If anyone may be confused on what he was saying during his assessment, DCAP BTLS Crepitation means. D=Deformity C=Contusion A=Abrasion P=Punctures/Penetrations B=Burns T=Tenderness L=Lacerations S=Swelling
Hey! I am 16 and I am a junior in highschool! I am just finishing up my EMT class and I will hopefully be getting certified within the next couple of months. I highly recommend taking it if you are interesting in going into the medical field one day!
It has been several years and I am now becoming recertified. My initial certification was 2004. I am testing on Saturday and I have a question. After the decision to transport, the order is to do rapid head to toe, log roll, onto long board while checking the posterior side, get in the ambulance, then start the secondary assessment, then treat secondary injuries after that assessment. Then continue to re-evaluate until at the hospital?
He mentioned treating any secondary wounds, I assume that meant splinting the open tibia fracture. He had the equipment but didn't do it. I also assume given the patient's instability this would be done during transport if time.
When it comes to treating secondary treatments, that would be en route to hospital. Anything non life threatening is always treated en route, &/ or at the hospital depending on the GCS & the trauma they’ve sustained, if they’re going down the drain or if they’re stabilizing. This is just what I learned via ride times & class time.
We always go by high vs low priority for transport vs our scene size up. High priority is address life threats and go, low priority allows for more time on scene for stuff like splinting broken bones, etc.
When would u treat the tension pneumo via needle decompress? Since he had JVD and absent lung sounds even after treating the sucking chest wound in LT. Would u tx it en route or during "manage secondary injuries"?
I would think because it compromises breathing, you would manage the pneumo after ensuring control of major bleeding, during the B of ABC's assessment, I could be wrong.
This is at a basic life support level, so no needle decompression. SpO2 is not considered a vital sign so it isn't included under the NREMT assessment.
SP02 yes. The consideration for needle decompression would be done at the paramedic level assuming his condition was consistent with a tension pneumothorax.
No tourniquet regarding the fact that the patient doesn't have a pulse in the foot and an open fracture? Seeing how the patient is in shock, blood may not be going to it, but the need for a turniquet seems necessary
This is done per NREMT standard which could be taught differently in Canada. Because of that some states don’t recognize EMT training from there to challenge to take the NREMT tests. The only thing he treated while assessing ABC’s or prior to is was the life threat of a sucking chest wound which would compromise the ABC’s.
No he wouldn't lol, you treat any immediate life threats first (in this case a sucking chest wound) if he bleeds out or builds too much pressure in his pleural cavity securing the airway wont matter cuz he wont be able to breathe.
