Demonstration of the Trauma Assessment. This is a testable skill for the San Diego County/NREMT Psychmotor exam.
Пікірлер: 135
@maytrixed13 ай бұрын
why is this better than anything my professors have taught me. kudos to this program for saving my ass
@NicholasIsaacs873 жыл бұрын
This is probably the best trauma assessment video I've seen. Detailed and to the point.
@sandiegomiramaremtprogram68933 жыл бұрын
Thank you!
@ManuelMartinez-zu8ud10 ай бұрын
r9😮
@ManuelMartinez-zu8ud10 ай бұрын
r95😊4😢0🎉😢🎉😊😊hp5😊😅
@chocolatetobi8 ай бұрын
Agreed. I always come back to it for review.
@PhilMcAuley4 ай бұрын
she was desaturisig!!
@JoeYeezy3 жыл бұрын
wow this was by far the best trauma assessment ive seen. getting ready for mine here from san fransisco, thanks!!
@sandiegomiramaremtprogram68933 жыл бұрын
Thanks! Good luck!
@jamaribishop33573 жыл бұрын
a tip : watch movies on flixzone. Been using them for watching a lot of movies these days.
@xanderbrock62293 жыл бұрын
@Jamari Bishop definitely, have been watching on flixzone for months myself :)
@adenjordan36593 жыл бұрын
@Jamari Bishop yea, I have been using flixzone for months myself :)
@BachClarinet2 жыл бұрын
Awesome work
@masterc97062 жыл бұрын
This is very good but I love how calmly she says I got shot in the chest
@ZacharyLookas3 ай бұрын
I actually don’t because it doesn’t add to the realness of the situation and ruins the whole scenario
@TatisDiary4 күн бұрын
Currently a paramedic student this made it more easy to understand trauma assessment. Thank you!!!!
@FTroop37F Жыл бұрын
Outstanding. This is a very solid trauma assessment. Textbook, right from the NREMT Standard. Good job all.
@poppaseed428 Жыл бұрын
tu.hd😢e g
@samward76332 ай бұрын
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.
@chasemoyer5858 Жыл бұрын
That very last part was great because i was wondering the whole time what to do if breathing worsened. Great job
@divinehouseholdstable.72573 жыл бұрын
Good stuffs. I love the demonstrations.
@airwolfcentral1693 жыл бұрын
I find talking through it makes things so much easier. Its difficult when you aren't talking as the pacing is difficult.
@BookTime1003 жыл бұрын
Best trauma assessment on KZbin!
@sandiegomiramaremtprogram68932 жыл бұрын
Thank you!
@xavierwarren9799 Жыл бұрын
Always show respect to these guys for what they do, I'm such a weiny I cringed just at the scenario - doesn't help that its one of my fears. Thanks for sharing
@GregCappello1243 ай бұрын
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.
@Isaac_cobo Жыл бұрын
This is great and a great example for students
@Junior7165 ай бұрын
Currently in emt-b training and have state skills in just a few weeks. This will help for my trauma assessment
@roland.j.ruttledge2 жыл бұрын
very informative, many thanks UK
@jessicarea96482 ай бұрын
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.
@Jessem4362 жыл бұрын
Amazing assessment, definitely going to use this for study for my tsop exams
@donkirk28852 жыл бұрын
Great Video I didn't hear if there was an exit wound as well did I miss it or none found when he checked her back?
@J.Ace123 Жыл бұрын
I've seen so many videos and this is by far the best one. Sure you missed a few things but for testing purposes, would you failed for not getting consent? No you would not. This is a passing assessment, great job.
@oscarr912811 ай бұрын
Consent is implied
@s1rjac5656 ай бұрын
@@oscarr9128she’s A&O X4. Correct me if I’m wrong but I think you still need to somehow get consent. Definitely could be wrong though
@dianacortez23232 жыл бұрын
Very informative, thanks!
@sandiegomiramaremtprogram68932 жыл бұрын
You're welcome!
@SpunkyGrubber11 ай бұрын
There is no way this is just a student. This is a medic or an EMT instructor that’s been on the field for a while.
@jamesread6699 ай бұрын
This was a staff member yes
@FredrikMedevik9 ай бұрын
Really good assessment with high level of theoretical skills, but not for a critical patient. In Sweden we use PHTLS, (X-ABCDE). A few questions: We are presented with a critical patient in chock after penetrating trauma (Both a B and C problem), where is the need for a distal status on the lower extremities (no found injury)? Why on scene and not during transport? If there is a gun wound, why is log roll first on E and not X or C? (To look for exit hole/wounds). This patient would've a detailed and thorough report but could have died on the way to the hospital because we took time on the scene to do non life saving assessment... If there was no B or C problem and no chock present, THEN this is very good! I know this is a examination and once again it was impressive on many levels. Just get us going after first assessment is done if we think this is critical. A gunshot patient with chock: X- ABCDE: Would dressing or tournique, look for exit holes posterior as well. Chest seal and high O2 on mask. Check for other bleedings. Minimal immobilisation if needed. Minimal time on scene. Reassess and IV during transport keeping BP on max 90mmhg. Be ready for ARS and/or "barping" the chest seal. Be safe! //Paramedic from Sweden.
@DeNilsPipe6 ай бұрын
Medic from Germany and USA here: same thoughts here. This is an inefficient method. No one uses that except these guys, obviously. It's way too slow and ineffective. Don't do that. Outdated stuff...
@dwjchai2 жыл бұрын
Great video but I have a question. Patient informed that she was shot in the chest and we were informed she had dimished lung sounds on the right side. She also had a life threatening bleed on her right upper extremity. During the log roll would it be advisable to roll the patient on the right side instead of the left to preserve the function of the good lung?
@sandiegomiramaremtprogram68932 жыл бұрын
Hello, yes you bring up a fair point, good question. In an ideal situation this patient would be taken off scene after a quick primary assessment. We would have the patient semi fowlers on a gurney and simply move the patient's torso forward to have access to the posterior for assessment.
@gavinschulz8252Ай бұрын
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.
@garthugandan4707 күн бұрын
BLS can’t do anything for BP that’s what the medics are for
@ReikaLovelyFlower3 жыл бұрын
I noticed at the end he said he would lift the seal on exhalation and place it back down on exhalation. So you would keep it lifted for a full breath? Exhale to exhale?
@FTroop37F Жыл бұрын
No. The chest seal would be lifted as exhalation starts and replaced prior to the next inhalation. So a very brief adjustment.
@carolineshishem16932 жыл бұрын
Excellent
@mikepetropavlovskiy8667 Жыл бұрын
Shouldn't we control bleeding first and then do everything else, especially if we know that shots fired. It feels that AnO can wait, especially year question
@uneyedentified20172 жыл бұрын
This was good
@ThomasSmith-HandsOn Жыл бұрын
Why did you decide to not burp the chest seal after noticing diminished LS?
@stanleytaveras30688 ай бұрын
Greetings from the Dominican Republic, Prehospital or Paramedic professional, greetings, hug
@GB-np4pi2 жыл бұрын
Im a little late to this video but should the candidate have "burped" or lifted the seal upon the first time that he was told that there were absent lung sounds on the right?
@byronwav3 ай бұрын
Lifting the seal wouldn't necessarily fix that issue, because the absent lung sounds are due to the pneumothorax itself. It would only be necessary to lift it if the patient started having trouble breathing.
@brendannesky83293 жыл бұрын
Would we have put the patient in the trendelemburg position once in route due to the low bp if bleeding was controlled?
@sandiegomiramaremtprogram68933 жыл бұрын
Trendelemburg position is not very widely used in our county (San Diego). Placing the patient supine is typically the recommended practice here.
@akrebby85992 жыл бұрын
With blood pressure being so low, and penetrating trauma to the torso, what about the thoughts of a fluid challenge and or also 1 g TXA? great video though
@sandiegomiramaremtprogram68932 жыл бұрын
Hello, yes for an ALS provider those would be appropriate treatments. However, this is a BLS level simulation for an EMT-B skills test. Great thinking for the next level!
@SGabi2056 күн бұрын
Do you remove all of the clothes when checking for additional injuries, or just around the obvious injury?
@apothecarymaybe34023 жыл бұрын
Great video, thank you. However noticed three things that I don’t think were asked. Are you on any medications, are you allergic to anything and most importantly as you’re treating a female, are you or do you think you’re pregnant. Other than that, so well done.
@sandiegomiramaremtprogram68933 жыл бұрын
Absolutely, you are correct. Those would all be part of a comprehensive history taking. In the video the SAMPLE history is delegated to another provider but in reality a quick history before starting the assessment would be appropriate.
@PRINCEBONAVENTURE-wh7et Жыл бұрын
Well done,i absolutely like it at most points..,..at least i won't struggle with trauma assessment
@johnvo-je3exАй бұрын
Wondering if we know MOI/Location of shot, is it necessary to go over ALL the steps or this is for demonstrative purpose?
@user-ii6qb8dn9h Жыл бұрын
"Yes I agree." Question here ..Should you guys go when it's ongoing shootout and you have to rescue a guys on the ground bleeding out and it's common sense but when if so what gives you a grant or to support your action by going in?
@tearsdntfall18Ай бұрын
its good po..thank you
@Jake-be9ji8 күн бұрын
You need to check the back too to make sure the bullet didn’t go through and need to treat that side too if so
@xDOOM953 жыл бұрын
I got shot in that exact spot and most of these procedures were used. I dont remember them using chest seal though
@jamesc27933 жыл бұрын
Did they put anything on the wound?
@xDOOM953 жыл бұрын
@@jamesc2793 not to my recollection no
@mitchc5538 Жыл бұрын
Sincde the bp was low once transporting would it be appropriate to verbalize starting an iv and giving fluid?
@treybjones11 ай бұрын
Can’t start a iv at bls level
@user-ii6qb8dn9h Жыл бұрын
"Yes I agree." Question here ..Should you guys go when it's ongoing shootout and you have to rescue a guys on the ground bleeding out and it's common sense but when if so what gives you a grant or to support your action by going in? 8:09 8:14
@gabemedina2275 Жыл бұрын
Just want to ask, does saying: “we’ll take standard precautions” include the application of PPE. In my class we’ve been told that it is a critical fail if you don’t verbalize ppe application.
@putnam2800 Жыл бұрын
i would hesitate to just say "standard precautions". Seems a bit vague, but that's just me. I would verbalize "I"m going to maintain BSI and PPE precautions throughout".
@gabemedina2275 Жыл бұрын
@@putnam2800 haha thanks for the response man. I actually took my test last week and passed 6/6 stations first tey
@putnam2800 Жыл бұрын
@gabemedina2275 thats awesome, congrats! I'm about to head out in a few minutes to do some practice stations at the testing site. My test is tomorrow morning. I can only hope for a 6/6!
@gabemedina2275 Жыл бұрын
@@putnam2800 hope you crush it dude. Just seeing this now so lmk how it went!
@putnam2800 Жыл бұрын
@gabemedina2275 appreciate it! For sure, I'll let ya know 💪just finished bubbling in the form. 😣😣😖😖😖
@save75443 жыл бұрын
Best Trama video
@sandiegomiramaremtprogram68932 жыл бұрын
Thanks!
@rosemadder55472 жыл бұрын
Is this something that a basic emt would be doing? Or advanced emt or paramedic?
@FTroop37F Жыл бұрын
This is a civilian EMT-B, or 68W (Medic) or Corpsman skill. The scope for 68W and Corpsman is broader but this is still a basic skill.
@FTroop37F Жыл бұрын
Further...This is an EMT-B skill but may fall outside of the scope in some Counties. Some Counties prohibit it and consequently do not teach or allow this. These guys are in Miramar in San Diego County CA and this is clearly within their scope there.
@Tricia-tu4pw4 ай бұрын
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?
@landonhoward85022 жыл бұрын
best
@sandiegomiramaremtprogram68932 жыл бұрын
Thank you!
@RandomPerson-vs2yh11 ай бұрын
He shouldav checked and palpated nose for stability and any nose bleeding, also upper and lower jaw and dont forget to feel the forehead.
@lachousal072 жыл бұрын
some one mentioned in one of the other videos ben affleck and Matt Damon became emt's lol
@jasonpalso2622 жыл бұрын
Blood pressure cuff on arms
@julietompkins9703 ай бұрын
He says you have blood on the left glove he says I have bleeding on my right side, and he grabs her arm to apply pressure.?
@julietompkins9703 ай бұрын
Oh correction had to recheck my rt and left 😂
@batch0 Жыл бұрын
Good job but where is the I.v line and fluid and are you sure about the mode of trauma 🤔 shot or accident with multiple trauma 😅
@BehaviorRules5 ай бұрын
No IV at the BLS level
@JoeDirt-rq3in2 ай бұрын
they guttin
@TheTheGregdizzle2 жыл бұрын
THIS GUY IS DIALED
@jakewise81863 ай бұрын
Hot shot 😂
@Sanic552 жыл бұрын
The one thing I will point out is your not supposed to reach over the patient
@shadowspiderxx8584 Жыл бұрын
SAMPLE and OPQRST
@j3wc3 жыл бұрын
great video, Did he forget to ask for consent?
@sandiegomiramaremtprogram68933 жыл бұрын
For demonstration purposes it was not included, however EMS providers should always obtain consent before assessing and treating.
@martialartsnerd76733 жыл бұрын
Don't forget in certain situations we are allowed to assume. For example if a person cannot consent to CPR due to unresponsiveness we can assume they want it unless a DNR form is presented to you. Or implied consent where, for extending they are extending their arm to the EMT.
@CloroxBleach-rm5nj3 жыл бұрын
@@martialartsnerd7673 Yes, but in this situation, the patient was conscious and responsive.
@ripgoose273 жыл бұрын
@@CloroxBleach-rm5nj but shot in the chest with a sucking wound lmao
@josephb84992 жыл бұрын
@@CloroxBleach-rm5nj yeah he didn’t get consent. I don’t care if it’s for training purposes. He should’ve asked for consent.
@jessecorbett3751 Жыл бұрын
Its all fun and games until your instructor gives you a multi-system trauma involving blunt force trauma, low and high/mid velocity penetrating trauma, and sexual assault with an unconscious Pt with no bystanders to get sample history from other than "he stumbled out of the rest room, collapsed and we have no idea who he his". 😅 These videos look like sesame street after my professor gave me the aforementioned scenario. Great job on your assessment brother. And thank you guys for the content
@ajvoiceovers3349 Жыл бұрын
Damn….that’s “cold-blooded”😂
@jessecorbett3751 Жыл бұрын
@@ajvoiceovers3349 Made me more than ready for my skills testing tho Ill tell ya that much xD
@Neobjects7 ай бұрын
0:52
@thephenom71810 ай бұрын
That is one GORGEOUS EMT on the floor
@jstirrr2 Жыл бұрын
lmao SD, tell me that’s not PB
@Nacidabruja2 ай бұрын
This is actually to detailed lol my class teaches it a bit simpler and less words to remember 😭
@pandilexthings15784 ай бұрын
Critical fail only said Scene Safety nothing about BSI OR PPE NREMT critical fail
@richardthompson2969 Жыл бұрын
Forgot to request ALS as soon as you noted pneumothorax.
@snot4389 Жыл бұрын
ALS was called in primary survey.
@richardthompson2969 Жыл бұрын
@@snot4389 he “considered additional resources” that isn’t the same as requesting.
@pete8987Ай бұрын
Vitals way too late
@-dimaio56175 ай бұрын
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.
@-dimaio56175 ай бұрын
Very true
@thephenom71810 ай бұрын
She can be my partner any day
@user-ii6qb8dn9h Жыл бұрын
"Yes I agree." Question here ..Should you guys go when it's ongoing shootout and you have to rescue a guys on the ground bleeding out and it's common sense but when if so what gives you a grant or to support your action by going in?
@user-ii6qb8dn9h Жыл бұрын
"Yes I agree." Question here ..Should you guys go when it's ongoing shootout and you have to rescue a guys on the ground bleeding out and it's common sense but when if so what gives you a grant or to support your action by going in? 8:09 8:14
@user-ii6qb8dn9h Жыл бұрын
"Yes I agree." Question here ..Should you guys go when it's ongoing shootout and you have to rescue a guys on the ground bleeding out and it's common sense but when if so what gives you a grant or to support your action by going in? 8:09 8:14