tgudda08)23.1.2010
@go4broek false...The patient can be log rolled with manual stabilization​ of the spine in the neutral position. What book are you reading?
the collar must be ...   (go4broek)18.10.2009
the collar must be applied before the patient is moved excessively (usually log-roll time). Other than that, there is no "too late".
Actually, that was ...   (go4broek)18.10.2009
Actually, that was a rapid assssment and detailed exam. The NREMT standards are the same regardless of which testing site does the certification​.
their is no ...   (go4broek)18.10.2009
their is no distinction for basic and advanced providers when using the NPA. The contraindicat​ion is against using it in patients with SEVERE head trauma IF bleeding/CSF is noted from the nose/ears. Head trauma alone is not the contraindicat​ion. Please refer to your books if you are confused or were told otherwise. Ultimately, follow your local protocol/medi​cal direction.
Would "just c-spine ...   (go4broek)18.10.2009
Would "just c-spine" be appropriate?
Actually, as a ...   (clayson187)18.10.2009
Actually, as a basic suspected head trauma IS a contradiction​ for use of a NPA. My only critiques of his performance were not having ALS in route, ESPECIALLY after seeing his patient had an altered mental status, And also using an OPA with suspected head trauma.
I'm taking the ...   (BinaryMasta)17.10.2009
I'm taking the class myself, just a question. Shouldn't an OPA have been used if it was a guy who fell off his motorcycle due to the possibility of head trama? Using an NPA Can sometimes be dangerous with head trama, Correct?
why is he holding ...   (vision57)16.10.2009
why is he holding c-spine like that? or is he jaw thursting also? i cant tell..if that is just c-spine i think hes choking the guy
LMA is not part of ...   (go4broek)15.10.2009
LMA is not part of the NREMT-B standard of care. Advanced airways are taught by exception only in certain states.
not required for ...   (go4broek)15.10.2009
not required for NREMT certification​.
"6:20"? I assume ...   (go4broek)15.10.2009
"6:20"? I assume Foxtrot is stopping their timers after the RTA again?? If so, they are wrong and making up their own standards. The clock does not stop until you complete everything on the skill sheet or 10 minutes. Whichever comes first. They have been corrected about that before by the NREMT.
SAY IT AGAIN, ...   (go4broek)15.10.2009
SAY IT AGAIN, MARIUS357!! I'm horrified by the number of posters who say they were taught to "always" use an OPA and who cannot properly determine LOC. I know that is the case at DCMT. I hope that is not the case everywhere else! You should be using the AVPU scale. "P" is their LOC if they require painful stimulation in order to get a response. If they respond to pain, they are NOT unresponsive!​ Head injury is NOT a contraindicat​ion for NPA. Worry less about what MAY BE and more about what IS.
He never checked ...   (funkymonk104)7.10.2009
He never checked posterior lung sounds...
damn good job!   (FirebirdBuco)27.9.2009
damn good job!
Why would you use ...   (marius357)27.9.2009
Why would you use an OPA first and cause the patient to gag. If they have a head injury gagging will cause an increase in ICP and be detrimental to your patient, also you run a risk of aspiration if your patient vomits after that gag.
Very good, would ...   (marius357)27.9.2009
Very good, would have like to see more of a abdomen check on this male patient since males are typically belly breathers, This is more personal preference though, makes it a little easier to feel. Also when assessing PMS in extremities why were they not assessed at the same time to compare for weaknesses to one another. This is usually done to determine deficits between the two. But again very good job you can work on me anytime or would be glad to have you as a partner.
An OPA is just to ...   (brickielay)25.9.2009
An OPA is just to maintain a clear airway (hold tounge) the best airway is a LMA intubation woulda been the best way to keep good airway BUT they Failed!! lol Where was checking for Danger, Response then Airway? lol and if he was tubed y would u ask him if u can push?
right.. he didn't ...   (xgotarox)22.9.2009
right.. he didn't voice any check before placing an NPA and bagging, but he did during the detailed assessment. ​also, may i ask what your credentials are? i'd like to know a little more information before i present what you've said to my teacher. and​ an OPA should be used with any head trauma, where an NPA could cause more damage, right?
Please read my ...   (go4broek)21.9.2009
Please read my previous posts. Thanks!
No he was not. ...   (go4broek)21.9.2009
No he was not. Remember, the interventions​ are voiced. If he had been required to perform it (a separate skill test) he would have checked. He assessed respirations.​ If there had been a FBAO he would have caught it. As for your teaching, that may work fine on a local quiz or exam, but it will result in a missed answer at the registry exam or a dead patient. NPAs should also be used in cases of maxillofacial​ trauma where an OPA would be improper/inef​fective.
so the student in ...   (xgotarox)21.9.2009
so the student in the video was late to check for an airway obstruction? on an unconscious patient, i'm being taught to use an OPA first, then an NPA only if the patient starts gagging or becomes conscious.
Manual ...   (go4broek)21.9.2009
Manual stabilization​ of the airway is not enough on patients with compromised airways. One should use an airway adjunct to prevent the tongue from obstructing the airway. The NPA is really the better adjunct vs. an OPA especially if you are not able to secure the head right away. No, do not wait until the deatailed exam. Part of securing/esta​blishing an airway is assuring it is patent. If altered mentation, you should use an adjunt and check patency before inserting.
why did u use a ...   (kaitlynpreston)19.9.2009
why did u use a nasal airway and not a oropharyngeal​ airway?
why did he insert ...   (xgotarox)18.9.2009
why did he insert an NPA before bagging? would you wait until the detailed physical exam before checking for an airway obstruction?

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