EMT Skills: Spinal Immobilization Seated Patient - EMTprep.com

[@OpsecThree]

"Is there anything else you would like to do." More terrifying words have never been uttered.

[@dublinairportplanes]

That’s usually a hint

[@diannaw]

From California we used "my baby looks hot tonight" when I learned it. Middle bottom legs head and top of torso.

[@elijahfrisk4936]

That’s what we do at my school on washington! I swear washington just copies whatever California and Oregon are doing haha

[@HeavenlySunset24]

Wait so you do the middle torso strap, then the bottom torso strap, then legs, head, then top torso strap???

[@finleyrolls401]

@@HeavenlySunset24 yep

[@AlexGarcia-xw4ts]

That’s actually the order stated in the manual for the KED

[@laurennipper3195]

I’m from NC and we do that as well 😂 so funny that other ppl use that pneumonic device

[@laquishawarren5044]

Thank you EMT PREP i took my practical exam yesterday and I passed. I watched and watched and study my sheet. On to my state exam now 🙌🏾

[@Emtprep]

CONGRATULATIONS LAQUISHA!!!

[@en273]

Congrats!

[@katherinecorbett3951]

For state of Connecticut, it goes middle, bottom, top, legs, padding for head, head straps. Move to backboard, secure, PMS, release legs and PMS again.

[@Emtprep]

Thats an awesome way to remember it Katherine!

[@arielcolon3228]

Yes

[@EthanLandshark]

In British Columbia, Canada we use the phrase "My Baby Looks Hot Tonight" to remember the order. Middle torso, Bottom torso, Legs, Head, Top torso. The KED is cool, it was originally invented to get injured soldiers out of tanks.

[@Bryanseas]

@@EthanLandshark i like that!

[@rosaibarra1443]

hey guys! keep inmind this demenstration passes the NREMT, but may not pass as your school cerfitacation criteria. i use this as a tool. im in california and some orders in this video are out of place but the idea is there. every state does have differnt cerfitaction criteria

[@jesusmunguia5236]

Hey, I'm super appreciative of these videos. I'm gonna watch all of them all day and until I complete the EMT course. I'm the only one in that class with no prior medical training or aspirations. It's intimidating and I'm nervous about it all the time, but I felt the need to jump into it and be all in. Even if it's just for a little while. Thanks, guys.

[@AcornFox]

hope you did alright! i'm right there with you. bunch of firefighters and premed students for me lol

[@thehorrorhound6575]

Same situation. My practical exams are in the morning and I’m the only one in my class with no prior experience

[@kadeehasan8891]

I am going into Paramedic testing in a couple of weeks and I'm very nervous. Thank you for making these videos to help me with my testing.

[@Emtprep]

You're welcome Kadee. Keep your head up, you got this!

[@AcornFox]

did you get your patch?

[@faithakinyi2486]

Am having my exam in two days but with this video am confident I can do it

[@xtemfo]

I test Thursday for the fire department and I've been watching this all day thanks guys my paramedic skills got so rusty 😬

[@Emtprep]

Best of luck Leena. Please let us know how it goes!!!

[@spriblox9802]

Hows the job 2 years later?

[@Slow_DC4]

How’s the job 3 years later?

[@jondutra1474]

How’s the job 5 years later?

[@Luisinth]

Shes a police officer now 😎

[@berniedmjm4108]

Taking my NREMT final exam this sat. The correct order for strapping the pt is; Boy - Bottom My - Middle Leg - the "Legs" Cramps - Chest (take a deep breath then snug it) Hurts - the Head last. Transfer the pt to the long backboard & then releasing the leg straps. Otherwise, the pt legs will be pointing upwards. And then checking PMS (Pulse, Motor & Sensory). PMS should be done before & at the end as you just watched. Someone already mentioned it but not entirely. Before putting on a C-collar, check for DCAPBTLS, step-off (missing/offset cervical vertebrae), JVD & trachea deviation. Same goes with the pt entire back (DCAPBTLS, ecchymosis &/or bleeding) before placing the pt on the KED &/or the backboard. Otherwise, you will have to unstrap the whole thing in the ambulance in order to log roll & to reassess the pt back.

[@EMR11353]

My : middle Baby : bottom Looks: legs Hot: head Tonight : top This is how my state wants you to secure a patient to the ked during your exam. lord only knows why

[@berniedmjm4108]

+EMR11353 protocols are different in each state & county. How stupid is this? In California, San Diego county, instead of making it mandatory it is NOT required to have an AED in an BLS ambulance?!? I've figured this out on my ride-along & confirmed it with EMT director of the school. He too thinks it's ridiculous.

[@EMR11353]

+berniedmj m WHAT!!!!!!!!! In Connecticut if you don't have an AED in a BLS Truck the service wouldn't be able to run their trucks until they got them

[@berniedmjm4108]

+EMR11353 I know RIGHT!!! So stupid. The whole EMS system is so jacked up. Every state & county should be on the same page. I'm just thinking during my ride-along, worst case scenario, a patient goes into full cardiac arrest without having an AED.

[@edwardstanulevich1764]

We just covered this in class today. Here (AL), it is My Baby Looks Tough and Hot. Middle, Bottom, Legs, Top, Head. Wrong order is an automatic fail on the skill.

[@kennethsilverwind7575]

Thank you for putting out these videos, my Emt class is tested in about 2 weeks, it's great to have these to refer to to get a base line =)

[@Emtprep]

ken sil Hey Ken, you're very welcome! We're excited to be able to provide them to you. If you have any questions feel free to let us know, [e-mail]

[@jakeporch4236]

Addressing various comments here for any viewers in 2018... - The order of the straps does not matter for NREMT. I don't know about specific states. All that matters for NREMT is that you pad and secure the head AFTER the torso is "appropriately secured." It is up to the judgment of the examiner how many straps constitute "appropriately secured." - This skill is still included in the NREMT psychomotor exam, but is not necessarily given. It is one of four skills that you must pick at random: long bone immobilization, joint immobilization, spine board (seated patient), and bleeding control/shock management. You pick and perform one of those skills. Maybe some test centers alter their choices knowing that nobody could prove they did, but it's more likely that if nobody you know got this skill, luck and statistics were just on your side 😁 This info is from the NREMT examination users guide posted on nremt.org as of July 9, 2018

[@kellen7425]

Ty

[@Bilbus7]

Jake Porch for advanced EMTs*

[@cool7654321]

I didn't even learn this in my SC school, but I'm glad it's here for me to learn it anyways.

[@daspinadrew1129]

this one is a little critical you secure that c-spine the whole time no sudden movement

[@paulgloudeman4703]

You should check the neck for any j.juries, step offs and check.for.jvd before you put c-collar on. As well.as.inspect chest.

[@Lynn-vn8fs]

Paul Gloudeman not for this skill sheet, in real life yes, but this is nothing more than stabilizing, no assessment is needed

[@baileyj123]

Great videos. Very informative and professional. Cover all the points correctly. BTW, I thought Goose was killed in a fighter jet accident. LOL!

[@JankyXJ]

these videos are great glad i found them

[@Emtprep]

Alan Widner Glad you like them Alan, thanks for the feedback!

[@ta7786]

It's actually My Baby Looks Totally Piping Hot MBLTPH= middle, bottom,legs, top, padding, head. I'm taking my practical Jan 17, and that's the criteria for Massachusetts. But great videos, really helpful!

[@Emtprep]

+T A Very interesting acronym there TA!

[@cloroxbleach2581]

I'm an EMT in CA, and it is My Baby Looks Hot Tonight, or Money Buys Lots of Hot Toys. Middle strap, Bottom strap, Legs, Head, then Top strap. And our straps are green, yellow, red. This is done so the patient can breath comfortably until the last moment when transferred to the back board. Also, they didn't check CMS immediately after applying the KED, which we do.

[@rynodragon2316]

No DECAP-BTLS check behind the back when she was siting forward?

[@thomascondrey1603]

That's not part of this specific skill checklist. But you would check during a trauma exam

[@MedSurvivalMnemonics]

Nicely explained. thank you

[@blazingocean4206]

I don't remember the straps been put in that order. I think it was the last one or the middle one first. Please Reply back if I'm wrong. I need to make sure of the order.

[@Emtprep]

Soul King Were showing the correct order. Take a look at the skill sheets and memorize them from top to bottom. You'll do just fine!

[@blazingocean4206]

Thanks. I was so worry.

[@MoCityDon18]

so are we suppose to maintain c spine and let our partner apply the device???

[@Emtprep]

+MoCityDon18 Great question! As long as you verbalize what you're doing and ask for help to complete the skill when appropriate you will do just fine.

[@briannagann5111]

i guess it depends on the examiner. we have to apply the KED ourselves while our partner maintains cspine.

[@davidbowden7083]

I did this exactly that way and failed. I think they got me for the cspine transfer. but there's no way of knowing. They refuse to provide you with reasons for failure.

[@Emtprep]

We know it is frustrating to miss one during the test. Getting zero feedback makes it even more challenging. Keep your head up David, you got this!

[@10236548898856225633]

If they don't give you feedback ...say something....a responsible instructor would give you feedback

[@MrCholoPants3415]

Wtf. My instructors gave us two chances to pass, and they gave us advice afterwards. You just had a trash instructor, because they're allowed to give you pointers. Sorry you had to deal with that

[@zonepatrol175]

Ib believe you're referring to the National Registry? Because yeh they don't tell you why you failed... just know your stuff...

[@lillianabiffle9883]

How much space is needed approximately for the pads to be required.

[@Emtprep]

Scott Biffle If it looks like they'd fit, then you should consider them. Great question Scott!

[@lillianabiffle9883]

Its great how active you guys are in your comments section in all of your

[@ObjectExlol]

So c-spine is allowed to let go as long as she is held from the front?

[@seefolstrom3825]

Yes as long as the neck is steady and not moving you an even hold the head above the ears

[@nishanthanagasinghe1031]

Tell and Q2 MMI

[@fiderisnyambura392]

are you supposed to check ABCs or its not necessary

[@dtrell1265]

Can you move the patient forward slightly while positioning the KED behind them or is that a critical failure?

[@Emtprep]

If you can do it in a controlled manner, and walk the proctor through your thought process you should be good to go.

[@logangriffith4950]

south carolina does not test this skill, but i am watching bc i am curious

[@notanurse2373]

Funny story, we used to throw these on everyone in a car crash like 10 years ago, then turns out nobody did it right so we stopped that and now just put them straight on a long board.

[@uyentang4571]

I have the biggest problem on how to get that KED into the back of the patient, thank you! you save me!! although I would pad the crotch area just to be more comfortable for the patient...

[@Emtprep]

Uyen Tang Hey Uyen, unless there are large void spaces padding the area of the legs that the straps hold to would not be recommended. The KED isn't meant to be comfortable it's meant to perform a vital function which is spinal immobilization in the seated patient. If you have any other questions we'd love to hear them! Thanks!

[@PerxcyzYt915]

Ahhh my eyes hurt now from my biggest fear I always hated those things they are so uncomfortable I had to wear one before cause I got a concussion from a heavy glass bowl full of pennys came falling on me and it sliced my nose and gave me a concussion but c collars are my biggest fear

[@PerxcyzYt915]

But yet I’m being a paramedic soon hope I don’t get ptsd I don’t really get sick over stuff like that like I can handle a lot of things most paramedics do

[@dylanlikesfood]

After he did bsi and scene safety, shouldn't he go on to glc abc?

[@Emtprep]

Hey Dylan, explain GLC for everyone and then let us know what you believe he did that he shouldn't have done.

[@dylanlikesfood]

EMTprep GLC stands for General impression, Level of consciousness, and Chief complaint. That what we say in Illinois and I believe what the nation also says. After bsi and scene safety he went into the scenario and not glc abc. I just thought it was odd

[@jkdubs2]

Dylandumpling Dylandumpling hi there. missouri side. Illinois does things differently than a lot of other states due to their regulations for ems. But for NREMT it is acceptable to do bsi and scene safety and then jump right into the scenario. In fact I'm pretty sure it's a critical fail to not immediately maintain or direct the maintanence of manual stabilization in the neutral in line position.

[@jkdubs2]

Dylandumpling you're instructor is most likely having you repeat that for every skill in order to drill it in your head. Listen to your instructor though. they won't lead you in the wrong direction.

[@itsfinn9644]

Dylandumpling as far as I know this practical is simply the application of a particular device and the main additional steps associated with it

[@j-j4028]

I test for BEMT in two more days... I have been studying all day now. Wish me luck...

[@Emtprep]

You got this! Best of luck to you!!! Be sure to let us know how it goes.

[@j-j4028]

EMTprep Yeah!!!! I passed! Now onto my EMT advanced. Thanks for the great videos!

[@Emtprep]

Right on!!!! Congratulations!!! Onward and upward!

[@ikac1998]

hi everyone ,if anyone else is searching for paramedic practice test try Debuncar Medic Study Aid (should be on google have a look ) ? Ive heard some unbelievable things about it and my co-worker got excellent success with it.

[@j-j4028]

@@Emtprep What a journey it has been! I finished my Paramedic Advanced Certification and now I am currently working in the operation room as a scrub technologist! Thank you for your preparation and study videos. God speed bother!

[@skooterbob]

Middle strap first.

[@Thee_Lijah]

This isn’t a protocol anymore so my ny class didn’t do it

[@hardgaming3110]

Neck pain oil message

[@jessequintero1427]

thx

[@jenniferraganit133]

i thought top torso was always last

[@dtrell1265]

Jennifer Raganit I thought too is always last as well to allow the patient to breath comfortably

[@moaydz]

Yes you're right

[@mattjernigan6713]

middle strap is always first

[@kennethsanchez5824]

i hope they have a version of the X-collar the c-collar is already obsolete based on AHA

[@Emtprep]

Kenneth Sanchez Interesting info! We can promise you that the c-collar is not out of date with the NREMT.

[@Superbad655]

Anyone else go to CIEMT?

[@RedGhosts777]

In every video the blond always stares at the bold guy.

[@sgt.guardsman2221]

I noticed that too. She is probably tired of all the re-takes to get the videos right. :)

[@christaglo014]

She needs to sit with her legs UNCROSSED

[@shirleymiller5056]

Why dont you actually show how to move patient as this is an issue in real exams

[@jessm0830]

crazy I was taught My Baby Has Good Teeth. Took my registery test today too.

[@Emtprep]

Hey Jess, explain that one for everyone else reading comments would you?!

[@jessm0830]

EMTprep : middle bottom head groin top I do see others have diff sequence. wonder why it's different?

[@Emtprep]

+Jess Mata great question Jess! You've gotta go with what you're told to expect on test day in your area. You can always chat with the proctor before starting and ensure you're aware of their expectations.

[@proteinshake86]

MY BABY LOOKS HOT TONIGHT

[@josephbanash4373]

My Baby's Pjs look hot tonight (Middle, bottom, pull, legs, head, tighten)

[@americangalaxynightrider2043]

what the age and are you real EMTs

[@Emtprep]

+Gary Sams While I won't give out the ages of those involved, the two males are Paramedics and the patient is not certified.

[@americangalaxynightrider2043]

No what is the age to be a EMT that's what I meant

[@Noposwowskis]

18 yrs old

[@Brettb9745]

roadrunner396 Some states it is 21 due to insurance and getting the Class of License necessary.

[@pggorman4]

some states its 16

[@72Disco1998]

Before you place someone in a KED on a backboard remove the leg straps.

[@EMR11353]

I was taught to loosen the leg straps once they are on the spine board

[@BHKbandmember]

no! only after they are on the board. then you remove the straps entirely. it's tight or nothing at all.

[@dog_head]

Test in 20 minutes 🥴

[@mitchellerickson9836]

Did you pass Ivan?

[@dog_head]

@@mitchellerickson9836 yessirr

[@mitchellerickson9836]

@@dog_head good for you man glad you passed. I test next Wednesday 😬

[@mrshihtzu]

awesome video.. KED is dumb, imo

[@123s453e56a6l]

my baby looks top heavy

[@Ggfgcf]

s❤

[@andrew1071]

The blonde is hot.

[@supratoyodah6330]

andrew schuster I wanna save her so hard.

[@rileysimmons6572]

I don’t know that nemonic