This channel is dedicated to our San Diego Miramar College EMT students preparing for the San Diego County/NREMT psycho motor exam. Here you will find video demonstrations of all the testable skills. For additional information regarding our EMT program, please visit our website at www.sandiegomiramaremt.com
Surely BP warranted an early check and treatment plan given the traumatic injury. BP of 70/40 and heart rate of 118 needs immediate support and indicates internal bleeding.
Great videoe! However , I think we should hold back oxygen administer to chest pain patients with cardiac origin as it realease o2 free radicals and maintain saturation between 90-94 Thanks Do correct me if yourl think what I said is incorrect
The only thing I would have done differently is every time he assessed lung sounds and was told they were diminished or absent, I'd have burped that chest seal/occulsive dressing. And as an EMT, requested ALS, if available. Otherwise, this is a great demonstration for EMT classes.
Just did this assessment yesterday in class, and somehow totally forgot that occlusive dressings existed... When I exposed the patient's chest, my instructor didn't inform me it was a sucking chest wound. Totally spaced, but this video is extremely helpful for review, thank you! Fingers crossed I get it tomorrow during review.
They recommend against it for contamination reasons, but I haven't found anything on American Red Cross that specifically says you can't. I think it's fine to do so.
This is really well done. Thank you. One thing - I failed my initial Systematic Exam because I palpated both sides of the hip at one time. They said critical fail on that. Just a thought so just in case anyone else has that issue.
I mean, where was the exit wound? It took awhile to roll her. No exit wound to back? Shouldn’t he have rolled her after noticing gsw to chest so she wasn’t bleeding out of back?
I wouldnt recommend this assessment at all. Its too hollywod. This is taking unimaginably long. This is not a real concept for an actual gun shot victim.
Your videos are some of the best on the web. Well done. Minor suggestion, but you should also be looking for signs of gastric distention when ensuring proper ventilation.
Studies have suggested that high concentrations of oxygen may lead to the production of oxygen free radicals, which are reactive molecules that can potentially cause damage to cells. The concern is that this oxidative stress could potentially worsen the injury to the heart tissue. Titrating the flow to 2lpm reduces the risk of free radicals while still supplementing the PT with O2.
C spine?? Why? What in the Priority Survey would require this?? Epi pen is an intervention. It would have been done a lot sooner.in my jurisdiction. Transport decision could have been called sooner. Allergic reaction is RTC.
From 'Proximal' to the head, tilt chin lift right away. Assess airway and breathing and slide hand down to check carotid. Roll patient to lateral, sweep with finger to clean out teeth . If still gurgling use suction for no more than 20 seconds and assess again. What about the airway on an unconscious patient?? Or who is holding head tilt chin lift?? Patient is unresponsive so that puts him/her or whatever pronoun is appropriate these days in the RTC category.
@@DanJanucik There are no contraindications w/ a chest pain in this scenario. He's having an MI/Stemi, recent surgeries would not stop aspirin administration. The cardiac event trumps random info as you put
