As a current EMT student, I sincerely appreciate IMA for posting these videos. Seeing mistakes other EMT students make during assessment actually really helps. I tend to learn more watching these types of scenarios versus the ones where students are hitting all of their marks. Anyone who has been in these shoes as an EMT student knows how nerve wracking patient assessments are. So thank you to the students as well for allowing these to be shared.
Thanks for the comment! We love hearing what people think about our videos so we know what to continue posting- we appreciate the support and let us know if there is anything else you'd like to see!
He does not place one during initial assessment, but upon reassessing the wound during the secondary assessment he does place an occlusive dressing. Thanks for the comment!
All this assessing while the "dude" is bleeding out. Assessment is critical but maybe address the obvious life threatening issue (sure check airway first get PPE and ensure scene safety)
Thanks for the comment! We totally agree the bleeding needed to be addressed sooner! This is an actual student attempting his NREMT trauma assessment, as you can see in the video he didn't pass for that exact reason. We think this is a great learning opportunity for our viewer as they can catch the mistakes while following along and hopefully improving their own assessment skills!
would the MARCHE algorithm apply to this scenario in a "normal" EMS setting? my first thought is that's what i would jump to as a guide to how to treat this person. i guess technically that's essientially what the guy did here
Yes, definitely. Whether you follow MARCHE or XABCDE (External bleed, Airway, Breathing, Circulation, Disability, Exposure) in general the first thing you will want to manage is uncontrolled external bleeding.
So you're going to ignore the fact he didn't control bleeding as first step in XABC? You're training stoners to be unprofessional corpse delivery men. All the other videos you put out were solid, this one makes me second guess everything else I've seen you say before. "But its all good, dude. Sweet, you're bleeding but the morgue is only 8 minutes away. Alright, awesome man." You're a bad proctor if you passed this guy.
@@TimTrOn3000 you have no right to call someone a stoner when you know nothing about them. Had you actually watched the video you would have known that the student failed for not controlling the bleeding or treating for shock. So essentially you’ve demonstrated us that you don’t know what you’re talking about. I hope you enjoyed your two minutes of fame.
Great question! This is one of those situations that does not have a black or white answer for whether to go with a BVM or NRB. NREMT standards generally state that a patient with a respiratory rate below 8 is in respiratory failure and will need a BVM, but this patient is reported to have a rate of 8/min so they are right on that line. It is reported that the patients breathing is shallow but in a simulation it is difficult to determine if that shallow falls into respiratory distress or failure. That patients skin signs are abnormal due to them being in shock, which is another consideration. All that said, as an instructor I am okay with the student falling on either treatment route so long as they reassess the effectiveness of their treatment in a timely manner. In this case the student reassessed and was told that the SPO2 had increased which indicates that the treatment is effective. Had they been told that the patients respiratory rate had dropped, or something else had changed negatively then they would need to choose a more aggressive treatment. For our students we strive to teach assessing and treating students as an ongoing process, so in this situation he meets our standards.
Critical fail. Use of language conforms to lack of professionalism. I don't want an EMT telling me "it's cool bro, you're gonna be alright, dude. Sweet, you're getting help". 50% of illness/injury is psychosomatic... if I don't trust my EMT as professional it makes my outcome worse. Dude knows his shit and did very well. The language is very unprofessional.
Hey, Tim, as stated in the video, this student didn't pass this scenario; you're correct. Not initially managing penetrating trauma to the thorax with an occlusive dressing is a critical failure. The purpose of this video is to give current EMT students an example of going through a trauma scenario and for students to follow along with their exam sheets and see what the student got right and wrong. We feel like it’s essential in EMS education to meet students where they are and help coach them to be successful. It might look different to people with experience, or it’s been a while since taking an EMT course. The best education we have found is supporting our students and letting them make mistakes because that’s where learning begins, which is what we care about. We can all agree that the student put himself in a stressful situation as a student applying his new knowledge while also being filmed. We are very proud of this student because it takes courage and caring for other EMT students to learn from him and improve. EMS needs more encouragement and support from everyone, both for our current generation and the future of EMS. We can all agree that is what truly matters.
As a current EMT student, I sincerely appreciate IMA for posting these videos. Seeing mistakes other EMT students make during assessment actually really helps. I tend to learn more watching these types of scenarios versus the ones where students are hitting all of their marks. Anyone who has been in these shoes as an EMT student knows how nerve wracking patient assessments are. So thank you to the students as well for allowing these to be shared.
Thanks for the comment! We love hearing what people think about our videos so we know what to continue posting- we appreciate the support and let us know if there is anything else you'd like to see!
I liked how calm the student is.
Thumbs up and the word sweet. Great job. Great video..
Why didn't he put an Occlusive dressing over the gunshot wound on the chest, tape it down on 3 sides
He does not place one during initial assessment, but upon reassessing the wound during the secondary assessment he does place an occlusive dressing.
Thanks for the comment!
All this assessing while the "dude" is bleeding out. Assessment is critical but maybe address the obvious life threatening issue (sure check airway first get PPE and ensure scene safety)
Thanks for the comment! We totally agree the bleeding needed to be addressed sooner! This is an actual student attempting his NREMT trauma assessment, as you can see in the video he didn't pass for that exact reason. We think this is a great learning opportunity for our viewer as they can catch the mistakes while following along and hopefully improving their own assessment skills!
Just wondering if adjunct was considered
would the MARCHE algorithm apply to this scenario in a "normal" EMS setting? my first thought is that's what i would jump to as a guide to how to treat this person. i guess technically that's essientially what the guy did here
Yes, definitely. Whether you follow MARCHE or XABCDE (External bleed, Airway, Breathing, Circulation, Disability, Exposure) in general the first thing you will want to manage is uncontrolled external bleeding.
So you're going to ignore the fact he didn't control bleeding as first step in XABC? You're training stoners to be unprofessional corpse delivery men. All the other videos you put out were solid, this one makes me second guess everything else I've seen you say before. "But its all good, dude. Sweet, you're bleeding but the morgue is only 8 minutes away. Alright, awesome man." You're a bad proctor if you passed this guy.
@@TimTrOn3000 so overly critical on a clearly learning student... also thank you for letting us know you didn't watch the video.
@@TimTrOn3000 you have no right to call someone a stoner when you know nothing about them. Had you actually watched the video you would have known that the student failed for not controlling the bleeding or treating for shock. So essentially you’ve demonstrated us that you don’t know what you’re talking about. I hope you enjoyed your two minutes of fame.
Thanks for posting a vid of a student not being successful. There is much to be learned watching that, as well.
Shallow breathing, slow rhythm, respirations 8
Wouldn't BVM be indicated instead of non-rebreather?
Great question! This is one of those situations that does not have a black or white answer for whether to go with a BVM or NRB. NREMT standards generally state that a patient with a respiratory rate below 8 is in respiratory failure and will need a BVM, but this patient is reported to have a rate of 8/min so they are right on that line. It is reported that the patients breathing is shallow but in a simulation it is difficult to determine if that shallow falls into respiratory distress or failure. That patients skin signs are abnormal due to them being in shock, which is another consideration. All that said, as an instructor I am okay with the student falling on either treatment route so long as they reassess the effectiveness of their treatment in a timely manner. In this case the student reassessed and was told that the SPO2 had increased which indicates that the treatment is effective. Had they been told that the patients respiratory rate had dropped, or something else had changed negatively then they would need to choose a more aggressive treatment. For our students we strive to teach assessing and treating students as an ongoing process, so in this situation he meets our standards.
@@IdahoMedicalAcademy Thank you.
Critical fail. Use of language conforms to lack of professionalism. I don't want an EMT telling me "it's cool bro, you're gonna be alright, dude. Sweet, you're getting help".
50% of illness/injury is psychosomatic... if I don't trust my EMT as professional it makes my outcome worse. Dude knows his shit and did very well. The language is very unprofessional.
Hey, Tim, as stated in the video, this student didn't pass this scenario; you're correct. Not initially managing penetrating trauma to the thorax with an occlusive dressing is a critical failure.
The purpose of this video is to give current EMT students an example of going through a trauma scenario and for students to follow along with their exam sheets and see what the student got right and wrong. We feel like it’s essential in EMS education to meet students where they are and help coach them to be successful. It might look different to people with experience, or it’s been a while since taking an EMT course. The best education we have found is supporting our students and letting them make mistakes because that’s where learning begins, which is what we care about.
We can all agree that the student put himself in a stressful situation as a student applying his new knowledge while also being filmed. We are very proud of this student because it takes courage and caring for other EMT students to learn from him and improve. EMS needs more encouragement and support from everyone, both for our current generation and the future of EMS. We can all agree that is what truly matters.
@@IdahoMedicalAcademy great response!!!