Vital Signs

[@HUNTER-ve3iw]

I legit knew everything here already but I still watched just because I enjoy your content, keep up the great work!

[@TheDoctor1225]

Agreed. He presents it in a clear manner and still encourages you to use your brains instead of acting like a robot who blindly follows numbers and rules. Treat the patient. not the numbers.

[@hurricanejeffries4606]

I have a Type1 diabetic son and he passed out on us recently. It was super scary and this time his blood sugars were steady at 146. Anyway. It was scary enough that I am going to emt school and paramedics training after that. I may never work a rig but I will be able to save my family if something like that happens again. At least I will know how to help til I can get him to a hospital. Your site was super Informative. Thank you!!!

[@ambulance_boy3834]

Half a second is a good time frame to feel for a pulse because it gives you time to pick up on any arrhythmias.

[@gazaniac]

One of the few KZbinrs to say sphygmomanometer right. Props. To nitpick it looked like the cuff was deflated too quickly. Also it's a good idea to combine taking the pulse and counting the respirations so the patient is not aware breaths are being counted (keep the fingers on the wrist while counting breaths).

[@Hershy_18]

You should be giving a EMT class... I'll pay!

[@ricktyricktywrecked5777]

Instructors male more than most paramedics honestly.

[@Ninja-qm8bp]

That's almost what he's doing. Providing first aid skills for lay people and experienced responders. Even as an EMT, I still enjoy watching his videos!

[@ziyuansim5090]

@@ricktyricktywrecked5777 Make* ?

[@marcoslotero1997]

I agree with you

[@baddgerpaw]

@@ziyuansim5090 no he meant mail

[@philfortin5995]

I remember my EMT training from the 90s as a Cop. Vitals was an insanely info overload portion. Cool video, thanks.

[@conwayyury5578]

i come from a aircraft engineering background. I have taken lots of Red Cross first aid classes, PADI dive Rescurer, Wilderness first Aid. I do try to learn as much as I can from your videos. I am taken aback, as to the complete new information I did not ever realize of what it takes in your industry! Thank-you for posting and I have subscribed! I truly would love to learn more and help another human being or coworker in medical distress.

[@barryg4927]

Prep medic is fantastic! Check out skinny medic and the paramedic coach as well . 💯

[@curtisthomason2234]

Thank You, these videos are so incredibly helpful. I am taking a fast track EMT course. These are the videos I have been looking for. This is way more entertaining to watch than those power point videos floating around. Great videography, sound, demonstrations, easy to understand, and a handsome guy teaching it all. This is pure gold! ❤

[@douglastrujillo8317]

This couldn’t have come at a better time! I’m in EMT school and we are covering vitals! Thanks for the personal insight!

[@jctedsap]

This is the best instruction for checking blood pressure I have ever heard. I am subscribing.

[@CosmicCollaterals17]

Im Just a lifeguard, and this video explains vital signs better than any of the instructors ive had

[@TheDoctor1225]

One of the things I like the best about your videos is the fact that you continually reinforce the fact that we need to interpret the results we get/find/see instead of robotically saying "105 bpm. They MUST be suffering from tachycardia" or the like.

[@EggyMcLove]

Forwarding this video to my trainees. Good job Sam.

[@ChrisJohnson-hk6es]

New to this channel. Round of applause! This is excellent information. Thank you!

[@Zoe-nc9oq]

You are my inspiration to continue pushing myself to be the best care provider I can out in the field. Thanks for your time

[@jayferraro4408]

Sam - you rock! Just finished my EMT-B an on to Paramed and this is better content and presentation than any lecture by any of our instructors.... THANK YOU for the contribution to making us all better!

[@Hal-Robinson]

I learned a lot of stuff on this video I'm the planning section chief or a county search and rescue in Florida so although I don't do medical a lot of my coworkers are EMTs and paramedics sometimes I am on calls with them so it's good for me to understand what they do.

[@cc-qu7gz]

Really well taught. Much better than others. Great video!.

[@engineco.1494]

Great Channel, practice makes perfect, when I'm off the job i periodically take my wife and kids vital signs, O2 and BP, it also makes for a little family fun teaching them as well.

[@TravisWebster]

Been following for a while now. Glad you provide a ton of information. I just started EMT school this week and always find your videos helpful. Thank you for what you do!

[@DukeTrana]

This is one of the best videos on this topic. Very well done. Clear and concise.

[@zenerworks7553]

Oh wow didn't realize this was uploaded today, I was watching a covid-19 video about the finger oxygen saturated things and became interested in understanding vitals

[@_Kevo]

Literally watch just because you're good at making these videos and explaining things lol. You should do more of pediatric vitals as well, maybe some ALS assist stuff, etc. Would help the new EMT's coming into the job for sure.

[@MrDeath2iPod]

Thanks for the video! I’m currently just starting in the nursing field and planning to enlist after I’m done, I just wanted to say your videos are really helpful. Keep up the great work!

[@Thatsecuritybloke]

Absolutely love the info you put out Sam! I'm always learning something new

[@crowmancaveman2gen-xer280]

When I extern at a urgent care, the office manager was a paramedic and 68w, he wouldnt let me cut no corners with vital and he would ban me from using a electronic blood pressure cuff. To this day I can take blood pressures in the dark it helped me alot when I collected blood at American red cross cause I would work in places where power would go out. That dude taught me cool stuff 🤣😂 more then what I learned at medical assisting school I went to

[@zachbunch8701]

Glad to hear it! I'm looking at the 68W right now.

[@sarahwitter2548]

@@bdogg20101 Totally agree! I’m externing as an MA currently and the doctor prefers the electric BP machine but if the machine is acting up which it does, I take it manually! I personally prefer manual myself.

[@TheDoctor1225]

I was blessed, when I volunteered with our local ambulance corps at a CFR and then EMT, to have worked with a paramedic who insisted on the same. Electronics were fine for monitoring in the ambulance while doing other interventions or when doing a standard transport, but she wanted at least 1 if not more manual BP's on a patient. To this day, even when serving as a medical assistant or as a volunteer medical presence at events, I have my own BP cuff and take manual measurements. She was a marvelous partner, and to this day is a great friend and I learned a lot from her. Sounds like we had very similar experiences, Crowman.

[@TheDoctor1225]

@@sarahwitter2548 I'm too old school, myself. Used to "argue" with one of my professors (who was a doctor and had a great sense of humor) when I was getting my degree as a medical assistant that I was like Bones from the original Star Trek - didn't trust machines and didn't like them :) "It's a blasted MACHINE, Spock! You can't argue with a machine!" Good times.

[@media6969]

How do you take blood pressure in the dark?? 😅

[@Badger.008]

Watching theses videos while in EMT B school helped out a lot! Thanks 👍

[@krymsonuchiha14]

This is great thank you!!! I cannot afford much and cannot physically work as an EMT since I have Fibromyalgia. I will be taking a first responder course at some point, but after I move. This is really helpful since I live currently with people who have hypertension.

[@kev9193]

Interesting to see the Similärstes and differences to what ive Learned here in Germany in Paramedic class

[@kaydenlillie2248]

Good video and good information

[@Jakebigred1PL]

Hi Sam. Thank's a lot for this basic video because i am a paramedic from Poland and it was very helpful, to learn engilsch version of the vital signs. I'v just finisch NAEMT TCCC Instructor course and i saw there my lack of knowlage in this area. Keep Youtubing - you are one of my main paremedic englisch school :) Best regards from Poland and maby when i visit US there will be chance to meet.

[@drizzycarlos8397]

I literally have to take my CNA state test and I was never really good at this. So this helped

[@gta8awsomeness]

"anything over 100 is a sign of shock" *pulse is 101* OH GOD HES DYING!!!!!!

[@mothwaltz4163]

Hi! Thank you for the awesome and useful video!

[@n0vellette]

Canadian type 1 diabetic. When you said between 90 and 120, I freaked out, because I forgot you guys use different units of measurement! We go into hyperglycemic shock at 20 m/mol! I've actually experienced hyperglycemic shock, it's not a fun time

[@alexr1101]

Respirations are always 16, always.

[@PrepMedic]

god is watching 😂

[@GibbyGuyGo]

I was going to comment this 😂

[@w0oties]

R/F @ 18.

[@Ninja-qm8bp]

So true 😂

[@wholeNwon]

Or always 20.

[@pauliechilds4087]

Excellent videos and explanations. You explain with brevity that is refreshing in reteaching and for revision. Highly recommend your videos for the contract security sector. FREC / FPOS trained guys . Respect from the UK.

[@maritzafigueiras8432]

You make great videos! Thank you for this one!

[@Turbo_Tractors]

I learn something from you everyday.

[@traceurpastor]

i don´t speak english, your blood pressure cuff have a sign that indicates where the artery goes. good video, greetings from Chile

[@AlaskanFrontier1]

As a note with Blood Pressure, you want to take the cuff up to about 180 mmHG and you want to place your stethoscope over the brachial artery. Which should be approximately diagonal to the radial artery.

[@krisdeaglephotography4539]

Not 180. 30mmHg above your palpated reading. If you’ve palpated 100 as their systolic, you don’t need or want to bump it all the way to 180 and I know the patient won’t.

[@cristiangarcia6149]

You’re videos are really helpful thank you

[@apollo3396]

Fantastic! succinct, easy to understand

[@blessingsithole8847]

very informative watching from south africa

[@shanileestaples8577]

Awesome explanation you should become a teacher. Thank you for the refresher.

[@roland.j.ruttledge]

Informative, as ever, many thanks.

[@coniferousforests8030]

Is body core temperature a vital sign? What would be the optimal range and the most reliable way to measure?

[@niccatipay]

An anal thermometer is the best way to get a correct thermal read. Ear thermometer and mouth thermometer is the next. Last is the armpit thermometer.

[@mondelinejean5017]

Best video

[@anabellefernandez4586]

This really help me a lot 😍😍 during my caregiving schooling. Thank you

[@TheRECKLESSinWA]

Huge thanks I took notes on the whole video

[@markkica8755]

Thank You for providing very useful information.

[@randyrowett7998]

Excellent info video

[@mikeneale2459]

EXCELLENT! Thank you.

[@bradalan7188]

Keep up the good work!

[@therealWowThatsAwesome]

Thank you for making these videos!

[@christophersayles5888]

Please could you recommend a good pulse oximeter that you use, thank you. Great videos, please keep up the great work

[@boaderpatroller07]

Great job on your videos

[@kylesullivan8052]

Would love a video on how to best handle diabetic emergencies! Glucagon just got added to our protocols so some info on that would be awesome too!

[@MM-iy9xu]

Any recommendations on price point and brands of your tools? Very well presented Sam! Thanks!!

[@bobbaldwin9186]

Another request for your recommendations on pulseox units from Amazon, please. The pulseox market has been flooded with cheap, inaccurate units designed for "workout" enthusiasts.

[@backpackprepper6658]

Pretty useful info as usual, thnx bro😎👊

[@minhaaj]

i was looking for that for ages!

[@lessiansaralonde620]

In Australia we use mmol/L for blood glucose, a good range being 4 to 5.5 fasting.

[@krisdeaglephotography4539]

4-8 is considered normal. Up to 10 after a meal though I agree, on the lower end of normal is better.

[@belle-]

Thank you so much 🙏🏻

[@MrD-et9dp]

Great video, super informative. One question, isn't level of consciousness considered a vital sign?

[@combatmidwife]

Great video Sam.

[@lateo74]

great basics

[@heavy_duty4158]

Your got me to the ems explorer program

[@lindalidestri3109]

Great stuff

[@CabrilloTV]

Nice to get back basics, to many do not give vitals importance.

[@jacksonlim4827]

Hello from Singapore! Would you be able to do some reviews on different stethoscope?

[@FrankEdavidson]

Would one ever put an electronic blood pressure monitor or an aneroid sphyg in a first responder (not paramedic, EMT) backpack kit? Would one put a diagnostic stethoscope e.g. Cardiology IV, Master Cardiology, to hear over traffic noise in the same backpack kit or a monitoring one e.g. Classic III. Thoughts on Thinklabs One? Which Pulse Oximeter to carry? Diagnostic/indicative bang for buck for space in the EDC, a compact PO, if accurate seems a good thing to carry. A Masimo Rad-57 Pulse CO-Oximeter which also does Carboxyhaemoglobin (SpCO) and Methaemoglobin (SPMet) is out of budget, maybe it's one for firefighters. Too big form factor for EDC. Masimo MightySat Rx seems way overpriced and overhyped. The ones BASICS Scotland (medical doctor responders) showed in their bags 2015, the Envitec (Honeywell) OxiPen isn't widely available, maybe superseded. My Medisana one from LIDL (yes, lol) tests fine against a Lifepak 15, though the other one of the same model is off quite a few %.on SPO2

[@r.gproductions6674]

for doing blood glucose can you use the pricker of multi casualty's or is it use once sorta thing?? (building a first responder bag )

[@krisdeaglephotography4539]

One and done. Infection control and the needle tip blunts (hooks) once injected. (Look at a video of one on a microscopic level).

[@qlemens6273]

Amazing to see how the kid from The Middle has evolved.

[@amybrown1161]

This is so educational

[@josephrosenberg8196]

Great informal video! Just one question. isn't tachycardia and hypotensive, compensated shock 🤔. and not decompnasated

[@PrepMedic]

If you are hypotensive you are decompensated as you are losing the ability to perfuse your organs. Compensated shock would be tachycardia and normotensive

[@ianjohnson2462]

What brand blood pressure cuff are you using?

[@edwardgrabinsky]

Looks like one of the Welch allyn sets like a ds66... nice stuff.

[@edwardgrabinsky]

Sorry ds58

[@bobsurfer230]

Shivering (hypothermia) or trembling (Parkinson’s) can cause motion artifact which messes up the pulse ox reading.

[@FernandoChavez-mx3kv]

Can somebody recommend me a good pulseoximeter? I want to buy a new one

[@MGoat76]

Would love to hear advice on what to look for for a good pulse oximeter? You mentioned amazon had some good ones (they have a lot) and also suggest caution. Can you expand on that or recommend specific models? Also, it would be nice to hear you correlate readings with shock and treatment. Would like to hear more than you provided. Good basic video though.

[@allen480]

They are usually made in The Peoples Republic of China. oops!

[@dannichina1789]

Can you please talk about how take vital signs in a moving vehicle?

[@PoisonBivy]

i am hard of hearing and since i can't use my hearing aids while using a stethoscope, what would you suggest for me to work around this?

[@floridaman8136]

You never made that capnography video! I’d love it if you did.

[@chuthita]

Thank you 💙

[@noktturnal]

Awsome content, can you do a vid on hemothorax vrs pneumothorax. Please

[@thetypewriterist7949]

Interested in the gear you recommend for vitals...stethoscope, sphygmomanometer, pulse oximeter, etc. What brands are best for EMTs?

[@krisdeaglephotography4539]

Littmann for stethoscope

[@medic001465]

Can you review the Littmann Eko Core?

[@captainrex3492]

What’s ur intro and outro music? I’m obsessed with it 😂

[@justrafe]

Proper good that

[@sugarcan1110]

What type of ste th hescope is that one

[@merza4723]

i love you so much thanks so much

[@bigmorris9484]

What type of Baumanometer si he using

[@djhocog360]

Hello, I had a few questions is there a way that i could message you?

[@Dave-ji1hv]

We took a patient to the hospital once and their fingers were cold so the nurse put the pulse ox on their ear lobe and apparently that is supposed to give a good reading too? Any input on this?

[@almostmedic3723]

The ear lobe can be a great place for a pulse ox! Since earlobes are closer to the head and are usually warmer it is preferred over cold fingers. To get an accurate SPo2 reading you basically need any place on the pt's body where there is warm blood running throughout. Obviously even with cold fingers there will be perfusion, but especially with geriatrics it is reduced and if the skin is cold to the touch it will also be cold to the pulse ox. I've even seen adhesive pulse oxes being placed on the forehead before.

[@ckotterman]

I one stuck a disposable pulse ox directly on a pt's forehead in the ED. Worked great!😆

[@markarca6360]

Regarding the blood glucose levels, what unit of measurement you are talking? Is it mg/dl or mmol/l (or mg/100ml)?

[@noahjohnson291]

mg/dl

[@kyriekyie]

Any tips improving taking BPs? I can barely hear sometimes. (fresh EMT graduate)

[@Attilablabla]

I Feel like I can always hear super faint sounds after the last clear sound for diastolic pressure. Which one should I take? The one that gives the most probable reading ist the last clear sound but is that correct?

[@wholeNwon]

Press less hard with your stethoscope. Use sudden muffling.

[@Attilablabla]

@@wholeNwon thank you!

[@mauralawton3260]

I really hope I just counted BPM wrong because I came out with 120 😂 Keep up the great work!

[@l5mtf393]

nice studio you got there :)

[@lincolnvinicius7752]

Thank you Sir