Troll time : C = Contusions ( bruising, ecchymosis). B = Burns not bruising. Also, need Crepitus! And a question - in this case, once obvious/gross bleeding is controlled, would it be beneficial to the hypoperfused PT to reposition the upper body from Fowler to supine as well as elevate the feet - so as to utilize gravity flow of: \1. available lower extremity volume to venous return for right side pre-load, and \2. gravity flow perfusion assist to the head/brain? Higher level of care, yes?
Why would you check for HR and respirations during primary assessment when the patient would obviously be in critical condition needing immediate transport?
SOMETHING THAT NEEDS TO NOT FORGET IS CAPILLARY REFILL....YOU CAN DO EVERYTHING RIGHT BUT WITHOUT CAPILLARY REFILL....YOU WILL NEVER FIGURE OUT IF PT IS IN SHOCK. EVEN IF THERE S NO SIGN OF BLOOD LOSS -_-
Would you check BP on arms with venous lacerations?
Well he has bilateral cuts on his wrists, so yes you have to get a baseline set of vitals
Troll time :
C = Contusions ( bruising, ecchymosis). B = Burns not bruising.
Also, need Crepitus!
And a question - in this case, once obvious/gross bleeding is controlled, would it be beneficial to the hypoperfused PT to reposition the upper body from Fowler to supine as well as elevate the feet - so as to utilize gravity flow of:
\1. available lower extremity volume to venous return for right side pre-load, and
\2. gravity flow perfusion assist to the head/brain?
Higher level of care, yes?
WOW SO MANY NEGATIVE COMMENTS INSTEAD OF APPRECIATING THE INFO. TO ME THESE VIDEOS ARE EVEN BETTER THAN EMT PREP
But what about checking the back during secondary assessment. Would you have the patient roll over?
Why would you check for HR and respirations during primary assessment when the patient would obviously be in critical condition needing immediate transport?
The music is horrible....☢😖😖😖
SOMETHING THAT NEEDS TO NOT FORGET IS CAPILLARY REFILL....YOU CAN DO EVERYTHING RIGHT BUT WITHOUT CAPILLARY REFILL....YOU WILL NEVER FIGURE OUT IF PT IS IN SHOCK. EVEN IF THERE S NO SIGN OF BLOOD LOSS -_-
Capillary refill is more reliable with children. You can tell the patient is in shock by the color of the skin and temperature
Also the first sign of shock is Tachycardia, pale, cool, and clammy